*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8709 - Personal history of other diseases of the respiratory system - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.54 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z8709 - Personal history of other diseases of the respiratory system | 855 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z8709 - Personal history of other diseases of the respiratory system in DRG | 5.56 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z8709 - Personal history of other diseases of the respiratory system | 2.39 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 8.77 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 3.25 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z8709 - Personal history of other diseases of the respiratory system | $9,628,873 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z8709 - Personal history of other diseases of the respiratory system | $4,713 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z8709 - Personal history of other diseases of the respiratory system | $11,262 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z8709 - Personal history of other diseases of the respiratory system | $50,885,278 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z8709 - Personal history of other diseases of the respiratory system | $59,515 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 18.36 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 38.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD Z8709 - Personal history of other diseases of the respiratory system | 420 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD Z8709 - Personal history of other diseases of the respiratory system in DRG | 2.73 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD Z8709 - Personal history of other diseases of the respiratory system | 12.9 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 23.74 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 18.4 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD Z8709 - Personal history of other diseases of the respiratory system | $8,169,200 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD Z8709 - Personal history of other diseases of the respiratory system | $1,507 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD Z8709 - Personal history of other diseases of the respiratory system | $19,450 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD Z8709 - Personal history of other diseases of the respiratory system | $16,559,494 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD Z8709 - Personal history of other diseases of the respiratory system | $39,427 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | NA | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 14.05 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 14.52 |
*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 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD Z8709 - Personal history of other diseases of the respiratory system | 268 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD Z8709 - Personal history of other diseases of the respiratory system in DRG | 1.74 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD Z8709 - Personal history of other diseases of the respiratory system | 14.06 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 15.19 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 8.86 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD Z8709 - Personal history of other diseases of the respiratory system | $4,701,888 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD Z8709 - Personal history of other diseases of the respiratory system | $1,248 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD Z8709 - Personal history of other diseases of the respiratory system | $17,544 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD Z8709 - Personal history of other diseases of the respiratory system | $10,358,444 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD Z8709 - Personal history of other diseases of the respiratory system | $38,651 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 30.97 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 27.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,444 | ||||
| Total Hospitalizations with ICD Z8709 - Personal history of other diseases of the respiratory system | 180 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD Z8709 - Personal history of other diseases of the respiratory system in DRG | 1.17 | ||||
| Avg LOS at DRG | 2.99 | ||||
| Avg LOS with ICD Z8709 - Personal history of other diseases of the respiratory system | 3.57 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 13.02 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 8.28 | ||||
| Total Medicare payments at DRG | $639,377,802 | ||||
| Total Medicare payments with ICD Z8709 - Personal history of other diseases of the respiratory system | $905,906 | ||||
| Total Medicare payment per Day at DRG | $1,479 | ||||
| Total Medicare payment per Day with ICD Z8709 - Personal history of other diseases of the respiratory system | $1,409 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,426 | ||||
| Total Medicare payment per Hospitalization with ICD Z8709 - Personal history of other diseases of the respiratory system | $5,033 | ||||
| Total Medicare Charges at DRG | $2,994,885,256 | ||||
| Total Medicare Charges with ICD Z8709 - Personal history of other diseases of the respiratory system | $3,420,817 | ||||
| Avg Charges at DRG | $20,734 | ||||
| Avg Charges with ICD Z8709 - Personal history of other diseases of the respiratory system | $19,005 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | NA | ||||
| SNF Discharge Rate at DRG | 6.05 | ||||
| SNF Discharge Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | NA | ||||
| Home Discharge Rate at DRG | 72.34 | ||||
| Home Discharge Rate with ICD Z8709 - Personal history of other diseases of the respiratory system | 75.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HENDERSON | 10301 JEFFREYS ST | HENDERSON | NV | 89052 | 329 |
| HEALTHSOUTH HARMARVILLE REHABILITATION HOSPITAL | GUYS RUN ROAD | PITTSBURGH | PA | 15238 | 236 |
| HEINZ REHAB HOSPITAL | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 213 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AAMIR HASHMAT | 2024 15TH ST FL 2 | MERIDIAN | MS | 39301 | 34 |
| Dr. CHRISTOPHER FRANK WAGENER | 2775 SCHOENERSVILLE RD | BETHLEHEM | PA | 18017 | 29 |
| Dr. CHARLES CHRISTOPHER GREIM | 2585 FREEPORT ROAD | PITTSBURGH | PA | 15238 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN A. KLINE | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 172 |
| Dr. ROBERT R GAO | 229 N PECOS RD | HENDERSON | NV | 89074 | 114 |
| Dr. SARMISTHA BHALLA | 321 W PROMENADE ST | MEXICO | MO | 65265 | 81 |