*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z01818 - Encounter for other preprocedural examination - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 6.39 | |
| 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 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 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z01818 - Encounter for other preprocedural examination | 5,115 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z01818 - Encounter for other preprocedural examination in DRG | 18.69 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z01818 - Encounter for other preprocedural examination | 2.38 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z01818 - Encounter for other preprocedural examination | 7.89 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z01818 - Encounter for other preprocedural examination | 3.07 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z01818 - Encounter for other preprocedural examination | $59,207,613 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z01818 - Encounter for other preprocedural examination | $4,859 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z01818 - Encounter for other preprocedural examination | $11,575 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z01818 - Encounter for other preprocedural examination | $277,494,453 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z01818 - Encounter for other preprocedural examination | $54,251 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z01818 - Encounter for other preprocedural examination | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z01818 - Encounter for other preprocedural examination | 20.33 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z01818 - Encounter for other preprocedural examination | 27.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 039: EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD Z01818 - Encounter for other preprocedural examination | 865 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD Z01818 - Encounter for other preprocedural examination in DRG | 3.16 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD Z01818 - Encounter for other preprocedural examination | 5.67 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD Z01818 - Encounter for other preprocedural examination | 12.26 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD Z01818 - Encounter for other preprocedural examination | 8.81 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD Z01818 - Encounter for other preprocedural examination | $12,822,861 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD Z01818 - Encounter for other preprocedural examination | $2,614 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD Z01818 - Encounter for other preprocedural examination | $14,824 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD Z01818 - Encounter for other preprocedural examination | $53,893,028 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD Z01818 - Encounter for other preprocedural examination | $62,304 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD Z01818 - Encounter for other preprocedural examination | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD Z01818 - Encounter for other preprocedural examination | 9.36 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD Z01818 - Encounter for other preprocedural examination | 61.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL 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 | 82,061 | ||||
| Total Hospitalizations with ICD Z01818 - Encounter for other preprocedural examination | 462 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD Z01818 - Encounter for other preprocedural examination in DRG | 1.69 | ||||
| Avg LOS at DRG | 4.08 | ||||
| Avg LOS with ICD Z01818 - Encounter for other preprocedural examination | 3.91 | ||||
| Readmission Rate at DRG | 9.45 | ||||
| Readmission Rate with ICD Z01818 - Encounter for other preprocedural examination | 10.91 | ||||
| Unplanned Readmission Rate at DRG | 6.69 | ||||
| Unplanned Readmission Rate with ICD Z01818 - Encounter for other preprocedural examination | 6.68 | ||||
| Total Medicare payments at DRG | $818,105,892 | ||||
| Total Medicare payments with ICD Z01818 - Encounter for other preprocedural examination | $4,422,332 | ||||
| Total Medicare payment per Day at DRG | $2,445 | ||||
| Total Medicare payment per Day with ICD Z01818 - Encounter for other preprocedural examination | $2,449 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z01818 - Encounter for other preprocedural examination | $9,572 | ||||
| Total Medicare Charges at DRG | $4,652,792,838 | ||||
| Total Medicare Charges with ICD Z01818 - Encounter for other preprocedural examination | $23,746,768 | ||||
| Avg Charges at DRG | $56,699 | ||||
| Avg Charges with ICD Z01818 - Encounter for other preprocedural examination | $51,400 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD Z01818 - Encounter for other preprocedural examination | NA | ||||
| SNF Discharge Rate at DRG | 4.97 | ||||
| SNF Discharge Rate with ICD Z01818 - Encounter for other preprocedural examination | 4.76 | ||||
| Home Discharge Rate at DRG | 77.96 | ||||
| Home Discharge Rate with ICD Z01818 - Encounter for other preprocedural examination | 74.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 038: EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 254: OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,167 | ||||
| Total Hospitalizations with ICD Z01818 - Encounter for other preprocedural examination | 307 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD Z01818 - Encounter for other preprocedural examination in DRG | 1.12 | ||||
| Avg LOS at DRG | 3.11 | ||||
| Avg LOS with ICD Z01818 - Encounter for other preprocedural examination | 2.44 | ||||
| Readmission Rate at DRG | 19.37 | ||||
| Readmission Rate with ICD Z01818 - Encounter for other preprocedural examination | 13.8 | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD Z01818 - Encounter for other preprocedural examination | NA | ||||
| Total Medicare payments at DRG | $899,179,360 | ||||
| Total Medicare payments with ICD Z01818 - Encounter for other preprocedural examination | $5,151,801 | ||||
| Total Medicare payment per Day at DRG | $5,763 | ||||
| Total Medicare payment per Day with ICD Z01818 - Encounter for other preprocedural examination | $6,887 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,924 | ||||
| Total Medicare payment per Hospitalization with ICD Z01818 - Encounter for other preprocedural examination | $16,781 | ||||
| Total Medicare Charges at DRG | $4,767,802,860 | ||||
| Total Medicare Charges with ICD Z01818 - Encounter for other preprocedural examination | $23,859,208 | ||||
| Avg Charges at DRG | $95,039 | ||||
| Avg Charges with ICD Z01818 - Encounter for other preprocedural examination | $77,717 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD Z01818 - Encounter for other preprocedural examination | NA | ||||
| SNF Discharge Rate at DRG | 11.73 | ||||
| SNF Discharge Rate with ICD Z01818 - Encounter for other preprocedural examination | 10.75 | ||||
| Home Discharge Rate at DRG | 60.19 | ||||
| Home Discharge Rate with ICD Z01818 - Encounter for other preprocedural examination | 65.8 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 2,243 |
| PALOS HEALTH | 12251 S 80TH AVE | PALOS HEIGHTS | IL | 60463 | 1,008 |
| THE MEDICAL CENTER, NAVICENT HEALTH | 777 HEMLOCK ST | MACON | GA | 31201 | 945 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN R WARDELL | 7600 W COLLEGE DR | PALOS HEIGHTS | IL | 60463 | 232 |
| Dr. PAUL D ROBISON | 371 S BROADVIEW ST | CAPE GIRARDEAU | MO | 63703 | 155 |
| Dr. ANTHONY G ROGERS | 1720 NICHOLASVILLE RD | LEXINGTON | KY | 40503 | 152 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL D ROBISON | 371 S BROADVIEW ST | CAPE GIRARDEAU | MO | 63703 | 154 |
| Dr. ANTHONY G ROGERS | 1720 NICHOLASVILLE RD | LEXINGTON | KY | 40503 | 149 |
| Dr. JASON E LANG | MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 131 |