*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z89511 - Acquired absence of right leg below knee - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 21.14 | |
| 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 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z89511 - Acquired absence of right leg below knee | 10,245 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z89511 - Acquired absence of right leg below knee in DRG | 6.9 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z89511 - Acquired absence of right leg below knee | 6.52 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z89511 - Acquired absence of right leg below knee | 32.68 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z89511 - Acquired absence of right leg below knee | 23.41 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z89511 - Acquired absence of right leg below knee | $123,213,559 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z89511 - Acquired absence of right leg below knee | $1,844 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z89511 - Acquired absence of right leg below knee | $12,027 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z89511 - Acquired absence of right leg below knee | $620,457,433 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z89511 - Acquired absence of right leg below knee | $60,562 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z89511 - Acquired absence of right leg below knee | 12.55 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z89511 - Acquired absence of right leg below knee | 30.96 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z89511 - Acquired absence of right leg below knee | 21.6 |
*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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD Z89511 - Acquired absence of right leg below knee | 2,718 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z89511 - Acquired absence of right leg below knee in DRG | 1.83 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD Z89511 - Acquired absence of right leg below knee | 12.49 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD Z89511 - Acquired absence of right leg below knee | 43.43 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD Z89511 - Acquired absence of right leg below knee | 21.07 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD Z89511 - Acquired absence of right leg below knee | $88,497,744 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD Z89511 - Acquired absence of right leg below knee | $2,606 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD Z89511 - Acquired absence of right leg below knee | $32,560 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD Z89511 - Acquired absence of right leg below knee | $385,237,709 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD Z89511 - Acquired absence of right leg below knee | $141,736 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD Z89511 - Acquired absence of right leg below knee | 9.2 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD Z89511 - Acquired absence of right leg below knee | 34.84 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD Z89511 - Acquired absence of right leg below knee | 11.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z89511 - Acquired absence of right leg below knee | 2,149 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z89511 - Acquired absence of right leg below knee in DRG | 1.45 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z89511 - Acquired absence of right leg below knee | 5.17 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z89511 - Acquired absence of right leg below knee | 32.45 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z89511 - Acquired absence of right leg below knee | 25.09 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z89511 - Acquired absence of right leg below knee | $18,899,049 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z89511 - Acquired absence of right leg below knee | $1,701 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z89511 - Acquired absence of right leg below knee | $8,794 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z89511 - Acquired absence of right leg below knee | $91,561,898 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z89511 - Acquired absence of right leg below knee | $42,607 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z89511 - Acquired absence of right leg below knee | 3.21 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z89511 - Acquired absence of right leg below knee | 26.94 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z89511 - Acquired absence of right leg below knee | 36.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z89511 - Acquired absence of right leg below knee | 2,003 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z89511 - Acquired absence of right leg below knee in DRG | 1.35 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z89511 - Acquired absence of right leg below knee | 6.33 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z89511 - Acquired absence of right leg below knee | 34.34 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z89511 - Acquired absence of right leg below knee | 27.1 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z89511 - Acquired absence of right leg below knee | $20,426,359 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z89511 - Acquired absence of right leg below knee | $1,612 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z89511 - Acquired absence of right leg below knee | $10,198 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z89511 - Acquired absence of right leg below knee | $97,926,649 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z89511 - Acquired absence of right leg below knee | $48,890 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z89511 - Acquired absence of right leg below knee | 4.94 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z89511 - Acquired absence of right leg below knee | 27.46 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z89511 - Acquired absence of right leg below knee | 33.8 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 481 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 479 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 410 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HOWARD ANTHONY GILMER | 102 IRVING ST NW | WASHINGTON | DC | 20010 | 47 |
| Dr. NYAN WAI PHYO | 4717 S SUGAR RD | EDINBURG | TX | 78539 | 45 |
| Dr. STANLEY YOO | 101 E OLNEY AVE | PHILADELPHIA | PA | 19120 | 43 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 98 |
| Dr. DAVID M CRANDELL | 125 NASHUA ST | BOSTON | MA | 02114 | 88 |
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 77 |