*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter - as a primary diagnosis code | T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.98 | |
| Readmission Rate (%) | 32.5 | |
| Unplanned Readmission Rate (%) | 16.96 | |
| 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) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | |||
| Total Hospitalizations with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 299 | |||
| DRG Share of Total Hospitalizations | 0.37 | |||
| % of Total ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter in DRG | 64.16 | |||
| Avg LOS at DRG | 12.45 | |||
| Avg LOS with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 11.2 | |||
| Readmission Rate at DRG | 17.61 | |||
| Readmission Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 26.94 | |||
| Unplanned Readmission Rate at DRG | 12.6 | |||
| Unplanned Readmission Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 17.96 | |||
| Total Medicare payments at DRG | $2,245,410,425 | |||
| Total Medicare payments with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $4,837,440 | |||
| Total Medicare payment per Day at DRG | $1,499 | |||
| Total Medicare payment per Day with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $1,444 | |||
| Total Medicare payment per Hospitalization at DRG | $18,657 | |||
| Total Medicare payment per Hospitalization with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $16,179 | |||
| Total Medicare Charges at DRG | $5,810,478,166 | |||
| Total Medicare Charges with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $17,651,353 | |||
| Avg Charges at DRG | $48,279 | |||
| Avg Charges with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $59,035 | |||
| Mortality Rate at DRG | 0.55 | |||
| Mortality Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | NA | |||
| SNF Discharge Rate at DRG | 14.77 | |||
| SNF Discharge Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 14.38 | |||
| Home Discharge Rate at DRG | 22.27 | |||
| Home Discharge Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 23.41 |
*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) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 405 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter in DRG | 15.83 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 11.67 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 27.44 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 17.68 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $6,785,322 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $1,436 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $16,754 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $24,314,576 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $60,036 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 13.83 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 21.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,304 | ||||
| Total Hospitalizations with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 78 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter in DRG | 3.05 | ||||
| Avg LOS at DRG | 12.88 | ||||
| Avg LOS with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 10.96 | ||||
| Readmission Rate at DRG | 33.72 | ||||
| Readmission Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 30.56 | ||||
| Unplanned Readmission Rate at DRG | 20.64 | ||||
| Unplanned Readmission Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 19.44 | ||||
| Total Medicare payments at DRG | $139,878,942 | ||||
| Total Medicare payments with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $1,982,524 | ||||
| Total Medicare payment per Day at DRG | $2,047 | ||||
| Total Medicare payment per Day with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $2,319 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,372 | ||||
| Total Medicare payment per Hospitalization with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $25,417 | ||||
| Total Medicare Charges at DRG | $598,659,521 | ||||
| Total Medicare Charges with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $8,255,897 | ||||
| Avg Charges at DRG | $112,869 | ||||
| Avg Charges with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $105,845 | ||||
| Mortality Rate at DRG | 3.3 | ||||
| Mortality Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | NA | ||||
| SNF Discharge Rate at DRG | 25.74 | ||||
| SNF Discharge Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 20.51 | ||||
| Home Discharge Rate at DRG | 26.24 | ||||
| Home Discharge Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 32.05 |
*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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 40 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter in DRG | 1.56 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 9.07 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 30.56 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | NA | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $525,394 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $1,447 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $13,135 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $2,055,654 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $51,391 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | NA | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 37.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,180 | ||||
| Total Hospitalizations with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 35 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter in DRG | 1.37 | ||||
| Avg LOS at DRG | 6.71 | ||||
| Avg LOS with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 7.29 | ||||
| Readmission Rate at DRG | 23.14 | ||||
| Readmission Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 40.63 | ||||
| Unplanned Readmission Rate at DRG | 11.83 | ||||
| Unplanned Readmission Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | NA | ||||
| Total Medicare payments at DRG | $126,050,117 | ||||
| Total Medicare payments with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $478,676 | ||||
| Total Medicare payment per Day at DRG | $2,297 | ||||
| Total Medicare payment per Day with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $1,877 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,410 | ||||
| Total Medicare payment per Hospitalization with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $13,676 | ||||
| Total Medicare Charges at DRG | $596,559,916 | ||||
| Total Medicare Charges with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $2,560,523 | ||||
| Avg Charges at DRG | $72,929 | ||||
| Avg Charges with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | $73,158 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | NA | ||||
| SNF Discharge Rate at DRG | 23.23 | ||||
| SNF Discharge Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | NA | ||||
| Home Discharge Rate at DRG | 38.81 | ||||
| Home Discharge Rate with ICD T827XXD - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter | 40.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 71 |
| ADVOCATE CHRIST MEDICAL CENTER | 4440 W 95TH ST | OAK LAWN | IL | 60453 | 23 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JUSTIN MARINUS VADER | 4921 PARKVIEW PL | SAINT LOUIS | MO | 63110 | 14 |
| Dr. EDWARD M GELTMAN | 4921 PARKVIEW PL | SAINT LOUIS | MO | 63110 | 13 |