*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9225 - Personal history of immunosupression therapy - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.86 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z9225 - Personal history of immunosupression therapy | 307 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z9225 - Personal history of immunosupression therapy in DRG | 6.69 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z9225 - Personal history of immunosupression therapy | 6.63 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z9225 - Personal history of immunosupression therapy | 28.2 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z9225 - Personal history of immunosupression therapy | 21.8 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z9225 - Personal history of immunosupression therapy | $3,912,408 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z9225 - Personal history of immunosupression therapy | $1,922 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z9225 - Personal history of immunosupression therapy | $12,744 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z9225 - Personal history of immunosupression therapy | $19,683,937 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z9225 - Personal history of immunosupression therapy | $64,117 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z9225 - Personal history of immunosupression therapy | 4.89 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z9225 - Personal history of immunosupression therapy | 15.31 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z9225 - Personal history of immunosupression therapy | 49.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 172,705 | ||||
| Total Hospitalizations with ICD Z9225 - Personal history of immunosupression therapy | 112 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD Z9225 - Personal history of immunosupression therapy in DRG | 2.44 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD Z9225 - Personal history of immunosupression therapy | 6.03 | ||||
| Readmission Rate at DRG | 27.27 | ||||
| Readmission Rate with ICD Z9225 - Personal history of immunosupression therapy | 28.44 | ||||
| Unplanned Readmission Rate at DRG | 20.51 | ||||
| Unplanned Readmission Rate with ICD Z9225 - Personal history of immunosupression therapy | 18.35 | ||||
| Total Medicare payments at DRG | $1,773,015,083 | ||||
| Total Medicare payments with ICD Z9225 - Personal history of immunosupression therapy | $1,821,599 | ||||
| Total Medicare payment per Day at DRG | $1,652 | ||||
| Total Medicare payment per Day with ICD Z9225 - Personal history of immunosupression therapy | $2,699 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,266 | ||||
| Total Medicare payment per Hospitalization with ICD Z9225 - Personal history of immunosupression therapy | $16,264 | ||||
| Total Medicare Charges at DRG | $8,667,227,667 | ||||
| Total Medicare Charges with ICD Z9225 - Personal history of immunosupression therapy | $8,024,988 | ||||
| Avg Charges at DRG | $50,185 | ||||
| Avg Charges with ICD Z9225 - Personal history of immunosupression therapy | $71,652 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD Z9225 - Personal history of immunosupression therapy | NA | ||||
| SNF Discharge Rate at DRG | 33.71 | ||||
| SNF Discharge Rate with ICD Z9225 - Personal history of immunosupression therapy | NA | ||||
| Home Discharge Rate at DRG | 25.53 | ||||
| Home Discharge Rate with ICD Z9225 - Personal history of immunosupression therapy | 69.64 |
*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 652: KIDNEY TRANSPLANT | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z9225 - Personal history of immunosupression therapy | 67 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z9225 - Personal history of immunosupression therapy in DRG | 1.46 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z9225 - Personal history of immunosupression therapy | 5.46 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z9225 - Personal history of immunosupression therapy | 31.15 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z9225 - Personal history of immunosupression therapy | 19.67 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z9225 - Personal history of immunosupression therapy | $760,071 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z9225 - Personal history of immunosupression therapy | $2,077 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z9225 - Personal history of immunosupression therapy | $11,344 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z9225 - Personal history of immunosupression therapy | $3,618,317 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z9225 - Personal history of immunosupression therapy | $54,005 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z9225 - Personal history of immunosupression therapy | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z9225 - Personal history of immunosupression therapy | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z9225 - Personal history of immunosupression therapy | 50.75 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||||
| Total Hospitalizations with ICD Z9225 - Personal history of immunosupression therapy | 45 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD Z9225 - Personal history of immunosupression therapy in DRG | 0.98 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD Z9225 - Personal history of immunosupression therapy | 4.58 | ||||
| Readmission Rate at DRG | 34.07 | ||||
| Readmission Rate with ICD Z9225 - Personal history of immunosupression therapy | 38.64 | ||||
| Unplanned Readmission Rate at DRG | 26.53 | ||||
| Unplanned Readmission Rate with ICD Z9225 - Personal history of immunosupression therapy | 25.0 | ||||
| Total Medicare payments at DRG | $353,726,509 | ||||
| Total Medicare payments with ICD Z9225 - Personal history of immunosupression therapy | $351,225 | ||||
| Total Medicare payment per Day at DRG | $1,519 | ||||
| Total Medicare payment per Day with ICD Z9225 - Personal history of immunosupression therapy | $1,705 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||||
| Total Medicare payment per Hospitalization with ICD Z9225 - Personal history of immunosupression therapy | $7,805 | ||||
| Total Medicare Charges at DRG | $1,770,659,000 | ||||
| Total Medicare Charges with ICD Z9225 - Personal history of immunosupression therapy | $2,202,633 | ||||
| Avg Charges at DRG | $30,969 | ||||
| Avg Charges with ICD Z9225 - Personal history of immunosupression therapy | $48,947 | ||||
| Mortality Rate at DRG | 1.12 | ||||
| Mortality Rate with ICD Z9225 - Personal history of immunosupression therapy | NA | ||||
| SNF Discharge Rate at DRG | 15.97 | ||||
| SNF Discharge Rate with ICD Z9225 - Personal history of immunosupression therapy | NA | ||||
| Home Discharge Rate at DRG | 50.7 | ||||
| Home Discharge Rate with ICD Z9225 - Personal history of immunosupression therapy | 88.89 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 224 |
| EMORY UNIVERSITY HOSPITAL | 1364 CLIFTON RD NE | ATLANTA | GA | 30322 | 179 |
| STANFORD HEALTHCARE | 300 PASTEUR DR | STANFORD | CA | 94305 | 151 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PERRY WALLACH | 1000 E 5TH ST | TYLER | TX | 75701 | 36 |
| Dr. JEFFREY D PUNCH | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 21 |
| Dr. GREGORY R. VEILLETTE | 100 WOODS RD | VALHALLA | NY | 10595 | 18 |