*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z89411 - Acquired absence of right great toe - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.56 | |
| 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 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,029 | ||||
| Total Hospitalizations with ICD Z89411 - Acquired absence of right great toe | 1,633 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD Z89411 - Acquired absence of right great toe in DRG | 4.55 | ||||
| Avg LOS at DRG | 7.14 | ||||
| Avg LOS with ICD Z89411 - Acquired absence of right great toe | 6.46 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD Z89411 - Acquired absence of right great toe | 22.06 | ||||
| Unplanned Readmission Rate at DRG | 10.44 | ||||
| Unplanned Readmission Rate with ICD Z89411 - Acquired absence of right great toe | 10.55 | ||||
| Total Medicare payments at DRG | $484,755,193 | ||||
| Total Medicare payments with ICD Z89411 - Acquired absence of right great toe | $20,751,180 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD Z89411 - Acquired absence of right great toe | $1,966 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,747 | ||||
| Total Medicare payment per Hospitalization with ICD Z89411 - Acquired absence of right great toe | $12,707 | ||||
| Total Medicare Charges at DRG | $2,463,395,263 | ||||
| Total Medicare Charges with ICD Z89411 - Acquired absence of right great toe | $96,277,998 | ||||
| Avg Charges at DRG | $64,777 | ||||
| Avg Charges with ICD Z89411 - Acquired absence of right great toe | $58,958 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD Z89411 - Acquired absence of right great toe | NA | ||||
| SNF Discharge Rate at DRG | 26.57 | ||||
| SNF Discharge Rate with ICD Z89411 - Acquired absence of right great toe | 21.62 | ||||
| Home Discharge Rate at DRG | 30.05 | ||||
| Home Discharge Rate with ICD Z89411 - Acquired absence of right great toe | 35.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD Z89411 - Acquired absence of right great toe | 760 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z89411 - Acquired absence of right great toe in DRG | 2.12 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD Z89411 - Acquired absence of right great toe | 11.41 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD Z89411 - Acquired absence of right great toe | 42.57 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD Z89411 - Acquired absence of right great toe | 17.78 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD Z89411 - Acquired absence of right great toe | $24,354,123 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD Z89411 - Acquired absence of right great toe | $2,807 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD Z89411 - Acquired absence of right great toe | $32,045 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD Z89411 - Acquired absence of right great toe | $95,177,262 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD Z89411 - Acquired absence of right great toe | $125,233 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD Z89411 - Acquired absence of right great toe | 5.0 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD Z89411 - Acquired absence of right great toe | 35.92 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD Z89411 - Acquired absence of right great toe | 13.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,865 | ||||
| Total Hospitalizations with ICD Z89411 - Acquired absence of right great toe | 538 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD Z89411 - Acquired absence of right great toe in DRG | 1.5 | ||||
| Avg LOS at DRG | 13.03 | ||||
| Avg LOS with ICD Z89411 - Acquired absence of right great toe | 11.03 | ||||
| Readmission Rate at DRG | 51.45 | ||||
| Readmission Rate with ICD Z89411 - Acquired absence of right great toe | 50.69 | ||||
| Unplanned Readmission Rate at DRG | 19.42 | ||||
| Unplanned Readmission Rate with ICD Z89411 - Acquired absence of right great toe | 16.31 | ||||
| Total Medicare payments at DRG | $870,378,024 | ||||
| Total Medicare payments with ICD Z89411 - Acquired absence of right great toe | $15,296,606 | ||||
| Total Medicare payment per Day at DRG | $2,314 | ||||
| Total Medicare payment per Day with ICD Z89411 - Acquired absence of right great toe | $2,577 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,153 | ||||
| Total Medicare payment per Hospitalization with ICD Z89411 - Acquired absence of right great toe | $28,432 | ||||
| Total Medicare Charges at DRG | $3,978,441,182 | ||||
| Total Medicare Charges with ICD Z89411 - Acquired absence of right great toe | $63,122,698 | ||||
| Avg Charges at DRG | $137,829 | ||||
| Avg Charges with ICD Z89411 - Acquired absence of right great toe | $117,328 | ||||
| Mortality Rate at DRG | 5.71 | ||||
| Mortality Rate with ICD Z89411 - Acquired absence of right great toe | 2.04 | ||||
| SNF Discharge Rate at DRG | 45.97 | ||||
| SNF Discharge Rate with ICD Z89411 - Acquired absence of right great toe | 41.64 | ||||
| Home Discharge Rate at DRG | 5.52 | ||||
| Home Discharge Rate with ICD Z89411 - Acquired absence of right great toe | 6.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,926 | ||||
| Total Hospitalizations with ICD Z89411 - Acquired absence of right great toe | 479 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD Z89411 - Acquired absence of right great toe in DRG | 1.34 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD Z89411 - Acquired absence of right great toe | 7.31 | ||||
| Readmission Rate at DRG | 29.88 | ||||
| Readmission Rate with ICD Z89411 - Acquired absence of right great toe | 30.59 | ||||
| Unplanned Readmission Rate at DRG | 23.17 | ||||
| Unplanned Readmission Rate with ICD Z89411 - Acquired absence of right great toe | 22.59 | ||||
| Total Medicare payments at DRG | $916,940,883 | ||||
| Total Medicare payments with ICD Z89411 - Acquired absence of right great toe | $5,378,605 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD Z89411 - Acquired absence of right great toe | $1,536 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
| Total Medicare payment per Hospitalization with ICD Z89411 - Acquired absence of right great toe | $11,229 | ||||
| Total Medicare Charges at DRG | $4,566,782,465 | ||||
| Total Medicare Charges with ICD Z89411 - Acquired absence of right great toe | $25,923,526 | ||||
| Avg Charges at DRG | $45,249 | ||||
| Avg Charges with ICD Z89411 - Acquired absence of right great toe | $54,120 | ||||
| Mortality Rate at DRG | 2.29 | ||||
| Mortality Rate with ICD Z89411 - Acquired absence of right great toe | NA | ||||
| SNF Discharge Rate at DRG | 23.51 | ||||
| SNF Discharge Rate with ICD Z89411 - Acquired absence of right great toe | 22.34 | ||||
| Home Discharge Rate at DRG | 40.88 | ||||
| Home Discharge Rate with ICD Z89411 - Acquired absence of right great toe | 36.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 121 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 109 |
| BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 104 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES A NORIEGA | 203 W BRENTWOOD BLVD | LAFAYETTE | LA | 70506 | 16 |
| Dr. BRANDON K HOLLOWAY | 1901 MEDI PARK DR STE 1054 | AMARILLO | TX | 79106 | 15 |
| Dr. MATTHEW POMPEO | 8198 WALNUT HILL LN | DALLAS | TX | 75231 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 27 |
| Dr. DAVID EMMIT ALLIE | 2730 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70506 | 22 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 22 |