*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z91048 - Other nonmedicinal substance allergy status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.15 | |
| 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 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 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z91048 - Other nonmedicinal substance allergy status | 10,324 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z91048 - Other nonmedicinal substance allergy status in DRG | 8.65 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z91048 - Other nonmedicinal substance allergy status | 2.44 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 8.6 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 3.24 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z91048 - Other nonmedicinal substance allergy status | $118,101,630 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z91048 - Other nonmedicinal substance allergy status | $4,696 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z91048 - Other nonmedicinal substance allergy status | $11,440 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z91048 - Other nonmedicinal substance allergy status | $662,899,335 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z91048 - Other nonmedicinal substance allergy status | $64,210 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z91048 - Other nonmedicinal substance allergy status | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 21.94 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 29.67 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z91048 - Other nonmedicinal substance allergy status | 2,049 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z91048 - Other nonmedicinal substance allergy status in DRG | 1.72 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z91048 - Other nonmedicinal substance allergy status | 4.45 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 24.64 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 19.99 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z91048 - Other nonmedicinal substance allergy status | $14,017,082 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z91048 - Other nonmedicinal substance allergy status | $1,537 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z91048 - Other nonmedicinal substance allergy status | $6,841 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z91048 - Other nonmedicinal substance allergy status | $75,718,500 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z91048 - Other nonmedicinal substance allergy status | $36,954 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 0.83 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 12.98 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 55.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | ||||
| Total Hospitalizations with ICD Z91048 - Other nonmedicinal substance allergy status | 1,499 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD Z91048 - Other nonmedicinal substance allergy status in DRG | 1.26 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD Z91048 - Other nonmedicinal substance allergy status | 1.85 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 7.1 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 3.38 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD Z91048 - Other nonmedicinal substance allergy status | $21,309,121 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD Z91048 - Other nonmedicinal substance allergy status | $7,693 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD Z91048 - Other nonmedicinal substance allergy status | $14,216 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD Z91048 - Other nonmedicinal substance allergy status | $116,322,361 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD Z91048 - Other nonmedicinal substance allergy status | $77,600 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD Z91048 - Other nonmedicinal substance allergy status | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 12.07 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 61.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z91048 - Other nonmedicinal substance allergy status | 1,391 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z91048 - Other nonmedicinal substance allergy status in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z91048 - Other nonmedicinal substance allergy status | 3.53 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 24.21 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 17.14 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z91048 - Other nonmedicinal substance allergy status | $7,306,387 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z91048 - Other nonmedicinal substance allergy status | $1,487 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z91048 - Other nonmedicinal substance allergy status | $5,253 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z91048 - Other nonmedicinal substance allergy status | $38,639,902 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z91048 - Other nonmedicinal substance allergy status | $27,779 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z91048 - Other nonmedicinal substance allergy status | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 18.76 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z91048 - Other nonmedicinal substance allergy status | 51.47 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NOVANT HEALTH FORSYTH MEDICAL CENTER | 3333 SILAS CREEK PKWY | WINSTON SALEM | NC | 27103 | 811 |
| MCLAREN FLINT | 401 S BALLENGER HWY | FLINT | MI | 48532 | 766 |
| MCLAREN BAY REGION | 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 730 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 101 |
| Dr. COREY E PONDER | 13401 N. WESTERN AVE. | OKLAHOMA CITY | OK | 73114 | 66 |
| Dr. CHRISTOPHER PHILLIP STEINACKER | 50 N PERRY ST | PONTIAC | MI | 48342 | 58 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAYYID S RAZA | 5000 MAPLE ST. | FAIRGROVE | MI | 48733 | 124 |
| Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 98 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 80 |