*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N736 - Female pelvic peritoneal adhesions (postinfective) - as a primary diagnosis code | N736 - Female pelvic peritoneal adhesions (postinfective) - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.4 | |
| Readmission Rate (%) | 14.14 | |
| Unplanned Readmission Rate (%) | 7.14 | |
| 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 743: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 742: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 749: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 750: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,415 | |||
| Total Hospitalizations with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 127 | |||
| DRG Share of Total Hospitalizations | 0.07 | |||
| % of Total ICD N736 - Female pelvic peritoneal adhesions (postinfective) in DRG | 37.24 | |||
| Avg LOS at DRG | 1.87 | |||
| Avg LOS with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 2.22 | |||
| Readmission Rate at DRG | 4.31 | |||
| Readmission Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 8.73 | |||
| Unplanned Readmission Rate at DRG | 3.22 | |||
| Unplanned Readmission Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | NA | |||
| Total Medicare payments at DRG | $140,286,858 | |||
| Total Medicare payments with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $698,069 | |||
| Total Medicare payment per Day at DRG | $3,081 | |||
| Total Medicare payment per Day with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $2,475 | |||
| Total Medicare payment per Hospitalization at DRG | $5,746 | |||
| Total Medicare payment per Hospitalization with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $5,497 | |||
| Total Medicare Charges at DRG | $1,015,345,035 | |||
| Total Medicare Charges with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $4,776,566 | |||
| Avg Charges at DRG | $41,587 | |||
| Avg Charges with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $37,611 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | NA | |||
| SNF Discharge Rate at DRG | 1.08 | |||
| SNF Discharge Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | NA | |||
| Home Discharge Rate at DRG | 95.44 | |||
| Home Discharge Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 97.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 743: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 742: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,415 | ||||
| Total Hospitalizations with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 2,513 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD N736 - Female pelvic peritoneal adhesions (postinfective) in DRG | 15.38 | ||||
| Avg LOS at DRG | 1.87 | ||||
| Avg LOS with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 2.09 | ||||
| Readmission Rate at DRG | 4.31 | ||||
| Readmission Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 5.94 | ||||
| Unplanned Readmission Rate at DRG | 3.22 | ||||
| Unplanned Readmission Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 4.3 | ||||
| Total Medicare payments at DRG | $140,286,858 | ||||
| Total Medicare payments with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $14,376,841 | ||||
| Total Medicare payment per Day at DRG | $3,081 | ||||
| Total Medicare payment per Day with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $2,741 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,746 | ||||
| Total Medicare payment per Hospitalization with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $5,721 | ||||
| Total Medicare Charges at DRG | $1,015,345,035 | ||||
| Total Medicare Charges with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $110,814,241 | ||||
| Avg Charges at DRG | $41,587 | ||||
| Avg Charges with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $44,096 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | NA | ||||
| SNF Discharge Rate at DRG | 1.08 | ||||
| SNF Discharge Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 0.72 | ||||
| Home Discharge Rate at DRG | 95.44 | ||||
| Home Discharge Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 96.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 740: UTERINE, ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 737: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 741: UTERINE, ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,925 | ||||
| Total Hospitalizations with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 665 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD N736 - Female pelvic peritoneal adhesions (postinfective) in DRG | 4.07 | ||||
| Avg LOS at DRG | 3.83 | ||||
| Avg LOS with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 3.88 | ||||
| Readmission Rate at DRG | 13.1 | ||||
| Readmission Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 13.66 | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 10.4 | ||||
| Total Medicare payments at DRG | $91,519,981 | ||||
| Total Medicare payments with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $7,857,490 | ||||
| Total Medicare payment per Day at DRG | $3,014 | ||||
| Total Medicare payment per Day with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $3,046 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,548 | ||||
| Total Medicare payment per Hospitalization with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $11,816 | ||||
| Total Medicare Charges at DRG | $541,370,281 | ||||
| Total Medicare Charges with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $47,618,663 | ||||
| Avg Charges at DRG | $68,312 | ||||
| Avg Charges with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $71,607 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | NA | ||||
| SNF Discharge Rate at DRG | 10.86 | ||||
| SNF Discharge Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 9.77 | ||||
| Home Discharge Rate at DRG | 70.46 | ||||
| Home Discharge Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 71.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 734: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 748: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,212 | ||||
| Total Hospitalizations with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 258 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD N736 - Female pelvic peritoneal adhesions (postinfective) in DRG | 1.58 | ||||
| Avg LOS at DRG | 4.78 | ||||
| Avg LOS with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 4.22 | ||||
| Readmission Rate at DRG | 10.27 | ||||
| Readmission Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 11.95 | ||||
| Unplanned Readmission Rate at DRG | 7.42 | ||||
| Unplanned Readmission Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 6.37 | ||||
| Total Medicare payments at DRG | $157,263,431 | ||||
| Total Medicare payments with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $2,549,811 | ||||
| Total Medicare payment per Day at DRG | $2,031 | ||||
| Total Medicare payment per Day with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $2,341 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,700 | ||||
| Total Medicare payment per Hospitalization with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $9,883 | ||||
| Total Medicare Charges at DRG | $886,139,904 | ||||
| Total Medicare Charges with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $13,616,407 | ||||
| Avg Charges at DRG | $54,660 | ||||
| Avg Charges with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $52,777 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | NA | ||||
| SNF Discharge Rate at DRG | 5.12 | ||||
| SNF Discharge Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 4.26 | ||||
| Home Discharge Rate at DRG | 80.24 | ||||
| Home Discharge Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 84.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 749: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 738: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 739: UTERINE, ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 766: CESAREAN SECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 735: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,284 | ||||
| Total Hospitalizations with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 183 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N736 - Female pelvic peritoneal adhesions (postinfective) in DRG | 1.12 | ||||
| Avg LOS at DRG | 7.5 | ||||
| Avg LOS with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 6.57 | ||||
| Readmission Rate at DRG | 26.75 | ||||
| Readmission Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 17.24 | ||||
| Unplanned Readmission Rate at DRG | 16.49 | ||||
| Unplanned Readmission Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 10.34 | ||||
| Total Medicare payments at DRG | $61,215,580 | ||||
| Total Medicare payments with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $3,366,171 | ||||
| Total Medicare payment per Day at DRG | $2,484 | ||||
| Total Medicare payment per Day with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $2,798 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,641 | ||||
| Total Medicare payment per Hospitalization with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $18,394 | ||||
| Total Medicare Charges at DRG | $275,096,789 | ||||
| Total Medicare Charges with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $16,176,354 | ||||
| Avg Charges at DRG | $83,769 | ||||
| Avg Charges with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | $88,395 | ||||
| Mortality Rate at DRG | 3.05 | ||||
| Mortality Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 10.38 | ||||
| Home Discharge Rate at DRG | 48.02 | ||||
| Home Discharge Rate with ICD N736 - Female pelvic peritoneal adhesions (postinfective) | 63.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| INOVA FAIRFAX HOSPITAL | 3300 GALLOWS RD | FALLS CHURCH | VA | 22042 | 136 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 85 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 83 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID E RIVADENEIRA | 48 ROUTE 25A | SMITHTOWN | NY | 11787 | 54 |
| Dr. JOSEPH T SANTOSO | 1588 UNION AVE | MEMPHIS | TN | 38104 | 44 |
| Dr. ALAN C SCHLAERTH | 300 W HUNTINGTON DR | ARCADIA | CA | 91007 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID E RIVADENEIRA | 48 ROUTE 25A | SMITHTOWN | NY | 11787 | 50 |
| Dr. JOSEPH T SANTOSO | 1588 UNION AVE | MEMPHIS | TN | 38104 | 43 |
| Dr. ANNETTE BICHER | 3289 WOODBURN RD | ANNANDALE | VA | 22003 | 36 |