*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I2582 - Chronic total occlusion of coronary artery - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.01 | |
| 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 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,438 | ||||
| Total Hospitalizations with ICD I2582 - Chronic total occlusion of coronary artery | 22,611 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD I2582 - Chronic total occlusion of coronary artery in DRG | 15.29 | ||||
| Avg LOS at DRG | 2.51 | ||||
| Avg LOS with ICD I2582 - Chronic total occlusion of coronary artery | 2.6 | ||||
| Readmission Rate at DRG | 10.86 | ||||
| Readmission Rate with ICD I2582 - Chronic total occlusion of coronary artery | 11.7 | ||||
| Unplanned Readmission Rate at DRG | 8.03 | ||||
| Unplanned Readmission Rate with ICD I2582 - Chronic total occlusion of coronary artery | 8.47 | ||||
| Total Medicare payments at DRG | $3,352,957,239 | ||||
| Total Medicare payments with ICD I2582 - Chronic total occlusion of coronary artery | $287,534,355 | ||||
| Total Medicare payment per Day at DRG | $4,952 | ||||
| Total Medicare payment per Day with ICD I2582 - Chronic total occlusion of coronary artery | $4,888 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,444 | ||||
| Total Medicare payment per Hospitalization with ICD I2582 - Chronic total occlusion of coronary artery | $12,717 | ||||
| Total Medicare Charges at DRG | $22,958,558,443 | ||||
| Total Medicare Charges with ICD I2582 - Chronic total occlusion of coronary artery | $1,984,375,106 | ||||
| Avg Charges at DRG | $85,209 | ||||
| Avg Charges with ICD I2582 - Chronic total occlusion of coronary artery | $87,761 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD I2582 - Chronic total occlusion of coronary artery | 0.5 | ||||
| SNF Discharge Rate at DRG | 2.62 | ||||
| SNF Discharge Rate with ICD I2582 - Chronic total occlusion of coronary artery | 2.71 | ||||
| Home Discharge Rate at DRG | 88.57 | ||||
| Home Discharge Rate with ICD I2582 - Chronic total occlusion of coronary artery | 87.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 234: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 150,404 | ||||
| Total Hospitalizations with ICD I2582 - Chronic total occlusion of coronary artery | 4,951 | ||||
| DRG Share of Total Hospitalizations | 0.46 | ||||
| % of Total ICD I2582 - Chronic total occlusion of coronary artery in DRG | 3.35 | ||||
| Avg LOS at DRG | 3.31 | ||||
| Avg LOS with ICD I2582 - Chronic total occlusion of coronary artery | 3.21 | ||||
| Readmission Rate at DRG | 20.72 | ||||
| Readmission Rate with ICD I2582 - Chronic total occlusion of coronary artery | 20.18 | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD I2582 - Chronic total occlusion of coronary artery | 13.03 | ||||
| Total Medicare payments at DRG | $938,855,823 | ||||
| Total Medicare payments with ICD I2582 - Chronic total occlusion of coronary artery | $29,626,019 | ||||
| Total Medicare payment per Day at DRG | $1,886 | ||||
| Total Medicare payment per Day with ICD I2582 - Chronic total occlusion of coronary artery | $1,862 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,242 | ||||
| Total Medicare payment per Hospitalization with ICD I2582 - Chronic total occlusion of coronary artery | $5,984 | ||||
| Total Medicare Charges at DRG | $5,236,903,865 | ||||
| Total Medicare Charges with ICD I2582 - Chronic total occlusion of coronary artery | $215,078,877 | ||||
| Avg Charges at DRG | $34,819 | ||||
| Avg Charges with ICD I2582 - Chronic total occlusion of coronary artery | $43,442 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I2582 - Chronic total occlusion of coronary artery | NA | ||||
| SNF Discharge Rate at DRG | 13.12 | ||||
| SNF Discharge Rate with ICD I2582 - Chronic total occlusion of coronary artery | 6.16 | ||||
| Home Discharge Rate at DRG | 52.08 | ||||
| Home Discharge Rate with ICD I2582 - Chronic total occlusion of coronary artery | 68.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 251: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 249: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 282: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,326 | ||||
| Total Hospitalizations with ICD I2582 - Chronic total occlusion of coronary artery | 2,490 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD I2582 - Chronic total occlusion of coronary artery in DRG | 1.68 | ||||
| Avg LOS at DRG | 2.61 | ||||
| Avg LOS with ICD I2582 - Chronic total occlusion of coronary artery | 2.62 | ||||
| Readmission Rate at DRG | 15.58 | ||||
| Readmission Rate with ICD I2582 - Chronic total occlusion of coronary artery | 16.18 | ||||
| Unplanned Readmission Rate at DRG | 11.04 | ||||
| Unplanned Readmission Rate with ICD I2582 - Chronic total occlusion of coronary artery | 11.4 | ||||
| Total Medicare payments at DRG | $179,646,764 | ||||
| Total Medicare payments with ICD I2582 - Chronic total occlusion of coronary artery | $24,638,322 | ||||
| Total Medicare payment per Day at DRG | $3,756 | ||||
| Total Medicare payment per Day with ICD I2582 - Chronic total occlusion of coronary artery | $3,771 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,803 | ||||
| Total Medicare payment per Hospitalization with ICD I2582 - Chronic total occlusion of coronary artery | $9,895 | ||||
| Total Medicare Charges at DRG | $1,253,870,279 | ||||
| Total Medicare Charges with ICD I2582 - Chronic total occlusion of coronary artery | $170,765,221 | ||||
| Avg Charges at DRG | $68,420 | ||||
| Avg Charges with ICD I2582 - Chronic total occlusion of coronary artery | $68,580 | ||||
| Mortality Rate at DRG | 1.61 | ||||
| Mortality Rate with ICD I2582 - Chronic total occlusion of coronary artery | 2.21 | ||||
| SNF Discharge Rate at DRG | 3.3 | ||||
| SNF Discharge Rate with ICD I2582 - Chronic total occlusion of coronary artery | 2.97 | ||||
| Home Discharge Rate at DRG | 81.19 | ||||
| Home Discharge Rate with ICD I2582 - Chronic total occlusion of coronary artery | 82.61 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 248: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I2582 - Chronic total occlusion of coronary artery | 1,822 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I2582 - Chronic total occlusion of coronary artery in DRG | 1.23 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I2582 - Chronic total occlusion of coronary artery | 7.24 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I2582 - Chronic total occlusion of coronary artery | 29.37 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I2582 - Chronic total occlusion of coronary artery | 19.49 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I2582 - Chronic total occlusion of coronary artery | $21,679,545 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I2582 - Chronic total occlusion of coronary artery | $1,643 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I2582 - Chronic total occlusion of coronary artery | $11,899 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I2582 - Chronic total occlusion of coronary artery | $144,175,277 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I2582 - Chronic total occlusion of coronary artery | $79,130 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I2582 - Chronic total occlusion of coronary artery | 11.25 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I2582 - Chronic total occlusion of coronary artery | 23.27 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I2582 - Chronic total occlusion of coronary artery | 29.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 1,120 |
| OKLAHOMA HEART HOSPITAL | 4050 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 860 |
| OUR LADY OF LOURDES MEDICAL CENTER | 1600 HADDON AVE | CAMDEN | NJ | 08103 | 786 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 468 |
| Dr. ANNAPOORNA KINI | 5 E 98TH ST | NEW YORK | NY | 10029 | 264 |
| Dr. THEODORE L SCHREIBER | 8545 COMMON ROAD | WARREN | MI | 48093 | 111 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 397 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 194 |
| Dr. AMANDEEP SODHI | 13921 W GRAND AVE | SURPRISE | AZ | 85374 | 177 |