*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z89431 - Acquired absence of right foot - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 19.35 | |
| 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z89431 - Acquired absence of right foot | 1,109 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z89431 - Acquired absence of right foot in DRG | 5.07 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z89431 - Acquired absence of right foot | 6.35 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z89431 - Acquired absence of right foot | 31.52 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z89431 - Acquired absence of right foot | 23.13 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z89431 - Acquired absence of right foot | $13,791,062 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z89431 - Acquired absence of right foot | $1,957 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z89431 - Acquired absence of right foot | $12,436 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z89431 - Acquired absence of right foot | $69,677,199 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z89431 - Acquired absence of right foot | $62,829 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z89431 - Acquired absence of right foot | 12.26 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z89431 - Acquired absence of right foot | 26.6 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z89431 - Acquired absence of right foot | 27.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,966 | ||||
| Total Hospitalizations with ICD Z89431 - Acquired absence of right foot | 467 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD Z89431 - Acquired absence of right foot in DRG | 2.14 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD Z89431 - Acquired absence of right foot | 14.32 | ||||
| Readmission Rate at DRG | 21.08 | ||||
| Readmission Rate with ICD Z89431 - Acquired absence of right foot | 35.59 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD Z89431 - Acquired absence of right foot | 23.16 | ||||
| Total Medicare payments at DRG | $1,323,430,782 | ||||
| Total Medicare payments with ICD Z89431 - Acquired absence of right foot | $10,348,279 | ||||
| Total Medicare payment per Day at DRG | $1,530 | ||||
| Total Medicare payment per Day with ICD Z89431 - Acquired absence of right foot | $1,548 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,062 | ||||
| Total Medicare payment per Hospitalization with ICD Z89431 - Acquired absence of right foot | $22,159 | ||||
| Total Medicare Charges at DRG | $3,810,466,828 | ||||
| Total Medicare Charges with ICD Z89431 - Acquired absence of right foot | $33,026,420 | ||||
| Avg Charges at DRG | $57,764 | ||||
| Avg Charges with ICD Z89431 - Acquired absence of right foot | $70,720 | ||||
| Mortality Rate at DRG | 1.49 | ||||
| Mortality Rate with ICD Z89431 - Acquired absence of right foot | NA | ||||
| SNF Discharge Rate at DRG | 24.48 | ||||
| SNF Discharge Rate with ICD Z89431 - Acquired absence of right foot | 19.49 | ||||
| Home Discharge Rate at DRG | 12.66 | ||||
| Home Discharge Rate with ICD Z89431 - Acquired absence of right foot | 8.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,865 | ||||
| Total Hospitalizations with ICD Z89431 - Acquired absence of right foot | 331 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD Z89431 - Acquired absence of right foot in DRG | 1.51 | ||||
| Avg LOS at DRG | 13.03 | ||||
| Avg LOS with ICD Z89431 - Acquired absence of right foot | 11.4 | ||||
| Readmission Rate at DRG | 51.45 | ||||
| Readmission Rate with ICD Z89431 - Acquired absence of right foot | 54.66 | ||||
| Unplanned Readmission Rate at DRG | 19.42 | ||||
| Unplanned Readmission Rate with ICD Z89431 - Acquired absence of right foot | 22.19 | ||||
| Total Medicare payments at DRG | $870,378,024 | ||||
| Total Medicare payments with ICD Z89431 - Acquired absence of right foot | $9,264,607 | ||||
| Total Medicare payment per Day at DRG | $2,314 | ||||
| Total Medicare payment per Day with ICD Z89431 - Acquired absence of right foot | $2,456 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,153 | ||||
| Total Medicare payment per Hospitalization with ICD Z89431 - Acquired absence of right foot | $27,990 | ||||
| Total Medicare Charges at DRG | $3,978,441,182 | ||||
| Total Medicare Charges with ICD Z89431 - Acquired absence of right foot | $37,780,308 | ||||
| Avg Charges at DRG | $137,829 | ||||
| Avg Charges with ICD Z89431 - Acquired absence of right foot | $114,140 | ||||
| Mortality Rate at DRG | 5.71 | ||||
| Mortality Rate with ICD Z89431 - Acquired absence of right foot | NA | ||||
| SNF Discharge Rate at DRG | 45.97 | ||||
| SNF Discharge Rate with ICD Z89431 - Acquired absence of right foot | 48.34 | ||||
| Home Discharge Rate at DRG | 5.52 | ||||
| Home Discharge Rate with ICD Z89431 - Acquired absence of right foot | 5.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD Z89431 - Acquired absence of right foot | 292 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD Z89431 - Acquired absence of right foot in DRG | 1.34 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD Z89431 - Acquired absence of right foot | 3.57 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD Z89431 - Acquired absence of right foot | 37.02 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD Z89431 - Acquired absence of right foot | 30.92 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD Z89431 - Acquired absence of right foot | $2,205,707 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD Z89431 - Acquired absence of right foot | $2,117 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z89431 - Acquired absence of right foot | $7,554 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD Z89431 - Acquired absence of right foot | $10,314,478 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD Z89431 - Acquired absence of right foot | $35,324 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD Z89431 - Acquired absence of right foot | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD Z89431 - Acquired absence of right foot | 20.55 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD Z89431 - Acquired absence of right foot | 51.03 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 109 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 73 |
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSEPH F BENDER | 812 LINDBERG AVE | MCALLEN | TX | 78501 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALEJANDRO SOLANO BAYARDO | 622 W MAPLE ST STE H | FARMINGTON | NM | 87401 | 17 |
| Dr. FEDERICO DEL TORO | 300 W SAINT MARY BLVD | LAFAYETTE | LA | 70506 | 15 |
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 14 |