*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8611 - Personal history of tuberculosis - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.78 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z8611 - Personal history of tuberculosis | 3,338 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z8611 - Personal history of tuberculosis in DRG | 6.84 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z8611 - Personal history of tuberculosis | 5.99 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z8611 - Personal history of tuberculosis | 21.07 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z8611 - Personal history of tuberculosis | 15.05 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z8611 - Personal history of tuberculosis | $42,143,598 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z8611 - Personal history of tuberculosis | $2,106 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z8611 - Personal history of tuberculosis | $12,625 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z8611 - Personal history of tuberculosis | $196,545,582 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z8611 - Personal history of tuberculosis | $58,881 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z8611 - Personal history of tuberculosis | 10.84 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z8611 - Personal history of tuberculosis | 22.62 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z8611 - Personal history of tuberculosis | 33.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z8611 - Personal history of tuberculosis | 1,208 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z8611 - Personal history of tuberculosis in DRG | 2.48 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z8611 - Personal history of tuberculosis | 5.45 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z8611 - Personal history of tuberculosis | 20.83 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z8611 - Personal history of tuberculosis | 15.87 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z8611 - Personal history of tuberculosis | $11,182,281 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z8611 - Personal history of tuberculosis | $1,697 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z8611 - Personal history of tuberculosis | $9,257 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z8611 - Personal history of tuberculosis | $56,436,901 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z8611 - Personal history of tuberculosis | $46,719 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z8611 - Personal history of tuberculosis | 3.39 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z8611 - Personal history of tuberculosis | 19.12 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z8611 - Personal history of tuberculosis | 45.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD Z8611 - Personal history of tuberculosis | 658 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD Z8611 - Personal history of tuberculosis in DRG | 1.35 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD Z8611 - Personal history of tuberculosis | 8.15 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD Z8611 - Personal history of tuberculosis | 26.39 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD Z8611 - Personal history of tuberculosis | 17.59 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD Z8611 - Personal history of tuberculosis | $8,871,881 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD Z8611 - Personal history of tuberculosis | $1,654 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD Z8611 - Personal history of tuberculosis | $13,483 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD Z8611 - Personal history of tuberculosis | $44,581,657 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD Z8611 - Personal history of tuberculosis | $67,753 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD Z8611 - Personal history of tuberculosis | 9.42 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD Z8611 - Personal history of tuberculosis | 23.86 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD Z8611 - Personal history of tuberculosis | 26.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z8611 - Personal history of tuberculosis | 489 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z8611 - Personal history of tuberculosis in DRG | 1.0 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z8611 - Personal history of tuberculosis | 4.02 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z8611 - Personal history of tuberculosis | 22.46 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z8611 - Personal history of tuberculosis | 16.53 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z8611 - Personal history of tuberculosis | $3,032,149 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z8611 - Personal history of tuberculosis | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z8611 - Personal history of tuberculosis | $6,201 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z8611 - Personal history of tuberculosis | $15,357,720 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z8611 - Personal history of tuberculosis | $31,406 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z8611 - Personal history of tuberculosis | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z8611 - Personal history of tuberculosis | 19.02 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z8611 - Personal history of tuberculosis | 49.08 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ALASKA NATIVE MEDICAL CENTER | 4315 DIPLOMACY DR | ANCHORAGE | AK | 99508 | 304 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 215 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 206 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MALLAPPA NEELAPPA | 2275 S ELKS LANE | YUMA | AZ | 85364 | 13 |
| Dr. CHIA CHI GEORGE LAI | 500 N GARFIELD AVE | MONTEREY PARK | CA | 91754 | 13 |
| Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LOUIS SANG-SOO PARK | 500 S VIRGIL AVE # 502 | LOS ANGELES | CA | 90020 | 80 |
| Dr. DAT Q NGUYEN | 12954 HAWTHORNE BLVD | HAWTHORNE | CA | 90250 | 32 |
| Dr. DAVID G DEXTER | 4315 DIPLOMACY DR | ANCHORAGE | AK | 99508 | 30 |