*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9114 - Patient's other noncompliance with medication regimen - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.39 | |
| 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z9114 - Patient's other noncompliance with medication regimen | 159,432 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z9114 - Patient's other noncompliance with medication regimen in DRG | 23.28 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z9114 - Patient's other noncompliance with medication regimen | 13.15 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 30.02 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 13.82 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z9114 - Patient's other noncompliance with medication regimen | $1,541,405,512 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z9114 - Patient's other noncompliance with medication regimen | $735 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z9114 - Patient's other noncompliance with medication regimen | $9,668 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z9114 - Patient's other noncompliance with medication regimen | $5,456,533,954 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z9114 - Patient's other noncompliance with medication regimen | $34,225 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 0.03 | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 3.79 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 81.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z9114 - Patient's other noncompliance with medication regimen | 11,472 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z9114 - Patient's other noncompliance with medication regimen in DRG | 1.68 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z9114 - Patient's other noncompliance with medication regimen | 4.06 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 41.39 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 7.43 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z9114 - Patient's other noncompliance with medication regimen | $75,540,546 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z9114 - Patient's other noncompliance with medication regimen | $1,620 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z9114 - Patient's other noncompliance with medication regimen | $6,585 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z9114 - Patient's other noncompliance with medication regimen | $455,842,828 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z9114 - Patient's other noncompliance with medication regimen | $39,735 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 0.37 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 21.98 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 26.98 |
*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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 305: HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z9114 - Patient's other noncompliance with medication regimen | 9,151 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z9114 - Patient's other noncompliance with medication regimen in DRG | 1.34 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z9114 - Patient's other noncompliance with medication regimen | 4.82 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 35.29 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 28.78 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z9114 - Patient's other noncompliance with medication regimen | $88,680,647 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z9114 - Patient's other noncompliance with medication regimen | $2,012 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z9114 - Patient's other noncompliance with medication regimen | $9,691 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z9114 - Patient's other noncompliance with medication regimen | $358,994,201 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z9114 - Patient's other noncompliance with medication regimen | $39,230 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 1.69 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 16.34 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 52.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE 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 | 292,335 | ||||
| Total Hospitalizations with ICD Z9114 - Patient's other noncompliance with medication regimen | 7,819 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD Z9114 - Patient's other noncompliance with medication regimen in DRG | 1.14 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD Z9114 - Patient's other noncompliance with medication regimen | 3.24 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 26.04 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 19.68 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD Z9114 - Patient's other noncompliance with medication regimen | $39,767,278 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD Z9114 - Patient's other noncompliance with medication regimen | $1,572 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD Z9114 - Patient's other noncompliance with medication regimen | $5,086 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD Z9114 - Patient's other noncompliance with medication regimen | $209,174,822 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD Z9114 - Patient's other noncompliance with medication regimen | $26,752 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 0.24 | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 12.83 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD Z9114 - Patient's other noncompliance with medication regimen | 58.23 |
| 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 | 2,511 |
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 2,072 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,936 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 868 |
| Dr. FRANCIS KEVIN BUTLER | 2753 STATE ROAD 580 | CLEARWATER | FL | 33761 | 358 |
| Dr. RAJA SINGH GILL | 1500 S CALIFORNIA AVE | CHICAGO | IL | 60608 | 356 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 939 |
| Dr. PAUL AN NGUYEN | 1409 E LAKE MEAD BLVD | N LAS VEGAS | NV | 89030 | 705 |
| Dr. JEROME NWANNA NWOKIKE | 5105 CAMINO AL NORTE | NORTH LAS VEGAS | NV | 89031 | 548 |