| 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart - as a primary diagnosis code | 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.55 | |
| Readmission Rate (%) | 27.97 | |
| Unplanned Readmission Rate (%) | 8.33 | |
| 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 | ||
| DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION 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 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 184,433 | |||
| Total Hospitalizations with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 43 | |||
| DRG Share of Total Hospitalizations | 0.81 | |||
| % of Total ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart in DRG | 31.85 | |||
| Avg LOS at DRG | 2.59 | |||
| Avg LOS with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 2.51 | |||
| Readmission Rate at DRG | 11.03 | |||
| Readmission Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | |||
| Unplanned Readmission Rate at DRG | 7.9 | |||
| Unplanned Readmission Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | |||
| Total Medicare payments at DRG | $2,247,327,916 | |||
| Total Medicare payments with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $617,025 | |||
| Total Medicare payment per Day at DRG | $4,713 | |||
| Total Medicare payment per Day with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $5,713 | |||
| Total Medicare payment per Hospitalization at DRG | $12,185 | |||
| Total Medicare payment per Hospitalization with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $14,349 | |||
| Total Medicare Charges at DRG | $13,858,459,134 | |||
| Total Medicare Charges with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $3,365,091 | |||
| Avg Charges at DRG | $75,141 | |||
| Avg Charges with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $78,258 | |||
| Mortality Rate at DRG | 0.27 | |||
| Mortality Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | |||
| SNF Discharge Rate at DRG | 2.38 | |||
| SNF Discharge Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | |||
| Home Discharge Rate at DRG | 89.67 | |||
| Home Discharge Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 95.35 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 11 |
| NEWYORK PRESBYTERIAN - COLUMBIA UNIVERSITY MEDICAL CENTER | 622 W 168TH ST | NEW YORK | NY | 10032 | 11 |
| DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,572 | ||||
| Total Hospitalizations with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 142 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart in DRG | 8.02 | ||||
| Avg LOS at DRG | 6.83 | ||||
| Avg LOS with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 10.32 | ||||
| Readmission Rate at DRG | 28.1 | ||||
| Readmission Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 28.47 | ||||
| Unplanned Readmission Rate at DRG | 17.13 | ||||
| Unplanned Readmission Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 13.14 | ||||
| Total Medicare payments at DRG | $830,673,934 | ||||
| Total Medicare payments with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $3,228,274 | ||||
| Total Medicare payment per Day at DRG | $2,076 | ||||
| Total Medicare payment per Day with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $2,202 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,182 | ||||
| Total Medicare payment per Hospitalization with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $22,734 | ||||
| Total Medicare Charges at DRG | $4,129,602,878 | ||||
| Total Medicare Charges with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $18,885,177 | ||||
| Avg Charges at DRG | $70,505 | ||||
| Avg Charges with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $132,994 | ||||
| Mortality Rate at DRG | 4.14 | ||||
| Mortality Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | ||||
| SNF Discharge Rate at DRG | 10.33 | ||||
| SNF Discharge Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | ||||
| Home Discharge Rate at DRG | 54.27 | ||||
| Home Discharge Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 76.06 |
| DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,313 | ||||
| Total Hospitalizations with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 61 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart in DRG | 3.44 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 4.75 | ||||
| Readmission Rate at DRG | 23.87 | ||||
| Readmission Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 30.0 | ||||
| Unplanned Readmission Rate at DRG | 15.21 | ||||
| Unplanned Readmission Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | ||||
| Total Medicare payments at DRG | $313,023,839 | ||||
| Total Medicare payments with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $472,496 | ||||
| Total Medicare payment per Day at DRG | $1,568 | ||||
| Total Medicare payment per Day with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $1,629 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,348 | ||||
| Total Medicare payment per Hospitalization with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $7,746 | ||||
| Total Medicare Charges at DRG | $1,457,038,003 | ||||
| Total Medicare Charges with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $3,488,078 | ||||
| Avg Charges at DRG | $29,547 | ||||
| Avg Charges with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $57,182 | ||||
| Mortality Rate at DRG | 1.31 | ||||
| Mortality Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | ||||
| SNF Discharge Rate at DRG | 13.41 | ||||
| SNF Discharge Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | ||||
| Home Discharge Rate at DRG | 52.27 | ||||
| Home Discharge Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 75.41 |
| DRG 237: MAJOR CARDIOVASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,247 | ||||
| Total Hospitalizations with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 22 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart in DRG | 1.24 | ||||
| Avg LOS at DRG | 9.44 | ||||
| Avg LOS with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 11.77 | ||||
| Readmission Rate at DRG | 33.16 | ||||
| Readmission Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | ||||
| Unplanned Readmission Rate at DRG | 16.61 | ||||
| Unplanned Readmission Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | ||||
| Total Medicare payments at DRG | $1,425,330,921 | ||||
| Total Medicare payments with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $1,029,778 | ||||
| Total Medicare payment per Day at DRG | $3,849 | ||||
| Total Medicare payment per Day with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $3,976 | ||||
| Total Medicare payment per Hospitalization at DRG | $36,317 | ||||
| Total Medicare payment per Hospitalization with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $46,808 | ||||
| Total Medicare Charges at DRG | $6,186,562,667 | ||||
| Total Medicare Charges with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $4,867,064 | ||||
| Avg Charges at DRG | $157,631 | ||||
| Avg Charges with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $221,230 | ||||
| Mortality Rate at DRG | 19.4 | ||||
| Mortality Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | ||||
| SNF Discharge Rate at DRG | 17.75 | ||||
| SNF Discharge Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | ||||
| Home Discharge Rate at DRG | 29.66 | ||||
| Home Discharge Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH 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 | 414,616 | ||||
| Total Hospitalizations with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 19 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart in DRG | 1.07 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 4.68 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $102,619 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $1,153 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $5,401 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $478,728 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | $25,196 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | NA | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 41406 - Coronary atherosclerosis of native coronary artery of transplanted heart | 68.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| TAMPA GENERAL HOSPITAL | 1 TAMPA GENERAL CIRCLE | TAMPA | FL | 33606 | 97 |
| NEWYORK PRESBYTERIAN - COLUMBIA UNIVERSITY MEDICAL CENTER | 622 W 168TH ST | NEW YORK | NY | 10032 | 81 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 79 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MARK W WESTON | 1 TAMPA GENERAL CIR | TAMPA | FL | 33606 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MARK W WESTON | 1 TAMPA GENERAL CIR | TAMPA | FL | 33606 | 31 |
| Dr. TODD D EDWARDS | 8060 WOLF RIVER BLVD | MEMPHIS | TN | 38138 | 21 |
| Dr. LAWRENCE S.C. CZER | 8700 BEVERLY BLVD | WEST HOLLYWOOD | CA | 90048 | 14 |