| V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 19.11 | |
| 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 885: PSYCHOSES | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 165,026 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health in DRG | 19.15 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 12.65 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 29.42 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 13.74 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $1,492,704,646 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $715 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $9,045 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $4,631,580,611 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $28,066 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 0.03 | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 4.5 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 80.48 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 235,369 | ||||
| Total Hospitalizations with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 16,409 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health in DRG | 1.9 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 4.7 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 37.02 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 30.66 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $166,191,630 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $2,155 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $10,128 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $586,862,081 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $35,765 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 1.39 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 13.02 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 59.53 |
| DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 150,730 | ||||
| Total Hospitalizations with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 11,455 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health in DRG | 1.33 | ||||
| Avg LOS at DRG | 3.06 | ||||
| Avg LOS with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 2.95 | ||||
| Readmission Rate at DRG | 20.36 | ||||
| Readmission Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 22.23 | ||||
| Unplanned Readmission Rate at DRG | 14.8 | ||||
| Unplanned Readmission Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 17.96 | ||||
| Total Medicare payments at DRG | $627,619,143 | ||||
| Total Medicare payments with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $50,458,009 | ||||
| Total Medicare payment per Day at DRG | $1,361 | ||||
| Total Medicare payment per Day with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $1,491 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,164 | ||||
| Total Medicare payment per Hospitalization with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $4,405 | ||||
| Total Medicare Charges at DRG | $2,766,755,324 | ||||
| Total Medicare Charges with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $218,803,742 | ||||
| Avg Charges at DRG | $18,356 | ||||
| Avg Charges with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $19,101 | ||||
| Mortality Rate at DRG | 0.9 | ||||
| Mortality Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 0.22 | ||||
| SNF Discharge Rate at DRG | 11.72 | ||||
| SNF Discharge Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 7.52 | ||||
| Home Discharge Rate at DRG | 56.38 | ||||
| Home Discharge Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 62.08 |
| DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 97,114 | ||||
| Total Hospitalizations with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 9,447 | ||||
| DRG Share of Total Hospitalizations | 0.43 | ||||
| % of Total ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health in DRG | 1.1 | ||||
| Avg LOS at DRG | 3.24 | ||||
| Avg LOS with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 3.19 | ||||
| Readmission Rate at DRG | 16.49 | ||||
| Readmission Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 19.59 | ||||
| Unplanned Readmission Rate at DRG | 10.71 | ||||
| Unplanned Readmission Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 12.59 | ||||
| Total Medicare payments at DRG | $473,597,980 | ||||
| Total Medicare payments with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $48,788,131 | ||||
| Total Medicare payment per Day at DRG | $1,505 | ||||
| Total Medicare payment per Day with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $1,620 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,877 | ||||
| Total Medicare payment per Hospitalization with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $5,164 | ||||
| Total Medicare Charges at DRG | $2,486,175,382 | ||||
| Total Medicare Charges with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $228,844,114 | ||||
| Avg Charges at DRG | $25,601 | ||||
| Avg Charges with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | $24,224 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | NA | ||||
| SNF Discharge Rate at DRG | 16.17 | ||||
| SNF Discharge Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 11.15 | ||||
| Home Discharge Rate at DRG | 59.41 | ||||
| Home Discharge Rate with ICD V1581 - Personal history of noncompliance with medical treatment, presenting hazards to health | 61.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 2,531 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 2,443 |
| PARADISE VALLEY HOSPITAL | 2400 E 4TH ST | NATIONAL CITY | CA | 91950 | 2,430 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 442 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 427 |
| Dr. RANDALL JEFFREY MOSKOVITZ | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 360 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. LAURENCE ROSS SABEN | 615 E LEXINGTON AVE | EL CAJON | CA | 92020 | 747 |
| Dr. RALPH MENEZES | 8311 ROOSEVELT RD | FOREST PARK | IL | 60130 | 737 |
| Dr. MICHAEL JAY REINSTEIN | 8928 KILPATRICK AVE | SKOKIE | IL | 60076 | 589 |