*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z89512 - Acquired absence of left leg below knee - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 21.19 | |
| 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 Z89512 - Acquired absence of left leg below knee | 9,877 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z89512 - Acquired absence of left leg below knee in DRG | 6.73 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z89512 - Acquired absence of left leg below knee | 6.48 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z89512 - Acquired absence of left leg below knee | 32.0 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z89512 - Acquired absence of left leg below knee | 22.45 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z89512 - Acquired absence of left leg below knee | $118,856,180 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z89512 - Acquired absence of left leg below knee | $1,856 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z89512 - Acquired absence of left leg below knee | $12,034 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z89512 - Acquired absence of left leg below knee | $586,132,291 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z89512 - Acquired absence of left leg below knee | $59,343 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z89512 - Acquired absence of left leg below knee | 12.61 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z89512 - Acquired absence of left leg below knee | 30.97 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z89512 - Acquired absence of left leg below knee | 21.78 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD Z89512 - Acquired absence of left leg below knee | 2,748 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z89512 - Acquired absence of left leg below knee in DRG | 1.87 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD Z89512 - Acquired absence of left leg below knee | 12.81 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD Z89512 - Acquired absence of left leg below knee | 43.93 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD Z89512 - Acquired absence of left leg below knee | 20.94 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD Z89512 - Acquired absence of left leg below knee | $88,824,049 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD Z89512 - Acquired absence of left leg below knee | $2,523 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD Z89512 - Acquired absence of left leg below knee | $32,323 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD Z89512 - Acquired absence of left leg below knee | $388,388,330 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD Z89512 - Acquired absence of left leg below knee | $141,335 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD Z89512 - Acquired absence of left leg below knee | 10.19 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD Z89512 - Acquired absence of left leg below knee | 33.92 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD Z89512 - Acquired absence of left leg below knee | 12.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD Z89512 - Acquired absence of left leg below knee | 2,112 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD Z89512 - Acquired absence of left leg below knee in DRG | 1.44 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD Z89512 - Acquired absence of left leg below knee | 5.34 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD Z89512 - Acquired absence of left leg below knee | 33.44 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD Z89512 - Acquired absence of left leg below knee | 25.15 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD Z89512 - Acquired absence of left leg below knee | $22,842,807 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD Z89512 - Acquired absence of left leg below knee | $2,026 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD Z89512 - Acquired absence of left leg below knee | $10,816 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD Z89512 - Acquired absence of left leg below knee | $109,142,327 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD Z89512 - Acquired absence of left leg below knee | $51,677 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z89512 - Acquired absence of left leg below knee | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD Z89512 - Acquired absence of left leg below knee | 20.31 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD Z89512 - Acquired absence of left leg below knee | 38.12 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z89512 - Acquired absence of left leg below knee | 1,997 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z89512 - Acquired absence of left leg below knee in DRG | 1.36 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z89512 - Acquired absence of left leg below knee | 6.47 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z89512 - Acquired absence of left leg below knee | 31.93 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z89512 - Acquired absence of left leg below knee | 25.07 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z89512 - Acquired absence of left leg below knee | $20,563,780 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z89512 - Acquired absence of left leg below knee | $1,591 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z89512 - Acquired absence of left leg below knee | $10,297 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z89512 - Acquired absence of left leg below knee | $99,622,979 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z89512 - Acquired absence of left leg below knee | $49,886 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z89512 - Acquired absence of left leg below knee | 5.36 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z89512 - Acquired absence of left leg below knee | 27.34 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z89512 - Acquired absence of left leg below knee | 33.85 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 511 |
| BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 501 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 388 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL J ROHRER | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 49 |
| Dr. JUAN M. LATORRE | 1015 E 32ND ST | AUSTIN | TX | 78705 | 45 |
| Dr. TARIQ ABO-KAMIL | 568 RUIN CREEK RD | HENDERSON | NC | 27536 | 45 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 89 |
| Dr. DAVID M CRANDELL | 125 NASHUA ST | BOSTON | MA | 02114 | 82 |
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 74 |