*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z974 - Presence of external hearing-aid - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 9.74 | |
| 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z974 - Presence of external hearing-aid | 1,299 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z974 - Presence of external hearing-aid in DRG | 11.5 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z974 - Presence of external hearing-aid | 2.39 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z974 - Presence of external hearing-aid | 9.8 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z974 - Presence of external hearing-aid | 3.18 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z974 - Presence of external hearing-aid | $15,514,979 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z974 - Presence of external hearing-aid | $4,995 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z974 - Presence of external hearing-aid | $11,944 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z974 - Presence of external hearing-aid | $79,624,882 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z974 - Presence of external hearing-aid | $61,297 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z974 - Presence of external hearing-aid | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z974 - Presence of external hearing-aid | 22.71 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z974 - Presence of external hearing-aid | 28.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z974 - Presence of external hearing-aid | 149 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z974 - Presence of external hearing-aid in DRG | 1.32 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z974 - Presence of external hearing-aid | 4.03 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z974 - Presence of external hearing-aid | 17.73 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z974 - Presence of external hearing-aid | 14.18 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z974 - Presence of external hearing-aid | $952,339 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z974 - Presence of external hearing-aid | $1,587 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z974 - Presence of external hearing-aid | $6,392 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z974 - Presence of external hearing-aid | $3,717,551 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z974 - Presence of external hearing-aid | $24,950 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z974 - Presence of external hearing-aid | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z974 - Presence of external hearing-aid | 26.17 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z974 - Presence of external hearing-aid | 44.97 |
*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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z974 - Presence of external hearing-aid | 127 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z974 - Presence of external hearing-aid in DRG | 1.12 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z974 - Presence of external hearing-aid | 9.43 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z974 - Presence of external hearing-aid | 15.0 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z974 - Presence of external hearing-aid | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z974 - Presence of external hearing-aid | $1,040,641 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z974 - Presence of external hearing-aid | $869 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z974 - Presence of external hearing-aid | $8,194 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z974 - Presence of external hearing-aid | $3,534,166 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z974 - Presence of external hearing-aid | $27,828 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z974 - Presence of external hearing-aid | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z974 - Presence of external hearing-aid | 11.02 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z974 - Presence of external hearing-aid | 62.99 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z974 - Presence of external hearing-aid | 115 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z974 - Presence of external hearing-aid in DRG | 1.02 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z974 - Presence of external hearing-aid | 3.85 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z974 - Presence of external hearing-aid | 23.15 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z974 - Presence of external hearing-aid | 18.52 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z974 - Presence of external hearing-aid | $696,836 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z974 - Presence of external hearing-aid | $1,573 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z974 - Presence of external hearing-aid | $6,059 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z974 - Presence of external hearing-aid | $2,799,673 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z974 - Presence of external hearing-aid | $24,345 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z974 - Presence of external hearing-aid | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z974 - Presence of external hearing-aid | 14.78 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z974 - Presence of external hearing-aid | 43.48 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH CYPRESS MEDICAL CENTER | 21214 NORTHWEST FWY | CYPRESS | TX | 77429 | 167 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 166 |
| COVENANT MEDICAL CENTER | 3615 19TH ST | LUBBOCK | TX | 79410 | 130 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TONY BRYAN SMITHERMAN | 4642 N LOOP 289 | LUBBOCK | TX | 79416 | 25 |
| Dr. THOMAS PETER SCULCO | 535 E 70TH ST | NEW YORK | NY | 10021 | 14 |
| Dr. GEORGE TOKODI | 611 2ND ST | MARIETTA | OH | 45750 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY GERARD MCAVOY | 1751 E MAIN ST | WAUKESHA | WI | 53186 | 27 |
| Dr. TONY BRYAN SMITHERMAN | 4642 N LOOP 289 | LUBBOCK | TX | 79416 | 25 |
| Dr. SUBHASH C SAHAI | 1610 COLLINS ST | WEBSTER CITY | IA | 50595 | 23 |