*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T463X5A - Adverse effect of coronary vasodilators, initial encounter - as a primary diagnosis code | T463X5A - Adverse effect of coronary vasodilators, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.1 | |
| Readmission Rate (%) | 18.66 | |
| 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 312: SYNCOPE AND COLLAPSE | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 928 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter in DRG | 11.41 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 2.44 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 16.02 | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 11.48 | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $4,104,933 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $1,811 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $4,423 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $22,975,660 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $24,758 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 12.28 | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 62.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 303: ATHEROSCLEROSIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 282: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 150,404 | ||||
| Total Hospitalizations with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 341 | ||||
| DRG Share of Total Hospitalizations | 0.46 | ||||
| % of Total ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter in DRG | 4.19 | ||||
| Avg LOS at DRG | 3.31 | ||||
| Avg LOS with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 2.92 | ||||
| Readmission Rate at DRG | 20.72 | ||||
| Readmission Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 18.64 | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 13.9 | ||||
| Total Medicare payments at DRG | $938,855,823 | ||||
| Total Medicare payments with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $2,047,461 | ||||
| Total Medicare payment per Day at DRG | $1,886 | ||||
| Total Medicare payment per Day with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $2,054 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,242 | ||||
| Total Medicare payment per Hospitalization with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $6,004 | ||||
| Total Medicare Charges at DRG | $5,236,903,865 | ||||
| Total Medicare Charges with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $11,979,989 | ||||
| Avg Charges at DRG | $34,819 | ||||
| Avg Charges with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $35,132 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 13.12 | ||||
| SNF Discharge Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 6.16 | ||||
| Home Discharge Rate at DRG | 52.08 | ||||
| Home Discharge Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 63.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 305: HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 170 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter in DRG | 2.09 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 8.06 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 23.13 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 13.61 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $3,234,006 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $2,359 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $19,024 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $18,151,438 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $106,773 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 6.47 | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 54.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 234: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 112 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter in DRG | 1.38 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 3.3 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 30.48 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 22.86 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $628,864 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $1,700 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $5,615 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $2,777,975 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | $24,803 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 10.71 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD T463X5A - Adverse effect of coronary vasodilators, initial encounter | 55.36 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAINE MEDICAL CENTER | 22 BRAMHALL ST | PORTLAND | ME | 04102 | 47 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 37 |
| HILLCREST MEDICAL CENTER | 1120 S UTICA AVE | TULSA | OK | 74104 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 20 |