*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9119 - Patient's noncompliance with other medical treatment and regimen - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 20.28 | |
| 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 82,739 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z9119 - Patient's noncompliance with other medical treatment and regimen in DRG | 11.59 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 13.11 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 31.21 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 15.15 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $793,439,816 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $731 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $9,590 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $2,814,267,318 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $34,014 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 0.03 | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 5.16 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 79.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 19,756 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z9119 - Patient's noncompliance with other medical treatment and regimen in DRG | 2.77 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 4.27 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 26.91 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 21.83 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $121,319,313 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $1,440 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $6,141 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $580,802,829 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $29,399 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 0.42 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 12.15 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 53.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 9,252 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z9119 - Patient's noncompliance with other medical treatment and regimen in DRG | 1.3 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 4.52 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 22.37 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 15.72 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $49,739,275 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $1,189 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $5,376 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $261,394,299 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $28,253 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 18.6 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 43.56 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 8,246 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z9119 - Patient's noncompliance with other medical treatment and regimen in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 4.17 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 27.52 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 20.14 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $47,979,790 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $1,394 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $5,819 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $246,108,985 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | $29,846 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 0.46 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 17.28 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z9119 - Patient's noncompliance with other medical treatment and regimen | 50.51 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH VISTA HOSPITAL | 1409 E LAKE MEAD BLVD | NORTH LAS VEGAS | NV | 89030 | 2,477 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 1,974 |
| UF HEALTH JACKSONVILLE | 655 W 8TH ST | JACKSONVILLE | FL | 32209 | 1,840 |
| 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 | 1,244 |
| Dr. GADSON JOHN JOHNSON | 701 SANTA MONICA BLVD | SANTA MONICA | CA | 90401 | 339 |
| Dr. BRAJESH BHATLA | 4402 E SESAME DR | HARLINGEN | TX | 78550 | 244 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN BERNSTEIN | 7010 SMOKE RANCH RD STE 120 | LAS VEGAS | NV | 89128 | 1,511 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 1,323 |
| Dr. AMIT P KURANI | 37 BUCKINGHAM RD | WEST ORANGE | NJ | 07052 | 667 |