*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z91013 - Allergy to seafood - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.65 | |
| 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 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 | 1,522,684 | ||||
| Total Hospitalizations with ICD Z91013 - Allergy to seafood | 7,023 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z91013 - Allergy to seafood in DRG | 4.83 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z91013 - Allergy to seafood | 2.56 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z91013 - Allergy to seafood | 9.61 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z91013 - Allergy to seafood | 3.83 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z91013 - Allergy to seafood | $85,183,474 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z91013 - Allergy to seafood | $4,743 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z91013 - Allergy to seafood | $12,129 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z91013 - Allergy to seafood | $471,522,225 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z91013 - Allergy to seafood | $67,140 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z91013 - Allergy to seafood | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z91013 - Allergy to seafood | 24.88 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z91013 - Allergy to seafood | 25.06 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z91013 - Allergy to seafood | 2,482 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z91013 - Allergy to seafood in DRG | 1.71 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z91013 - Allergy to seafood | 4.71 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z91013 - Allergy to seafood | 26.48 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z91013 - Allergy to seafood | 22.73 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z91013 - Allergy to seafood | $18,193,882 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z91013 - Allergy to seafood | $1,556 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z91013 - Allergy to seafood | $7,330 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z91013 - Allergy to seafood | $102,110,328 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z91013 - Allergy to seafood | $41,140 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z91013 - Allergy to seafood | 0.81 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z91013 - Allergy to seafood | 15.43 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z91013 - Allergy to seafood | 50.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z91013 - Allergy to seafood | 1,895 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z91013 - Allergy to seafood in DRG | 1.3 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z91013 - Allergy to seafood | 4.12 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z91013 - Allergy to seafood | 24.68 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z91013 - Allergy to seafood | 20.74 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z91013 - Allergy to seafood | $12,036,820 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z91013 - Allergy to seafood | $1,543 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z91013 - Allergy to seafood | $6,352 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z91013 - Allergy to seafood | $63,633,232 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z91013 - Allergy to seafood | $33,580 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z91013 - Allergy to seafood | 0.58 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z91013 - Allergy to seafood | 14.78 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z91013 - Allergy to seafood | 51.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z91013 - Allergy to seafood | 1,567 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z91013 - Allergy to seafood in DRG | 1.08 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z91013 - Allergy to seafood | 4.89 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z91013 - Allergy to seafood | 33.83 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z91013 - Allergy to seafood | 26.95 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z91013 - Allergy to seafood | $14,962,561 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z91013 - Allergy to seafood | $1,955 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z91013 - Allergy to seafood | $9,549 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z91013 - Allergy to seafood | $68,806,420 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z91013 - Allergy to seafood | $43,910 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z91013 - Allergy to seafood | 2.87 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z91013 - Allergy to seafood | 24.89 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z91013 - Allergy to seafood | 41.48 |
| 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 | 1,527 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 1,403 |
| LONG ISLAND JEWISH MEDICAL CENTER | 270-05 76 AVE | NEW HYDE PARK | NY | 11040 | 1,149 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL BRIAN CROSS | 523 E 72ND ST. | NEW YORK | NY | 10021 | 42 |
| Dr. THOMAS PETER SCULCO | 535 E 70TH ST | NEW YORK | NY | 10021 | 35 |
| Dr. ROBERT GOLDMAN | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 79 |
| Dr. SANJAY KUMAR | 461 SPRUCE ST | WALTERBORO | SC | 29488 | 71 |
| Dr. DAVINDER KUMAR | 25107 ELKMONT AVE | BELLEROSE | NY | 11426 | 61 |