*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9842 - Cataract extraction status, left eye - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.97 | |
| 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 Z9842 - Cataract extraction status, left eye | 14,514 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z9842 - Cataract extraction status, left eye in DRG | 8.12 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z9842 - Cataract extraction status, left eye | 2.55 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z9842 - Cataract extraction status, left eye | 10.27 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z9842 - Cataract extraction status, left eye | 3.77 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z9842 - Cataract extraction status, left eye | $176,036,130 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z9842 - Cataract extraction status, left eye | $4,763 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z9842 - Cataract extraction status, left eye | $12,129 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z9842 - Cataract extraction status, left eye | $905,888,710 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z9842 - Cataract extraction status, left eye | $62,415 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z9842 - Cataract extraction status, left eye | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z9842 - Cataract extraction status, left eye | 28.15 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z9842 - Cataract extraction status, left eye | 22.73 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z9842 - Cataract extraction status, left eye | 2,848 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z9842 - Cataract extraction status, left eye in DRG | 1.59 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z9842 - Cataract extraction status, left eye | 3.29 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z9842 - Cataract extraction status, left eye | 17.29 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z9842 - Cataract extraction status, left eye | 12.29 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z9842 - Cataract extraction status, left eye | $13,509,345 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z9842 - Cataract extraction status, left eye | $1,444 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z9842 - Cataract extraction status, left eye | $4,743 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z9842 - Cataract extraction status, left eye | $65,750,150 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z9842 - Cataract extraction status, left eye | $23,086 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z9842 - Cataract extraction status, left eye | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z9842 - Cataract extraction status, left eye | 25.81 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z9842 - Cataract extraction status, left eye | 41.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z9842 - Cataract extraction status, left eye | 2,458 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z9842 - Cataract extraction status, left eye in DRG | 1.38 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z9842 - Cataract extraction status, left eye | 5.02 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z9842 - Cataract extraction status, left eye | 19.14 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z9842 - Cataract extraction status, left eye | 14.87 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z9842 - Cataract extraction status, left eye | $20,523,812 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z9842 - Cataract extraction status, left eye | $1,663 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z9842 - Cataract extraction status, left eye | $8,350 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z9842 - Cataract extraction status, left eye | $92,927,904 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z9842 - Cataract extraction status, left eye | $37,806 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z9842 - Cataract extraction status, left eye | 2.24 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z9842 - Cataract extraction status, left eye | 23.43 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z9842 - Cataract extraction status, left eye | 41.33 |
*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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | ||||
| Total Hospitalizations with ICD Z9842 - Cataract extraction status, left eye | 1,890 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD Z9842 - Cataract extraction status, left eye in DRG | 1.06 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD Z9842 - Cataract extraction status, left eye | 1.96 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD Z9842 - Cataract extraction status, left eye | 6.29 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD Z9842 - Cataract extraction status, left eye | 3.56 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD Z9842 - Cataract extraction status, left eye | $27,716,869 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD Z9842 - Cataract extraction status, left eye | $7,469 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD Z9842 - Cataract extraction status, left eye | $14,665 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD Z9842 - Cataract extraction status, left eye | $145,509,061 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD Z9842 - Cataract extraction status, left eye | $76,989 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD Z9842 - Cataract extraction status, left eye | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD Z9842 - Cataract extraction status, left eye | 16.72 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD Z9842 - Cataract extraction status, left eye | 56.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WINCHESTER MEDICAL CENTER | 1840 AMHERST ST | WINCHESTER | VA | 22601 | 2,744 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 1,988 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 1,554 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT GOLDMAN | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 128 |
| Dr. CHRISTOPHER CANNOVA | 10215 FERNWOOD RD | BETHESDA | MD | 20817 | 109 |
| Dr. PAUL LOMBARDI | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 81 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GARY JAMES CARVER | 406 S 15TH ST | COSHOCTON | OH | 43812 | 201 |
| Dr. WILLIAM F SUDHOLT | 201 NW RD MIZE RD | BLUE SPRINGS | MO | 64014 | 160 |
| Dr. AHMED M MADI | 3500 S 4TH ST | LEAVENWORTH | KS | 66048 | 138 |