*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified - as a primary diagnosis code | I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.5 | |
| Readmission Rate (%) | 23.37 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 294: DEEP VEIN THROMBOPHLEBITIS WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 295: DEEP VEIN THROMBOPHLEBITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 898 | |
| Total Hospitalizations with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 90 | |
| DRG Share of Total Hospitalizations | 0.0 | |
| % of Total ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified in DRG | 73.77 | |
| Avg LOS at DRG | 4.54 | |
| Avg LOS with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 4.39 | |
| Readmission Rate at DRG | 21.31 | |
| Readmission Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 14.77 | |
| Unplanned Readmission Rate at DRG | 13.75 | |
| Unplanned Readmission Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | |
| Total Medicare payments at DRG | $6,079,037 | |
| Total Medicare payments with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $595,578 | |
| Total Medicare payment per Day at DRG | $1,491 | |
| Total Medicare payment per Day with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $1,508 | |
| Total Medicare payment per Hospitalization at DRG | $6,770 | |
| Total Medicare payment per Hospitalization with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $6,618 | |
| Total Medicare Charges at DRG | $32,292,361 | |
| Total Medicare Charges with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $2,106,480 | |
| Avg Charges at DRG | $35,960 | |
| Avg Charges with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $23,405 | |
| Mortality Rate at DRG | 1.78 | |
| Mortality Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | |
| SNF Discharge Rate at DRG | 13.59 | |
| SNF Discharge Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | |
| Home Discharge Rate at DRG | 51.22 | |
| Home Discharge Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 64.44 |
*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 294: DEEP VEIN THROMBOPHLEBITIS WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 179 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified in DRG | 12.54 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 4.58 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 12.57 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 6.59 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $979,069 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $1,195 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $5,470 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $5,048,483 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $28,204 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 7.82 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 60.89 |
*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 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 36 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified in DRG | 2.52 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 7.03 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $344,085 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $1,360 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $9,558 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $1,625,373 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $45,149 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 36.11 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 33.33 |
*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 295: DEEP VEIN THROMBOPHLEBITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 25 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified in DRG | 1.75 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 2.96 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $337,412 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $4,560 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $13,496 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $1,510,943 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $60,438 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 301: PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 14 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified in DRG | 0.98 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | 6.5 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $113,569 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $1,248 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $8,112 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $371,209 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | $26,515 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD I803 - Phlebitis and thrombophlebitis of lower extremities, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONROE COUNTY MEDICAL CENTER | 529 CAPP HARLAN RD | TOMPKINSVILLE | KY | 42167 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANTHONY CRAIG CARTER | 604 N MAIN ST | TOMPKINSVILLE | KY | 42167 | 12 |