*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z89421 - Acquired absence of other right toe(s) - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.57 | |
| 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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z89421 - Acquired absence of other right toe(s) | 3,485 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z89421 - Acquired absence of other right toe(s) in DRG | 4.46 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z89421 - Acquired absence of other right toe(s) | 6.22 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z89421 - Acquired absence of other right toe(s) | 28.77 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z89421 - Acquired absence of other right toe(s) | 20.05 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z89421 - Acquired absence of other right toe(s) | $42,702,955 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z89421 - Acquired absence of other right toe(s) | $1,971 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z89421 - Acquired absence of other right toe(s) | $12,253 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z89421 - Acquired absence of other right toe(s) | $206,359,130 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z89421 - Acquired absence of other right toe(s) | $59,214 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z89421 - Acquired absence of other right toe(s) | 9.44 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z89421 - Acquired absence of other right toe(s) | 25.85 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z89421 - Acquired absence of other right toe(s) | 28.24 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD Z89421 - Acquired absence of other right toe(s) | 1,615 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z89421 - Acquired absence of other right toe(s) in DRG | 2.07 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD Z89421 - Acquired absence of other right toe(s) | 11.44 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD Z89421 - Acquired absence of other right toe(s) | 39.46 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD Z89421 - Acquired absence of other right toe(s) | 17.95 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD Z89421 - Acquired absence of other right toe(s) | $50,569,153 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD Z89421 - Acquired absence of other right toe(s) | $2,737 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD Z89421 - Acquired absence of other right toe(s) | $31,312 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD Z89421 - Acquired absence of other right toe(s) | $204,904,739 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD Z89421 - Acquired absence of other right toe(s) | $126,876 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD Z89421 - Acquired absence of other right toe(s) | 5.08 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD Z89421 - Acquired absence of other right toe(s) | 34.61 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD Z89421 - Acquired absence of other right toe(s) | 15.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,666 | ||||
| Total Hospitalizations with ICD Z89421 - Acquired absence of other right toe(s) | 1,074 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD Z89421 - Acquired absence of other right toe(s) in DRG | 1.37 | ||||
| Avg LOS at DRG | 7.46 | ||||
| Avg LOS with ICD Z89421 - Acquired absence of other right toe(s) | 8.3 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD Z89421 - Acquired absence of other right toe(s) | 25.88 | ||||
| Unplanned Readmission Rate at DRG | 12.47 | ||||
| Unplanned Readmission Rate with ICD Z89421 - Acquired absence of other right toe(s) | 10.78 | ||||
| Total Medicare payments at DRG | $868,457,018 | ||||
| Total Medicare payments with ICD Z89421 - Acquired absence of other right toe(s) | $16,692,085 | ||||
| Total Medicare payment per Day at DRG | $1,984 | ||||
| Total Medicare payment per Day with ICD Z89421 - Acquired absence of other right toe(s) | $1,872 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,803 | ||||
| Total Medicare payment per Hospitalization with ICD Z89421 - Acquired absence of other right toe(s) | $15,542 | ||||
| Total Medicare Charges at DRG | $4,526,808,643 | ||||
| Total Medicare Charges with ICD Z89421 - Acquired absence of other right toe(s) | $84,495,132 | ||||
| Avg Charges at DRG | $77,162 | ||||
| Avg Charges with ICD Z89421 - Acquired absence of other right toe(s) | $78,673 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD Z89421 - Acquired absence of other right toe(s) | NA | ||||
| SNF Discharge Rate at DRG | 26.05 | ||||
| SNF Discharge Rate with ICD Z89421 - Acquired absence of other right toe(s) | 29.89 | ||||
| Home Discharge Rate at DRG | 35.9 | ||||
| Home Discharge Rate with ICD Z89421 - Acquired absence of other right toe(s) | 23.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z89421 - Acquired absence of other right toe(s) | 1,016 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z89421 - Acquired absence of other right toe(s) in DRG | 1.3 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z89421 - Acquired absence of other right toe(s) | 5.81 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z89421 - Acquired absence of other right toe(s) | 34.2 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z89421 - Acquired absence of other right toe(s) | 25.57 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z89421 - Acquired absence of other right toe(s) | $10,268,993 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z89421 - Acquired absence of other right toe(s) | $1,740 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z89421 - Acquired absence of other right toe(s) | $10,107 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z89421 - Acquired absence of other right toe(s) | $47,463,542 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z89421 - Acquired absence of other right toe(s) | $46,716 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z89421 - Acquired absence of other right toe(s) | 2.26 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z89421 - Acquired absence of other right toe(s) | 23.13 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z89421 - Acquired absence of other right toe(s) | 42.03 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 289 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 228 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 225 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN CHRISTOPHER MOORE | 141 ASHELAND AVE | ASHEVILLE | NC | 28801 | 28 |
| Dr. MATTHEW BABICH | 1151 N BUCKNER BLVD STE 304 | DALLAS | TX | 75218 | 28 |
| Dr. APRIL M BAILEY-MALETTA | 105 SCHOOL ST | LINDENHURST | NY | 11757 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 45 |
| Dr. JOHN E. SCOLA | 250 POND ST | BRAINTREE | MA | 02184 | 38 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 28 |