*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T45516A - Underdosing of anticoagulants, initial encounter - as a primary diagnosis code | T45516A - Underdosing of anticoagulants, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.95 | |
| Readmission Rate (%) | 25.89 | |
| 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 120,351 |
| Total Hospitalizations with ICD T45516A - Underdosing of anticoagulants, initial encounter | 22 |
| DRG Share of Total Hospitalizations | 0.37 |
| % of Total ICD T45516A - Underdosing of anticoagulants, initial encounter in DRG | 75.86 |
| Avg LOS at DRG | 12.45 |
| Avg LOS with ICD T45516A - Underdosing of anticoagulants, initial encounter | 4.82 |
| Readmission Rate at DRG | 17.61 |
| Readmission Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | NA |
| Unplanned Readmission Rate at DRG | 12.6 |
| Unplanned Readmission Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | NA |
| Total Medicare payments at DRG | $2,245,410,425 |
| Total Medicare payments with ICD T45516A - Underdosing of anticoagulants, initial encounter | $161,110 |
| Total Medicare payment per Day at DRG | $1,499 |
| Total Medicare payment per Day with ICD T45516A - Underdosing of anticoagulants, initial encounter | $1,520 |
| Total Medicare payment per Hospitalization at DRG | $18,657 |
| Total Medicare payment per Hospitalization with ICD T45516A - Underdosing of anticoagulants, initial encounter | $7,323 |
| Total Medicare Charges at DRG | $5,810,478,166 |
| Total Medicare Charges with ICD T45516A - Underdosing of anticoagulants, initial encounter | $579,227 |
| Avg Charges at DRG | $48,279 |
| Avg Charges with ICD T45516A - Underdosing of anticoagulants, initial encounter | $26,329 |
| Mortality Rate at DRG | 0.55 |
| Mortality Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | NA |
| SNF Discharge Rate at DRG | 14.77 |
| SNF Discharge Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | NA |
| Home Discharge Rate at DRG | 22.27 |
| Home Discharge Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 50.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD T45516A - Underdosing of anticoagulants, initial encounter | 373 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD T45516A - Underdosing of anticoagulants, initial encounter in DRG | 5.32 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD T45516A - Underdosing of anticoagulants, initial encounter | 3.78 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 35.57 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 10.5 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD T45516A - Underdosing of anticoagulants, initial encounter | $2,432,730 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD T45516A - Underdosing of anticoagulants, initial encounter | $1,727 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD T45516A - Underdosing of anticoagulants, initial encounter | $6,522 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD T45516A - Underdosing of anticoagulants, initial encounter | $13,391,756 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD T45516A - Underdosing of anticoagulants, initial encounter | $35,903 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 21.98 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 32.71 |
*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 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD T45516A - Underdosing of anticoagulants, initial encounter | 234 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD T45516A - Underdosing of anticoagulants, initial encounter in DRG | 3.34 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD T45516A - Underdosing of anticoagulants, initial encounter | 6.0 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 44.44 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 11.11 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD T45516A - Underdosing of anticoagulants, initial encounter | $2,722,299 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD T45516A - Underdosing of anticoagulants, initial encounter | $1,938 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD T45516A - Underdosing of anticoagulants, initial encounter | $11,634 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD T45516A - Underdosing of anticoagulants, initial encounter | $13,473,488 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD T45516A - Underdosing of anticoagulants, initial encounter | $57,579 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 12.82 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 28.63 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 11.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD T45516A - Underdosing of anticoagulants, initial encounter | 148 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD T45516A - Underdosing of anticoagulants, initial encounter in DRG | 2.11 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD T45516A - Underdosing of anticoagulants, initial encounter | 5.8 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 24.8 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 15.2 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD T45516A - Underdosing of anticoagulants, initial encounter | $1,800,878 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD T45516A - Underdosing of anticoagulants, initial encounter | $2,096 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD T45516A - Underdosing of anticoagulants, initial encounter | $12,168 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD T45516A - Underdosing of anticoagulants, initial encounter | $8,648,406 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD T45516A - Underdosing of anticoagulants, initial encounter | $58,435 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 8.11 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 22.97 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 33.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 885: PSYCHOSES | DRG 301: PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD T45516A - Underdosing of anticoagulants, initial encounter | 95 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD T45516A - Underdosing of anticoagulants, initial encounter in DRG | 1.36 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD T45516A - Underdosing of anticoagulants, initial encounter | 4.69 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 22.22 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 17.78 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD T45516A - Underdosing of anticoagulants, initial encounter | $806,737 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD T45516A - Underdosing of anticoagulants, initial encounter | $1,809 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD T45516A - Underdosing of anticoagulants, initial encounter | $8,492 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD T45516A - Underdosing of anticoagulants, initial encounter | $3,313,057 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD T45516A - Underdosing of anticoagulants, initial encounter | $34,874 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 12.63 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD T45516A - Underdosing of anticoagulants, initial encounter | 52.63 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| GRADY MEMORIAL HOSPITAL | 80 JESSE HILL JR DR, SE | ATLANTA | GA | 30303 | 63 |
| RENOWN REGIONAL MEDICAL CENTER | 1155 MILL STREET | RENO | NV | 89502 | 60 |
| UNIVERSITY HOSPITAL | 150 BERGEN ST | NEWARK | NJ | 07103 | 60 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY STEPHEN SUGALSKI | 30 BERGEN ST | NEWARK | NJ | 07107 | 11 |