*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9289 - Personal history of other medical treatment - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.56 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z9289 - Personal history of other medical treatment | 86 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z9289 - Personal history of other medical treatment in DRG | 5.72 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z9289 - Personal history of other medical treatment | 13.33 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z9289 - Personal history of other medical treatment | 25.32 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z9289 - Personal history of other medical treatment | $873,100 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z9289 - Personal history of other medical treatment | $762 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z9289 - Personal history of other medical treatment | $10,152 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z9289 - Personal history of other medical treatment | $2,283,807 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z9289 - Personal history of other medical treatment | $26,556 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z9289 - Personal history of other medical treatment | 63.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z9289 - Personal history of other medical treatment | 34 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z9289 - Personal history of other medical treatment in DRG | 2.26 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z9289 - Personal history of other medical treatment | 3.53 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z9289 - Personal history of other medical treatment | $217,012 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z9289 - Personal history of other medical treatment | $1,808 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z9289 - Personal history of other medical treatment | $6,383 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z9289 - Personal history of other medical treatment | $640,272 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z9289 - Personal history of other medical treatment | $18,832 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z9289 - Personal history of other medical treatment | 32.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH 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) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD Z9289 - Personal history of other medical treatment | 20 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD Z9289 - Personal history of other medical treatment in DRG | 1.33 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD Z9289 - Personal history of other medical treatment | 13.1 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD Z9289 - Personal history of other medical treatment | $316,283 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD Z9289 - Personal history of other medical treatment | $1,207 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD Z9289 - Personal history of other medical treatment | $15,814 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD Z9289 - Personal history of other medical treatment | $1,170,096 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD Z9289 - Personal history of other medical treatment | $58,505 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD Z9289 - Personal history of other medical treatment | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD Z9289 - Personal history of other medical treatment | 16 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD Z9289 - Personal history of other medical treatment in DRG | 1.06 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z9289 - Personal history of other medical treatment | 3.63 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD Z9289 - Personal history of other medical treatment | $92,445 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD Z9289 - Personal history of other medical treatment | $1,594 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD Z9289 - Personal history of other medical treatment | $5,778 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD Z9289 - Personal history of other medical treatment | $439,644 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD Z9289 - Personal history of other medical treatment | $27,478 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD Z9289 - Personal history of other medical treatment | NA | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD Z9289 - Personal history of other medical treatment | 68.75 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FREDONIA REGIONAL HOSPITAL | 1527 MADISON ST | FREDONIA | KS | 66736 | 51 |
| CARLE FOUNDATION HOSPITAL | 611 W PARK ST | URBANA | IL | 61801 | 43 |
| CHICAGO LAKESHORE HOSPITAL | 4840 N MARINE DR | CHICAGO | IL | 60640 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KHAN NOOHANI | 1125 W SPRUCE ST | OLATHE | KS | 66061 | 46 |
| Dr. MARTIN NEIL PAISNER | 918R W FULLERTON AVE | CHICAGO | IL | 60614 | 13 |
| Dr. JANE MARIE GILBRETH | 111 W HOBBS ST | ROSWELL | NM | 88203 | 12 |