*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T8189XA - Other complications of procedures, not elsewhere classified, initial encounter - as a primary diagnosis code | T8189XA - Other complications of procedures, not elsewhere classified, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.16 | |
| Readmission Rate (%) | 29.04 | |
| Unplanned Readmission Rate (%) | 12.41 | |
| 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 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 902: WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 921: COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,227 | ||||
| Total Hospitalizations with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 1,893 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter in DRG | 20.7 | ||||
| Avg LOS at DRG | 8.02 | ||||
| Avg LOS with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 15.17 | ||||
| Readmission Rate at DRG | 30.44 | ||||
| Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 31.5 | ||||
| Unplanned Readmission Rate at DRG | 20.14 | ||||
| Unplanned Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 17.01 | ||||
| Total Medicare payments at DRG | $641,315,623 | ||||
| Total Medicare payments with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $39,823,149 | ||||
| Total Medicare payment per Day at DRG | $1,808 | ||||
| Total Medicare payment per Day with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $1,387 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,501 | ||||
| Total Medicare payment per Hospitalization with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $21,037 | ||||
| Total Medicare Charges at DRG | $3,055,824,019 | ||||
| Total Medicare Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $165,722,091 | ||||
| Avg Charges at DRG | $69,094 | ||||
| Avg Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $87,545 | ||||
| Mortality Rate at DRG | 3.89 | ||||
| Mortality Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 4.28 | ||||
| SNF Discharge Rate at DRG | 16.17 | ||||
| SNF Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 24.67 | ||||
| Home Discharge Rate at DRG | 45.86 | ||||
| Home Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 26.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 901: WOUND DEBRIDEMENTS FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 903: WOUND DEBRIDEMENTS FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 904: SKIN GRAFTS FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,121 | ||||
| Total Hospitalizations with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 629 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter in DRG | 6.88 | ||||
| Avg LOS at DRG | 10.36 | ||||
| Avg LOS with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 12.79 | ||||
| Readmission Rate at DRG | 32.93 | ||||
| Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 37.2 | ||||
| Unplanned Readmission Rate at DRG | 16.39 | ||||
| Unplanned Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 16.44 | ||||
| Total Medicare payments at DRG | $736,047,335 | ||||
| Total Medicare payments with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $17,470,026 | ||||
| Total Medicare payment per Day at DRG | $2,719 | ||||
| Total Medicare payment per Day with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $2,171 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,178 | ||||
| Total Medicare payment per Hospitalization with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $27,774 | ||||
| Total Medicare Charges at DRG | $3,553,256,627 | ||||
| Total Medicare Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $74,031,071 | ||||
| Avg Charges at DRG | $136,031 | ||||
| Avg Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $117,696 | ||||
| Mortality Rate at DRG | 5.78 | ||||
| Mortality Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 3.82 | ||||
| SNF Discharge Rate at DRG | 22.6 | ||||
| SNF Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 30.52 | ||||
| Home Discharge Rate at DRG | 32.22 | ||||
| Home Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 20.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 905: SKIN GRAFTS FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 594 | ||||
| Total Hospitalizations with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 148 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter in DRG | 1.62 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 4.03 | ||||
| Readmission Rate at DRG | 13.84 | ||||
| Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 16.31 | ||||
| Unplanned Readmission Rate at DRG | 5.95 | ||||
| Unplanned Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 9.22 | ||||
| Total Medicare payments at DRG | $5,511,150 | ||||
| Total Medicare payments with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $1,321,925 | ||||
| Total Medicare payment per Day at DRG | $2,292 | ||||
| Total Medicare payment per Day with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $2,218 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,278 | ||||
| Total Medicare payment per Hospitalization with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $8,932 | ||||
| Total Medicare Charges at DRG | $32,572,184 | ||||
| Total Medicare Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $6,705,978 | ||||
| Avg Charges at DRG | $54,835 | ||||
| Avg Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $45,311 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 13.64 | ||||
| SNF Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 15.54 | ||||
| Home Discharge Rate at DRG | 56.9 | ||||
| Home Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 51.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 906: HAND PROCEDURES FOR INJURIES | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | |||
| Total Hospitalizations with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 23 | |||
| DRG Share of Total Hospitalizations | 0.15 | |||
| % of Total ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter in DRG | 0.25 | |||
| Avg LOS at DRG | 29.97 | |||
| Avg LOS with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 20.87 | |||
| Readmission Rate at DRG | 76.3 | |||
| Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | NA | |||
| Unplanned Readmission Rate at DRG | 6.46 | |||
| Unplanned Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | NA | |||
| Total Medicare payments at DRG | $6,190,071,785 | |||
| Total Medicare payments with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $2,099,506 | |||
| Total Medicare payment per Day at DRG | $4,263 | |||
| Total Medicare payment per Day with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $4,374 | |||
| Total Medicare payment per Hospitalization at DRG | $127,765 | |||
| Total Medicare payment per Hospitalization with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $91,283 | |||
| Total Medicare Charges at DRG | $28,754,600,069 | |||
| Total Medicare Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $8,602,289 | |||
| Avg Charges at DRG | $593,502 | |||
| Avg Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $374,013 | |||
| Mortality Rate at DRG | 20.61 | |||
| Mortality Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | NA | |||
| SNF Discharge Rate at DRG | 12.46 | |||
| SNF Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | NA | |||
| Home Discharge Rate at DRG | 2.36 | |||
| Home Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| POST ACUTE ENTERPRISES, L.L.C. | 2600 HIGHWAY 365 | NEDERLAND | TX | 77627 | 87 |
| NORTHERN IDAHO ADVANCED CARE | 600 N CECIL RD | POST FALLS | ID | 83854 | 60 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 56 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL G MEZA | 600N CECIL RD | POST FALLS | ID | 83854 | 28 |
| Dr. MONIQUE LEONA CONSOER | 46 LOUIS PRIMA DR | COVINGTON | LA | 70433 | 24 |
| Dr. TALA'AT AL-SHUQAIRAT | 555 W SR 164 NORTH | SALEM | UT | 84653 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN BADLISSI | 2400 HIGHWAY 365 | NEDERLAND | TX | 77627 | 28 |
| Dr. MICHAEL G MEZA | 600N CECIL RD | POST FALLS | ID | 83854 | 28 |
| Dr. TROY LUNCEFORD | 555 W SR 164 NORTH | SALEM | UT | 84653 | 25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 902: WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,227 | ||||
| Total Hospitalizations with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 2,085 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter in DRG | 6.96 | ||||
| Avg LOS at DRG | 8.02 | ||||
| Avg LOS with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 15.69 | ||||
| Readmission Rate at DRG | 30.44 | ||||
| Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 32.1 | ||||
| Unplanned Readmission Rate at DRG | 20.14 | ||||
| Unplanned Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 17.75 | ||||
| Total Medicare payments at DRG | $641,315,623 | ||||
| Total Medicare payments with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $44,584,446 | ||||
| Total Medicare payment per Day at DRG | $1,808 | ||||
| Total Medicare payment per Day with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $1,363 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,501 | ||||
| Total Medicare payment per Hospitalization with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $21,383 | ||||
| Total Medicare Charges at DRG | $3,055,824,019 | ||||
| Total Medicare Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $190,993,348 | ||||
| Avg Charges at DRG | $69,094 | ||||
| Avg Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $91,604 | ||||
| Mortality Rate at DRG | 3.89 | ||||
| Mortality Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 4.32 | ||||
| SNF Discharge Rate at DRG | 16.17 | ||||
| SNF Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 25.66 | ||||
| Home Discharge Rate at DRG | 45.86 | ||||
| Home Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 25.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 921: COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 901: WOUND DEBRIDEMENTS FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 903: WOUND DEBRIDEMENTS FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,121 | ||||
| Total Hospitalizations with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 756 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter in DRG | 2.52 | ||||
| Avg LOS at DRG | 10.36 | ||||
| Avg LOS with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 12.78 | ||||
| Readmission Rate at DRG | 32.93 | ||||
| Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 36.9 | ||||
| Unplanned Readmission Rate at DRG | 16.39 | ||||
| Unplanned Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 16.5 | ||||
| Total Medicare payments at DRG | $736,047,335 | ||||
| Total Medicare payments with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $20,887,837 | ||||
| Total Medicare payment per Day at DRG | $2,719 | ||||
| Total Medicare payment per Day with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $2,161 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,178 | ||||
| Total Medicare payment per Hospitalization with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $27,629 | ||||
| Total Medicare Charges at DRG | $3,553,256,627 | ||||
| Total Medicare Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $92,203,172 | ||||
| Avg Charges at DRG | $136,031 | ||||
| Avg Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $121,962 | ||||
| Mortality Rate at DRG | 5.78 | ||||
| Mortality Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 4.37 | ||||
| SNF Discharge Rate at DRG | 22.6 | ||||
| SNF Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 29.89 | ||||
| Home Discharge Rate at DRG | 32.22 | ||||
| Home Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 20.77 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 904: SKIN GRAFTS FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 438 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter in DRG | 1.46 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 17.5 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 44.36 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 17.95 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $15,760,187 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $2,056 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $35,982 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $75,945,724 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $173,392 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 7.99 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 34.93 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 8.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 325 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter in DRG | 1.09 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 5.99 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 36.77 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 25.09 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $3,081,099 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $1,583 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $9,480 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $13,591,870 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | $41,821 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 4.0 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 24.0 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD T8189XA - Other complications of procedures, not elsewhere classified, initial encounter | 23.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 411 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 157 |
| ST. JOHN MEDICAL CENTER | 1923 S UTICA AVE | TULSA | OK | 74104 | 153 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN J RAINSFORD | 2801 EUREKA WAY | REDDING | CA | 96001 | 58 |
| Dr. MONIQUE LEONA CONSOER | 46 LOUIS PRIMA DR | COVINGTON | LA | 70433 | 57 |
| Dr. THIRUVOIPATI NANDAKUMAR | 2801 EUREKA WAY | REDDING | CA | 96001 | 51 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN J RAINSFORD | 2801 EUREKA WAY | REDDING | CA | 96001 | 58 |
| Dr. THIRUVOIPATI NANDAKUMAR | 2801 EUREKA WAY | REDDING | CA | 96001 | 51 |
| Dr. TURGUT Z ZIA | 2741 W LAYTON AVE | MILWAUKEE | WI | 53221 | 41 |