*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z881 - Allergy status to other antibiotic agents status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.92 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z881 - Allergy status to other antibiotic agents status | 50,231 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z881 - Allergy status to other antibiotic agents status in DRG | 5.81 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z881 - Allergy status to other antibiotic agents status | 5.68 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z881 - Allergy status to other antibiotic agents status | 24.01 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z881 - Allergy status to other antibiotic agents status | 17.5 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z881 - Allergy status to other antibiotic agents status | $559,001,528 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z881 - Allergy status to other antibiotic agents status | $1,959 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z881 - Allergy status to other antibiotic agents status | $11,129 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z881 - Allergy status to other antibiotic agents status | $2,816,657,162 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z881 - Allergy status to other antibiotic agents status | $56,074 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z881 - Allergy status to other antibiotic agents status | 7.92 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z881 - Allergy status to other antibiotic agents status | 25.12 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z881 - Allergy status to other antibiotic agents status | 31.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z881 - Allergy status to other antibiotic agents status | 20,151 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z881 - Allergy status to other antibiotic agents status in DRG | 2.33 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z881 - Allergy status to other antibiotic agents status | 4.62 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z881 - Allergy status to other antibiotic agents status | 24.44 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z881 - Allergy status to other antibiotic agents status | 19.49 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z881 - Allergy status to other antibiotic agents status | $138,079,252 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z881 - Allergy status to other antibiotic agents status | $1,483 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z881 - Allergy status to other antibiotic agents status | $6,852 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z881 - Allergy status to other antibiotic agents status | $766,456,155 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z881 - Allergy status to other antibiotic agents status | $38,036 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z881 - Allergy status to other antibiotic agents status | 0.88 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z881 - Allergy status to other antibiotic agents status | 13.96 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z881 - Allergy status to other antibiotic agents status | 52.88 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z881 - Allergy status to other antibiotic agents status | 13,733 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z881 - Allergy status to other antibiotic agents status in DRG | 1.59 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z881 - Allergy status to other antibiotic agents status | 5.03 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z881 - Allergy status to other antibiotic agents status | 22.02 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z881 - Allergy status to other antibiotic agents status | 16.98 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z881 - Allergy status to other antibiotic agents status | $114,273,493 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z881 - Allergy status to other antibiotic agents status | $1,655 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z881 - Allergy status to other antibiotic agents status | $8,321 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z881 - Allergy status to other antibiotic agents status | $574,347,570 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z881 - Allergy status to other antibiotic agents status | $41,822 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z881 - Allergy status to other antibiotic agents status | 2.44 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z881 - Allergy status to other antibiotic agents status | 21.2 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z881 - Allergy status to other antibiotic agents status | 43.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD Z881 - Allergy status to other antibiotic agents status | 9,968 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z881 - Allergy status to other antibiotic agents status in DRG | 1.15 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD Z881 - Allergy status to other antibiotic agents status | 4.51 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD Z881 - Allergy status to other antibiotic agents status | 24.55 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD Z881 - Allergy status to other antibiotic agents status | 18.52 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD Z881 - Allergy status to other antibiotic agents status | $64,015,356 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD Z881 - Allergy status to other antibiotic agents status | $1,425 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD Z881 - Allergy status to other antibiotic agents status | $6,422 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD Z881 - Allergy status to other antibiotic agents status | $340,949,392 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD Z881 - Allergy status to other antibiotic agents status | $34,204 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD Z881 - Allergy status to other antibiotic agents status | 0.82 | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD Z881 - Allergy status to other antibiotic agents status | 35.17 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD Z881 - Allergy status to other antibiotic agents status | 27.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 5,951 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 3,832 |
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 3,754 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HOWARD J KAPP | 130 TAMIAMI TRL N | NAPLES | FL | 34102 | 152 |
| Dr. KENNETH P. FRANCKOWIAK | 50 N PERRY ST | PONTIAC | MI | 48342 | 152 |
| Dr. OLALEKAN T FOLARIN | 7007 POWERS BLVD | PARMA | OH | 44129 | 143 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 604 |
| Dr. JOHN C SIMON | 1970 N HWY 190 | COVINGTON | LA | 70433 | 313 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 291 |