*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z86711 - Personal history of pulmonary embolism - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 17.4 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z86711 - Personal history of pulmonary embolism | 52,550 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z86711 - Personal history of pulmonary embolism in DRG | 5.64 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z86711 - Personal history of pulmonary embolism | 6.04 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z86711 - Personal history of pulmonary embolism | 26.28 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z86711 - Personal history of pulmonary embolism | 19.42 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z86711 - Personal history of pulmonary embolism | $603,946,572 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z86711 - Personal history of pulmonary embolism | $1,903 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z86711 - Personal history of pulmonary embolism | $11,493 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z86711 - Personal history of pulmonary embolism | $2,827,851,530 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z86711 - Personal history of pulmonary embolism | $53,813 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z86711 - Personal history of pulmonary embolism | 9.62 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z86711 - Personal history of pulmonary embolism | 27.16 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z86711 - Personal history of pulmonary embolism | 27.04 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z86711 - Personal history of pulmonary embolism | 16,406 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z86711 - Personal history of pulmonary embolism in DRG | 1.76 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z86711 - Personal history of pulmonary embolism | 3.38 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z86711 - Personal history of pulmonary embolism | 23.32 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z86711 - Personal history of pulmonary embolism | 18.3 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z86711 - Personal history of pulmonary embolism | $73,823,917 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z86711 - Personal history of pulmonary embolism | $1,332 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z86711 - Personal history of pulmonary embolism | $4,500 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z86711 - Personal history of pulmonary embolism | $462,575,437 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z86711 - Personal history of pulmonary embolism | $28,196 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z86711 - Personal history of pulmonary embolism | 0.16 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z86711 - Personal history of pulmonary embolism | 9.78 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z86711 - Personal history of pulmonary embolism | 66.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z86711 - Personal history of pulmonary embolism | 14,136 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z86711 - Personal history of pulmonary embolism in DRG | 1.52 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z86711 - Personal history of pulmonary embolism | 3.61 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z86711 - Personal history of pulmonary embolism | 21.73 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z86711 - Personal history of pulmonary embolism | 16.17 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z86711 - Personal history of pulmonary embolism | $68,809,700 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z86711 - Personal history of pulmonary embolism | $1,349 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z86711 - Personal history of pulmonary embolism | $4,868 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z86711 - Personal history of pulmonary embolism | $362,403,613 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z86711 - Personal history of pulmonary embolism | $25,637 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z86711 - Personal history of pulmonary embolism | 0.17 | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z86711 - Personal history of pulmonary embolism | 25.59 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z86711 - Personal history of pulmonary embolism | 41.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD Z86711 - Personal history of pulmonary embolism | 11,485 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD Z86711 - Personal history of pulmonary embolism in DRG | 1.23 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD Z86711 - Personal history of pulmonary embolism | 4.3 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z86711 - Personal history of pulmonary embolism | 40.4 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD Z86711 - Personal history of pulmonary embolism | 35.67 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD Z86711 - Personal history of pulmonary embolism | $58,073,811 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD Z86711 - Personal history of pulmonary embolism | $1,176 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD Z86711 - Personal history of pulmonary embolism | $5,056 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD Z86711 - Personal history of pulmonary embolism | $355,782,346 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD Z86711 - Personal history of pulmonary embolism | $30,978 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD Z86711 - Personal history of pulmonary embolism | 0.25 | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD Z86711 - Personal history of pulmonary embolism | 8.39 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD Z86711 - Personal history of pulmonary embolism | 74.23 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 3,015 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 2,726 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 2,642 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 119 |
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 106 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 101 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 373 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 298 |
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 187 |