*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z452 - Encounter for adjustment and management of vascular access device - as a primary diagnosis code | Z452 - Encounter for adjustment and management of vascular access device - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.52 | |
| Readmission Rate (%) | 27.61 | |
| Unplanned Readmission Rate (%) | 16.15 | |
| 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z452 - Encounter for adjustment and management of vascular access device | 141 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z452 - Encounter for adjustment and management of vascular access device in DRG | 70.5 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z452 - Encounter for adjustment and management of vascular access device | 2.83 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | 31.34 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | 21.64 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z452 - Encounter for adjustment and management of vascular access device | $1,551,297 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z452 - Encounter for adjustment and management of vascular access device | $3,888 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z452 - Encounter for adjustment and management of vascular access device | $11,002 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z452 - Encounter for adjustment and management of vascular access device | $7,370,663 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z452 - Encounter for adjustment and management of vascular access device | $52,274 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | 24.82 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | 46.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z452 - Encounter for adjustment and management of vascular access device | 268 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z452 - Encounter for adjustment and management of vascular access device in DRG | 6.29 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z452 - Encounter for adjustment and management of vascular access device | 7.99 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | 25.52 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | 17.15 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z452 - Encounter for adjustment and management of vascular access device | $4,168,709 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z452 - Encounter for adjustment and management of vascular access device | $1,947 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z452 - Encounter for adjustment and management of vascular access device | $15,555 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z452 - Encounter for adjustment and management of vascular access device | $12,325,044 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z452 - Encounter for adjustment and management of vascular access device | $45,989 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | 22.01 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | 32.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z452 - Encounter for adjustment and management of vascular access device | 71 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z452 - Encounter for adjustment and management of vascular access device in DRG | 1.67 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z452 - Encounter for adjustment and management of vascular access device | 6.21 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | 25.4 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | 20.63 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z452 - Encounter for adjustment and management of vascular access device | $576,907 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z452 - Encounter for adjustment and management of vascular access device | $1,308 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z452 - Encounter for adjustment and management of vascular access device | $8,125 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z452 - Encounter for adjustment and management of vascular access device | $2,938,447 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z452 - Encounter for adjustment and management of vascular access device | $41,387 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | 46.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD Z452 - Encounter for adjustment and management of vascular access device | 51 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z452 - Encounter for adjustment and management of vascular access device in DRG | 1.2 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD Z452 - Encounter for adjustment and management of vascular access device | 12.25 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | NA | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | NA | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD Z452 - Encounter for adjustment and management of vascular access device | $862,764 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD Z452 - Encounter for adjustment and management of vascular access device | $1,380 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD Z452 - Encounter for adjustment and management of vascular access device | $16,917 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD Z452 - Encounter for adjustment and management of vascular access device | $2,047,948 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD Z452 - Encounter for adjustment and management of vascular access device | $40,156 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | NA | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | NA |
*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 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,061 | ||||
| Total Hospitalizations with ICD Z452 - Encounter for adjustment and management of vascular access device | 48 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD Z452 - Encounter for adjustment and management of vascular access device in DRG | 1.13 | ||||
| Avg LOS at DRG | 4.08 | ||||
| Avg LOS with ICD Z452 - Encounter for adjustment and management of vascular access device | 3.19 | ||||
| Readmission Rate at DRG | 9.45 | ||||
| Readmission Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | NA | ||||
| Unplanned Readmission Rate at DRG | 6.69 | ||||
| Unplanned Readmission Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | NA | ||||
| Total Medicare payments at DRG | $818,105,892 | ||||
| Total Medicare payments with ICD Z452 - Encounter for adjustment and management of vascular access device | $418,827 | ||||
| Total Medicare payment per Day at DRG | $2,445 | ||||
| Total Medicare payment per Day with ICD Z452 - Encounter for adjustment and management of vascular access device | $2,737 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z452 - Encounter for adjustment and management of vascular access device | $8,726 | ||||
| Total Medicare Charges at DRG | $4,652,792,838 | ||||
| Total Medicare Charges with ICD Z452 - Encounter for adjustment and management of vascular access device | $2,061,345 | ||||
| Avg Charges at DRG | $56,699 | ||||
| Avg Charges with ICD Z452 - Encounter for adjustment and management of vascular access device | $42,945 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | NA | ||||
| SNF Discharge Rate at DRG | 4.97 | ||||
| SNF Discharge Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | NA | ||||
| Home Discharge Rate at DRG | 77.96 | ||||
| Home Discharge Rate with ICD Z452 - Encounter for adjustment and management of vascular access device | 77.08 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PRESENCE HOLY FAMILY MEDICAL CENTER | 100 N RIVER RD | DES PLAINES | IL | 60016 | 133 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF LARGO | 901 CLEARWATER LARGO RD N | LARGO | FL | 33770 | 131 |
| KESSLER INSTITUTE FOR REHABILITATION | 1199 PLEASANT VALLEY WAY | WEST ORANGE | NJ | 07052 | 107 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSUE PERETRA GABRIEL | 340 E TOWN ST | COLUMBUS | OH | 43215 | 53 |
| Dr. KARIM RAZMJOUEI | 16030 E HIGH ST | MIDDLEFIELD | OH | 44062 | 22 |
| Dr. FADI E SABA | 1839 CENTRAL AVE | ST PETERSBURG | FL | 33713 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSUE PERETRA GABRIEL | 340 E TOWN ST | COLUMBUS | OH | 43215 | 53 |
| Dr. STEPHAN F ESELGROTH | 3601 TVC | NASHVILLE | TN | 37232 | 37 |
| Dr. FADI E SABA | 1839 CENTRAL AVE | ST PETERSBURG | FL | 33713 | 34 |