| 0539 - Herpes zoster without mention of complication - as a primary diagnosis code | 0539 - Herpes zoster without mention of complication - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.06 | |
| Readmission Rate (%) | 24.16 | |
| Unplanned Readmission Rate (%) | 12.82 | |
| 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 | ||
| DRG 596: MAJOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 595: MAJOR SKIN DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 976: HIV WITH MAJOR RELATED CONDITION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,023 | ||||
| Total Hospitalizations with ICD 0539 - Herpes zoster without mention of complication | 4,400 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 0539 - Herpes zoster without mention of complication in DRG | 76.2 | ||||
| Avg LOS at DRG | 4.64 | ||||
| Avg LOS with ICD 0539 - Herpes zoster without mention of complication | 3.94 | ||||
| Readmission Rate at DRG | 18.9 | ||||
| Readmission Rate with ICD 0539 - Herpes zoster without mention of complication | 16.39 | ||||
| Unplanned Readmission Rate at DRG | 12.74 | ||||
| Unplanned Readmission Rate with ICD 0539 - Herpes zoster without mention of complication | 11.18 | ||||
| Total Medicare payments at DRG | $49,370,322 | ||||
| Total Medicare payments with ICD 0539 - Herpes zoster without mention of complication | $24,730,623 | ||||
| Total Medicare payment per Day at DRG | $1,327 | ||||
| Total Medicare payment per Day with ICD 0539 - Herpes zoster without mention of complication | $1,425 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,154 | ||||
| Total Medicare payment per Hospitalization with ICD 0539 - Herpes zoster without mention of complication | $5,621 | ||||
| Total Medicare Charges at DRG | $215,347,982 | ||||
| Total Medicare Charges with ICD 0539 - Herpes zoster without mention of complication | $102,149,543 | ||||
| Avg Charges at DRG | $26,841 | ||||
| Avg Charges with ICD 0539 - Herpes zoster without mention of complication | $23,216 | ||||
| Mortality Rate at DRG | 0.96 | ||||
| Mortality Rate with ICD 0539 - Herpes zoster without mention of complication | NA | ||||
| SNF Discharge Rate at DRG | 18.12 | ||||
| SNF Discharge Rate with ICD 0539 - Herpes zoster without mention of complication | 15.82 | ||||
| Home Discharge Rate at DRG | 54.94 | ||||
| Home Discharge Rate with ICD 0539 - Herpes zoster without mention of complication | 62.34 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 35 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 22 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 21 |
| DRG 596: MAJOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 595: MAJOR SKIN DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,023 | ||||
| Total Hospitalizations with ICD 0539 - Herpes zoster without mention of complication | 4,412 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 0539 - Herpes zoster without mention of complication in DRG | 7.9 | ||||
| Avg LOS at DRG | 4.64 | ||||
| Avg LOS with ICD 0539 - Herpes zoster without mention of complication | 3.95 | ||||
| Readmission Rate at DRG | 18.9 | ||||
| Readmission Rate with ICD 0539 - Herpes zoster without mention of complication | 16.44 | ||||
| Unplanned Readmission Rate at DRG | 12.74 | ||||
| Unplanned Readmission Rate with ICD 0539 - Herpes zoster without mention of complication | 11.17 | ||||
| Total Medicare payments at DRG | $49,370,322 | ||||
| Total Medicare payments with ICD 0539 - Herpes zoster without mention of complication | $24,838,916 | ||||
| Total Medicare payment per Day at DRG | $1,327 | ||||
| Total Medicare payment per Day with ICD 0539 - Herpes zoster without mention of complication | $1,424 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,154 | ||||
| Total Medicare payment per Hospitalization with ICD 0539 - Herpes zoster without mention of complication | $5,630 | ||||
| Total Medicare Charges at DRG | $215,347,982 | ||||
| Total Medicare Charges with ICD 0539 - Herpes zoster without mention of complication | $102,695,497 | ||||
| Avg Charges at DRG | $26,841 | ||||
| Avg Charges with ICD 0539 - Herpes zoster without mention of complication | $23,276 | ||||
| Mortality Rate at DRG | 0.96 | ||||
| Mortality Rate with ICD 0539 - Herpes zoster without mention of complication | NA | ||||
| SNF Discharge Rate at DRG | 18.12 | ||||
| SNF Discharge Rate with ICD 0539 - Herpes zoster without mention of complication | 15.84 | ||||
| Home Discharge Rate at DRG | 54.94 | ||||
| Home Discharge Rate with ICD 0539 - Herpes zoster without mention of complication | 62.31 |
| 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD 0539 - Herpes zoster without mention of complication | 1,130 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 0539 - Herpes zoster without mention of complication in DRG | 2.02 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD 0539 - Herpes zoster without mention of complication | 4.43 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD 0539 - Herpes zoster without mention of complication | 18.55 | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD 0539 - Herpes zoster without mention of complication | 13.26 | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD 0539 - Herpes zoster without mention of complication | $5,582,014 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD 0539 - Herpes zoster without mention of complication | $1,115 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD 0539 - Herpes zoster without mention of complication | $4,940 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD 0539 - Herpes zoster without mention of complication | $26,712,289 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD 0539 - Herpes zoster without mention of complication | $23,639 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 0539 - Herpes zoster without mention of complication | NA | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD 0539 - Herpes zoster without mention of complication | 32.39 | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD 0539 - Herpes zoster without mention of complication | 36.55 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD 0539 - Herpes zoster without mention of complication | 865 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 0539 - Herpes zoster without mention of complication in DRG | 1.55 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD 0539 - Herpes zoster without mention of complication | 5.89 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD 0539 - Herpes zoster without mention of complication | 21.39 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD 0539 - Herpes zoster without mention of complication | 15.38 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD 0539 - Herpes zoster without mention of complication | $6,286,589 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD 0539 - Herpes zoster without mention of complication | $1,235 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD 0539 - Herpes zoster without mention of complication | $7,268 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD 0539 - Herpes zoster without mention of complication | $31,852,675 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD 0539 - Herpes zoster without mention of complication | $36,824 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD 0539 - Herpes zoster without mention of complication | 1.62 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 0539 - Herpes zoster without mention of complication | 26.94 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD 0539 - Herpes zoster without mention of complication | 41.97 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 296,720 | ||||
| Total Hospitalizations with ICD 0539 - Herpes zoster without mention of complication | 816 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD 0539 - Herpes zoster without mention of complication in DRG | 1.46 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD 0539 - Herpes zoster without mention of complication | 7.88 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD 0539 - Herpes zoster without mention of complication | 27.48 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD 0539 - Herpes zoster without mention of complication | 19.84 | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD 0539 - Herpes zoster without mention of complication | $7,917,646 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD 0539 - Herpes zoster without mention of complication | $1,231 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD 0539 - Herpes zoster without mention of complication | $9,703 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD 0539 - Herpes zoster without mention of complication | $43,270,725 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD 0539 - Herpes zoster without mention of complication | $53,028 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD 0539 - Herpes zoster without mention of complication | 6.74 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 0539 - Herpes zoster without mention of complication | 26.96 | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD 0539 - Herpes zoster without mention of complication | 30.51 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 181 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 146 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 137 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. OMAR ALBERTO COLON GUTIERREZ | 2800 W 15TH ST | PLANO | TX | 75075 | 24 |
| Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 22 |
| Dr. DAVID L LIPKIN | 4302 ALTON RD | MIAMI BEACH | FL | 33140 | 17 |