*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z5332 - Thoracoscopic surgical procedure converted to open procedure - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 10.0 | |
| 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | 932 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure in DRG | 43.43 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | 6.35 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | 14.08 | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | 8.31 | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | $16,432,905 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | $2,775 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | $17,632 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | $96,318,322 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | $103,346 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | NA | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | 8.58 | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | 56.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,636 | |||
| Total Hospitalizations with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | 21 | |||
| DRG Share of Total Hospitalizations | 0.11 | |||
| % of Total ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure in DRG | 0.98 | |||
| Avg LOS at DRG | 5.73 | |||
| Avg LOS with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | 5.48 | |||
| Readmission Rate at DRG | 21.72 | |||
| Readmission Rate with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | NA | |||
| Unplanned Readmission Rate at DRG | 14.08 | |||
| Unplanned Readmission Rate with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | NA | |||
| Total Medicare payments at DRG | $448,734,039 | |||
| Total Medicare payments with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | $229,045 | |||
| Total Medicare payment per Day at DRG | $2,137 | |||
| Total Medicare payment per Day with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | $1,992 | |||
| Total Medicare payment per Hospitalization at DRG | $12,248 | |||
| Total Medicare payment per Hospitalization with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | $10,907 | |||
| Total Medicare Charges at DRG | $2,388,208,589 | |||
| Total Medicare Charges with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | $1,925,384 | |||
| Avg Charges at DRG | $65,187 | |||
| Avg Charges with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | $91,685 | |||
| Mortality Rate at DRG | 0.77 | |||
| Mortality Rate with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | NA | |||
| SNF Discharge Rate at DRG | 10.73 | |||
| SNF Discharge Rate with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | NA | |||
| Home Discharge Rate at DRG | 59.85 | |||
| Home Discharge Rate with ICD Z5332 - Thoracoscopic surgical procedure converted to open procedure | 52.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 40 |
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 27 |
| RUSH UNIVERSITY MEDICAL CENTER | 1653 W CONGRESS PKWY | CHICAGO | IL | 60612 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL L. LIPTAY | 1725 W HARRISON ST | CHICAGO | IL | 60612 | 15 |
| Dr. CIARAN J MCNAMEE | 75 FRANCIS STREET, PBB5, ROOM 547 | BOSTON | MA | 02115 | 14 |
| Dr. ROYCE FORD CALHOUN | 20 MEDICAL VILLAGE DR | EDGEWOOD | KY | 41017 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PRASHANT C. SHAH | 2401 S 31ST ST | TEMPLE | TX | 76508 | 16 |
| Dr. MICHAEL L. LIPTAY | 1725 W HARRISON ST | CHICAGO | IL | 60612 | 14 |
| Dr. ROYCE FORD CALHOUN | 20 MEDICAL VILLAGE DR | EDGEWOOD | KY | 41017 | 14 |