*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Z5309 - Procedure and treatment not carried out because of other contraindication - as a primary or secondary diagnosis code | ||
---|---|---|
OUTCOMES | ||
Avg. LOS | ||
Readmission Rate (%) | ||
Unplanned Readmission Rate (%) | 12.86 | |
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 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 51,757 | ||||
Total Hospitalizations with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 1,797 | ||||
DRG Share of Total Hospitalizations | 0.16 | ||||
% of Total ICD Z5309 - Procedure and treatment not carried out because of other contraindication in DRG | 4.59 | ||||
Avg LOS at DRG | 4.41 | ||||
Avg LOS with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 0.42 | ||||
Readmission Rate at DRG | 17.16 | ||||
Readmission Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 41.71 | ||||
Unplanned Readmission Rate at DRG | 9.0 | ||||
Unplanned Readmission Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 3.03 | ||||
Total Medicare payments at DRG | $332,400,259 | ||||
Total Medicare payments with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $5,132,017 | ||||
Total Medicare payment per Day at DRG | $1,455 | ||||
Total Medicare payment per Day with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $6,770 | ||||
Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
Total Medicare payment per Hospitalization with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $2,856 | ||||
Total Medicare Charges at DRG | $1,234,809,519 | ||||
Total Medicare Charges with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $16,284,911 | ||||
Avg Charges at DRG | $23,858 | ||||
Avg Charges with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $9,062 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | NA | ||||
SNF Discharge Rate at DRG | 25.37 | ||||
SNF Discharge Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 1.78 | ||||
Home Discharge Rate at DRG | 42.31 | ||||
Home Discharge Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 91.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 221,460 | ||||
Total Hospitalizations with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 690 | ||||
DRG Share of Total Hospitalizations | 0.67 | ||||
% of Total ICD Z5309 - Procedure and treatment not carried out because of other contraindication in DRG | 1.76 | ||||
Avg LOS at DRG | 2.1 | ||||
Avg LOS with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 1.58 | ||||
Readmission Rate at DRG | 11.15 | ||||
Readmission Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 15.81 | ||||
Unplanned Readmission Rate at DRG | 7.88 | ||||
Unplanned Readmission Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 5.74 | ||||
Total Medicare payments at DRG | $635,922,710 | ||||
Total Medicare payments with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $1,960,161 | ||||
Total Medicare payment per Day at DRG | $1,367 | ||||
Total Medicare payment per Day with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $1,793 | ||||
Total Medicare payment per Hospitalization at DRG | $2,872 | ||||
Total Medicare payment per Hospitalization with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $2,841 | ||||
Total Medicare Charges at DRG | $4,179,979,444 | ||||
Total Medicare Charges with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $15,334,448 | ||||
Avg Charges at DRG | $18,875 | ||||
Avg Charges with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $22,224 | ||||
Mortality Rate at DRG | 0.21 | ||||
Mortality Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | NA | ||||
SNF Discharge Rate at DRG | 4.01 | ||||
SNF Discharge Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 1.59 | ||||
Home Discharge Rate at DRG | 82.23 | ||||
Home Discharge Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 90.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 209,527 | ||||
Total Hospitalizations with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 498 | ||||
DRG Share of Total Hospitalizations | 0.64 | ||||
% of Total ICD Z5309 - Procedure and treatment not carried out because of other contraindication in DRG | 1.27 | ||||
Avg LOS at DRG | 2.98 | ||||
Avg LOS with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 3.68 | ||||
Readmission Rate at DRG | 15.34 | ||||
Readmission Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 26.75 | ||||
Unplanned Readmission Rate at DRG | 8.56 | ||||
Unplanned Readmission Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 8.11 | ||||
Total Medicare payments at DRG | $1,394,352,541 | ||||
Total Medicare payments with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $3,756,235 | ||||
Total Medicare payment per Day at DRG | $2,234 | ||||
Total Medicare payment per Day with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $2,050 | ||||
Total Medicare payment per Hospitalization at DRG | $6,655 | ||||
Total Medicare payment per Hospitalization with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $7,543 | ||||
Total Medicare Charges at DRG | $9,726,714,225 | ||||
Total Medicare Charges with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $32,217,295 | ||||
Avg Charges at DRG | $46,422 | ||||
Avg Charges with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $64,693 | ||||
Mortality Rate at DRG | 0.17 | ||||
Mortality Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | NA | ||||
SNF Discharge Rate at DRG | 3.41 | ||||
SNF Discharge Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 4.42 | ||||
Home Discharge Rate at DRG | 79.22 | ||||
Home Discharge Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 75.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 522,791 | ||||
Total Hospitalizations with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 391 | ||||
DRG Share of Total Hospitalizations | 1.59 | ||||
% of Total ICD Z5309 - Procedure and treatment not carried out because of other contraindication in DRG | 1.0 | ||||
Avg LOS at DRG | 3.14 | ||||
Avg LOS with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 3.94 | ||||
Readmission Rate at DRG | 17.1 | ||||
Readmission Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 23.1 | ||||
Unplanned Readmission Rate at DRG | 12.62 | ||||
Unplanned Readmission Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 10.99 | ||||
Total Medicare payments at DRG | $2,290,151,156 | ||||
Total Medicare payments with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $1,857,361 | ||||
Total Medicare payment per Day at DRG | $1,394 | ||||
Total Medicare payment per Day with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $1,207 | ||||
Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
Total Medicare payment per Hospitalization with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $4,750 | ||||
Total Medicare Charges at DRG | $13,619,287,561 | ||||
Total Medicare Charges with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $12,377,821 | ||||
Avg Charges at DRG | $26,051 | ||||
Avg Charges with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | $31,657 | ||||
Mortality Rate at DRG | 0.18 | ||||
Mortality Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | NA | ||||
SNF Discharge Rate at DRG | 8.57 | ||||
SNF Discharge Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 8.7 | ||||
Home Discharge Rate at DRG | 72.49 | ||||
Home Discharge Rate with ICD Z5309 - Procedure and treatment not carried out because of other contraindication | 68.54 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 332 |
CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 220 |
MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 211 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. WILLIAM R JARNAGIN | 1275 YORK AVE | NEW YORK | NY | 10021 | 14 |
Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 12 |
Dr. PETER J ALLEN | 1275 YORK AVE | NEW YORK | NY | 10021 | 12 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. RICHARD VICTOR PEREZ | 2315 STOCKTON BLVD | SACRAMENTO | CA | 95817 | 35 |
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 22 |
Dr. VINOD H THOURANI | 55 WHITCHER ST NE | MARIETTA | GA | 30060 | 20 |