*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9861 - Coronary angioplasty status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.12 | |
| 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z9861 - Coronary angioplasty status | 15,876 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z9861 - Coronary angioplasty status in DRG | 5.57 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z9861 - Coronary angioplasty status | 4.83 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z9861 - Coronary angioplasty status | 28.9 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z9861 - Coronary angioplasty status | 22.74 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z9861 - Coronary angioplasty status | $148,118,054 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z9861 - Coronary angioplasty status | $1,932 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z9861 - Coronary angioplasty status | $9,330 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z9861 - Coronary angioplasty status | $619,420,314 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z9861 - Coronary angioplasty status | $39,016 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z9861 - Coronary angioplasty status | 2.78 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z9861 - Coronary angioplasty status | 16.82 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z9861 - Coronary angioplasty status | 43.52 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z9861 - Coronary angioplasty status | 5,497 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z9861 - Coronary angioplasty status in DRG | 1.93 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z9861 - Coronary angioplasty status | 4.45 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z9861 - Coronary angioplasty status | 24.86 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z9861 - Coronary angioplasty status | 20.05 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z9861 - Coronary angioplasty status | $39,028,923 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z9861 - Coronary angioplasty status | $1,596 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z9861 - Coronary angioplasty status | $7,100 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z9861 - Coronary angioplasty status | $191,434,151 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z9861 - Coronary angioplasty status | $34,825 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z9861 - Coronary angioplasty status | 0.96 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z9861 - Coronary angioplasty status | 11.39 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z9861 - Coronary angioplasty status | 55.83 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z9861 - Coronary angioplasty status | 4,211 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z9861 - Coronary angioplasty status in DRG | 1.48 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z9861 - Coronary angioplasty status | 5.04 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z9861 - Coronary angioplasty status | 23.54 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z9861 - Coronary angioplasty status | 17.28 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z9861 - Coronary angioplasty status | $36,180,429 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z9861 - Coronary angioplasty status | $1,705 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z9861 - Coronary angioplasty status | $8,592 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z9861 - Coronary angioplasty status | $167,384,514 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z9861 - Coronary angioplasty status | $39,749 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z9861 - Coronary angioplasty status | 2.61 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z9861 - Coronary angioplasty status | 19.54 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z9861 - Coronary angioplasty status | 44.29 |
*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 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z9861 - Coronary angioplasty status | 3,772 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z9861 - Coronary angioplasty status in DRG | 1.32 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z9861 - Coronary angioplasty status | 3.74 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z9861 - Coronary angioplasty status | 18.17 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z9861 - Coronary angioplasty status | 12.68 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z9861 - Coronary angioplasty status | $22,103,707 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z9861 - Coronary angioplasty status | $1,569 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z9861 - Coronary angioplasty status | $5,860 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z9861 - Coronary angioplasty status | $100,139,060 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z9861 - Coronary angioplasty status | $26,548 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z9861 - Coronary angioplasty status | 0.42 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z9861 - Coronary angioplasty status | 14.08 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z9861 - Coronary angioplasty status | 56.36 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CONWAY REGIONAL MEDICAL CENTER | 2302 COLLEGE AVE | CONWAY | AR | 72034 | 1,143 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 1,109 |
| ST. ELIZABETH CAMPUS | 2209 GENESEE ST | UTICA | NY | 13501 | 1,074 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROY DENTON | 228 W TYLER AVE | WEST MEMPHIS | AR | 72301 | 157 |
| Dr. THEODORE L SCHREIBER | 8545 COMMON ROAD | WARREN | MI | 48093 | 75 |
| Dr. MATTHEW K. SHOTWELL | 191 WAL MART WAY | MAYSVILLE | KY | 41056 | 66 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SALLY M WOOTEN | 200 S HERLONG AVE | ROCK HILL | SC | 29732 | 271 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 200 |
| Dr. FRED Y MURPHY | 1010 NORTH DUDNEY | MAGNOLIA | AR | 71753 | 182 |