*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z889 - Allergy status to unspecified drugs, medicaments and biological substances status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.72 | |
| 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 710 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status in DRG | 5.26 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 5.66 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 23.46 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 16.67 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $7,671,637 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $1,910 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $10,805 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $42,317,620 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $59,602 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 6.2 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 23.38 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 32.82 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 312 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status in DRG | 2.31 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 3.26 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 21.28 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 17.23 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $1,328,888 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $1,308 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $4,259 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $9,969,370 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $31,953 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 5.45 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 74.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 196 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status in DRG | 1.45 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 5.03 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 19.21 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 14.12 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $1,649,997 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $1,675 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $8,418 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $8,886,606 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $45,340 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 20.92 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 42.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | 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 Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 154 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status in DRG | 1.14 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 4.33 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 21.68 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 16.08 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $974,762 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $1,461 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $6,330 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $5,754,132 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | $37,364 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 39.61 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD Z889 - Allergy status to unspecified drugs, medicaments and biological substances status | 27.27 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LOWER BUCKS HOSPITAL | 501 BATH RD | BRISTOL | PA | 19007 | 235 |
| MARTIN MEDICAL CENTER | 200 SE HOSPITAL AVE | STUART | FL | 34994 | 164 |
| LONG ISLAND COMMUNITY HOSPITAL | 101 HOSPITAL RD | PATCHOGUE | NY | 11772 | 144 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS D. MEADE | 2775 SCHOENERSVILLE RD | BETHLEHEM | PA | 18017 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZAFAR ALI KHAN | 1609 WOODBOURNE RD | LEVITTOWN | PA | 19057 | 51 |
| Dr. SANJAY P BHATIA | 1411 WOODBOURNE RD | LEVITTOWN | PA | 19057 | 37 |
| Dr. RANJAN K SINHA | 957 HICKORY RIDGE DR | CHALFONT | PA | 18914 | 34 |