*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R5082 - Postprocedural fever - as a primary diagnosis code | R5082 - Postprocedural fever - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.48 | |
| Readmission Rate (%) | 21.54 | |
| Unplanned Readmission Rate (%) | 9.29 | |
| 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 864: FEVER | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 855: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,455 | |||
| Total Hospitalizations with ICD R5082 - Postprocedural fever | 1,657 | |||
| DRG Share of Total Hospitalizations | 0.11 | |||
| % of Total ICD R5082 - Postprocedural fever in DRG | 79.24 | |||
| Avg LOS at DRG | 3.24 | |||
| Avg LOS with ICD R5082 - Postprocedural fever | 2.63 | |||
| Readmission Rate at DRG | 20.75 | |||
| Readmission Rate with ICD R5082 - Postprocedural fever | 16.04 | |||
| Unplanned Readmission Rate at DRG | 14.51 | |||
| Unplanned Readmission Rate with ICD R5082 - Postprocedural fever | 9.41 | |||
| Total Medicare payments at DRG | $191,023,146 | |||
| Total Medicare payments with ICD R5082 - Postprocedural fever | $9,100,627 | |||
| Total Medicare payment per Day at DRG | $1,661 | |||
| Total Medicare payment per Day with ICD R5082 - Postprocedural fever | $2,088 | |||
| Total Medicare payment per Hospitalization at DRG | $5,388 | |||
| Total Medicare payment per Hospitalization with ICD R5082 - Postprocedural fever | $5,492 | |||
| Total Medicare Charges at DRG | $1,016,968,143 | |||
| Total Medicare Charges with ICD R5082 - Postprocedural fever | $42,666,698 | |||
| Avg Charges at DRG | $28,683 | |||
| Avg Charges with ICD R5082 - Postprocedural fever | $25,749 | |||
| Mortality Rate at DRG | 0.29 | |||
| Mortality Rate with ICD R5082 - Postprocedural fever | NA | |||
| SNF Discharge Rate at DRG | 12.41 | |||
| SNF Discharge Rate with ICD R5082 - Postprocedural fever | 10.44 | |||
| Home Discharge Rate at DRG | 62.61 | |||
| Home Discharge Rate with ICD R5082 - Postprocedural fever | 66.14 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABINGTON MEMORIAL HOSPITAL | 1200 OLD YORK RD | ABINGTON | PA | 19001 | 15 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 12 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 11 |
*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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 864: FEVER | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD R5082 - Postprocedural fever | 7,193 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD R5082 - Postprocedural fever in DRG | 18.08 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD R5082 - Postprocedural fever | 4.0 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD R5082 - Postprocedural fever | 15.17 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD R5082 - Postprocedural fever | 4.47 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD R5082 - Postprocedural fever | $90,119,550 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD R5082 - Postprocedural fever | $3,136 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD R5082 - Postprocedural fever | $12,529 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD R5082 - Postprocedural fever | $496,055,981 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD R5082 - Postprocedural fever | $68,964 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD R5082 - Postprocedural fever | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R5082 - Postprocedural fever | 42.28 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD R5082 - Postprocedural fever | 14.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD R5082 - Postprocedural fever | 981 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD R5082 - Postprocedural fever in DRG | 2.47 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD R5082 - Postprocedural fever | 9.0 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD R5082 - Postprocedural fever | 23.63 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD R5082 - Postprocedural fever | 15.65 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD R5082 - Postprocedural fever | $16,132,692 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD R5082 - Postprocedural fever | $1,827 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD R5082 - Postprocedural fever | $16,445 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD R5082 - Postprocedural fever | $98,626,893 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD R5082 - Postprocedural fever | $100,537 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD R5082 - Postprocedural fever | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD R5082 - Postprocedural fever | 15.09 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD R5082 - Postprocedural fever | 46.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD R5082 - Postprocedural fever | 429 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD R5082 - Postprocedural fever in DRG | 1.08 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD R5082 - Postprocedural fever | 12.09 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD R5082 - Postprocedural fever | 31.19 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD R5082 - Postprocedural fever | 17.33 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD R5082 - Postprocedural fever | $13,917,673 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD R5082 - Postprocedural fever | $2,684 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD R5082 - Postprocedural fever | $32,442 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD R5082 - Postprocedural fever | $60,564,617 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD R5082 - Postprocedural fever | $141,176 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD R5082 - Postprocedural fever | 2.56 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD R5082 - Postprocedural fever | 35.43 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD R5082 - Postprocedural fever | 27.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | ||||
| Total Hospitalizations with ICD R5082 - Postprocedural fever | 347 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD R5082 - Postprocedural fever in DRG | 0.87 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD R5082 - Postprocedural fever | 3.55 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD R5082 - Postprocedural fever | 9.97 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD R5082 - Postprocedural fever | 4.69 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD R5082 - Postprocedural fever | $5,177,541 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD R5082 - Postprocedural fever | $4,206 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD R5082 - Postprocedural fever | $14,921 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD R5082 - Postprocedural fever | $29,362,826 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD R5082 - Postprocedural fever | $84,619 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD R5082 - Postprocedural fever | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD R5082 - Postprocedural fever | 25.94 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD R5082 - Postprocedural fever | 45.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RUSH UNIVERSITY MEDICAL CENTER | 1653 W CONGRESS PKWY | CHICAGO | IL | 60612 | 376 |
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 248 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 203 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TAD GERLINGER | 1611 W HARRISON ST | CHICAGO | IL | 60612 | 29 |
| Dr. HAREL DEUTSCH | 1725 W HARRISON ST | CHICAGO | IL | 60612 | 29 |
| Dr. MATTHEW WESLEY COLMAN | 3471 5TH AVE | PITTSBURGH | PA | 15213 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NAVEENDRA KORIVI | 11301 FALLBROOK DR | HOUSTON | TX | 77065 | 74 |
| Dr. MEREDITH MICHELLE ADAMS | 1643 LANCASTER DR | GRAPEVINE | TX | 76051 | 46 |
| Dr. BENJAMIN T AGANA | 9200 PINECROFT DR | SHENANDOAH | TX | 77380 | 30 |