*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | 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 Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Z98890 | Other specified postprocedural states | 5.01 | 21.32 | ||||||||||||||||
| Z9889 | Other specified postprocedural states | 5.13 | 21.0 | ||||||||||||||||
| Z98891 | History of uterine scar from previous surgery | 4.23 | 22.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z9889 - Other specified postprocedural states | 6,463 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z9889 - Other specified postprocedural states in DRG | 2.06 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z9889 - Other specified postprocedural states | 5.54 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z9889 - Other specified postprocedural states | 25.49 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z9889 - Other specified postprocedural states | 16.93 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z9889 - Other specified postprocedural states | $72,142,645 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z9889 - Other specified postprocedural states | $2,016 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z9889 - Other specified postprocedural states | $11,162 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z9889 - Other specified postprocedural states | $321,244,181 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z9889 - Other specified postprocedural states | $49,705 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z9889 - Other specified postprocedural states | 8.59 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z9889 - Other specified postprocedural states | 24.73 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z9889 - Other specified postprocedural states | 31.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 690: KIDNEY AND URINARY TRACT INFECTIONS 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 | 499,133 | ||||
| Total Hospitalizations with ICD Z9889 - Other specified postprocedural states | 2,395 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z9889 - Other specified postprocedural states in DRG | 0.76 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z9889 - Other specified postprocedural states | 4.15 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z9889 - Other specified postprocedural states | 18.19 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z9889 - Other specified postprocedural states | 12.42 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z9889 - Other specified postprocedural states | $15,531,711 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z9889 - Other specified postprocedural states | $1,563 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z9889 - Other specified postprocedural states | $6,485 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z9889 - Other specified postprocedural states | $77,831,949 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z9889 - Other specified postprocedural states | $32,498 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z9889 - Other specified postprocedural states | 1.09 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z9889 - Other specified postprocedural states | 15.74 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z9889 - Other specified postprocedural states | 55.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD Z9889 - Other specified postprocedural states | 1,974 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z9889 - Other specified postprocedural states in DRG | 0.63 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z9889 - Other specified postprocedural states | 3.37 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z9889 - Other specified postprocedural states | 15.57 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z9889 - Other specified postprocedural states | 11.98 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z9889 - Other specified postprocedural states | $11,781,796 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z9889 - Other specified postprocedural states | $1,772 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z9889 - Other specified postprocedural states | $5,968 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z9889 - Other specified postprocedural states | $58,978,872 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z9889 - Other specified postprocedural states | $29,878 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z9889 - Other specified postprocedural states | 0.61 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z9889 - Other specified postprocedural states | 11.5 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z9889 - Other specified postprocedural states | 68.39 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z9889 - Other specified postprocedural states | 1,626 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z9889 - Other specified postprocedural states in DRG | 0.52 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z9889 - Other specified postprocedural states | 5.09 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z9889 - Other specified postprocedural states | 22.19 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z9889 - Other specified postprocedural states | 14.57 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z9889 - Other specified postprocedural states | $14,126,246 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z9889 - Other specified postprocedural states | $1,707 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z9889 - Other specified postprocedural states | $8,688 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z9889 - Other specified postprocedural states | $63,805,040 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z9889 - Other specified postprocedural states | $39,240 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z9889 - Other specified postprocedural states | 2.64 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z9889 - Other specified postprocedural states | 20.17 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z9889 - Other specified postprocedural states | 46.56 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SAINT CLARE'S DENVILLE HOSPITAL | 25 POCONO RD | DENVILLE | NJ | 07834 | 2,664 |
| GLENWOOD REGIONAL MEDICAL CENTER | 503 MCMILLAN RD | WEST MONROE | LA | 71291 | 1,723 |
| GARDEN CITY HOSPITAL | 6245 INKSTER RD | GARDEN CITY | MI | 48135 | 1,558 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 154 |
| Dr. TONY BRYAN SMITHERMAN | 4642 N LOOP 289 | LUBBOCK | TX | 79416 | 150 |
| Dr. SUNIL K JAISWAL | 107 MAIN STREET | COLLINSVILLE | AL | 35961 | 118 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTOPHER THOMAS DOIG | 18306 MIDDLEBELT RD | LIVONIA | MI | 48152 | 333 |
| Dr. SUNIL K JAISWAL | 107 MAIN STREET | COLLINSVILLE | AL | 35961 | 309 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 271 |