*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9851 - Tubal ligation status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.02 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z9851 - Tubal ligation status | 6,538 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z9851 - Tubal ligation status in DRG | 7.42 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z9851 - Tubal ligation status | 2.39 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z9851 - Tubal ligation status | 7.77 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z9851 - Tubal ligation status | 2.65 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z9851 - Tubal ligation status | $73,985,011 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z9851 - Tubal ligation status | $4,743 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z9851 - Tubal ligation status | $11,316 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z9851 - Tubal ligation status | $432,312,475 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z9851 - Tubal ligation status | $66,123 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z9851 - Tubal ligation status | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z9851 - Tubal ligation status | 19.39 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z9851 - Tubal ligation status | 28.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z9851 - Tubal ligation status | 1,870 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z9851 - Tubal ligation status in DRG | 2.12 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z9851 - Tubal ligation status | 4.29 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z9851 - Tubal ligation status | 23.02 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z9851 - Tubal ligation status | 17.61 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z9851 - Tubal ligation status | $12,627,811 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z9851 - Tubal ligation status | $1,574 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z9851 - Tubal ligation status | $6,753 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z9851 - Tubal ligation status | $67,390,145 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z9851 - Tubal ligation status | $36,038 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z9851 - Tubal ligation status | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z9851 - Tubal ligation status | 8.18 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z9851 - Tubal ligation status | 62.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z9851 - Tubal ligation status | 1,075 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z9851 - Tubal ligation status in DRG | 1.22 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z9851 - Tubal ligation status | 3.56 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z9851 - Tubal ligation status | 22.54 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z9851 - Tubal ligation status | 17.22 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z9851 - Tubal ligation status | $5,697,612 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z9851 - Tubal ligation status | $1,489 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z9851 - Tubal ligation status | $5,300 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z9851 - Tubal ligation status | $31,290,774 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z9851 - Tubal ligation status | $29,108 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z9851 - Tubal ligation status | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z9851 - Tubal ligation status | 13.77 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z9851 - Tubal ligation status | 59.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z9851 - Tubal ligation status | 900 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z9851 - Tubal ligation status in DRG | 1.02 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z9851 - Tubal ligation status | 3.66 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z9851 - Tubal ligation status | 15.57 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z9851 - Tubal ligation status | 11.19 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z9851 - Tubal ligation status | $4,862,332 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z9851 - Tubal ligation status | $1,476 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z9851 - Tubal ligation status | $5,403 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z9851 - Tubal ligation status | $25,932,694 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z9851 - Tubal ligation status | $28,814 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z9851 - Tubal ligation status | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z9851 - Tubal ligation status | 7.0 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z9851 - Tubal ligation status | 73.44 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WINCHESTER MEDICAL CENTER | 1840 AMHERST ST | WINCHESTER | VA | 22601 | 1,140 |
| WILLIS KNIGHTON MEDICAL CENTER | 2600 GREENWOOD RD | SHREVEPORT | LA | 71103 | 844 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 798 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN WILLIS PUGH | 911 BYPASS RD | PIKEVILLE | KY | 41501 | 68 |
| Dr. ANTHONY THOMAS CARTER | 730 THIMBLE SHOALS BLVD | NEWPORT NEWS | VA | 23606 | 48 |
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 43 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RATNASABAPATHY SIVASEKARAN | 2845 SE 3RD COURT | OCALA | FL | 34471 | 81 |
| Dr. KEVIN WILLIS PUGH | 911 BYPASS RD | PIKEVILLE | KY | 41501 | 67 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 63 |