*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9109 - Other allergy status, other than to drugs and biological substances - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.48 | |
| 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 885: PSYCHOSES | 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 Z9109 - Other allergy status, other than to drugs and biological substances | 3,444 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z9109 - Other allergy status, other than to drugs and biological substances in DRG | 5.96 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 2.57 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 8.76 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 3.47 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $40,089,100 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $4,524 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $11,640 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $240,878,474 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $69,941 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 24.77 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 26.77 |
*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 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 1,059 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z9109 - Other allergy status, other than to drugs and biological substances in DRG | 1.83 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 4.45 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 24.83 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 20.47 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $7,053,676 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $1,497 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $6,661 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $43,484,906 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $41,062 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 1.13 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 11.9 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 55.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 756 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z9109 - Other allergy status, other than to drugs and biological substances in DRG | 1.31 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 4.89 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 19.41 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 15.44 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $6,030,875 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $1,633 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $7,977 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $32,458,313 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $42,934 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 2.78 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 19.84 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 48.02 |
*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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 686 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD Z9109 - Other allergy status, other than to drugs and biological substances in DRG | 1.19 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 3.6 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 26.56 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 22.91 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $3,633,508 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $1,470 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $5,297 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $22,879,016 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD Z9109 - Other allergy status, other than to drugs and biological substances | $33,351 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 9.48 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD Z9109 - Other allergy status, other than to drugs and biological substances | 62.39 |
| 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 | 1,436 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 856 |
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 695 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 31 |
| Dr. ROBERT H ATKINS | 508 DICKSON ST | WELLINGTON | OH | 44090 | 25 |
| Dr. DANIEL EDWARD HEINER | 25 RIVIERA BLVD | LAKE HAVASU CITY | AZ | 86403 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DHRUVA CHAWLA | 310 S MCCASKEY RD | WILLIAMSTON | NC | 27892 | 98 |
| Dr. RATNASABAPATHY SIVASEKARAN | 2845 SE 3RD COURT | OCALA | FL | 34471 | 56 |
| Dr. MICHAEL S STROBBE | 11528 US HIGHWAY 19 | PORT RICHEY | FL | 34668 | 50 |