*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
G8918 - Other acute postprocedural pain - as a primary diagnosis code | G8918 - Other acute postprocedural pain - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 7.01 | |
Readmission Rate (%) | 18.2 | |
Unplanned Readmission Rate (%) | 11.4 | |
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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 160,950 | ||||
Total Hospitalizations with ICD G8918 - Other acute postprocedural pain | 5,142 | ||||
DRG Share of Total Hospitalizations | 0.49 | ||||
% of Total ICD G8918 - Other acute postprocedural pain in DRG | 62.09 | ||||
Avg LOS at DRG | 4.98 | ||||
Avg LOS with ICD G8918 - Other acute postprocedural pain | 2.82 | ||||
Readmission Rate at DRG | 20.85 | ||||
Readmission Rate with ICD G8918 - Other acute postprocedural pain | 20.6 | ||||
Unplanned Readmission Rate at DRG | 13.4 | ||||
Unplanned Readmission Rate with ICD G8918 - Other acute postprocedural pain | 10.93 | ||||
Total Medicare payments at DRG | $1,184,949,733 | ||||
Total Medicare payments with ICD G8918 - Other acute postprocedural pain | $25,490,890 | ||||
Total Medicare payment per Day at DRG | $1,477 | ||||
Total Medicare payment per Day with ICD G8918 - Other acute postprocedural pain | $1,761 | ||||
Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
Total Medicare payment per Hospitalization with ICD G8918 - Other acute postprocedural pain | $4,957 | ||||
Total Medicare Charges at DRG | $4,222,078,897 | ||||
Total Medicare Charges with ICD G8918 - Other acute postprocedural pain | $117,836,622 | ||||
Avg Charges at DRG | $26,232 | ||||
Avg Charges with ICD G8918 - Other acute postprocedural pain | $22,916 | ||||
Mortality Rate at DRG | 0.67 | ||||
Mortality Rate with ICD G8918 - Other acute postprocedural pain | NA | ||||
SNF Discharge Rate at DRG | 22.29 | ||||
SNF Discharge Rate with ICD G8918 - Other acute postprocedural pain | 18.73 | ||||
Home Discharge Rate at DRG | 35.46 | ||||
Home Discharge Rate with ICD G8918 - Other acute postprocedural pain | 54.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|
Total Hospitalizations at DRG | 38,773 | |
Total Hospitalizations with ICD G8918 - Other acute postprocedural pain | 96 | |
DRG Share of Total Hospitalizations | 0.12 | |
% of Total ICD G8918 - Other acute postprocedural pain in DRG | 1.16 | |
Avg LOS at DRG | 11.96 | |
Avg LOS with ICD G8918 - Other acute postprocedural pain | 7.99 | |
Readmission Rate at DRG | 18.12 | |
Readmission Rate with ICD G8918 - Other acute postprocedural pain | 13.95 | |
Unplanned Readmission Rate at DRG | 14.28 | |
Unplanned Readmission Rate with ICD G8918 - Other acute postprocedural pain | NA | |
Total Medicare payments at DRG | $739,082,714 | |
Total Medicare payments with ICD G8918 - Other acute postprocedural pain | $1,343,165 | |
Total Medicare payment per Day at DRG | $1,594 | |
Total Medicare payment per Day with ICD G8918 - Other acute postprocedural pain | $1,751 | |
Total Medicare payment per Hospitalization at DRG | $19,062 | |
Total Medicare payment per Hospitalization with ICD G8918 - Other acute postprocedural pain | $13,991 | |
Total Medicare Charges at DRG | $2,416,011,805 | |
Total Medicare Charges with ICD G8918 - Other acute postprocedural pain | $4,373,374 | |
Avg Charges at DRG | $62,312 | |
Avg Charges with ICD G8918 - Other acute postprocedural pain | $45,556 | |
Mortality Rate at DRG | 0.2 | |
Mortality Rate with ICD G8918 - Other acute postprocedural pain | NA | |
SNF Discharge Rate at DRG | 17.34 | |
SNF Discharge Rate with ICD G8918 - Other acute postprocedural pain | 16.67 | |
Home Discharge Rate at DRG | 21.02 | |
Home Discharge Rate with ICD G8918 - Other acute postprocedural pain | 26.04 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
UCSF MEDICAL CENTER | 505 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 57 |
MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 42 |
CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 40 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JAMES W. OSTROFF | 350 PARNASSUS AVE | SAN FRANCISCO | CA | 94117 | 46 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JAMES W. OSTROFF | 350 PARNASSUS AVE | SAN FRANCISCO | CA | 94117 | 45 |
Dr. RAMZI BEN-YOUSSEF | 1500 SAN PABLO ST | LOS ANGELES | CA | 90033 | 13 |
Dr. RICHARD F. FRISCH | 1106 CHUCK DAWLEY BLVD | MT PLEASANT | SC | 29464 | 12 |
*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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,522,684 | ||||
Total Hospitalizations with ICD G8918 - Other acute postprocedural pain | 30,452 | ||||
DRG Share of Total Hospitalizations | 4.63 | ||||
% of Total ICD G8918 - Other acute postprocedural pain in DRG | 15.72 | ||||
Avg LOS at DRG | 2.52 | ||||
Avg LOS with ICD G8918 - Other acute postprocedural pain | 2.63 | ||||
Readmission Rate at DRG | 9.03 | ||||
Readmission Rate with ICD G8918 - Other acute postprocedural pain | 8.71 | ||||
Unplanned Readmission Rate at DRG | 3.35 | ||||
Unplanned Readmission Rate with ICD G8918 - Other acute postprocedural pain | 3.15 | ||||
Total Medicare payments at DRG | $17,672,828,347 | ||||
Total Medicare payments with ICD G8918 - Other acute postprocedural pain | $363,314,280 | ||||
Total Medicare payment per Day at DRG | $4,606 | ||||
Total Medicare payment per Day with ICD G8918 - Other acute postprocedural pain | $4,535 | ||||
Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
Total Medicare payment per Hospitalization with ICD G8918 - Other acute postprocedural pain | $11,931 | ||||
Total Medicare Charges at DRG | $91,836,200,128 | ||||
Total Medicare Charges with ICD G8918 - Other acute postprocedural pain | $1,895,560,002 | ||||
Avg Charges at DRG | $60,312 | ||||
Avg Charges with ICD G8918 - Other acute postprocedural pain | $62,247 | ||||
Mortality Rate at DRG | 0.05 | ||||
Mortality Rate with ICD G8918 - Other acute postprocedural pain | NA | ||||
SNF Discharge Rate at DRG | 23.53 | ||||
SNF Discharge Rate with ICD G8918 - Other acute postprocedural pain | 23.56 | ||||
Home Discharge Rate at DRG | 30.67 | ||||
Home Discharge Rate with ICD G8918 - Other acute postprocedural pain | 25.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 120,351 | ||||
Total Hospitalizations with ICD G8918 - Other acute postprocedural pain | 4,758 | ||||
DRG Share of Total Hospitalizations | 0.37 | ||||
% of Total ICD G8918 - Other acute postprocedural pain in DRG | 2.46 | ||||
Avg LOS at DRG | 12.45 | ||||
Avg LOS with ICD G8918 - Other acute postprocedural pain | 12.21 | ||||
Readmission Rate at DRG | 17.61 | ||||
Readmission Rate with ICD G8918 - Other acute postprocedural pain | 13.42 | ||||
Unplanned Readmission Rate at DRG | 12.6 | ||||
Unplanned Readmission Rate with ICD G8918 - Other acute postprocedural pain | 9.44 | ||||
Total Medicare payments at DRG | $2,245,410,425 | ||||
Total Medicare payments with ICD G8918 - Other acute postprocedural pain | $91,293,815 | ||||
Total Medicare payment per Day at DRG | $1,499 | ||||
Total Medicare payment per Day with ICD G8918 - Other acute postprocedural pain | $1,571 | ||||
Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
Total Medicare payment per Hospitalization with ICD G8918 - Other acute postprocedural pain | $19,187 | ||||
Total Medicare Charges at DRG | $5,810,478,166 | ||||
Total Medicare Charges with ICD G8918 - Other acute postprocedural pain | $240,321,273 | ||||
Avg Charges at DRG | $48,279 | ||||
Avg Charges with ICD G8918 - Other acute postprocedural pain | $50,509 | ||||
Mortality Rate at DRG | 0.55 | ||||
Mortality Rate with ICD G8918 - Other acute postprocedural pain | NA | ||||
SNF Discharge Rate at DRG | 14.77 | ||||
SNF Discharge Rate with ICD G8918 - Other acute postprocedural pain | 12.4 | ||||
Home Discharge Rate at DRG | 22.27 | ||||
Home Discharge Rate with ICD G8918 - Other acute postprocedural pain | 25.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 106,782 | ||||
Total Hospitalizations with ICD G8918 - Other acute postprocedural pain | 2,453 | ||||
DRG Share of Total Hospitalizations | 0.32 | ||||
% of Total ICD G8918 - Other acute postprocedural pain in DRG | 1.27 | ||||
Avg LOS at DRG | 13.16 | ||||
Avg LOS with ICD G8918 - Other acute postprocedural pain | 13.86 | ||||
Readmission Rate at DRG | 30.28 | ||||
Readmission Rate with ICD G8918 - Other acute postprocedural pain | 32.34 | ||||
Unplanned Readmission Rate at DRG | 15.8 | ||||
Unplanned Readmission Rate with ICD G8918 - Other acute postprocedural pain | 18.54 | ||||
Total Medicare payments at DRG | $3,545,118,598 | ||||
Total Medicare payments with ICD G8918 - Other acute postprocedural pain | $90,374,867 | ||||
Total Medicare payment per Day at DRG | $2,523 | ||||
Total Medicare payment per Day with ICD G8918 - Other acute postprocedural pain | $2,659 | ||||
Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
Total Medicare payment per Hospitalization with ICD G8918 - Other acute postprocedural pain | $36,843 | ||||
Total Medicare Charges at DRG | $16,714,197,313 | ||||
Total Medicare Charges with ICD G8918 - Other acute postprocedural pain | $411,169,248 | ||||
Avg Charges at DRG | $156,526 | ||||
Avg Charges with ICD G8918 - Other acute postprocedural pain | $167,619 | ||||
Mortality Rate at DRG | 9.42 | ||||
Mortality Rate with ICD G8918 - Other acute postprocedural pain | 3.95 | ||||
SNF Discharge Rate at DRG | 28.14 | ||||
SNF Discharge Rate with ICD G8918 - Other acute postprocedural pain | 25.07 | ||||
Home Discharge Rate at DRG | 22.53 | ||||
Home Discharge Rate with ICD G8918 - Other acute postprocedural pain | 24.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 51,757 | ||||
Total Hospitalizations with ICD G8918 - Other acute postprocedural pain | 1,867 | ||||
DRG Share of Total Hospitalizations | 0.16 | ||||
% of Total ICD G8918 - Other acute postprocedural pain in DRG | 0.96 | ||||
Avg LOS at DRG | 4.41 | ||||
Avg LOS with ICD G8918 - Other acute postprocedural pain | 9.27 | ||||
Readmission Rate at DRG | 17.16 | ||||
Readmission Rate with ICD G8918 - Other acute postprocedural pain | 4.64 | ||||
Unplanned Readmission Rate at DRG | 9.0 | ||||
Unplanned Readmission Rate with ICD G8918 - Other acute postprocedural pain | 2.91 | ||||
Total Medicare payments at DRG | $332,400,259 | ||||
Total Medicare payments with ICD G8918 - Other acute postprocedural pain | $26,202,031 | ||||
Total Medicare payment per Day at DRG | $1,455 | ||||
Total Medicare payment per Day with ICD G8918 - Other acute postprocedural pain | $1,513 | ||||
Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
Total Medicare payment per Hospitalization with ICD G8918 - Other acute postprocedural pain | $14,034 | ||||
Total Medicare Charges at DRG | $1,234,809,519 | ||||
Total Medicare Charges with ICD G8918 - Other acute postprocedural pain | $46,442,236 | ||||
Avg Charges at DRG | $23,858 | ||||
Avg Charges with ICD G8918 - Other acute postprocedural pain | $24,875 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD G8918 - Other acute postprocedural pain | NA | ||||
SNF Discharge Rate at DRG | 25.37 | ||||
SNF Discharge Rate with ICD G8918 - Other acute postprocedural pain | 7.28 | ||||
Home Discharge Rate at DRG | 42.31 | ||||
Home Discharge Rate with ICD G8918 - Other acute postprocedural pain | 38.67 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 3,616 |
NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 1,973 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 1,834 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. LOUIS C JORDAN | 5716 CLEVELAND ST | VIRGINIA BEACH | VA | 23462 | 468 |
Dr. THA CHA | 125 E BARSTOW AVE STE 118 | FRESNO | CA | 93710 | 467 |
Dr. JAIME D HERNANDEZ | 6815 NOBLE AVE | VAN NUYS | CA | 91405 | 406 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MIRELLE' JEANNE FOSTER | 551 HILL COUNTRY DR | KERRVILLE | TX | 78028 | 628 |
Dr. THA CHA | 125 E BARSTOW AVE STE 118 | FRESNO | CA | 93710 | 520 |
Dr. TRAVIS W HIRD | 1501 RIVER POINTE DR | CONROE | TX | 77304 | 494 |