*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I6529 - Occlusion and stenosis of unspecified carotid artery - as a primary diagnosis code | I6529 - Occlusion and stenosis of unspecified carotid artery - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.23 | |
| Readmission Rate (%) | 22.74 | |
| Unplanned Readmission Rate (%) | 6.62 | |
| 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 068: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 039: EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 038: EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 067: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 036: CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,081 | ||||
| Total Hospitalizations with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 365 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I6529 - Occlusion and stenosis of unspecified carotid artery in DRG | 37.67 | ||||
| Avg LOS at DRG | 2.61 | ||||
| Avg LOS with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 2.51 | ||||
| Readmission Rate at DRG | 24.14 | ||||
| Readmission Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 21.85 | ||||
| Unplanned Readmission Rate at DRG | 8.62 | ||||
| Unplanned Readmission Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 6.15 | ||||
| Total Medicare payments at DRG | $67,013,145 | ||||
| Total Medicare payments with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $1,762,233 | ||||
| Total Medicare payment per Day at DRG | $1,962 | ||||
| Total Medicare payment per Day with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $1,924 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,123 | ||||
| Total Medicare payment per Hospitalization with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $4,828 | ||||
| Total Medicare Charges at DRG | $453,471,526 | ||||
| Total Medicare Charges with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $11,038,425 | ||||
| Avg Charges at DRG | $34,666 | ||||
| Avg Charges with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $30,242 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | NA | ||||
| SNF Discharge Rate at DRG | 10.94 | ||||
| SNF Discharge Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 13.97 | ||||
| Home Discharge Rate at DRG | 62.89 | ||||
| Home Discharge Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 58.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 037: EXTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 035: CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 12,443 | |
| Total Hospitalizations with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 30 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD I6529 - Occlusion and stenosis of unspecified carotid artery in DRG | 3.1 | |
| Avg LOS at DRG | 7.38 | |
| Avg LOS with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 6.67 | |
| Readmission Rate at DRG | 32.16 | |
| Readmission Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | NA | |
| Unplanned Readmission Rate at DRG | 12.8 | |
| Unplanned Readmission Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | NA | |
| Total Medicare payments at DRG | $263,595,916 | |
| Total Medicare payments with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $581,184 | |
| Total Medicare payment per Day at DRG | $2,869 | |
| Total Medicare payment per Day with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $2,906 | |
| Total Medicare payment per Hospitalization at DRG | $21,184 | |
| Total Medicare payment per Hospitalization with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $19,373 | |
| Total Medicare Charges at DRG | $1,420,765,559 | |
| Total Medicare Charges with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $2,900,649 | |
| Avg Charges at DRG | $114,182 | |
| Avg Charges with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $96,688 | |
| Mortality Rate at DRG | 4.19 | |
| Mortality Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | NA | |
| SNF Discharge Rate at DRG | 17.17 | |
| SNF Discharge Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | NA | |
| Home Discharge Rate at DRG | 43.21 | |
| Home Discharge Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 60.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHI MEMORIAL HOSPITAL | 2525 DESALES AVE | CHATTANOOGA | TN | 37404 | 16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 7,403 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I6529 - Occlusion and stenosis of unspecified carotid artery in DRG | 4.68 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 5.19 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 28.02 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 21.59 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $65,812,726 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $1,712 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $8,890 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $295,688,156 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $39,942 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 3.05 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 19.24 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 38.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 2,683 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD I6529 - Occlusion and stenosis of unspecified carotid artery in DRG | 1.7 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 12.78 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 16.58 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 10.79 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $48,617,019 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $1,418 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $18,120 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $119,931,288 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $44,700 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 26.65 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 25.87 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,438 | ||||
| Total Hospitalizations with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 2,329 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD I6529 - Occlusion and stenosis of unspecified carotid artery in DRG | 1.47 | ||||
| Avg LOS at DRG | 2.51 | ||||
| Avg LOS with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 2.7 | ||||
| Readmission Rate at DRG | 10.86 | ||||
| Readmission Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 13.47 | ||||
| Unplanned Readmission Rate at DRG | 8.03 | ||||
| Unplanned Readmission Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 9.83 | ||||
| Total Medicare payments at DRG | $3,352,957,239 | ||||
| Total Medicare payments with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $28,683,483 | ||||
| Total Medicare payment per Day at DRG | $4,952 | ||||
| Total Medicare payment per Day with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $4,570 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,444 | ||||
| Total Medicare payment per Hospitalization with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $12,316 | ||||
| Total Medicare Charges at DRG | $22,958,558,443 | ||||
| Total Medicare Charges with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $208,768,150 | ||||
| Avg Charges at DRG | $85,209 | ||||
| Avg Charges with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $89,639 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 0.47 | ||||
| SNF Discharge Rate at DRG | 2.62 | ||||
| SNF Discharge Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 2.83 | ||||
| Home Discharge Rate at DRG | 88.57 | ||||
| Home Discharge Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 86.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 2,062 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD I6529 - Occlusion and stenosis of unspecified carotid artery in DRG | 1.3 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 5.46 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 22.62 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 16.33 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $17,588,715 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $1,563 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $8,530 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $86,315,981 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | $41,860 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 4.36 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 22.55 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD I6529 - Occlusion and stenosis of unspecified carotid artery | 37.1 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 611 |
| BYRD REGIONAL HOSPITAL | 1020 W FERTITTA BLVD | LEESVILLE | LA | 71446 | 600 |
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 588 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSE MATHEW | 1101 PORT ARTHUR TER | LEESVILLE | LA | 71446 | 92 |
| Dr. NAEEM K TAHIRKHELI | 5224 E I 240 SERVICE RD FL 2 | OKLAHOMA CITY | OK | 73135 | 49 |
| Dr. RICHARD ANTHONY MATANO | 1010 NORTHERN BLVD | GREAT NECK | NY | 11021 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSE MATHEW | 1101 PORT ARTHUR TER | LEESVILLE | LA | 71446 | 469 |
| Dr. MUSTAFA RAHIM | 250 STANAFORD RD | BECKLEY | WV | 25801 | 198 |
| Dr. NAEEM K TAHIRKHELI | 5224 E I 240 SERVICE RD FL 2 | OKLAHOMA CITY | OK | 73135 | 105 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E119 | Type 2 diabetes mellitus without complications |
| 2 | M1990 | Unspecified osteoarthritis, unspecified site |
| 3 | E039 | Hypothyroidism, unspecified |
| 4 | J449 | Chronic obstructive pulmonary disease, unspecified |