*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8669 - Personal history of other diseases of the nervous system and sense organs - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.31 | |
| 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 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 2,256 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z8669 - Personal history of other diseases of the nervous system and sense organs in DRG | 4.81 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 5.68 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 23.47 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 17.11 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $26,184,956 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $2,044 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $11,607 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $120,080,419 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $53,227 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 8.42 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 30.54 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 25.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 757 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z8669 - Personal history of other diseases of the nervous system and sense organs in DRG | 1.61 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 3.11 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 20.0 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 15.03 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $3,266,037 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $1,389 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $4,314 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $19,097,385 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $25,228 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 8.85 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 73.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 586 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD Z8669 - Personal history of other diseases of the nervous system and sense organs in DRG | 1.25 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 11.07 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 20.04 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 11.37 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $9,087,750 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $1,401 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $15,508 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $26,368,900 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $44,998 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 26.79 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 30.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH 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 | 135,138 | ||||
| Total Hospitalizations with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 521 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD Z8669 - Personal history of other diseases of the nervous system and sense organs in DRG | 1.11 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 3.1 | ||||
| Readmission Rate at DRG | 16.48 | ||||
| Readmission Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 15.34 | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 10.43 | ||||
| Total Medicare payments at DRG | $705,646,122 | ||||
| Total Medicare payments with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $2,790,893 | ||||
| Total Medicare payment per Day at DRG | $1,592 | ||||
| Total Medicare payment per Day with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $1,729 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,222 | ||||
| Total Medicare payment per Hospitalization with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $5,357 | ||||
| Total Medicare Charges at DRG | $4,131,642,258 | ||||
| Total Medicare Charges with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $14,030,622 | ||||
| Avg Charges at DRG | $30,574 | ||||
| Avg Charges with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | $26,930 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | NA | ||||
| SNF Discharge Rate at DRG | 16.47 | ||||
| SNF Discharge Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 13.63 | ||||
| Home Discharge Rate at DRG | 56.97 | ||||
| Home Discharge Rate with ICD Z8669 - Personal history of other diseases of the nervous system and sense organs | 63.15 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,528 |
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 1,257 |
| EDWARD W SPARROW HOSPITAL | 1215 E MICHIGAN AVE | LANSING | MI | 48912 | 1,018 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 505 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 328 |
| Dr. MOHAMMAD ALHABBAL | 119 BELMONT ST | WORCESTER | MA | 01605 | 313 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 544 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 352 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 349 |