*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z01812 - Encounter for preprocedural laboratory examination - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 6.59 | |
| 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 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 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z01812 - Encounter for preprocedural laboratory examination | 2,760 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z01812 - Encounter for preprocedural laboratory examination in DRG | 20.03 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z01812 - Encounter for preprocedural laboratory examination | 2.4 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 7.44 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 3.11 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z01812 - Encounter for preprocedural laboratory examination | $30,797,975 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z01812 - Encounter for preprocedural laboratory examination | $4,654 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z01812 - Encounter for preprocedural laboratory examination | $11,159 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z01812 - Encounter for preprocedural laboratory examination | $159,136,255 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z01812 - Encounter for preprocedural laboratory examination | $57,658 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 22.79 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 24.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 039: EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 269: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 77,873 | ||||
| Total Hospitalizations with ICD Z01812 - Encounter for preprocedural laboratory examination | 394 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD Z01812 - Encounter for preprocedural laboratory examination in DRG | 2.86 | ||||
| Avg LOS at DRG | 1.47 | ||||
| Avg LOS with ICD Z01812 - Encounter for preprocedural laboratory examination | 1.29 | ||||
| Readmission Rate at DRG | 7.45 | ||||
| Readmission Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 7.26 | ||||
| Unplanned Readmission Rate at DRG | 4.42 | ||||
| Unplanned Readmission Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 4.57 | ||||
| Total Medicare payments at DRG | $480,089,880 | ||||
| Total Medicare payments with ICD Z01812 - Encounter for preprocedural laboratory examination | $2,205,335 | ||||
| Total Medicare payment per Day at DRG | $4,183 | ||||
| Total Medicare payment per Day with ICD Z01812 - Encounter for preprocedural laboratory examination | $4,350 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,165 | ||||
| Total Medicare payment per Hospitalization with ICD Z01812 - Encounter for preprocedural laboratory examination | $5,597 | ||||
| Total Medicare Charges at DRG | $3,274,292,628 | ||||
| Total Medicare Charges with ICD Z01812 - Encounter for preprocedural laboratory examination | $13,459,210 | ||||
| Avg Charges at DRG | $42,047 | ||||
| Avg Charges with ICD Z01812 - Encounter for preprocedural laboratory examination | $34,160 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | NA | ||||
| SNF Discharge Rate at DRG | 1.27 | ||||
| SNF Discharge Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | NA | ||||
| Home Discharge Rate at DRG | 91.79 | ||||
| Home Discharge Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 94.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT 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 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 41,575 | ||||
| Total Hospitalizations with ICD Z01812 - Encounter for preprocedural laboratory examination | 229 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD Z01812 - Encounter for preprocedural laboratory examination in DRG | 1.66 | ||||
| Avg LOS at DRG | 6.1 | ||||
| Avg LOS with ICD Z01812 - Encounter for preprocedural laboratory examination | 2.57 | ||||
| Readmission Rate at DRG | 21.03 | ||||
| Readmission Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 17.21 | ||||
| Unplanned Readmission Rate at DRG | 12.58 | ||||
| Unplanned Readmission Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 12.56 | ||||
| Total Medicare payments at DRG | $2,337,662,115 | ||||
| Total Medicare payments with ICD Z01812 - Encounter for preprocedural laboratory examination | $10,175,331 | ||||
| Total Medicare payment per Day at DRG | $9,211 | ||||
| Total Medicare payment per Day with ICD Z01812 - Encounter for preprocedural laboratory examination | $17,276 | ||||
| Total Medicare payment per Hospitalization at DRG | $56,228 | ||||
| Total Medicare payment per Hospitalization with ICD Z01812 - Encounter for preprocedural laboratory examination | $44,434 | ||||
| Total Medicare Charges at DRG | $9,802,565,172 | ||||
| Total Medicare Charges with ICD Z01812 - Encounter for preprocedural laboratory examination | $39,368,816 | ||||
| Avg Charges at DRG | $235,780 | ||||
| Avg Charges with ICD Z01812 - Encounter for preprocedural laboratory examination | $171,916 | ||||
| Mortality Rate at DRG | 2.62 | ||||
| Mortality Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | NA | ||||
| SNF Discharge Rate at DRG | 16.12 | ||||
| SNF Discharge Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 5.24 | ||||
| Home Discharge Rate at DRG | 50.75 | ||||
| Home Discharge Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 63.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 274: PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 038: EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,741 | ||||
| Total Hospitalizations with ICD Z01812 - Encounter for preprocedural laboratory examination | 154 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD Z01812 - Encounter for preprocedural laboratory examination in DRG | 1.12 | ||||
| Avg LOS at DRG | 9.93 | ||||
| Avg LOS with ICD Z01812 - Encounter for preprocedural laboratory examination | 6.82 | ||||
| Readmission Rate at DRG | 29.41 | ||||
| Readmission Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 22.07 | ||||
| Unplanned Readmission Rate at DRG | 10.75 | ||||
| Unplanned Readmission Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 10.34 | ||||
| Total Medicare payments at DRG | $1,189,879,422 | ||||
| Total Medicare payments with ICD Z01812 - Encounter for preprocedural laboratory examination | $4,719,789 | ||||
| Total Medicare payment per Day at DRG | $3,776 | ||||
| Total Medicare payment per Day with ICD Z01812 - Encounter for preprocedural laboratory examination | $4,495 | ||||
| Total Medicare payment per Hospitalization at DRG | $37,487 | ||||
| Total Medicare payment per Hospitalization with ICD Z01812 - Encounter for preprocedural laboratory examination | $30,648 | ||||
| Total Medicare Charges at DRG | $6,309,081,458 | ||||
| Total Medicare Charges with ICD Z01812 - Encounter for preprocedural laboratory examination | $25,571,652 | ||||
| Avg Charges at DRG | $198,768 | ||||
| Avg Charges with ICD Z01812 - Encounter for preprocedural laboratory examination | $166,050 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | NA | ||||
| SNF Discharge Rate at DRG | 21.05 | ||||
| SNF Discharge Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 15.58 | ||||
| Home Discharge Rate at DRG | 24.23 | ||||
| Home Discharge Rate with ICD Z01812 - Encounter for preprocedural laboratory examination | 28.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE MOSES H. CONE MEMORIAL HOSPITAL | 1200 N ELM ST | GREENSBORO | NC | 27401 | 629 |
| BAPTIST HEALTH LEXINGTON | 1740 NICHOLASVILLE RD | LEXINGTON | KY | 40503 | 616 |
| ST. JOSEPHS HOSPITAL | 3001 W DR MLK JR BLVD | TAMPA | FL | 33607 | 528 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK V ALUISIO | 3200 NORTHLINE AVE | GREENSBORO | NC | 27408 | 189 |
| Dr. MATTHEW D. OLIN | 3200 NORTHLINE AVE | GREENSBORO | NC | 27408 | 130 |
| Dr. ALFRED J TRIA | 1527 STATE HIGHWAY 27 | SOMERSET | NJ | 08873 | 128 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK V ALUISIO | 3200 NORTHLINE AVE | GREENSBORO | NC | 27408 | 189 |
| Dr. MATTHEW D. OLIN | 3200 NORTHLINE AVE | GREENSBORO | NC | 27408 | 130 |
| Dr. ALFRED J TRIA | 1527 STATE HIGHWAY 27 | SOMERSET | NJ | 08873 | 127 |