*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9111 - Patient's noncompliance with dietary regimen - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 22.37 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z9111 - Patient's noncompliance with dietary regimen | 19,611 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z9111 - Patient's noncompliance with dietary regimen in DRG | 23.45 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z9111 - Patient's noncompliance with dietary regimen | 4.61 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 29.09 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 24.34 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z9111 - Patient's noncompliance with dietary regimen | $187,041,654 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z9111 - Patient's noncompliance with dietary regimen | $2,070 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z9111 - Patient's noncompliance with dietary regimen | $9,538 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z9111 - Patient's noncompliance with dietary regimen | $702,246,170 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z9111 - Patient's noncompliance with dietary regimen | $35,809 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 0.89 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 12.43 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 51.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z9111 - Patient's noncompliance with dietary regimen | 2,182 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z9111 - Patient's noncompliance with dietary regimen in DRG | 2.61 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z9111 - Patient's noncompliance with dietary regimen | 4.56 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 32.84 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 28.34 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z9111 - Patient's noncompliance with dietary regimen | $18,879,821 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z9111 - Patient's noncompliance with dietary regimen | $1,896 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z9111 - Patient's noncompliance with dietary regimen | $8,653 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z9111 - Patient's noncompliance with dietary regimen | $83,853,296 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z9111 - Patient's noncompliance with dietary regimen | $38,430 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 1.42 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 13.43 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 53.57 |
*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 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z9111 - Patient's noncompliance with dietary regimen | 1,247 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z9111 - Patient's noncompliance with dietary regimen in DRG | 1.49 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z9111 - Patient's noncompliance with dietary regimen | 4.73 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 32.05 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 27.37 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z9111 - Patient's noncompliance with dietary regimen | $9,438,173 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z9111 - Patient's noncompliance with dietary regimen | $1,602 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z9111 - Patient's noncompliance with dietary regimen | $7,569 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z9111 - Patient's noncompliance with dietary regimen | $46,688,959 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z9111 - Patient's noncompliance with dietary regimen | $37,441 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 12.11 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 54.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD Z9111 - Patient's noncompliance with dietary regimen | 765 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD Z9111 - Patient's noncompliance with dietary regimen in DRG | 0.91 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD Z9111 - Patient's noncompliance with dietary regimen | 6.49 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 31.74 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 24.2 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD Z9111 - Patient's noncompliance with dietary regimen | $8,808,087 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD Z9111 - Patient's noncompliance with dietary regimen | $1,775 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD Z9111 - Patient's noncompliance with dietary regimen | $11,514 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD Z9111 - Patient's noncompliance with dietary regimen | $37,632,024 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD Z9111 - Patient's noncompliance with dietary regimen | $49,192 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 4.97 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 27.97 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD Z9111 - Patient's noncompliance with dietary regimen | 25.36 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 365 |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | 550 PEACHTREE ST NE | ATLANTA | GA | 30308 | 330 |
| PARKLAND MEMORIAL HOSPITAL | 5200 HARRY HINES BLVD | DALLAS | TX | 75235 | 328 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRAJESH BHATLA | 4402 E SESAME DR | HARLINGEN | TX | 78550 | 46 |
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 32 |
| Dr. KAIN KUMAR | 540 W PALMDALE BLVD | PALMDALE | CA | 93551 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KAIN KUMAR | 540 W PALMDALE BLVD | PALMDALE | CA | 93551 | 191 |
| Dr. DODDANNA KRISHNA | 44215 15TH STREET WEST | LANCASTER | CA | 93534 | 71 |
| Dr. BRAJESH BHATLA | 4402 E SESAME DR | HARLINGEN | TX | 78550 | 58 |