| 4144 - Coronary atherosclerosis due to calcified coronary lesion - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.42 | |
| 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 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 234: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 184,433 | ||||
| Total Hospitalizations with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 2,685 | ||||
| DRG Share of Total Hospitalizations | 0.81 | ||||
| % of Total ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion in DRG | 14.58 | ||||
| Avg LOS at DRG | 2.59 | ||||
| Avg LOS with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 2.65 | ||||
| Readmission Rate at DRG | 11.03 | ||||
| Readmission Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 10.52 | ||||
| Unplanned Readmission Rate at DRG | 7.9 | ||||
| Unplanned Readmission Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 7.4 | ||||
| Total Medicare payments at DRG | $2,247,327,916 | ||||
| Total Medicare payments with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $33,617,584 | ||||
| Total Medicare payment per Day at DRG | $4,713 | ||||
| Total Medicare payment per Day with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $4,731 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,185 | ||||
| Total Medicare payment per Hospitalization with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $12,521 | ||||
| Total Medicare Charges at DRG | $13,858,459,134 | ||||
| Total Medicare Charges with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $209,532,724 | ||||
| Avg Charges at DRG | $75,141 | ||||
| Avg Charges with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $78,038 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 0.41 | ||||
| SNF Discharge Rate at DRG | 2.38 | ||||
| SNF Discharge Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 2.61 | ||||
| Home Discharge Rate at DRG | 89.67 | ||||
| Home Discharge Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 87.37 |
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 249: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 136,004 | ||||
| Total Hospitalizations with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 631 | ||||
| DRG Share of Total Hospitalizations | 0.6 | ||||
| % of Total ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion in DRG | 3.43 | ||||
| Avg LOS at DRG | 5.84 | ||||
| Avg LOS with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 5.91 | ||||
| Readmission Rate at DRG | 28.01 | ||||
| Readmission Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 29.55 | ||||
| Unplanned Readmission Rate at DRG | 19.71 | ||||
| Unplanned Readmission Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 19.82 | ||||
| Total Medicare payments at DRG | $1,493,796,897 | ||||
| Total Medicare payments with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $7,007,314 | ||||
| Total Medicare payment per Day at DRG | $1,882 | ||||
| Total Medicare payment per Day with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $1,879 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,983 | ||||
| Total Medicare payment per Hospitalization with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $11,105 | ||||
| Total Medicare Charges at DRG | $6,680,411,091 | ||||
| Total Medicare Charges with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $38,466,108 | ||||
| Avg Charges at DRG | $49,119 | ||||
| Avg Charges with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $60,961 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | NA | ||||
| SNF Discharge Rate at DRG | 24.26 | ||||
| SNF Discharge Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 16.32 | ||||
| Home Discharge Rate at DRG | 31.8 | ||||
| Home Discharge Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 43.42 |
| DRG 251: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 248: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 282: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,182 | ||||
| Total Hospitalizations with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 376 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion in DRG | 2.04 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 3.19 | ||||
| Readmission Rate at DRG | 14.51 | ||||
| Readmission Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 21.08 | ||||
| Unplanned Readmission Rate at DRG | 9.81 | ||||
| Unplanned Readmission Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 13.11 | ||||
| Total Medicare payments at DRG | $635,849,927 | ||||
| Total Medicare payments with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $4,527,459 | ||||
| Total Medicare payment per Day at DRG | $4,138 | ||||
| Total Medicare payment per Day with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $3,779 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,929 | ||||
| Total Medicare payment per Hospitalization with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $12,041 | ||||
| Total Medicare Charges at DRG | $3,922,552,475 | ||||
| Total Medicare Charges with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $23,686,800 | ||||
| Avg Charges at DRG | $79,756 | ||||
| Avg Charges with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $62,997 | ||||
| Mortality Rate at DRG | 0.64 | ||||
| Mortality Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | NA | ||||
| SNF Discharge Rate at DRG | 4.04 | ||||
| SNF Discharge Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 3.46 | ||||
| Home Discharge Rate at DRG | 83.78 | ||||
| Home Discharge Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 78.72 |
| DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 237: MAJOR CARDIOVASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 20,153 | ||||
| Total Hospitalizations with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 258 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion in DRG | 1.4 | ||||
| Avg LOS at DRG | 6.98 | ||||
| Avg LOS with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 5.91 | ||||
| Readmission Rate at DRG | 28.42 | ||||
| Readmission Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 27.16 | ||||
| Unplanned Readmission Rate at DRG | 18.62 | ||||
| Unplanned Readmission Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 20.26 | ||||
| Total Medicare payments at DRG | $430,613,747 | ||||
| Total Medicare payments with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $4,924,744 | ||||
| Total Medicare payment per Day at DRG | $3,061 | ||||
| Total Medicare payment per Day with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $3,229 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,367 | ||||
| Total Medicare payment per Hospitalization with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $19,088 | ||||
| Total Medicare Charges at DRG | $2,145,056,124 | ||||
| Total Medicare Charges with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $24,288,213 | ||||
| Avg Charges at DRG | $106,439 | ||||
| Avg Charges with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | $94,140 | ||||
| Mortality Rate at DRG | 6.61 | ||||
| Mortality Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 8.14 | ||||
| SNF Discharge Rate at DRG | 13.81 | ||||
| SNF Discharge Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 15.12 | ||||
| Home Discharge Rate at DRG | 53.09 | ||||
| Home Discharge Rate with ICD 4144 - Coronary atherosclerosis due to calcified coronary lesion | 52.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| DOCTORS HOSPITAL OF SARASOTA | 5731 BEE RIDGE RD | SARASOTA | FL | 34233 | 1,170 |
| ST. FRANCIS HOSPITAL ROSLYN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 498 |
| MORRISTOWN MEDICAL CENTER | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 390 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN A. BITTL | 125 SW 11TH ST | OCALA | FL | 34471 | 123 |
| Dr. JEFFREY S MILLER | 5665 PEACHTREE DUNWOODY RD NE | ATLANTA | GA | 30342 | 86 |
| Dr. ROBERTO G COLANGELO | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 71 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL SCHANDORF-LARTEY | 5731 BEE RIDGE RD | SARASOTA | FL | 34233 | 106 |
| Dr. JEFFREY S. LYONS | 943 S BENEVA RD | SARASOTA | FL | 34232 | 90 |
| Dr. PAUL W CHMIELEWSKI | 5831 BEE RIDGE RD | SARASOTA | FL | 34233 | 88 |