*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z4781 - Encounter for orthopedic aftercare following surgical amputation - as a primary diagnosis code | Z4781 - Encounter for orthopedic aftercare following surgical amputation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 14.24 | |
| Readmission Rate (%) | 22.77 | |
| Unplanned Readmission Rate (%) | 13.67 | |
| 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 12,640 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation in DRG | 42.54 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 13.09 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 19.1 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 11.52 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $244,066,965 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $1,475 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $19,309 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $591,653,458 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $46,808 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 0.13 | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 16.95 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 14.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 475: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 102 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation in DRG | 0.34 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 20.23 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 36.78 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 19.54 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $3,536,574 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $1,714 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $34,672 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $13,105,714 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $128,487 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 20.59 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 10.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 474: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 504: FOOT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,550 | ||||
| Total Hospitalizations with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 29 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation in DRG | 0.1 | ||||
| Avg LOS at DRG | 11.76 | ||||
| Avg LOS with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 32.28 | ||||
| Readmission Rate at DRG | 44.84 | ||||
| Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | NA | ||||
| Unplanned Readmission Rate at DRG | 16.84 | ||||
| Unplanned Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | NA | ||||
| Total Medicare payments at DRG | $261,054,760 | ||||
| Total Medicare payments with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $1,579,528 | ||||
| Total Medicare payment per Day at DRG | $2,104 | ||||
| Total Medicare payment per Day with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $1,688 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,745 | ||||
| Total Medicare payment per Hospitalization with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $54,466 | ||||
| Total Medicare Charges at DRG | $1,246,308,189 | ||||
| Total Medicare Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $5,371,699 | ||||
| Avg Charges at DRG | $118,133 | ||||
| Avg Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $185,231 | ||||
| Mortality Rate at DRG | 4.15 | ||||
| Mortality Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | NA | ||||
| SNF Discharge Rate at DRG | 41.75 | ||||
| SNF Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 37.93 | ||||
| Home Discharge Rate at DRG | 9.21 | ||||
| Home Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 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 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 476: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 33,583 | |
| Total Hospitalizations with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 13 | |
| DRG Share of Total Hospitalizations | 0.1 | |
| % of Total ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation in DRG | 0.04 | |
| Avg LOS at DRG | 11.44 | |
| Avg LOS with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 21.38 | |
| Readmission Rate at DRG | 33.65 | |
| Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | NA | |
| Unplanned Readmission Rate at DRG | 21.15 | |
| Unplanned Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | NA | |
| Total Medicare payments at DRG | $802,022,870 | |
| Total Medicare payments with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $414,035 | |
| Total Medicare payment per Day at DRG | $2,088 | |
| Total Medicare payment per Day with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $1,489 | |
| Total Medicare payment per Hospitalization at DRG | $23,882 | |
| Total Medicare payment per Hospitalization with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $31,849 | |
| Total Medicare Charges at DRG | $3,957,485,422 | |
| Total Medicare Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $1,753,346 | |
| Avg Charges at DRG | $117,842 | |
| Avg Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $134,873 | |
| Mortality Rate at DRG | 8.73 | |
| Mortality Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | NA | |
| SNF Discharge Rate at DRG | 24.87 | |
| SNF Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | NA | |
| Home Discharge Rate at DRG | 28.69 | |
| Home Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ATRIUM HEALTH CAROLINAS REHABILITATION | 1100 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 203 |
| SPAULDING REHABILITATION HOSPITAL | 125 NASHUA ST | BOSTON | MA | 02114 | 188 |
| PAM REHABILITATION HOSPITAL OF SAN ANTONIO | 5101 MEDICAL DR | SAN ANTONIO | TX | 78229 | 183 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JUAN M. LATORRE | 1015 E 32ND ST | AUSTIN | TX | 78705 | 100 |
| Dr. HOWARD ANTHONY GILMER | 102 IRVING ST NW | WASHINGTON | DC | 20010 | 99 |
| Dr. STANLEY YOO | 101 E OLNEY AVE | PHILADELPHIA | PA | 19120 | 81 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID M CRANDELL | 125 NASHUA ST | BOSTON | MA | 02114 | 184 |
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 160 |
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 158 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 12,706 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation in DRG | 37.22 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 13.1 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 19.09 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 11.52 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $245,455,262 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $1,475 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $19,318 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $595,299,406 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $46,852 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 0.13 | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 16.99 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 14.22 |
*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 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 282 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation in DRG | 0.83 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 14.48 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 26.18 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 13.73 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $5,891,811 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $1,443 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $20,893 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $16,990,674 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $60,251 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 21.28 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 10.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 540: OSTEOMYELITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,505 | ||||
| Total Hospitalizations with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 157 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation in DRG | 0.46 | ||||
| Avg LOS at DRG | 7.5 | ||||
| Avg LOS with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 19.94 | ||||
| Readmission Rate at DRG | 24.13 | ||||
| Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 24.46 | ||||
| Unplanned Readmission Rate at DRG | 9.59 | ||||
| Unplanned Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 12.95 | ||||
| Total Medicare payments at DRG | $661,706,701 | ||||
| Total Medicare payments with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $4,196,575 | ||||
| Total Medicare payment per Day at DRG | $2,559 | ||||
| Total Medicare payment per Day with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $1,340 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,177 | ||||
| Total Medicare payment per Hospitalization with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $26,730 | ||||
| Total Medicare Charges at DRG | $3,132,931,207 | ||||
| Total Medicare Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $14,235,113 | ||||
| Avg Charges at DRG | $90,796 | ||||
| Avg Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $90,670 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | NA | ||||
| SNF Discharge Rate at DRG | 38.89 | ||||
| SNF Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 24.2 | ||||
| Home Discharge Rate at DRG | 17.15 | ||||
| Home Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 8.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 301: PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 129 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation in DRG | 0.38 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 18.81 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 36.79 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 22.64 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $3,212,731 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $1,324 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $24,905 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $15,372,336 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | $119,165 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 40.31 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z4781 - Encounter for orthopedic aftercare following surgical amputation | 9.3 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ATRIUM HEALTH CAROLINAS REHABILITATION | 1100 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 204 |
| PAM REHABILITATION HOSPITAL OF SAN ANTONIO | 5101 MEDICAL DR | SAN ANTONIO | TX | 78229 | 191 |
| SPAULDING REHABILITATION HOSPITAL | 125 NASHUA ST | BOSTON | MA | 02114 | 190 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HOWARD ANTHONY GILMER | 102 IRVING ST NW | WASHINGTON | DC | 20010 | 102 |
| Dr. JUAN M. LATORRE | 1015 E 32ND ST | AUSTIN | TX | 78705 | 100 |
| Dr. STANLEY YOO | 101 E OLNEY AVE | PHILADELPHIA | PA | 19120 | 82 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID M CRANDELL | 125 NASHUA ST | BOSTON | MA | 02114 | 186 |
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 171 |
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 161 |