*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z01810 - Encounter for preprocedural cardiovascular examination - as a primary diagnosis code | Z01810 - Encounter for preprocedural cardiovascular examination - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.5 | |
| Readmission Rate (%) | 15.23 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 951: OTHER FACTORS INFLUENCING HEALTH STATUS | |
|---|---|
| Total Hospitalizations at DRG | 4,475 |
| Total Hospitalizations with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 69 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD Z01810 - Encounter for preprocedural cardiovascular examination in DRG | 81.18 |
| Avg LOS at DRG | 6.46 |
| Avg LOS with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 1.97 |
| Readmission Rate at DRG | 21.75 |
| Readmission Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 37.1 |
| Unplanned Readmission Rate at DRG | 13.67 |
| Unplanned Readmission Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | NA |
| Total Medicare payments at DRG | $24,331,342 |
| Total Medicare payments with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $297,730 |
| Total Medicare payment per Day at DRG | $842 |
| Total Medicare payment per Day with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $2,189 |
| Total Medicare payment per Hospitalization at DRG | $5,437 |
| Total Medicare payment per Hospitalization with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $4,315 |
| Total Medicare Charges at DRG | $86,404,017 |
| Total Medicare Charges with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $2,076,821 |
| Avg Charges at DRG | $19,308 |
| Avg Charges with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $30,099 |
| Mortality Rate at DRG | 26.77 |
| Mortality Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | NA |
| SNF Discharge Rate at DRG | 8.09 |
| SNF Discharge Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | NA |
| Home Discharge Rate at DRG | 40.13 |
| Home Discharge Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 81.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 4,068 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z01810 - Encounter for preprocedural cardiovascular examination in DRG | 22.94 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 2.26 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 13.41 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 2.4 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $41,914,059 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $4,551 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $10,303 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $229,631,061 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $56,448 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 14.09 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 29.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | ||||
| Total Hospitalizations with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 582 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD Z01810 - Encounter for preprocedural cardiovascular examination in DRG | 3.28 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 1.62 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 7.39 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 3.35 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $7,460,008 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $7,894 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $12,818 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $38,175,684 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $65,594 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 7.22 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 67.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 039: EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 269: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 315 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD Z01810 - Encounter for preprocedural cardiovascular examination in DRG | 1.78 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 5.44 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 11.07 | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 4.23 | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $4,955,792 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $2,891 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $15,733 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $27,246,092 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $86,496 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | NA | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 5.71 | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 66.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,598 | ||||
| Total Hospitalizations with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 178 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD Z01810 - Encounter for preprocedural cardiovascular examination in DRG | 1.0 | ||||
| Avg LOS at DRG | 2.56 | ||||
| Avg LOS with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 1.46 | ||||
| Readmission Rate at DRG | 13.58 | ||||
| Readmission Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 8.57 | ||||
| Unplanned Readmission Rate at DRG | 5.0 | ||||
| Unplanned Readmission Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | NA | ||||
| Total Medicare payments at DRG | $405,277,239 | ||||
| Total Medicare payments with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $1,394,040 | ||||
| Total Medicare payment per Day at DRG | $3,633 | ||||
| Total Medicare payment per Day with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $5,382 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,296 | ||||
| Total Medicare payment per Hospitalization with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $7,832 | ||||
| Total Medicare Charges at DRG | $2,108,105,162 | ||||
| Total Medicare Charges with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $5,958,515 | ||||
| Avg Charges at DRG | $48,353 | ||||
| Avg Charges with ICD Z01810 - Encounter for preprocedural cardiovascular examination | $33,475 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | NA | ||||
| SNF Discharge Rate at DRG | 16.27 | ||||
| SNF Discharge Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | NA | ||||
| Home Discharge Rate at DRG | 57.43 | ||||
| Home Discharge Rate with ICD Z01810 - Encounter for preprocedural cardiovascular examination | 83.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 1,386 |
| SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY | 2011 MURPHY AVENUE | NASHVILLE | TN | 37203 | 1,082 |
| BAYLOR SURGICAL HOSPITAL AT FORT WORTH | 1800 PARK PLACE AVE | FORT WORTH | TX | 76110 | 839 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID A HEIMANSOHN | 10590 N MERIDIAN ST STE 105 | INDIANAPOLIS | IN | 46290 | 217 |
| Dr. JAMES M LANCASTER | 3900 JUNIUS ST | DALLAS | TX | 75246 | 194 |
| Dr. PETER A WALTS | 8433 HARCOURT RD STE 100 | INDIANAPOLIS | IN | 46260 | 150 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID A HEIMANSOHN | 10590 N MERIDIAN ST STE 105 | INDIANAPOLIS | IN | 46290 | 224 |
| Dr. JAMES M LANCASTER | 3900 JUNIUS ST | DALLAS | TX | 75246 | 197 |
| Dr. PETER A WALTS | 8433 HARCOURT RD STE 100 | INDIANAPOLIS | IN | 46260 | 152 |