*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T508X5A - Adverse effect of diagnostic agents, initial encounter - as a primary diagnosis code | T508X5A - Adverse effect of diagnostic agents, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.01 | |
| Readmission Rate (%) | 29.36 | |
| 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 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 71,748 | |
| Total Hospitalizations with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 29 | |
| DRG Share of Total Hospitalizations | 0.22 | |
| % of Total ICD T508X5A - Adverse effect of diagnostic agents, initial encounter in DRG | 55.77 | |
| Avg LOS at DRG | 2.93 | |
| Avg LOS with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 2.07 | |
| Readmission Rate at DRG | 33.86 | |
| Readmission Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | NA | |
| Unplanned Readmission Rate at DRG | 10.34 | |
| Unplanned Readmission Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | NA | |
| Total Medicare payments at DRG | $313,351,773 | |
| Total Medicare payments with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $109,886 | |
| Total Medicare payment per Day at DRG | $1,489 | |
| Total Medicare payment per Day with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $1,831 | |
| Total Medicare payment per Hospitalization at DRG | $4,367 | |
| Total Medicare payment per Hospitalization with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $3,789 | |
| Total Medicare Charges at DRG | $1,750,048,705 | |
| Total Medicare Charges with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $727,793 | |
| Avg Charges at DRG | $24,392 | |
| Avg Charges with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $25,096 | |
| Mortality Rate at DRG | 0.22 | |
| Mortality Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | NA | |
| SNF Discharge Rate at DRG | 7.61 | |
| SNF Discharge Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | NA | |
| Home Discharge Rate at DRG | 51.88 | |
| Home Discharge Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 79.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,001 | ||||
| Total Hospitalizations with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 3,282 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD T508X5A - Adverse effect of diagnostic agents, initial encounter in DRG | 7.07 | ||||
| Avg LOS at DRG | 5.32 | ||||
| Avg LOS with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 8.16 | ||||
| Readmission Rate at DRG | 23.7 | ||||
| Readmission Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 29.21 | ||||
| Unplanned Readmission Rate at DRG | 16.43 | ||||
| Unplanned Readmission Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 19.69 | ||||
| Total Medicare payments at DRG | $2,854,117,533 | ||||
| Total Medicare payments with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $76,603,973 | ||||
| Total Medicare payment per Day at DRG | $4,006 | ||||
| Total Medicare payment per Day with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $2,861 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,299 | ||||
| Total Medicare payment per Hospitalization with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $23,341 | ||||
| Total Medicare Charges at DRG | $16,607,700,460 | ||||
| Total Medicare Charges with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $470,934,988 | ||||
| Avg Charges at DRG | $123,937 | ||||
| Avg Charges with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $143,490 | ||||
| Mortality Rate at DRG | 3.88 | ||||
| Mortality Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 5.06 | ||||
| SNF Discharge Rate at DRG | 10.96 | ||||
| SNF Discharge Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 16.48 | ||||
| Home Discharge Rate at DRG | 62.82 | ||||
| Home Discharge Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 46.4 |
*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 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 1,318 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD T508X5A - Adverse effect of diagnostic agents, initial encounter in DRG | 2.84 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 4.68 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 27.78 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 16.41 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $8,011,334 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $1,299 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $6,078 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $45,627,816 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $34,619 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 14.72 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 58.5 |
*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 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 723 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD T508X5A - Adverse effect of diagnostic agents, initial encounter in DRG | 1.56 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 13.64 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 38.45 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 16.19 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $26,547,050 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $2,692 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $36,718 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $134,912,753 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $186,601 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 13.55 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 28.91 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 14.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 41,575 | ||||
| Total Hospitalizations with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 488 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD T508X5A - Adverse effect of diagnostic agents, initial encounter in DRG | 1.05 | ||||
| Avg LOS at DRG | 6.1 | ||||
| Avg LOS with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 11.06 | ||||
| Readmission Rate at DRG | 21.03 | ||||
| Readmission Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 32.23 | ||||
| Unplanned Readmission Rate at DRG | 12.58 | ||||
| Unplanned Readmission Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 18.98 | ||||
| Total Medicare payments at DRG | $2,337,662,115 | ||||
| Total Medicare payments with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $30,500,342 | ||||
| Total Medicare payment per Day at DRG | $9,211 | ||||
| Total Medicare payment per Day with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $5,653 | ||||
| Total Medicare payment per Hospitalization at DRG | $56,228 | ||||
| Total Medicare payment per Hospitalization with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $62,501 | ||||
| Total Medicare Charges at DRG | $9,802,565,172 | ||||
| Total Medicare Charges with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $142,642,737 | ||||
| Avg Charges at DRG | $235,780 | ||||
| Avg Charges with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | $292,301 | ||||
| Mortality Rate at DRG | 2.62 | ||||
| Mortality Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 4.92 | ||||
| SNF Discharge Rate at DRG | 16.12 | ||||
| SNF Discharge Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 24.8 | ||||
| Home Discharge Rate at DRG | 50.75 | ||||
| Home Discharge Rate with ICD T508X5A - Adverse effect of diagnostic agents, initial encounter | 29.1 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 265 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 253 |
| UNIVERSITY HOSPITAL AT STONY BROOK | NICOLLS RD | STONY BROOK | NY | 11794 | 211 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAMUEL J CONGELLO | 250 S CRESCENT DR | MASON CITY | IA | 50401 | 26 |
| Dr. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 20 |
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 49 |
| Dr. PETER ROYTMAN | 55 MADISON AVENUE | MORRISTOWN | NJ | 07960 | 25 |
| Dr. SAMUEL J CONGELLO | 250 S CRESCENT DR | MASON CITY | IA | 50401 | 25 |