*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z961 - Presence of intraocular lens - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.12 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z961 - Presence of intraocular lens | 8,612 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z961 - Presence of intraocular lens in DRG | 7.98 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z961 - Presence of intraocular lens | 2.5 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z961 - Presence of intraocular lens | 10.36 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z961 - Presence of intraocular lens | 3.79 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z961 - Presence of intraocular lens | $107,091,581 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z961 - Presence of intraocular lens | $4,979 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z961 - Presence of intraocular lens | $12,435 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z961 - Presence of intraocular lens | $520,970,098 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z961 - Presence of intraocular lens | $60,494 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z961 - Presence of intraocular lens | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z961 - Presence of intraocular lens | 27.65 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z961 - Presence of intraocular lens | 24.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z961 - Presence of intraocular lens | 1,570 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z961 - Presence of intraocular lens in DRG | 1.45 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z961 - Presence of intraocular lens | 4.06 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z961 - Presence of intraocular lens | 16.14 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z961 - Presence of intraocular lens | 11.7 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z961 - Presence of intraocular lens | $10,572,646 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z961 - Presence of intraocular lens | $1,660 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z961 - Presence of intraocular lens | $6,734 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z961 - Presence of intraocular lens | $49,089,158 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z961 - Presence of intraocular lens | $31,267 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z961 - Presence of intraocular lens | 0.76 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z961 - Presence of intraocular lens | 19.75 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z961 - Presence of intraocular lens | 51.78 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY 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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z961 - Presence of intraocular lens | 1,477 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z961 - Presence of intraocular lens in DRG | 1.37 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z961 - Presence of intraocular lens | 3.98 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z961 - Presence of intraocular lens | 20.61 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z961 - Presence of intraocular lens | 15.26 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z961 - Presence of intraocular lens | $9,418,837 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z961 - Presence of intraocular lens | $1,603 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z961 - Presence of intraocular lens | $6,377 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z961 - Presence of intraocular lens | $40,368,369 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z961 - Presence of intraocular lens | $27,331 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z961 - Presence of intraocular lens | 0.81 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z961 - Presence of intraocular lens | 16.52 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z961 - Presence of intraocular lens | 44.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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 | 185,287 | ||||
| Total Hospitalizations with ICD Z961 - Presence of intraocular lens | 1,128 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD Z961 - Presence of intraocular lens in DRG | 1.05 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD Z961 - Presence of intraocular lens | 1.93 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD Z961 - Presence of intraocular lens | 6.03 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD Z961 - Presence of intraocular lens | 3.11 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD Z961 - Presence of intraocular lens | $16,839,819 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD Z961 - Presence of intraocular lens | $7,728 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD Z961 - Presence of intraocular lens | $14,929 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD Z961 - Presence of intraocular lens | $82,702,575 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD Z961 - Presence of intraocular lens | $73,318 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD Z961 - Presence of intraocular lens | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD Z961 - Presence of intraocular lens | 15.96 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD Z961 - Presence of intraocular lens | 55.85 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ORANGE REGIONAL MEDICAL CENTER | 707 EAST MAIN STREET | MIDDLETOWN | NY | 10940 | 1,741 |
| MERCY HOSPITAL SPRINGFIELD | 1235 E CHEROKEE ST | SPRINGFIELD | MO | 65804 | 1,391 |
| NORTHWEST COMMUNITY HOSPITAL | 800 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 1,083 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT GOLDMAN | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 122 |
| Dr. PAUL LOMBARDI | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 73 |
| Dr. JOSEPH P. CAMERO | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 69 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 169 |
| Dr. JOSEPH P. CAMERO | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 145 |
| Dr. ROBERT GOLDMAN | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 122 |