*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter - as a primary diagnosis code | T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.84 | |
| Readmission Rate (%) | 26.22 | |
| Unplanned Readmission Rate (%) | 14.28 | |
| 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 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,001 | ||||
| Total Hospitalizations with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 1,634 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 29.05 | ||||
| Avg LOS at DRG | 5.32 | ||||
| Avg LOS with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 3.51 | ||||
| Readmission Rate at DRG | 23.7 | ||||
| Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 16.82 | ||||
| Unplanned Readmission Rate at DRG | 16.43 | ||||
| Unplanned Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 13.14 | ||||
| Total Medicare payments at DRG | $2,854,117,533 | ||||
| Total Medicare payments with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $33,638,282 | ||||
| Total Medicare payment per Day at DRG | $4,006 | ||||
| Total Medicare payment per Day with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $5,858 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,299 | ||||
| Total Medicare payment per Hospitalization with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $20,586 | ||||
| Total Medicare Charges at DRG | $16,607,700,460 | ||||
| Total Medicare Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $170,421,607 | ||||
| Avg Charges at DRG | $123,937 | ||||
| Avg Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $104,297 | ||||
| Mortality Rate at DRG | 3.88 | ||||
| Mortality Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 2.33 | ||||
| SNF Discharge Rate at DRG | 10.96 | ||||
| SNF Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 5.08 | ||||
| Home Discharge Rate at DRG | 62.82 | ||||
| Home Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 76.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 248: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 215: OTHER HEART ASSIST SYSTEM IMPLANT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,336 | ||||
| Total Hospitalizations with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 220 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 3.91 | ||||
| Avg LOS at DRG | 9.25 | ||||
| Avg LOS with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 7.55 | ||||
| Readmission Rate at DRG | 34.8 | ||||
| Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 34.67 | ||||
| Unplanned Readmission Rate at DRG | 18.65 | ||||
| Unplanned Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 21.33 | ||||
| Total Medicare payments at DRG | $1,809,252,224 | ||||
| Total Medicare payments with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $7,462,034 | ||||
| Total Medicare payment per Day at DRG | $3,736 | ||||
| Total Medicare payment per Day with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $4,490 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,570 | ||||
| Total Medicare payment per Hospitalization with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $33,918 | ||||
| Total Medicare Charges at DRG | $9,023,705,730 | ||||
| Total Medicare Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $35,209,930 | ||||
| Avg Charges at DRG | $172,419 | ||||
| Avg Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $160,045 | ||||
| Mortality Rate at DRG | 16.82 | ||||
| Mortality Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 21.82 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 12.73 | ||||
| Home Discharge Rate at DRG | 28.81 | ||||
| Home Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 36.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 86 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 1.53 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 6.5 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 32.47 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 22.08 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $1,009,825 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $1,806 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $11,742 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $6,118,479 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $71,145 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 53.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 002: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 251: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 231: CORONARY BYPASS WITH PTCA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 638 | ||||
| Total Hospitalizations with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 54 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 0.96 | ||||
| Avg LOS at DRG | 19.16 | ||||
| Avg LOS with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 23.74 | ||||
| Readmission Rate at DRG | 29.29 | ||||
| Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 7.77 | ||||
| Unplanned Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | NA | ||||
| Total Medicare payments at DRG | $77,486,534 | ||||
| Total Medicare payments with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $7,180,481 | ||||
| Total Medicare payment per Day at DRG | $6,339 | ||||
| Total Medicare payment per Day with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $5,601 | ||||
| Total Medicare payment per Hospitalization at DRG | $121,452 | ||||
| Total Medicare payment per Hospitalization with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $132,972 | ||||
| Total Medicare Charges at DRG | $368,629,340 | ||||
| Total Medicare Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $32,778,958 | ||||
| Avg Charges at DRG | $577,789 | ||||
| Avg Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $607,018 | ||||
| Mortality Rate at DRG | 2.04 | ||||
| Mortality Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 2.19 | ||||
| SNF Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 44.83 | ||||
| Home Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 40.74 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HUNTSVILLE HOSPITAL | 101 SIVLEY RD SW | HUNTSVILLE | AL | 35801 | 59 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 58 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 58 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANCIS D PAGANI | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 12 |
| Dr. BRIAN BRUCKNER | 6550 FANNIN ST | HOUSTON | TX | 77030 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANCIS D PAGANI | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 18 |
| Dr. JOHN M RANSOM | 9601 LILE DR | LITTLE ROCK | AR | 72205 | 16 |
| Dr. ROBERT C KINCADE | 5301 F ST | SACRAMENTO | CA | 95819 | 15 |
*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 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,001 | ||||
| Total Hospitalizations with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 2,756 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 21.48 | ||||
| Avg LOS at DRG | 5.32 | ||||
| Avg LOS with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 4.24 | ||||
| Readmission Rate at DRG | 23.7 | ||||
| Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 18.82 | ||||
| Unplanned Readmission Rate at DRG | 16.43 | ||||
| Unplanned Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 13.54 | ||||
| Total Medicare payments at DRG | $2,854,117,533 | ||||
| Total Medicare payments with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $58,964,095 | ||||
| Total Medicare payment per Day at DRG | $4,006 | ||||
| Total Medicare payment per Day with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $5,048 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,299 | ||||
| Total Medicare payment per Hospitalization with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $21,395 | ||||
| Total Medicare Charges at DRG | $16,607,700,460 | ||||
| Total Medicare Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $331,346,772 | ||||
| Avg Charges at DRG | $123,937 | ||||
| Avg Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $120,227 | ||||
| Mortality Rate at DRG | 3.88 | ||||
| Mortality Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 4.86 | ||||
| SNF Discharge Rate at DRG | 10.96 | ||||
| SNF Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 6.28 | ||||
| Home Discharge Rate at DRG | 62.82 | ||||
| Home Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 71.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 251: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 248: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,277 | ||||
| Total Hospitalizations with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 518 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 4.04 | ||||
| Avg LOS at DRG | 34.54 | ||||
| Avg LOS with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 33.18 | ||||
| Readmission Rate at DRG | 45.96 | ||||
| Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 49.43 | ||||
| Unplanned Readmission Rate at DRG | 8.81 | ||||
| Unplanned Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 10.76 | ||||
| Total Medicare payments at DRG | $1,394,438,033 | ||||
| Total Medicare payments with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $115,682,806 | ||||
| Total Medicare payment per Day at DRG | $6,431 | ||||
| Total Medicare payment per Day with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $6,730 | ||||
| Total Medicare payment per Hospitalization at DRG | $222,150 | ||||
| Total Medicare payment per Hospitalization with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $223,326 | ||||
| Total Medicare Charges at DRG | $6,283,395,142 | ||||
| Total Medicare Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $493,850,761 | ||||
| Avg Charges at DRG | $1,001,019 | ||||
| Avg Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $953,380 | ||||
| Mortality Rate at DRG | 11.95 | ||||
| Mortality Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 14.29 | ||||
| SNF Discharge Rate at DRG | 4.09 | ||||
| SNF Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 5.02 | ||||
| Home Discharge Rate at DRG | 22.56 | ||||
| Home Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 28.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 215: OTHER HEART ASSIST SYSTEM IMPLANT | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,741 | ||||
| Total Hospitalizations with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 245 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 1.91 | ||||
| Avg LOS at DRG | 8.2 | ||||
| Avg LOS with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 11.7 | ||||
| Readmission Rate at DRG | 28.37 | ||||
| Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 34.92 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 11.9 | ||||
| Total Medicare payments at DRG | $980,880,341 | ||||
| Total Medicare payments with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $24,144,183 | ||||
| Total Medicare payment per Day at DRG | $11,139 | ||||
| Total Medicare payment per Day with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $8,424 | ||||
| Total Medicare payment per Hospitalization at DRG | $91,321 | ||||
| Total Medicare payment per Hospitalization with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $98,548 | ||||
| Total Medicare Charges at DRG | $3,404,430,870 | ||||
| Total Medicare Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $94,501,791 | ||||
| Avg Charges at DRG | $316,957 | ||||
| Avg Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $385,722 | ||||
| Mortality Rate at DRG | 30.09 | ||||
| Mortality Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 42.04 | ||||
| SNF Discharge Rate at DRG | 10.67 | ||||
| SNF Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 7.76 | ||||
| Home Discharge Rate at DRG | 32.02 | ||||
| Home Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 20.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 249: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 154 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 1.2 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 9.4 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 38.58 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 28.35 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $2,132,086 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $1,472 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $13,845 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $13,039,013 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | $84,669 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 8.44 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 16.23 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD T82867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter | 29.22 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 149 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 98 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 91 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AMISH N RAVAL | 600 HIGHLAND AVE | MADISON | WI | 53792 | 15 |
| Dr. FRANCIS D PAGANI | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 15 |
| Dr. CARMELO A MILANO | 403 W 27TH ST | LUMBERTON | NC | 28358 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANCIS D PAGANI | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 20 |
| Dr. ROBERT C KINCADE | 5301 F ST | SACRAMENTO | CA | 95819 | 18 |
| Dr. JOHN M RANSOM | 9601 LILE DR | LITTLE ROCK | AR | 72205 | 17 |