*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Y658 - Other specified misadventures during surgical and medical care - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.25 | |
| 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 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,458 | ||||
| Total Hospitalizations with ICD Y658 - Other specified misadventures during surgical and medical care | 52 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD Y658 - Other specified misadventures during surgical and medical care in DRG | 8.15 | ||||
| Avg LOS at DRG | 3.91 | ||||
| Avg LOS with ICD Y658 - Other specified misadventures during surgical and medical care | 2.75 | ||||
| Readmission Rate at DRG | 24.53 | ||||
| Readmission Rate with ICD Y658 - Other specified misadventures during surgical and medical care | NA | ||||
| Unplanned Readmission Rate at DRG | 6.06 | ||||
| Unplanned Readmission Rate with ICD Y658 - Other specified misadventures during surgical and medical care | NA | ||||
| Total Medicare payments at DRG | $282,780,660 | ||||
| Total Medicare payments with ICD Y658 - Other specified misadventures during surgical and medical care | $460,959 | ||||
| Total Medicare payment per Day at DRG | $2,732 | ||||
| Total Medicare payment per Day with ICD Y658 - Other specified misadventures during surgical and medical care | $3,223 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,688 | ||||
| Total Medicare payment per Hospitalization with ICD Y658 - Other specified misadventures during surgical and medical care | $8,865 | ||||
| Total Medicare Charges at DRG | $1,744,158,849 | ||||
| Total Medicare Charges with ICD Y658 - Other specified misadventures during surgical and medical care | $2,777,969 | ||||
| Avg Charges at DRG | $65,922 | ||||
| Avg Charges with ICD Y658 - Other specified misadventures during surgical and medical care | $53,422 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Y658 - Other specified misadventures during surgical and medical care | NA | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD Y658 - Other specified misadventures during surgical and medical care | NA | ||||
| Home Discharge Rate at DRG | 44.06 | ||||
| Home Discharge Rate with ICD Y658 - Other specified misadventures during surgical and medical care | 67.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,479 | ||||
| Total Hospitalizations with ICD Y658 - Other specified misadventures during surgical and medical care | 14 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD Y658 - Other specified misadventures during surgical and medical care in DRG | 2.19 | ||||
| Avg LOS at DRG | 5.19 | ||||
| Avg LOS with ICD Y658 - Other specified misadventures during surgical and medical care | 3.79 | ||||
| Readmission Rate at DRG | 22.38 | ||||
| Readmission Rate with ICD Y658 - Other specified misadventures during surgical and medical care | NA | ||||
| Unplanned Readmission Rate at DRG | 10.67 | ||||
| Unplanned Readmission Rate with ICD Y658 - Other specified misadventures during surgical and medical care | NA | ||||
| Total Medicare payments at DRG | $387,681,524 | ||||
| Total Medicare payments with ICD Y658 - Other specified misadventures during surgical and medical care | $224,207 | ||||
| Total Medicare payment per Day at DRG | $2,535 | ||||
| Total Medicare payment per Day with ICD Y658 - Other specified misadventures during surgical and medical care | $4,230 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,151 | ||||
| Total Medicare payment per Hospitalization with ICD Y658 - Other specified misadventures during surgical and medical care | $16,015 | ||||
| Total Medicare Charges at DRG | $1,973,997,424 | ||||
| Total Medicare Charges with ICD Y658 - Other specified misadventures during surgical and medical care | $1,012,494 | ||||
| Avg Charges at DRG | $66,963 | ||||
| Avg Charges with ICD Y658 - Other specified misadventures during surgical and medical care | $72,321 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Y658 - Other specified misadventures during surgical and medical care | NA | ||||
| SNF Discharge Rate at DRG | 18.85 | ||||
| SNF Discharge Rate with ICD Y658 - Other specified misadventures during surgical and medical care | NA | ||||
| Home Discharge Rate at DRG | 43.01 | ||||
| Home Discharge Rate with ICD Y658 - Other specified misadventures during surgical and medical care | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SPECIALISTS HOSPITAL SHREVEPORT | 1500 LINE AVE | SHREVEPORT | LA | 71101 | 48 |
| SHARP GROSSMONT HOSPITAL | 5555 GROSSMONT CENTER DR | LA MESA | CA | 91942 | 40 |
| UNIVERSITY OF MISSOURI HEALTH CARE | ONE HOSPITAL DRIVE | COLUMBIA | MO | 65212 | 37 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EUBULUS W KERR | 1500 LINE AVENUE | SHREVEPORT | LA | 71101 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EUBULUS W KERR | 1500 LINE AVENUE | SHREVEPORT | LA | 71101 | 32 |