*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Z91138 - Patient's unintentional underdosing of medication regimen for other reason - as a primary or secondary diagnosis code | ||
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OUTCOMES | ||
Avg. LOS | ||
Readmission Rate (%) | ||
Unplanned Readmission Rate (%) | 16.55 | |
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 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,100,860 | ||||
Total Hospitalizations with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 1,364 | ||||
DRG Share of Total Hospitalizations | 3.35 | ||||
% of Total ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason in DRG | 10.31 | ||||
Avg LOS at DRG | 11.86 | ||||
Avg LOS with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 11.42 | ||||
Readmission Rate at DRG | 27.58 | ||||
Readmission Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 27.46 | ||||
Unplanned Readmission Rate at DRG | 13.34 | ||||
Unplanned Readmission Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 10.21 | ||||
Total Medicare payments at DRG | $9,312,828,663 | ||||
Total Medicare payments with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $11,494,967 | ||||
Total Medicare payment per Day at DRG | $713 | ||||
Total Medicare payment per Day with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $738 | ||||
Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
Total Medicare payment per Hospitalization with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $8,427 | ||||
Total Medicare Charges at DRG | $32,341,464,302 | ||||
Total Medicare Charges with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $34,619,920 | ||||
Avg Charges at DRG | $29,378 | ||||
Avg Charges with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $25,381 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | NA | ||||
SNF Discharge Rate at DRG | 5.83 | ||||
SNF Discharge Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 5.35 | ||||
Home Discharge Rate at DRG | 79.47 | ||||
Home Discharge Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 80.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 305: HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 100,926 | ||||
Total Hospitalizations with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 340 | ||||
DRG Share of Total Hospitalizations | 0.31 | ||||
% of Total ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason in DRG | 2.57 | ||||
Avg LOS at DRG | 5.47 | ||||
Avg LOS with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 4.34 | ||||
Readmission Rate at DRG | 29.88 | ||||
Readmission Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 26.77 | ||||
Unplanned Readmission Rate at DRG | 23.17 | ||||
Unplanned Readmission Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 22.58 | ||||
Total Medicare payments at DRG | $916,940,883 | ||||
Total Medicare payments with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $3,114,963 | ||||
Total Medicare payment per Day at DRG | $1,661 | ||||
Total Medicare payment per Day with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $2,112 | ||||
Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
Total Medicare payment per Hospitalization with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $9,162 | ||||
Total Medicare Charges at DRG | $4,566,782,465 | ||||
Total Medicare Charges with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $12,322,431 | ||||
Avg Charges at DRG | $45,249 | ||||
Avg Charges with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $36,242 | ||||
Mortality Rate at DRG | 2.29 | ||||
Mortality Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | NA | ||||
SNF Discharge Rate at DRG | 23.51 | ||||
SNF Discharge Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 20.88 | ||||
Home Discharge Rate at DRG | 40.88 | ||||
Home Discharge Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 46.18 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 539,642 | ||||
Total Hospitalizations with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 212 | ||||
DRG Share of Total Hospitalizations | 1.64 | ||||
% of Total ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason in DRG | 1.6 | ||||
Avg LOS at DRG | 6.42 | ||||
Avg LOS with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 3.83 | ||||
Readmission Rate at DRG | 26.55 | ||||
Readmission Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 28.06 | ||||
Unplanned Readmission Rate at DRG | 20.01 | ||||
Unplanned Readmission Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 23.98 | ||||
Total Medicare payments at DRG | $5,267,842,463 | ||||
Total Medicare payments with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $1,682,258 | ||||
Total Medicare payment per Day at DRG | $1,520 | ||||
Total Medicare payment per Day with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $2,074 | ||||
Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
Total Medicare payment per Hospitalization with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $7,935 | ||||
Total Medicare Charges at DRG | $25,503,568,329 | ||||
Total Medicare Charges with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $7,011,747 | ||||
Avg Charges at DRG | $47,260 | ||||
Avg Charges with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $33,074 | ||||
Mortality Rate at DRG | 5.62 | ||||
Mortality Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | NA | ||||
SNF Discharge Rate at DRG | 19.26 | ||||
SNF Discharge Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 13.21 | ||||
Home Discharge Rate at DRG | 39.65 | ||||
Home Discharge Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 48.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 57,175 | ||||
Total Hospitalizations with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 179 | ||||
DRG Share of Total Hospitalizations | 0.17 | ||||
% of Total ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason in DRG | 1.35 | ||||
Avg LOS at DRG | 4.07 | ||||
Avg LOS with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 3.5 | ||||
Readmission Rate at DRG | 34.07 | ||||
Readmission Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 35.29 | ||||
Unplanned Readmission Rate at DRG | 26.53 | ||||
Unplanned Readmission Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 30.0 | ||||
Total Medicare payments at DRG | $353,726,509 | ||||
Total Medicare payments with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $1,116,348 | ||||
Total Medicare payment per Day at DRG | $1,519 | ||||
Total Medicare payment per Day with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $1,780 | ||||
Total Medicare payment per Hospitalization at DRG | $6,187 | ||||
Total Medicare payment per Hospitalization with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $6,237 | ||||
Total Medicare Charges at DRG | $1,770,659,000 | ||||
Total Medicare Charges with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $4,764,768 | ||||
Avg Charges at DRG | $30,969 | ||||
Avg Charges with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | $26,619 | ||||
Mortality Rate at DRG | 1.12 | ||||
Mortality Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | NA | ||||
SNF Discharge Rate at DRG | 15.97 | ||||
SNF Discharge Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 17.32 | ||||
Home Discharge Rate at DRG | 50.7 | ||||
Home Discharge Rate with ICD Z91138 - Patient's unintentional underdosing of medication regimen for other reason | 45.81 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
HAVEN BEHAVIORAL OF PHOENIX | 1201 S 7TH AVE | PHOENIX | AZ | 85007 | 151 |
HAVEN BEHAVIORAL HOSPITAL OF FRISCO | 5680 FRISCO SQUARE BLVD | FRISCO | TX | 75034 | 101 |
BOSTON MEDICAL CENTER | 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 85 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. THOMAS A OPECHOWSKI | 2929 N. POWER RD | MESA | AZ | 85215 | 62 |
Dr. SHAKIL A TUKDI | 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 53 |
Dr. JAROSLAW F OPECHOWSKI | 2929 N. POWER RD | MESA | AZ | 85215 | 50 |