*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z98890 - Other specified postprocedural states - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.21 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z98890 - Other specified postprocedural states | 13,849 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z98890 - Other specified postprocedural states in DRG | 4.42 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z98890 - Other specified postprocedural states | 5.44 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z98890 - Other specified postprocedural states | 24.24 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z98890 - Other specified postprocedural states | 16.19 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z98890 - Other specified postprocedural states | $150,594,028 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z98890 - Other specified postprocedural states | $1,999 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z98890 - Other specified postprocedural states | $10,874 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z98890 - Other specified postprocedural states | $871,885,457 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z98890 - Other specified postprocedural states | $62,957 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z98890 - Other specified postprocedural states | 8.09 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z98890 - Other specified postprocedural states | 24.1 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z98890 - Other specified postprocedural states | 32.17 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z98890 - Other specified postprocedural states | 5,204 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z98890 - Other specified postprocedural states in DRG | 1.66 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z98890 - Other specified postprocedural states | 4.1 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z98890 - Other specified postprocedural states | 17.53 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z98890 - Other specified postprocedural states | 12.65 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z98890 - Other specified postprocedural states | $33,033,382 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z98890 - Other specified postprocedural states | $1,549 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z98890 - Other specified postprocedural states | $6,348 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z98890 - Other specified postprocedural states | $208,384,286 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z98890 - Other specified postprocedural states | $40,043 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z98890 - Other specified postprocedural states | 0.54 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z98890 - Other specified postprocedural states | 15.3 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z98890 - Other specified postprocedural states | 54.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS 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) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z98890 - Other specified postprocedural states | 3,978 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z98890 - Other specified postprocedural states in DRG | 1.27 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z98890 - Other specified postprocedural states | 3.55 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z98890 - Other specified postprocedural states | 21.72 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z98890 - Other specified postprocedural states | 16.61 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z98890 - Other specified postprocedural states | $21,482,640 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z98890 - Other specified postprocedural states | $1,523 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z98890 - Other specified postprocedural states | $5,400 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z98890 - Other specified postprocedural states | $130,736,364 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z98890 - Other specified postprocedural states | $32,865 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z98890 - Other specified postprocedural states | 0.58 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z98890 - Other specified postprocedural states | 18.55 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z98890 - Other specified postprocedural states | 52.46 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z98890 - Other specified postprocedural states | 3,339 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z98890 - Other specified postprocedural states in DRG | 1.07 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z98890 - Other specified postprocedural states | 3.73 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z98890 - Other specified postprocedural states | 18.09 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z98890 - Other specified postprocedural states | 12.42 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z98890 - Other specified postprocedural states | $19,159,311 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z98890 - Other specified postprocedural states | $1,539 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z98890 - Other specified postprocedural states | $5,738 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z98890 - Other specified postprocedural states | $109,744,946 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z98890 - Other specified postprocedural states | $32,868 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z98890 - Other specified postprocedural states | 0.48 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z98890 - Other specified postprocedural states | 15.96 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z98890 - Other specified postprocedural states | 56.66 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SELF REGIONAL HEALTHCARE | 1325 SPRING ST | GREENWOOD | SC | 29646 | 3,178 |
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 3,143 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 2,883 |
| 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 | 347 |
| Dr. NEIL KISHOR PATEL | 1990 LARKIN AVE | ELGIN | IL | 60123 | 339 |
| Dr. GREGORY D RUDOLF | 1101 MADISON ST | SEATTLE | WA | 98104 | 288 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CORDUS RAYMOND EASINGTON | 1775 DEMPSTER ST | PARK RIDGE | IL | 60068 | 453 |
| Dr. JANEAN HAGGINS-DABNEY | 416 CONNABLE AVE | PETOSKEY | MI | 49770 | 394 |
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 357 |