*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z48812 - Encounter for surgical aftercare following surgery on the circulatory system - as a primary diagnosis code | Z48812 - Encounter for surgical aftercare following surgery on the circulatory system - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.31 | |
| Readmission Rate (%) | 19.06 | |
| Unplanned Readmission Rate (%) | 12.88 | |
| 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 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 26,821 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system in DRG | 85.47 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 11.15 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 18.25 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 13.42 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $464,310,244 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $1,553 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $17,311 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $1,155,469,297 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $43,081 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 0.47 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 8.07 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 23.81 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH REHABILITATION HOSPITAL OF TYLER AN AFFILIATE OF TRINITY | 3131 TROUP HWY | TYLER | TX | 75701 | 398 |
| ADVENTIST REHABILITATION HOSPITAL | 9909 MEDICAL CENTER DR | ROCKVILLE | MD | 20850 | 374 |
| MEDSTAR NATIONAL REHABILITATION HOSPITAL | 102 IRVING ST NW | WASHINGTON | DC | 20010 | 322 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SANDEEP SIMLOTE | 102 IRVING ST NW | WASHINGTON | DC | 20010 | 187 |
| Dr. LING-LING CHENG | 2401 W BELVEDERE AVE | BALTIMORE | MD | 21215 | 125 |
| Dr. LIZETTE ALVAREZ | 10010 KENNERLY RD | SAINT LOUIS | MO | 63128 | 115 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHERRI A TUPPER | 311 SERVICE RD | E SANDWICH | MA | 02537 | 304 |
| Dr. SANDEEP SIMLOTE | 102 IRVING ST NW | WASHINGTON | DC | 20010 | 295 |
| Dr. JIMMY WAYNE LOCKHART | 1600 37TH STREET | VERO BEACH | FL | 32960 | 197 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 27,805 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system in DRG | 54.92 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 11.25 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 18.19 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 13.36 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $484,805,837 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $1,551 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $17,436 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $1,210,607,279 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $43,539 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 0.46 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 8.39 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 23.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 303: ATHEROSCLEROSIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 1,213 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system in DRG | 2.4 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 16.54 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 19.55 | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 14.05 | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $30,347,271 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $1,513 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $25,018 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $72,768,369 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $59,990 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | NA | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 24.9 | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 16.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,773 | ||||
| Total Hospitalizations with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 530 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system in DRG | 1.05 | ||||
| Avg LOS at DRG | 11.96 | ||||
| Avg LOS with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 10.83 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 18.44 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 14.67 | ||||
| Total Medicare payments at DRG | $739,082,714 | ||||
| Total Medicare payments with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $9,191,865 | ||||
| Total Medicare payment per Day at DRG | $1,594 | ||||
| Total Medicare payment per Day with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $1,601 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,062 | ||||
| Total Medicare payment per Hospitalization with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $17,343 | ||||
| Total Medicare Charges at DRG | $2,416,011,805 | ||||
| Total Medicare Charges with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $27,582,232 | ||||
| Avg Charges at DRG | $62,312 | ||||
| Avg Charges with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $52,042 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | NA | ||||
| SNF Discharge Rate at DRG | 17.34 | ||||
| SNF Discharge Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 11.7 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 25.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 302: ATHEROSCLEROSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 313 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system in DRG | 0.62 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 13.69 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 26.07 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 21.01 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $6,661,219 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $1,555 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $21,282 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $17,527,227 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | $55,998 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 16.61 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD Z48812 - Encounter for surgical aftercare following surgery on the circulatory system | 16.61 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH REHABILITATION HOSPITAL OF TYLER AN AFFILIATE OF TRINITY | 3131 TROUP HWY | TYLER | TX | 75701 | 494 |
| BROOKS REHABILITATION HOSPITAL | 3599 UNIVERSITY BLVD S | JACKSONVILLE | FL | 32216 | 493 |
| NORTHEAST REHABILITATION HOSPITAL - SALEM | 70 BUTLER STREET | SALEM | NH | 03079 | 483 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SANDEEP SIMLOTE | 102 IRVING ST NW | WASHINGTON | DC | 20010 | 201 |
| Dr. LING-LING CHENG | 2401 W BELVEDERE AVE | BALTIMORE | MD | 21215 | 126 |
| Dr. LIZETTE ALVAREZ | 10010 KENNERLY RD | SAINT LOUIS | MO | 63128 | 118 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHERRI A TUPPER | 311 SERVICE RD | E SANDWICH | MA | 02537 | 326 |
| Dr. SANDEEP SIMLOTE | 102 IRVING ST NW | WASHINGTON | DC | 20010 | 320 |
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 285 |