| 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition - as a primary diagnosis code | 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.57 | |
| Readmission Rate (%) | 5.0 | |
| Unplanned Readmission Rate (%) | 2.81 | |
| 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 775: VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES | DRG 774: VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES | DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 766: CESAREAN SECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,990 | |||
| Total Hospitalizations with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | 1,324 | |||
| DRG Share of Total Hospitalizations | 0.06 | |||
| % of Total ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition in DRG | 65.84 | |||
| Avg LOS at DRG | 2.27 | |||
| Avg LOS with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | 2.26 | |||
| Readmission Rate at DRG | 2.38 | |||
| Readmission Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | 1.9 | |||
| Unplanned Readmission Rate at DRG | 1.44 | |||
| Unplanned Readmission Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | 1.44 | |||
| Total Medicare payments at DRG | $45,974,247 | |||
| Total Medicare payments with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $4,746,627 | |||
| Total Medicare payment per Day at DRG | $1,560 | |||
| Total Medicare payment per Day with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $1,590 | |||
| Total Medicare payment per Hospitalization at DRG | $3,539 | |||
| Total Medicare payment per Hospitalization with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $3,585 | |||
| Total Medicare Charges at DRG | $166,314,796 | |||
| Total Medicare Charges with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $16,580,994 | |||
| Avg Charges at DRG | $12,803 | |||
| Avg Charges with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $12,523 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | NA | |||
| SNF Discharge Rate at DRG | NA | |||
| SNF Discharge Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | NA | |||
| Home Discharge Rate at DRG | 96.52 | |||
| Home Discharge Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | 96.98 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER | 1414 KUHL AVE | ORLANDO | FL | 32806 | 13 |
| UNIVERSITY OF MISSOURI HEALTH CARE | ONE HOSPITAL DRIVE | COLUMBIA | MO | 65212 | 11 |
| DRG 775: VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES | DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 774: VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES | DRG 766: CESAREAN SECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 767: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,990 | ||||
| Total Hospitalizations with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | 5,111 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition in DRG | 37.34 | ||||
| Avg LOS at DRG | 2.27 | ||||
| Avg LOS with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | 2.41 | ||||
| Readmission Rate at DRG | 2.38 | ||||
| Readmission Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | 2.69 | ||||
| Unplanned Readmission Rate at DRG | 1.44 | ||||
| Unplanned Readmission Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | 1.83 | ||||
| Total Medicare payments at DRG | $45,974,247 | ||||
| Total Medicare payments with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $18,902,429 | ||||
| Total Medicare payment per Day at DRG | $1,560 | ||||
| Total Medicare payment per Day with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $1,537 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,539 | ||||
| Total Medicare payment per Hospitalization with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $3,698 | ||||
| Total Medicare Charges at DRG | $166,314,796 | ||||
| Total Medicare Charges with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $69,458,309 | ||||
| Avg Charges at DRG | $12,803 | ||||
| Avg Charges with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $13,590 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | NA | ||||
| Home Discharge Rate at DRG | 96.52 | ||||
| Home Discharge Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | 96.4 |
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 31,742 |
| Total Hospitalizations with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | 11 |
| DRG Share of Total Hospitalizations | 0.14 |
| % of Total ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition in DRG | 0.08 |
| Avg LOS at DRG | 7.58 |
| Avg LOS with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | 3.0 |
| Readmission Rate at DRG | 25.44 |
| Readmission Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | NA |
| Unplanned Readmission Rate at DRG | 14.47 |
| Unplanned Readmission Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | NA |
| Total Medicare payments at DRG | $583,003,764 |
| Total Medicare payments with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $225,933 |
| Total Medicare payment per Day at DRG | $2,422 |
| Total Medicare payment per Day with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $6,846 |
| Total Medicare payment per Hospitalization at DRG | $18,367 |
| Total Medicare payment per Hospitalization with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $20,539 |
| Total Medicare Charges at DRG | $2,600,081,468 |
| Total Medicare Charges with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $217,715 |
| Avg Charges at DRG | $81,913 |
| Avg Charges with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | $19,792 |
| Mortality Rate at DRG | 0.96 |
| Mortality Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | NA |
| SNF Discharge Rate at DRG | 25.55 |
| SNF Discharge Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | NA |
| Home Discharge Rate at DRG | 40.29 |
| Home Discharge Rate with ICD 64891 - Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND | 101 DUDLEY ST | PROVIDENCE | RI | 02905 | 96 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 76 |
| UPMC MAGEE - WOMENS HOSPITAL | 300 HALKET ST | PITTSBURGH | PA | 15213 | 74 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MARCELLO PIETRANTONI | 210 E GRAY ST | LOUISVILLE | KY | 40202 | 20 |
| Dr. BRADLEY STETZER | 2500 METROHEALTH DR | CLEVELAND | OH | 44109 | 13 |
| Dr. KHALED FOUAD RABIE | 501 MEDICAL CENTER DR | ALEX | LA | 71301 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STEVEN DONALD JOHNSON | 10498 MONTGOMERY RD. | CINCINNATI | OH | 45242 | 30 |
| Dr. MARCELLO PIETRANTONI | 210 E GRAY ST | LOUISVILLE | KY | 40202 | 20 |
| Dr. RONALD T BURKMAN | 3300 MAIN ST | SPRINGFIELD | MA | 01107 | 17 |