| 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition - as a primary diagnosis code | 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.43 | |
| Readmission Rate (%) | 4.98 | |
| Unplanned Readmission Rate (%) | 2.67 | |
| 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 766: CESAREAN SECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 775: VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES | DRG 774: VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,641 | |||
| Total Hospitalizations with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | 2,593 | |||
| DRG Share of Total Hospitalizations | 0.02 | |||
| % of Total ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition in DRG | 47.91 | |||
| Avg LOS at DRG | 3.01 | |||
| Avg LOS with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | 2.67 | |||
| Readmission Rate at DRG | 3.46 | |||
| Readmission Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | 2.59 | |||
| Unplanned Readmission Rate at DRG | 2.48 | |||
| Unplanned Readmission Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | 1.82 | |||
| Total Medicare payments at DRG | $27,649,694 | |||
| Total Medicare payments with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $12,686,396 | |||
| Total Medicare payment per Day at DRG | $1,627 | |||
| Total Medicare payment per Day with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $1,835 | |||
| Total Medicare payment per Hospitalization at DRG | $4,902 | |||
| Total Medicare payment per Hospitalization with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $4,893 | |||
| Total Medicare Charges at DRG | $111,647,629 | |||
| Total Medicare Charges with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $46,462,025 | |||
| Avg Charges at DRG | $19,792 | |||
| Avg Charges with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $17,918 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | NA | |||
| SNF Discharge Rate at DRG | NA | |||
| SNF Discharge Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | NA | |||
| Home Discharge Rate at DRG | 96.72 | |||
| Home Discharge Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | 97.45 |
| 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 | 26 |
| SPECTRUM HEALTH BUTTERWORTH HOSPITAL | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 23 |
| DMC HARPER UNIVERSITY HOSPITAL | 3990 JOHN R ST | DETROIT | MI | 48201 | 20 |
| 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) | DRG 775: VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES | DRG 774: VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES | DRG 767: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,244 | ||||
| Total Hospitalizations with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | 3,929 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition in DRG | 47.87 | ||||
| Avg LOS at DRG | 4.7 | ||||
| Avg LOS with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | 4.1 | ||||
| Readmission Rate at DRG | 7.39 | ||||
| Readmission Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | 6.65 | ||||
| Unplanned Readmission Rate at DRG | 4.66 | ||||
| Unplanned Readmission Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | 4.14 | ||||
| Total Medicare payments at DRG | $67,507,346 | ||||
| Total Medicare payments with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $31,658,504 | ||||
| Total Medicare payment per Day at DRG | $1,742 | ||||
| Total Medicare payment per Day with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $1,966 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,189 | ||||
| Total Medicare payment per Hospitalization with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $8,058 | ||||
| Total Medicare Charges at DRG | $253,634,007 | ||||
| Total Medicare Charges with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $107,151,534 | ||||
| Avg Charges at DRG | $30,766 | ||||
| Avg Charges with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $27,272 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | NA | ||||
| SNF Discharge Rate at DRG | 0.13 | ||||
| SNF Discharge Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | NA | ||||
| Home Discharge Rate at DRG | 94.49 | ||||
| Home Discharge Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | 95.27 |
| 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 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | 11 |
| DRG Share of Total Hospitalizations | 0.14 |
| % of Total ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition in DRG | 0.13 |
| Avg LOS at DRG | 7.58 |
| Avg LOS with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | 2.91 |
| Readmission Rate at DRG | 25.44 |
| Readmission Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | NA |
| Unplanned Readmission Rate at DRG | 14.47 |
| Unplanned Readmission Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | NA |
| Total Medicare payments at DRG | $583,003,764 |
| Total Medicare payments with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $222,060 |
| Total Medicare payment per Day at DRG | $2,422 |
| Total Medicare payment per Day with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $6,939 |
| Total Medicare payment per Hospitalization at DRG | $18,367 |
| Total Medicare payment per Hospitalization with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $20,187 |
| Total Medicare Charges at DRG | $2,600,081,468 |
| Total Medicare Charges with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $208,908 |
| Avg Charges at DRG | $81,913 |
| Avg Charges with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | $18,992 |
| Mortality Rate at DRG | 0.96 |
| Mortality Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | NA |
| SNF Discharge Rate at DRG | 25.55 |
| SNF Discharge Rate with ICD 65421 - Previous cesarean delivery, delivered, with or without mention of antepartum condition | NA |
| Home Discharge Rate at DRG | 40.29 |
| Home Discharge Rate with ICD 65421 - Previous cesarean delivery, 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 | 54 |
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 39 |
| SPECTRUM HEALTH BUTTERWORTH HOSPITAL | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STEVEN DONALD JOHNSON | 10498 MONTGOMERY RD. | CINCINNATI | OH | 45242 | 14 |