*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I7092 - Chronic total occlusion of artery of the extremities - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.54 | |
| 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 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,795 | ||||
| Total Hospitalizations with ICD I7092 - Chronic total occlusion of artery of the extremities | 13,075 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD I7092 - Chronic total occlusion of artery of the extremities in DRG | 31.27 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I7092 - Chronic total occlusion of artery of the extremities | 4.78 | ||||
| Readmission Rate at DRG | 25.16 | ||||
| Readmission Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 23.35 | ||||
| Unplanned Readmission Rate at DRG | 13.58 | ||||
| Unplanned Readmission Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 11.76 | ||||
| Total Medicare payments at DRG | $1,520,761,343 | ||||
| Total Medicare payments with ICD I7092 - Chronic total occlusion of artery of the extremities | $221,196,646 | ||||
| Total Medicare payment per Day at DRG | $3,209 | ||||
| Total Medicare payment per Day with ICD I7092 - Chronic total occlusion of artery of the extremities | $3,541 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,127 | ||||
| Total Medicare payment per Hospitalization with ICD I7092 - Chronic total occlusion of artery of the extremities | $16,918 | ||||
| Total Medicare Charges at DRG | $8,019,705,683 | ||||
| Total Medicare Charges with ICD I7092 - Chronic total occlusion of artery of the extremities | $1,201,290,918 | ||||
| Avg Charges at DRG | $90,317 | ||||
| Avg Charges with ICD I7092 - Chronic total occlusion of artery of the extremities | $91,877 | ||||
| Mortality Rate at DRG | 0.47 | ||||
| Mortality Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 0.34 | ||||
| SNF Discharge Rate at DRG | 20.42 | ||||
| SNF Discharge Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 17.57 | ||||
| Home Discharge Rate at DRG | 47.78 | ||||
| Home Discharge Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 53.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,865 | ||||
| Total Hospitalizations with ICD I7092 - Chronic total occlusion of artery of the extremities | 1,615 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD I7092 - Chronic total occlusion of artery of the extremities in DRG | 3.86 | ||||
| Avg LOS at DRG | 13.03 | ||||
| Avg LOS with ICD I7092 - Chronic total occlusion of artery of the extremities | 15.95 | ||||
| Readmission Rate at DRG | 51.45 | ||||
| Readmission Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 55.56 | ||||
| Unplanned Readmission Rate at DRG | 19.42 | ||||
| Unplanned Readmission Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 19.48 | ||||
| Total Medicare payments at DRG | $870,378,024 | ||||
| Total Medicare payments with ICD I7092 - Chronic total occlusion of artery of the extremities | $55,982,299 | ||||
| Total Medicare payment per Day at DRG | $2,314 | ||||
| Total Medicare payment per Day with ICD I7092 - Chronic total occlusion of artery of the extremities | $2,174 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,153 | ||||
| Total Medicare payment per Hospitalization with ICD I7092 - Chronic total occlusion of artery of the extremities | $34,664 | ||||
| Total Medicare Charges at DRG | $3,978,441,182 | ||||
| Total Medicare Charges with ICD I7092 - Chronic total occlusion of artery of the extremities | $300,290,053 | ||||
| Avg Charges at DRG | $137,829 | ||||
| Avg Charges with ICD I7092 - Chronic total occlusion of artery of the extremities | $185,938 | ||||
| Mortality Rate at DRG | 5.71 | ||||
| Mortality Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 7.12 | ||||
| SNF Discharge Rate at DRG | 45.97 | ||||
| SNF Discharge Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 43.78 | ||||
| Home Discharge Rate at DRG | 5.52 | ||||
| Home Discharge Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 5.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 269: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 254: OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 52,732 | ||||
| Total Hospitalizations with ICD I7092 - Chronic total occlusion of artery of the extremities | 377 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD I7092 - Chronic total occlusion of artery of the extremities in DRG | 0.9 | ||||
| Avg LOS at DRG | 2.37 | ||||
| Avg LOS with ICD I7092 - Chronic total occlusion of artery of the extremities | 5.04 | ||||
| Readmission Rate at DRG | 10.2 | ||||
| Readmission Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 20.16 | ||||
| Unplanned Readmission Rate at DRG | 6.62 | ||||
| Unplanned Readmission Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 10.48 | ||||
| Total Medicare payments at DRG | $1,367,108,067 | ||||
| Total Medicare payments with ICD I7092 - Chronic total occlusion of artery of the extremities | $10,056,512 | ||||
| Total Medicare payment per Day at DRG | $10,946 | ||||
| Total Medicare payment per Day with ICD I7092 - Chronic total occlusion of artery of the extremities | $5,293 | ||||
| Total Medicare payment per Hospitalization at DRG | $25,926 | ||||
| Total Medicare payment per Hospitalization with ICD I7092 - Chronic total occlusion of artery of the extremities | $26,675 | ||||
| Total Medicare Charges at DRG | $6,653,705,772 | ||||
| Total Medicare Charges with ICD I7092 - Chronic total occlusion of artery of the extremities | $54,458,143 | ||||
| Avg Charges at DRG | $126,180 | ||||
| Avg Charges with ICD I7092 - Chronic total occlusion of artery of the extremities | $144,451 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | NA | ||||
| SNF Discharge Rate at DRG | 5.0 | ||||
| SNF Discharge Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 14.32 | ||||
| Home Discharge Rate at DRG | 81.79 | ||||
| Home Discharge Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 61.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,548 | ||||
| Total Hospitalizations with ICD I7092 - Chronic total occlusion of artery of the extremities | 240 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD I7092 - Chronic total occlusion of artery of the extremities in DRG | 0.57 | ||||
| Avg LOS at DRG | 7.55 | ||||
| Avg LOS with ICD I7092 - Chronic total occlusion of artery of the extremities | 8.7 | ||||
| Readmission Rate at DRG | 25.61 | ||||
| Readmission Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 36.4 | ||||
| Unplanned Readmission Rate at DRG | 13.93 | ||||
| Unplanned Readmission Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 20.61 | ||||
| Total Medicare payments at DRG | $225,408,950 | ||||
| Total Medicare payments with ICD I7092 - Chronic total occlusion of artery of the extremities | $3,794,978 | ||||
| Total Medicare payment per Day at DRG | $1,921 | ||||
| Total Medicare payment per Day with ICD I7092 - Chronic total occlusion of artery of the extremities | $1,818 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,498 | ||||
| Total Medicare payment per Hospitalization with ICD I7092 - Chronic total occlusion of artery of the extremities | $15,812 | ||||
| Total Medicare Charges at DRG | $1,165,672,078 | ||||
| Total Medicare Charges with ICD I7092 - Chronic total occlusion of artery of the extremities | $29,822,564 | ||||
| Avg Charges at DRG | $74,972 | ||||
| Avg Charges with ICD I7092 - Chronic total occlusion of artery of the extremities | $124,261 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | NA | ||||
| SNF Discharge Rate at DRG | 27.84 | ||||
| SNF Discharge Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 29.17 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD I7092 - Chronic total occlusion of artery of the extremities | 26.67 |
| 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 | 449 |
| LAFAYETTE GENERAL MEDICAL CENTER | 1214 COOLIDGE AVE. | LAFAYETTE | LA | 70503 | 233 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 229 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PRAKASH KRISHNAN | 5 E 98TH ST | NEW YORK | NY | 10029 | 187 |
| Dr. DAVID EMMIT ALLIE | 2730 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70506 | 134 |
| Dr. JAMES JEROME ZIMMERMAN | 2900 WHIPPLE AVE | REDWOOD CITY | CA | 94062 | 110 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID EMMIT ALLIE | 2730 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70506 | 181 |
| Dr. PRAKASH KRISHNAN | 5 E 98TH ST | NEW YORK | NY | 10029 | 176 |
| Dr. JAMES JEROME ZIMMERMAN | 2900 WHIPPLE AVE | REDWOOD CITY | CA | 94062 | 108 |