*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity - as a primary diagnosis code | I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.11 | |
| Readmission Rate (%) | 26.65 | |
| Unplanned Readmission Rate (%) | 14.75 | |
| 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 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 254: OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 301: PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,795 | ||||
| Total Hospitalizations with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 76 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity in DRG | 20.6 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 4.8 | ||||
| Readmission Rate at DRG | 25.16 | ||||
| Readmission Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 29.41 | ||||
| Unplanned Readmission Rate at DRG | 13.58 | ||||
| Unplanned Readmission Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | NA | ||||
| Total Medicare payments at DRG | $1,520,761,343 | ||||
| Total Medicare payments with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $1,190,413 | ||||
| Total Medicare payment per Day at DRG | $3,209 | ||||
| Total Medicare payment per Day with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $3,261 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,127 | ||||
| Total Medicare payment per Hospitalization with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $15,663 | ||||
| Total Medicare Charges at DRG | $8,019,705,683 | ||||
| Total Medicare Charges with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $7,175,193 | ||||
| Avg Charges at DRG | $90,317 | ||||
| Avg Charges with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $94,410 | ||||
| Mortality Rate at DRG | 0.47 | ||||
| Mortality Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | NA | ||||
| SNF Discharge Rate at DRG | 20.42 | ||||
| SNF Discharge Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 14.47 | ||||
| Home Discharge Rate at DRG | 47.78 | ||||
| Home Discharge Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 47.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 272: OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,274 | |||
| Total Hospitalizations with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 28 | |||
| DRG Share of Total Hospitalizations | 0.12 | |||
| % of Total ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity in DRG | 7.59 | |||
| Avg LOS at DRG | 5.64 | |||
| Avg LOS with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 5.32 | |||
| Readmission Rate at DRG | 23.87 | |||
| Readmission Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | NA | |||
| Unplanned Readmission Rate at DRG | 12.97 | |||
| Unplanned Readmission Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | NA | |||
| Total Medicare payments at DRG | $829,251,141 | |||
| Total Medicare payments with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $498,702 | |||
| Total Medicare payment per Day at DRG | $3,840 | |||
| Total Medicare payment per Day with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $3,347 | |||
| Total Medicare payment per Hospitalization at DRG | $21,666 | |||
| Total Medicare payment per Hospitalization with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $17,811 | |||
| Total Medicare Charges at DRG | $4,499,731,580 | |||
| Total Medicare Charges with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $3,062,334 | |||
| Avg Charges at DRG | $117,566 | |||
| Avg Charges with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $109,369 | |||
| Mortality Rate at DRG | 2.17 | |||
| Mortality Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | NA | |||
| SNF Discharge Rate at DRG | 16.12 | |||
| SNF Discharge Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | NA | |||
| Home Discharge Rate at DRG | 50.94 | |||
| Home Discharge Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 53.57 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 1,483 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity in DRG | 4.67 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 5.42 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 31.5 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 23.7 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $13,372,989 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $1,664 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $9,018 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $62,081,777 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $41,862 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 3.51 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 20.3 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 35.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 521 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity in DRG | 1.64 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 6.45 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 32.84 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 24.42 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $5,006,928 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $1,489 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $9,610 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $26,218,254 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $50,323 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 4.41 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 17.47 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 38.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 437 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity in DRG | 1.38 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 4.52 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 21.98 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 14.98 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $2,352,733 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $1,190 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $5,384 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $12,316,389 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $28,184 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 21.28 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 47.14 |
*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 039: EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 366 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity in DRG | 1.15 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 5.69 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 26.89 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 18.43 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $3,216,477 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $1,545 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $8,788 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $15,827,353 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | $43,244 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 4.92 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 21.31 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD I70209 - Unspecified atherosclerosis of native arteries of extremities, unspecified extremity | 34.97 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MUNSON MEDICAL CENTER | 1105 6TH ST | TRAVERSE CITY | MI | 49684 | 701 |
| MIAMI VALLEY HOSPITAL | 1 WYOMING ST | DAYTON | OH | 45409 | 510 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 365 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RADHA KRISHNA KROTHAPALLI | 4163 LOMAC ST | MONTGOMERY | AL | 36106 | 62 |
| Dr. MUTHU S. KRISHNAN | 1191 HIGHWAY KK | OSAGE BEACH | MO | 65065 | 37 |
| Dr. LAWRENCE F. POLETTI | 1911 THOMSON DR | LYNCHBURG | VA | 24501 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MOHAMED S ALI | 4818 W PROFESSIONAL DR | BAY CITY | MI | 48706 | 102 |
| Dr. MOHAMED HANAFI ABUHARAZ | 4818 W PROFESSIONAL DR | BAY CITY | MI | 48706 | 87 |
| Dr. DAVID M MEGO | 7 SHACKLEFORD WEST BLVD | LITTLE ROCK | AR | 72211 | 70 |