*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z973 - Presence of spectacles and contact lenses - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 8.89 | |
| 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 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z973 - Presence of spectacles and contact lenses | 70 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z973 - Presence of spectacles and contact lenses in DRG | 7.78 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z973 - Presence of spectacles and contact lenses | 9.64 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z973 - Presence of spectacles and contact lenses | 37.31 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z973 - Presence of spectacles and contact lenses | $478,570 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z973 - Presence of spectacles and contact lenses | $709 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z973 - Presence of spectacles and contact lenses | $6,837 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z973 - Presence of spectacles and contact lenses | $1,309,353 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z973 - Presence of spectacles and contact lenses | $18,705 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z973 - Presence of spectacles and contact lenses | 97.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD Z973 - Presence of spectacles and contact lenses | 21 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD Z973 - Presence of spectacles and contact lenses in DRG | 2.33 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD Z973 - Presence of spectacles and contact lenses | 12.33 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD Z973 - Presence of spectacles and contact lenses | $401,427 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD Z973 - Presence of spectacles and contact lenses | $1,550 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD Z973 - Presence of spectacles and contact lenses | $19,116 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD Z973 - Presence of spectacles and contact lenses | $611,967 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD Z973 - Presence of spectacles and contact lenses | $29,141 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD Z973 - Presence of spectacles and contact lenses | 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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z973 - Presence of spectacles and contact lenses | 15 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z973 - Presence of spectacles and contact lenses in DRG | 1.67 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z973 - Presence of spectacles and contact lenses | 15.2 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z973 - Presence of spectacles and contact lenses | $334,785 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z973 - Presence of spectacles and contact lenses | $1,468 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z973 - Presence of spectacles and contact lenses | $22,319 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z973 - Presence of spectacles and contact lenses | $457,965 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z973 - Presence of spectacles and contact lenses | $30,531 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z973 - Presence of spectacles and contact lenses | 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 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH 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 | 101,617 | ||
| Total Hospitalizations with ICD Z973 - Presence of spectacles and contact lenses | 12 | ||
| DRG Share of Total Hospitalizations | 0.31 | ||
| % of Total ICD Z973 - Presence of spectacles and contact lenses in DRG | 1.33 | ||
| Avg LOS at DRG | 9.5 | ||
| Avg LOS with ICD Z973 - Presence of spectacles and contact lenses | 14.58 | ||
| Readmission Rate at DRG | 26.88 | ||
| Readmission Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||
| Unplanned Readmission Rate at DRG | 19.26 | ||
| Unplanned Readmission Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||
| Total Medicare payments at DRG | $1,599,186,807 | ||
| Total Medicare payments with ICD Z973 - Presence of spectacles and contact lenses | $254,428 | ||
| Total Medicare payment per Day at DRG | $1,656 | ||
| Total Medicare payment per Day with ICD Z973 - Presence of spectacles and contact lenses | $1,454 | ||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||
| Total Medicare payment per Hospitalization with ICD Z973 - Presence of spectacles and contact lenses | $21,202 | ||
| Total Medicare Charges at DRG | $4,836,538,333 | ||
| Total Medicare Charges with ICD Z973 - Presence of spectacles and contact lenses | $413,011 | ||
| Avg Charges at DRG | $47,596 | ||
| Avg Charges with ICD Z973 - Presence of spectacles and contact lenses | $34,418 | ||
| Mortality Rate at DRG | 2.8 | ||
| Mortality Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||
| SNF Discharge Rate at DRG | 20.21 | ||
| SNF Discharge Rate with ICD Z973 - Presence of spectacles and contact lenses | NA | ||
| Home Discharge Rate at DRG | 20.17 | ||
| Home Discharge Rate with ICD Z973 - Presence of spectacles and contact lenses | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR INSTITUTE FOR REHABILITATION - DALLAS | 909 N WASHINGTON AVE | DALLAS | TX | 76132 | 139 |
| FAIRBANKS | 8102 CLEARVISTA PKWY | INDIANAPOLIS | IN | 46256 | 97 |
| REYNOLDS MEMORIAL HOSPITAL | 800 WHEELING AVE | GLEN DALE | WV | 26038 | 63 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 87 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 88 |
| Dr. STEPHEN THOMASON | 909 N WASHINGTON AVE | DALLAS | TX | 75246 | 68 |
| Dr. JUSTIN JOHN GASPER | 121 SAINT LUKES CENTER DR | CHESTERFIELD | MO | 63017 | 24 |