*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T45515A - Adverse effect of anticoagulants, initial encounter - as a primary diagnosis code | T45515A - Adverse effect of anticoagulants, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.18 | |
| Readmission Rate (%) | 25.89 | |
| Unplanned Readmission Rate (%) | 14.78 | |
| 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 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 71,748 | |||
| Total Hospitalizations with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 471 | |||
| DRG Share of Total Hospitalizations | 0.22 | |||
| % of Total ICD T45515A - Adverse effect of anticoagulants, initial encounter in DRG | 63.05 | |||
| Avg LOS at DRG | 2.93 | |||
| Avg LOS with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 3.33 | |||
| Readmission Rate at DRG | 33.86 | |||
| Readmission Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 18.44 | |||
| Unplanned Readmission Rate at DRG | 10.34 | |||
| Unplanned Readmission Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 11.5 | |||
| Total Medicare payments at DRG | $313,351,773 | |||
| Total Medicare payments with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $2,024,960 | |||
| Total Medicare payment per Day at DRG | $1,489 | |||
| Total Medicare payment per Day with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $1,291 | |||
| Total Medicare payment per Hospitalization at DRG | $4,367 | |||
| Total Medicare payment per Hospitalization with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $4,299 | |||
| Total Medicare Charges at DRG | $1,750,048,705 | |||
| Total Medicare Charges with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $11,092,314 | |||
| Avg Charges at DRG | $24,392 | |||
| Avg Charges with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $23,551 | |||
| Mortality Rate at DRG | 0.22 | |||
| Mortality Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | NA | |||
| SNF Discharge Rate at DRG | 7.61 | |||
| SNF Discharge Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 15.5 | |||
| Home Discharge Rate at DRG | 51.88 | |||
| Home Discharge Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 55.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 813: COAGULATION DISORDERS | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 17,974 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD T45515A - Adverse effect of anticoagulants, initial encounter in DRG | 7.63 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 3.99 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 18.44 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 14.21 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $107,246,789 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $1,495 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $5,967 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $646,712,928 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $35,980 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 0.71 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 15.84 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 57.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 3,744 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD T45515A - Adverse effect of anticoagulants, initial encounter in DRG | 1.59 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 6.18 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 39.24 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 10.65 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $45,708,307 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $1,975 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $12,208 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $272,371,656 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $72,749 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 27.32 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 22.65 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 8.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 2,935 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD T45515A - Adverse effect of anticoagulants, initial encounter in DRG | 1.25 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 7.39 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 30.17 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 22.21 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $29,098,996 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $1,343 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $9,914 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $171,247,147 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $58,347 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 8.52 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 33.56 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 20.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 2,396 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD T45515A - Adverse effect of anticoagulants, initial encounter in DRG | 1.02 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 3.23 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 21.21 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 15.66 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $11,298,000 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $1,460 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $4,715 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $55,008,402 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD T45515A - Adverse effect of anticoagulants, initial encounter | $22,958 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 19.07 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD T45515A - Adverse effect of anticoagulants, initial encounter | 45.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 965 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 932 |
| VASSAR BROTHERS MEDICAL CENTER | 45 READE PL | POUGHKEEPSIE | NY | 12601 | 814 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 49 |
| Dr. ABDUL T RAZACK | 3600 KOLBE RD | LORAIN | OH | 44053 | 37 |
| Dr. GREGORY IAN SELTZER | 485 WILLIAMSTOWN RD | SICKLERVILLE | NJ | 08081 | 37 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 81 |
| Dr. EUGENE VICTOR HUDMAN | 6250 REGIONAL PLZ | ABILENE | TX | 79606 | 75 |
| Dr. NIMESH K VESUWALA | 82 TUNNEL RD | POTTSVILLE | PA | 17901 | 74 |