*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter - as a primary diagnosis code | T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.87 | |
| Readmission Rate (%) | 24.92 | |
| Unplanned Readmission Rate (%) | 12.57 | |
| 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 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,802 | ||||
| Total Hospitalizations with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 924 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 16.97 | ||||
| Avg LOS at DRG | 3.64 | ||||
| Avg LOS with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 3.11 | ||||
| Readmission Rate at DRG | 22.8 | ||||
| Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 22.84 | ||||
| Unplanned Readmission Rate at DRG | 15.06 | ||||
| Unplanned Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 13.94 | ||||
| Total Medicare payments at DRG | $412,252,033 | ||||
| Total Medicare payments with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $5,651,087 | ||||
| Total Medicare payment per Day at DRG | $1,719 | ||||
| Total Medicare payment per Day with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $1,964 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,265 | ||||
| Total Medicare payment per Hospitalization with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $6,116 | ||||
| Total Medicare Charges at DRG | $2,144,361,929 | ||||
| Total Medicare Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $26,298,205 | ||||
| Avg Charges at DRG | $32,588 | ||||
| Avg Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $28,461 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 12.49 | ||||
| SNF Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 6.39 | ||||
| Home Discharge Rate at DRG | 54.54 | ||||
| Home Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 66.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 261: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 53,232 | ||||
| Total Hospitalizations with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 250 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 4.59 | ||||
| Avg LOS at DRG | 6.67 | ||||
| Avg LOS with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 7.07 | ||||
| Readmission Rate at DRG | 19.14 | ||||
| Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 18.11 | ||||
| Unplanned Readmission Rate at DRG | 9.02 | ||||
| Unplanned Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 8.64 | ||||
| Total Medicare payments at DRG | $1,849,514,487 | ||||
| Total Medicare payments with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $9,085,834 | ||||
| Total Medicare payment per Day at DRG | $5,212 | ||||
| Total Medicare payment per Day with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $5,142 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,744 | ||||
| Total Medicare payment per Hospitalization with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $36,343 | ||||
| Total Medicare Charges at DRG | $9,786,140,365 | ||||
| Total Medicare Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $50,277,775 | ||||
| Avg Charges at DRG | $183,839 | ||||
| Avg Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $201,111 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 15.26 | ||||
| SNF Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 10.0 | ||||
| Home Discharge Rate at DRG | 35.21 | ||||
| Home Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 37.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 227: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 242: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,143 | ||||
| Total Hospitalizations with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 141 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 2.59 | ||||
| Avg LOS at DRG | 14.92 | ||||
| Avg LOS with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 15.5 | ||||
| Readmission Rate at DRG | 36.41 | ||||
| Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 27.27 | ||||
| Unplanned Readmission Rate at DRG | 14.15 | ||||
| Unplanned Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 12.4 | ||||
| Total Medicare payments at DRG | $1,600,887,734 | ||||
| Total Medicare payments with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $11,249,108 | ||||
| Total Medicare payment per Day at DRG | $4,638 | ||||
| Total Medicare payment per Day with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $5,146 | ||||
| Total Medicare payment per Hospitalization at DRG | $69,174 | ||||
| Total Medicare payment per Hospitalization with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $79,781 | ||||
| Total Medicare Charges at DRG | $7,841,128,809 | ||||
| Total Medicare Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $54,286,942 | ||||
| Avg Charges at DRG | $338,812 | ||||
| Avg Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $385,014 | ||||
| Mortality Rate at DRG | 11.09 | ||||
| Mortality Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 10.64 | ||||
| SNF Discharge Rate at DRG | 24.56 | ||||
| SNF Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 20.57 | ||||
| Home Discharge Rate at DRG | 18.17 | ||||
| Home Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 21.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 259: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 260: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 245: AICD GENERATOR PROCEDURES | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,347 | ||||
| Total Hospitalizations with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 80 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 1.47 | ||||
| Avg LOS at DRG | 3.27 | ||||
| Avg LOS with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 3.14 | ||||
| Readmission Rate at DRG | 12.19 | ||||
| Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 14.1 | ||||
| Unplanned Readmission Rate at DRG | 8.85 | ||||
| Unplanned Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | NA | ||||
| Total Medicare payments at DRG | $52,707,031 | ||||
| Total Medicare payments with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $970,290 | ||||
| Total Medicare payment per Day at DRG | $3,708 | ||||
| Total Medicare payment per Day with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $3,866 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,125 | ||||
| Total Medicare payment per Hospitalization with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $12,129 | ||||
| Total Medicare Charges at DRG | $291,362,662 | ||||
| Total Medicare Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $4,748,895 | ||||
| Avg Charges at DRG | $67,026 | ||||
| Avg Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $59,361 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 15.83 | ||||
| SNF Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 16.25 | ||||
| Home Discharge Rate at DRG | 60.57 | ||||
| Home Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 61.25 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 69 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 51 |
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MATHEW R WILLIAMS | 530 1ST AVE | NEW YORK | NY | 10016 | 16 |
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 15 |
| Dr. DAVID A HEIMANSOHN | 10590 N MERIDIAN ST STE 105 | INDIANAPOLIS | IN | 46290 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MATHEW R WILLIAMS | 530 1ST AVE | NEW YORK | NY | 10016 | 16 |
| Dr. SUSHEEL KUMAR KODALI | 161 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 15 |
| Dr. IGOR BALATSKY | 1350 HICKORY ST | MELBOURNE | FL | 32901 | 13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT 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 | 65,802 | ||||
| Total Hospitalizations with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 997 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 7.25 | ||||
| Avg LOS at DRG | 3.64 | ||||
| Avg LOS with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 3.18 | ||||
| Readmission Rate at DRG | 22.8 | ||||
| Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 23.02 | ||||
| Unplanned Readmission Rate at DRG | 15.06 | ||||
| Unplanned Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 13.38 | ||||
| Total Medicare payments at DRG | $412,252,033 | ||||
| Total Medicare payments with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $6,167,851 | ||||
| Total Medicare payment per Day at DRG | $1,719 | ||||
| Total Medicare payment per Day with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $1,944 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,265 | ||||
| Total Medicare payment per Hospitalization with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $6,186 | ||||
| Total Medicare Charges at DRG | $2,144,361,929 | ||||
| Total Medicare Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $28,817,594 | ||||
| Avg Charges at DRG | $32,588 | ||||
| Avg Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $28,904 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 12.49 | ||||
| SNF Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 6.82 | ||||
| Home Discharge Rate at DRG | 54.54 | ||||
| Home Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 64.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 209,527 | ||||
| Total Hospitalizations with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 518 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 3.77 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 3.52 | ||||
| Readmission Rate at DRG | 15.34 | ||||
| Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 21.01 | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 11.76 | ||||
| Total Medicare payments at DRG | $1,394,352,541 | ||||
| Total Medicare payments with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $3,869,897 | ||||
| Total Medicare payment per Day at DRG | $2,234 | ||||
| Total Medicare payment per Day with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $2,120 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,655 | ||||
| Total Medicare payment per Hospitalization with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $7,471 | ||||
| Total Medicare Charges at DRG | $9,726,714,225 | ||||
| Total Medicare Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $27,160,216 | ||||
| Avg Charges at DRG | $46,422 | ||||
| Avg Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $52,433 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 3.41 | ||||
| SNF Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 3.47 | ||||
| Home Discharge Rate at DRG | 79.22 | ||||
| Home Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 78.57 |
*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 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 261: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 375 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 2.73 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 6.52 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 33.88 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 21.71 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $4,038,929 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $1,651 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $10,770 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $18,800,726 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $50,135 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 7.47 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 19.73 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 32.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 242: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 227: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 266 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter in DRG | 1.94 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 4.18 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 32.02 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 19.3 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $1,677,010 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $1,509 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $6,305 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $8,100,359 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | $30,452 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 10.15 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD T82897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter | 44.74 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 174 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 138 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 125 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 47 |
| Dr. ANNAPOORNA KINI | 5 E 98TH ST | NEW YORK | NY | 10029 | 31 |
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 51 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 24 |
| Dr. MATHEW R WILLIAMS | 530 1ST AVE | NEW YORK | NY | 10016 | 23 |