| 4409 - Generalized and unspecified atherosclerosis - as a primary diagnosis code | 4409 - Generalized and unspecified atherosclerosis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.74 | |
| Readmission Rate (%) | 21.56 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 301: PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 80,676 | |
| Total Hospitalizations with ICD 4409 - Generalized and unspecified atherosclerosis | 16 | |
| DRG Share of Total Hospitalizations | 0.35 | |
| % of Total ICD 4409 - Generalized and unspecified atherosclerosis in DRG | 35.56 | |
| Avg LOS at DRG | 4.68 | |
| Avg LOS with ICD 4409 - Generalized and unspecified atherosclerosis | 3.38 | |
| Readmission Rate at DRG | 22.84 | |
| Readmission Rate with ICD 4409 - Generalized and unspecified atherosclerosis | NA | |
| Unplanned Readmission Rate at DRG | 14.19 | |
| Unplanned Readmission Rate with ICD 4409 - Generalized and unspecified atherosclerosis | NA | |
| Total Medicare payments at DRG | $511,561,800 | |
| Total Medicare payments with ICD 4409 - Generalized and unspecified atherosclerosis | $86,265 | |
| Total Medicare payment per Day at DRG | $1,355 | |
| Total Medicare payment per Day with ICD 4409 - Generalized and unspecified atherosclerosis | $1,598 | |
| Total Medicare payment per Hospitalization at DRG | $6,341 | |
| Total Medicare payment per Hospitalization with ICD 4409 - Generalized and unspecified atherosclerosis | $5,392 | |
| Total Medicare Charges at DRG | $2,244,550,229 | |
| Total Medicare Charges with ICD 4409 - Generalized and unspecified atherosclerosis | $403,990 | |
| Avg Charges at DRG | $27,822 | |
| Avg Charges with ICD 4409 - Generalized and unspecified atherosclerosis | $25,249 | |
| Mortality Rate at DRG | 1.53 | |
| Mortality Rate with ICD 4409 - Generalized and unspecified atherosclerosis | NA | |
| SNF Discharge Rate at DRG | 20.2 | |
| SNF Discharge Rate with ICD 4409 - Generalized and unspecified atherosclerosis | NA | |
| Home Discharge Rate at DRG | 42.74 | |
| Home Discharge Rate with ICD 4409 - Generalized and unspecified atherosclerosis | NA |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 4409 - Generalized and unspecified atherosclerosis | 924 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 4409 - Generalized and unspecified atherosclerosis in DRG | 3.39 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 4409 - Generalized and unspecified atherosclerosis | 6.68 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 23.53 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 16.53 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 4409 - Generalized and unspecified atherosclerosis | $10,476,594 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 4409 - Generalized and unspecified atherosclerosis | $1,697 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 4409 - Generalized and unspecified atherosclerosis | $11,338 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 4409 - Generalized and unspecified atherosclerosis | $45,301,047 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 4409 - Generalized and unspecified atherosclerosis | $49,027 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 17.86 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 30.41 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 18.18 |
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 225,462 | ||||
| Total Hospitalizations with ICD 4409 - Generalized and unspecified atherosclerosis | 573 | ||||
| DRG Share of Total Hospitalizations | 0.99 | ||||
| % of Total ICD 4409 - Generalized and unspecified atherosclerosis in DRG | 2.11 | ||||
| Avg LOS at DRG | 4.38 | ||||
| Avg LOS with ICD 4409 - Generalized and unspecified atherosclerosis | 5.27 | ||||
| Readmission Rate at DRG | 36.08 | ||||
| Readmission Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 32.03 | ||||
| Unplanned Readmission Rate at DRG | 8.19 | ||||
| Unplanned Readmission Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 7.82 | ||||
| Total Medicare payments at DRG | $1,563,613,675 | ||||
| Total Medicare payments with ICD 4409 - Generalized and unspecified atherosclerosis | $4,547,113 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD 4409 - Generalized and unspecified atherosclerosis | $1,507 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,935 | ||||
| Total Medicare payment per Hospitalization with ICD 4409 - Generalized and unspecified atherosclerosis | $7,936 | ||||
| Total Medicare Charges at DRG | $7,541,062,508 | ||||
| Total Medicare Charges with ICD 4409 - Generalized and unspecified atherosclerosis | $17,269,174 | ||||
| Avg Charges at DRG | $33,447 | ||||
| Avg Charges with ICD 4409 - Generalized and unspecified atherosclerosis | $30,138 | ||||
| Mortality Rate at DRG | 2.36 | ||||
| Mortality Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 3.14 | ||||
| SNF Discharge Rate at DRG | 26.21 | ||||
| SNF Discharge Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 27.92 | ||||
| Home Discharge Rate at DRG | 24.01 | ||||
| Home Discharge Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 24.78 |
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 293,121 | ||||
| Total Hospitalizations with ICD 4409 - Generalized and unspecified atherosclerosis | 423 | ||||
| DRG Share of Total Hospitalizations | 1.28 | ||||
| % of Total ICD 4409 - Generalized and unspecified atherosclerosis in DRG | 1.55 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD 4409 - Generalized and unspecified atherosclerosis | 4.0 | ||||
| Readmission Rate at DRG | 17.73 | ||||
| Readmission Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 19.15 | ||||
| Unplanned Readmission Rate at DRG | 13.44 | ||||
| Unplanned Readmission Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 12.69 | ||||
| Total Medicare payments at DRG | $1,776,508,891 | ||||
| Total Medicare payments with ICD 4409 - Generalized and unspecified atherosclerosis | $2,505,055 | ||||
| Total Medicare payment per Day at DRG | $1,604 | ||||
| Total Medicare payment per Day with ICD 4409 - Generalized and unspecified atherosclerosis | $1,482 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
| Total Medicare payment per Hospitalization with ICD 4409 - Generalized and unspecified atherosclerosis | $5,922 | ||||
| Total Medicare Charges at DRG | $8,470,312,778 | ||||
| Total Medicare Charges with ICD 4409 - Generalized and unspecified atherosclerosis | $12,430,740 | ||||
| Avg Charges at DRG | $28,897 | ||||
| Avg Charges with ICD 4409 - Generalized and unspecified atherosclerosis | $29,387 | ||||
| Mortality Rate at DRG | 0.95 | ||||
| Mortality Rate with ICD 4409 - Generalized and unspecified atherosclerosis | NA | ||||
| SNF Discharge Rate at DRG | 14.94 | ||||
| SNF Discharge Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 19.39 | ||||
| Home Discharge Rate at DRG | 62.44 | ||||
| Home Discharge Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 52.48 |
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 4409 - Generalized and unspecified atherosclerosis | 366 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 4409 - Generalized and unspecified atherosclerosis in DRG | 1.34 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 4409 - Generalized and unspecified atherosclerosis | 4.33 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 15.04 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 7.52 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 4409 - Generalized and unspecified atherosclerosis | $1,914,396 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 4409 - Generalized and unspecified atherosclerosis | $1,209 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 4409 - Generalized and unspecified atherosclerosis | $5,231 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 4409 - Generalized and unspecified atherosclerosis | $7,700,286 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 4409 - Generalized and unspecified atherosclerosis | $21,039 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 4409 - Generalized and unspecified atherosclerosis | NA | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 19.95 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 4409 - Generalized and unspecified atherosclerosis | 46.99 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| LEHIGH VALLEY HOSPITAL - HAZLETON | 700 E BROAD ST | HAZLETON | PA | 18201 | 651 |
| SALEM MEDICAL CENTER | 310 WOODSTOWN RD | SALEM | NJ | 08079 | 444 |
| HAZARD ARH REGIONAL MEDICAL CENTER | 100 MEDICAL CENTER DR | HAZARD | KY | 41701 | 414 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WAMIQ SULTAN | 310 WOODSTOWN ROAD | SALEM | NJ | 08079 | 68 |
| Dr. PHILIP J. BENYO | 144 S OLD TURNPIKE RD | DRUMS | PA | 18222 | 55 |
| Dr. ROBERT GROSS | 6425 LYNCH CANYON DR | LAKE ISABELLA | CA | 93240 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. PHILIP J. BENYO | 144 S OLD TURNPIKE RD | DRUMS | PA | 18222 | 378 |
| Dr. WAMIQ SULTAN | 310 WOODSTOWN ROAD | SALEM | NJ | 08079 | 329 |
| Dr. JAMES D CHANEY | 130 KATE IRELAND DR | HYDEN | KY | 41749 | 181 |