*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Z955 - Presence of coronary angioplasty implant and graft - as a primary or secondary diagnosis code | ||
---|---|---|
OUTCOMES | ||
Avg. LOS | ||
Readmission Rate (%) | ||
Unplanned Readmission Rate (%) | 15.01 | |
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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,013,774 | ||||
Total Hospitalizations with ICD Z955 - Presence of coronary angioplasty implant and graft | 130,446 | ||||
DRG Share of Total Hospitalizations | 3.08 | ||||
% of Total ICD Z955 - Presence of coronary angioplasty implant and graft in DRG | 5.36 | ||||
Avg LOS at DRG | 5.34 | ||||
Avg LOS with ICD Z955 - Presence of coronary angioplasty implant and graft | 4.72 | ||||
Readmission Rate at DRG | 28.25 | ||||
Readmission Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 28.98 | ||||
Unplanned Readmission Rate at DRG | 21.93 | ||||
Unplanned Readmission Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 22.77 | ||||
Total Medicare payments at DRG | $9,469,067,156 | ||||
Total Medicare payments with ICD Z955 - Presence of coronary angioplasty implant and graft | $1,181,822,763 | ||||
Total Medicare payment per Day at DRG | $1,751 | ||||
Total Medicare payment per Day with ICD Z955 - Presence of coronary angioplasty implant and graft | $1,921 | ||||
Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
Total Medicare payment per Hospitalization with ICD Z955 - Presence of coronary angioplasty implant and graft | $9,060 | ||||
Total Medicare Charges at DRG | $43,343,716,813 | ||||
Total Medicare Charges with ICD Z955 - Presence of coronary angioplasty implant and graft | $4,942,196,048 | ||||
Avg Charges at DRG | $42,755 | ||||
Avg Charges with ICD Z955 - Presence of coronary angioplasty implant and graft | $37,887 | ||||
Mortality Rate at DRG | 3.72 | ||||
Mortality Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 2.64 | ||||
SNF Discharge Rate at DRG | 20.84 | ||||
SNF Discharge Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 16.22 | ||||
Home Discharge Rate at DRG | 37.68 | ||||
Home Discharge Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 44.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 209,527 | ||||
Total Hospitalizations with ICD Z955 - Presence of coronary angioplasty implant and graft | 49,060 | ||||
DRG Share of Total Hospitalizations | 0.64 | ||||
% of Total ICD Z955 - Presence of coronary angioplasty implant and graft in DRG | 2.02 | ||||
Avg LOS at DRG | 2.98 | ||||
Avg LOS with ICD Z955 - Presence of coronary angioplasty implant and graft | 2.61 | ||||
Readmission Rate at DRG | 15.34 | ||||
Readmission Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 14.57 | ||||
Unplanned Readmission Rate at DRG | 8.56 | ||||
Unplanned Readmission Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 8.85 | ||||
Total Medicare payments at DRG | $1,394,352,541 | ||||
Total Medicare payments with ICD Z955 - Presence of coronary angioplasty implant and graft | $320,309,165 | ||||
Total Medicare payment per Day at DRG | $2,234 | ||||
Total Medicare payment per Day with ICD Z955 - Presence of coronary angioplasty implant and graft | $2,502 | ||||
Total Medicare payment per Hospitalization at DRG | $6,655 | ||||
Total Medicare payment per Hospitalization with ICD Z955 - Presence of coronary angioplasty implant and graft | $6,529 | ||||
Total Medicare Charges at DRG | $9,726,714,225 | ||||
Total Medicare Charges with ICD Z955 - Presence of coronary angioplasty implant and graft | $2,152,509,991 | ||||
Avg Charges at DRG | $46,422 | ||||
Avg Charges with ICD Z955 - Presence of coronary angioplasty implant and graft | $43,875 | ||||
Mortality Rate at DRG | 0.17 | ||||
Mortality Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 0.12 | ||||
SNF Discharge Rate at DRG | 3.41 | ||||
SNF Discharge Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 2.53 | ||||
Home Discharge Rate at DRG | 79.22 | ||||
Home Discharge Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 82.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 522,791 | ||||
Total Hospitalizations with ICD Z955 - Presence of coronary angioplasty implant and graft | 35,648 | ||||
DRG Share of Total Hospitalizations | 1.59 | ||||
% of Total ICD Z955 - Presence of coronary angioplasty implant and graft in DRG | 1.47 | ||||
Avg LOS at DRG | 3.14 | ||||
Avg LOS with ICD Z955 - Presence of coronary angioplasty implant and graft | 3.0 | ||||
Readmission Rate at DRG | 17.1 | ||||
Readmission Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 18.25 | ||||
Unplanned Readmission Rate at DRG | 12.62 | ||||
Unplanned Readmission Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 14.1 | ||||
Total Medicare payments at DRG | $2,290,151,156 | ||||
Total Medicare payments with ICD Z955 - Presence of coronary angioplasty implant and graft | $151,196,357 | ||||
Total Medicare payment per Day at DRG | $1,394 | ||||
Total Medicare payment per Day with ICD Z955 - Presence of coronary angioplasty implant and graft | $1,413 | ||||
Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
Total Medicare payment per Hospitalization with ICD Z955 - Presence of coronary angioplasty implant and graft | $4,241 | ||||
Total Medicare Charges at DRG | $13,619,287,561 | ||||
Total Medicare Charges with ICD Z955 - Presence of coronary angioplasty implant and graft | $954,232,466 | ||||
Avg Charges at DRG | $26,051 | ||||
Avg Charges with ICD Z955 - Presence of coronary angioplasty implant and graft | $26,768 | ||||
Mortality Rate at DRG | 0.18 | ||||
Mortality Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 0.15 | ||||
SNF Discharge Rate at DRG | 8.57 | ||||
SNF Discharge Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 7.97 | ||||
Home Discharge Rate at DRG | 72.49 | ||||
Home Discharge Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 72.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 150,404 | ||||
Total Hospitalizations with ICD Z955 - Presence of coronary angioplasty implant and graft | 30,296 | ||||
DRG Share of Total Hospitalizations | 0.46 | ||||
% of Total ICD Z955 - Presence of coronary angioplasty implant and graft in DRG | 1.25 | ||||
Avg LOS at DRG | 3.31 | ||||
Avg LOS with ICD Z955 - Presence of coronary angioplasty implant and graft | 3.03 | ||||
Readmission Rate at DRG | 20.72 | ||||
Readmission Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 21.99 | ||||
Unplanned Readmission Rate at DRG | 14.7 | ||||
Unplanned Readmission Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 16.04 | ||||
Total Medicare payments at DRG | $938,855,823 | ||||
Total Medicare payments with ICD Z955 - Presence of coronary angioplasty implant and graft | $185,941,807 | ||||
Total Medicare payment per Day at DRG | $1,886 | ||||
Total Medicare payment per Day with ICD Z955 - Presence of coronary angioplasty implant and graft | $2,023 | ||||
Total Medicare payment per Hospitalization at DRG | $6,242 | ||||
Total Medicare payment per Hospitalization with ICD Z955 - Presence of coronary angioplasty implant and graft | $6,138 | ||||
Total Medicare Charges at DRG | $5,236,903,865 | ||||
Total Medicare Charges with ICD Z955 - Presence of coronary angioplasty implant and graft | $1,032,661,269 | ||||
Avg Charges at DRG | $34,819 | ||||
Avg Charges with ICD Z955 - Presence of coronary angioplasty implant and graft | $34,086 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | NA | ||||
SNF Discharge Rate at DRG | 13.12 | ||||
SNF Discharge Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 8.85 | ||||
Home Discharge Rate at DRG | 52.08 | ||||
Home Discharge Rate with ICD Z955 - Presence of coronary angioplasty implant and graft | 59.07 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 6,808 |
ST. FRANCIS HOSPITAL ROSLYN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 6,806 |
NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 6,219 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. THEODORE L SCHREIBER | 8545 COMMON ROAD | WARREN | MI | 48093 | 462 |
Dr. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 447 |
Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 305 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 1,525 |
Dr. RICHARD A SHLOFMITZ | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 909 |
Dr. THEODORE L SCHREIBER | 8545 COMMON ROAD | WARREN | MI | 48093 | 650 |