*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z95810 - Presence of automatic (implantable) cardiac defibrillator - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 19.09 | |
| 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 96,506 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator in DRG | 12.7 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 5.12 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 31.06 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 24.43 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $902,379,128 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $1,826 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $9,350 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $3,924,207,693 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $40,663 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 3.57 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 13.52 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 45.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 14,266 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator in DRG | 1.88 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 3.59 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 25.15 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 19.37 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $81,770,886 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $1,598 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $5,732 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $385,363,662 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $27,013 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 0.92 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 16.53 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 52.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 11,276 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator in DRG | 1.48 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 7.89 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 30.6 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 19.15 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $177,185,413 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $1,992 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $15,713 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $957,476,515 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $84,913 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 2.94 | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 6.86 | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 50.51 |
*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 312: SYNCOPE AND COLLAPSE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 9,788 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator in DRG | 1.29 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 5.09 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 24.89 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 18.7 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $84,305,430 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $1,691 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $8,613 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $395,300,887 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | $40,386 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 3.32 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 18.18 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z95810 - Presence of automatic (implantable) cardiac defibrillator | 46.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. FRANCIS HOSPITAL ROSLYN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 2,626 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 2,408 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 2,280 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 174 |
| Dr. THEODORE L SCHREIBER | 8545 COMMON ROAD | WARREN | MI | 48093 | 112 |
| Dr. RICHARD ANTHONY MATANO | 1010 NORTHERN BLVD | GREAT NECK | NY | 11021 | 111 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 538 |
| Dr. RICHARD A SHLOFMITZ | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 330 |
| Dr. RICARDO G CIGARROA | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 243 |