*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z888 - Allergy status to other drugs, medicaments and biological substances status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.96 | |
| 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 885: PSYCHOSES | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 74,250 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z888 - Allergy status to other drugs, medicaments and biological substances status in DRG | 4.75 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 5.57 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 23.98 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 17.3 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $820,516,356 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $1,985 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $11,051 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $4,138,501,181 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $55,737 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 8.43 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 25.13 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 31.75 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 30,171 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z888 - Allergy status to other drugs, medicaments and biological substances status in DRG | 1.93 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 4.42 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 24.76 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 19.7 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $206,141,111 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $1,546 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $6,832 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $1,095,133,993 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $36,298 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 0.95 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 13.66 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 53.35 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 21,782 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z888 - Allergy status to other drugs, medicaments and biological substances status in DRG | 1.39 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 4.93 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 22.31 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 17.1 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $181,612,026 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $1,690 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $8,338 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $897,036,698 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $41,182 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 2.6 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 20.63 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 44.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 17,039 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD Z888 - Allergy status to other drugs, medicaments and biological substances status in DRG | 1.09 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 3.63 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 24.5 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 19.98 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $92,415,445 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $1,494 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $5,424 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $509,497,817 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | $29,902 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 0.18 | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 9.8 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD Z888 - Allergy status to other drugs, medicaments and biological substances status | 60.75 |
| 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 | 10,645 |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | 3333 SILAS CREEK PKWY | WINSTON SALEM | NC | 27103 | 8,706 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 7,118 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN WESLEY MESKO | 2815 S PENNSYLVANIA AVE | LANSING | MI | 48910 | 279 |
| Dr. DAVID JEFFERSON HOWE | 170 KIMEL PARK DR | WINSTON SALEM | NC | 27103 | 273 |
| Dr. HOWARD J KAPP | 130 TAMIAMI TRL N | NAPLES | FL | 34102 | 269 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 1,537 |
| Dr. KEVIN BERNSTEIN | 7010 SMOKE RANCH RD STE 120 | LAS VEGAS | NV | 89128 | 705 |
| Dr. JOHN C SIMON | 1970 N HWY 190 | COVINGTON | LA | 70433 | 646 |