*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9689 - Presence of other specified functional implants - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 16.07 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z9689 - Presence of other specified functional implants | 2,035 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z9689 - Presence of other specified functional implants in DRG | 5.66 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z9689 - Presence of other specified functional implants | 6.02 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z9689 - Presence of other specified functional implants | 28.0 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z9689 - Presence of other specified functional implants | 19.81 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z9689 - Presence of other specified functional implants | $23,668,757 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z9689 - Presence of other specified functional implants | $1,933 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z9689 - Presence of other specified functional implants | $11,631 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z9689 - Presence of other specified functional implants | $123,098,710 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z9689 - Presence of other specified functional implants | $60,491 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z9689 - Presence of other specified functional implants | 7.67 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z9689 - Presence of other specified functional implants | 22.46 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z9689 - Presence of other specified functional implants | 31.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,236 | ||||
| Total Hospitalizations with ICD Z9689 - Presence of other specified functional implants | 694 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD Z9689 - Presence of other specified functional implants in DRG | 1.93 | ||||
| Avg LOS at DRG | 4.93 | ||||
| Avg LOS with ICD Z9689 - Presence of other specified functional implants | 4.33 | ||||
| Readmission Rate at DRG | 23.47 | ||||
| Readmission Rate with ICD Z9689 - Presence of other specified functional implants | 42.22 | ||||
| Unplanned Readmission Rate at DRG | 16.32 | ||||
| Unplanned Readmission Rate with ICD Z9689 - Presence of other specified functional implants | 35.13 | ||||
| Total Medicare payments at DRG | $519,464,020 | ||||
| Total Medicare payments with ICD Z9689 - Presence of other specified functional implants | $4,414,767 | ||||
| Total Medicare payment per Day at DRG | $1,566 | ||||
| Total Medicare payment per Day with ICD Z9689 - Presence of other specified functional implants | $1,468 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,726 | ||||
| Total Medicare payment per Hospitalization with ICD Z9689 - Presence of other specified functional implants | $6,361 | ||||
| Total Medicare Charges at DRG | $2,306,121,861 | ||||
| Total Medicare Charges with ICD Z9689 - Presence of other specified functional implants | $22,522,062 | ||||
| Avg Charges at DRG | $34,299 | ||||
| Avg Charges with ICD Z9689 - Presence of other specified functional implants | $32,453 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD Z9689 - Presence of other specified functional implants | NA | ||||
| SNF Discharge Rate at DRG | 14.97 | ||||
| SNF Discharge Rate with ICD Z9689 - Presence of other specified functional implants | 3.89 | ||||
| Home Discharge Rate at DRG | 53.9 | ||||
| Home Discharge Rate with ICD Z9689 - Presence of other specified functional implants | 77.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 885: PSYCHOSES | DRG 683: RENAL FAILURE 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z9689 - Presence of other specified functional implants | 449 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z9689 - Presence of other specified functional implants in DRG | 1.25 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z9689 - Presence of other specified functional implants | 6.03 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z9689 - Presence of other specified functional implants | 27.3 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z9689 - Presence of other specified functional implants | 20.35 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z9689 - Presence of other specified functional implants | $4,405,290 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z9689 - Presence of other specified functional implants | $1,627 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z9689 - Presence of other specified functional implants | $9,811 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z9689 - Presence of other specified functional implants | $22,548,652 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z9689 - Presence of other specified functional implants | $50,220 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z9689 - Presence of other specified functional implants | 4.45 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z9689 - Presence of other specified functional implants | 18.71 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z9689 - Presence of other specified functional implants | 34.52 |
*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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z9689 - Presence of other specified functional implants | 355 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z9689 - Presence of other specified functional implants in DRG | 0.99 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z9689 - Presence of other specified functional implants | 4.08 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z9689 - Presence of other specified functional implants | 19.46 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z9689 - Presence of other specified functional implants | 11.38 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z9689 - Presence of other specified functional implants | $1,841,548 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z9689 - Presence of other specified functional implants | $1,272 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z9689 - Presence of other specified functional implants | $5,187 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z9689 - Presence of other specified functional implants | $9,720,407 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z9689 - Presence of other specified functional implants | $27,381 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z9689 - Presence of other specified functional implants | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z9689 - Presence of other specified functional implants | 15.21 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z9689 - Presence of other specified functional implants | 52.96 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 198 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 163 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 156 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS STUART LOFTUS | 2200 PARK BEND DR. | AUSTIN | TX | 78758 | 21 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 12 |
| Dr. AUSTON JEROD MYERS | 8700 BEVERLY BLVD | WEST HOLLYWOOD | CA | 90048 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 38 |
| Dr. TONYA C WASHBURN | 721 NW 6TH ST | OKLAHOMA CITY | OK | 73102 | 33 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 22 |