| 99799 - Complications affecting other specified body systems, not elsewhere classified - as a primary diagnosis code | 99799 - Complications affecting other specified body systems, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.71 | |
| Readmission Rate (%) | 25.98 | |
| Unplanned Readmission Rate (%) | 9.99 | |
| 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 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 921: COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,560 | ||||
| Total Hospitalizations with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 249 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 99799 - Complications affecting other specified body systems, not elsewhere classified in DRG | 29.57 | ||||
| Avg LOS at DRG | 4.99 | ||||
| Avg LOS with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 5.59 | ||||
| Readmission Rate at DRG | 22.31 | ||||
| Readmission Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 22.98 | ||||
| Unplanned Readmission Rate at DRG | 12.84 | ||||
| Unplanned Readmission Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 11.49 | ||||
| Total Medicare payments at DRG | $238,544,260 | ||||
| Total Medicare payments with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $1,808,874 | ||||
| Total Medicare payment per Day at DRG | $1,515 | ||||
| Total Medicare payment per Day with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $1,299 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,558 | ||||
| Total Medicare payment per Hospitalization with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $7,265 | ||||
| Total Medicare Charges at DRG | $1,044,399,550 | ||||
| Total Medicare Charges with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $8,022,480 | ||||
| Avg Charges at DRG | $33,093 | ||||
| Avg Charges with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $32,219 | ||||
| Mortality Rate at DRG | 0.44 | ||||
| Mortality Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 14.11 | ||||
| SNF Discharge Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 12.45 | ||||
| Home Discharge Rate at DRG | 55.23 | ||||
| Home Discharge Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 52.61 |
| DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 18,969 | |
| Total Hospitalizations with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 55 | |
| DRG Share of Total Hospitalizations | 0.08 | |
| % of Total ICD 99799 - Complications affecting other specified body systems, not elsewhere classified in DRG | 6.53 | |
| Avg LOS at DRG | 10.86 | |
| Avg LOS with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 12.38 | |
| Readmission Rate at DRG | 32.91 | |
| Readmission Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 32.65 | |
| Unplanned Readmission Rate at DRG | 16.46 | |
| Unplanned Readmission Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA | |
| Total Medicare payments at DRG | $524,851,492 | |
| Total Medicare payments with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $1,518,184 | |
| Total Medicare payment per Day at DRG | $2,549 | |
| Total Medicare payment per Day with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $2,229 | |
| Total Medicare payment per Hospitalization at DRG | $27,669 | |
| Total Medicare payment per Hospitalization with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $27,603 | |
| Total Medicare Charges at DRG | $2,158,062,228 | |
| Total Medicare Charges with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $7,355,884 | |
| Avg Charges at DRG | $113,768 | |
| Avg Charges with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $133,743 | |
| Mortality Rate at DRG | 4.96 | |
| Mortality Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA | |
| SNF Discharge Rate at DRG | 19.71 | |
| SNF Discharge Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 25.45 | |
| Home Discharge Rate at DRG | 38.37 | |
| Home Discharge Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 36.36 |
| DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 921: COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,560 | ||||
| Total Hospitalizations with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 263 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 99799 - Complications affecting other specified body systems, not elsewhere classified in DRG | 6.96 | ||||
| Avg LOS at DRG | 4.99 | ||||
| Avg LOS with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 5.75 | ||||
| Readmission Rate at DRG | 22.31 | ||||
| Readmission Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 23.48 | ||||
| Unplanned Readmission Rate at DRG | 12.84 | ||||
| Unplanned Readmission Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 11.74 | ||||
| Total Medicare payments at DRG | $238,544,260 | ||||
| Total Medicare payments with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $1,968,761 | ||||
| Total Medicare payment per Day at DRG | $1,515 | ||||
| Total Medicare payment per Day with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $1,301 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,558 | ||||
| Total Medicare payment per Hospitalization with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $7,486 | ||||
| Total Medicare Charges at DRG | $1,044,399,550 | ||||
| Total Medicare Charges with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $8,723,185 | ||||
| Avg Charges at DRG | $33,093 | ||||
| Avg Charges with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $33,168 | ||||
| Mortality Rate at DRG | 0.44 | ||||
| Mortality Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 14.11 | ||||
| SNF Discharge Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 12.17 | ||||
| Home Discharge Rate at DRG | 55.23 | ||||
| Home Discharge Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 52.85 |
| DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,629 | ||||
| Total Hospitalizations with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 93 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 99799 - Complications affecting other specified body systems, not elsewhere classified in DRG | 2.46 | ||||
| Avg LOS at DRG | 5.83 | ||||
| Avg LOS with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 5.34 | ||||
| Readmission Rate at DRG | 24.0 | ||||
| Readmission Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 13.19 | ||||
| Unplanned Readmission Rate at DRG | 11.06 | ||||
| Unplanned Readmission Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $239,936,247 | ||||
| Total Medicare payments with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $1,183,181 | ||||
| Total Medicare payment per Day at DRG | $2,209 | ||||
| Total Medicare payment per Day with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $2,381 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,880 | ||||
| Total Medicare payment per Hospitalization with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $12,722 | ||||
| Total Medicare Charges at DRG | $1,097,564,676 | ||||
| Total Medicare Charges with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $5,768,145 | ||||
| Avg Charges at DRG | $58,917 | ||||
| Avg Charges with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $62,023 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 18.74 | ||||
| SNF Discharge Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 42.28 | ||||
| Home Discharge Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 60.22 |
| DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,625 | ||||
| Total Hospitalizations with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 66 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 99799 - Complications affecting other specified body systems, not elsewhere classified in DRG | 1.75 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 3.02 | ||||
| Readmission Rate at DRG | 13.88 | ||||
| Readmission Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 6.55 | ||||
| Unplanned Readmission Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $58,894,614 | ||||
| Total Medicare payments with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $471,866 | ||||
| Total Medicare payment per Day at DRG | $2,376 | ||||
| Total Medicare payment per Day with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $2,371 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,724 | ||||
| Total Medicare payment per Hospitalization with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $7,149 | ||||
| Total Medicare Charges at DRG | $297,473,193 | ||||
| Total Medicare Charges with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $2,807,967 | ||||
| Avg Charges at DRG | $39,013 | ||||
| Avg Charges with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $42,545 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 8.92 | ||||
| SNF Discharge Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 63.87 | ||||
| Home Discharge Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 74.24 |
| DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 166,828 | ||||
| Total Hospitalizations with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 47 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD 99799 - Complications affecting other specified body systems, not elsewhere classified in DRG | 1.24 | ||||
| Avg LOS at DRG | 5.03 | ||||
| Avg LOS with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 5.57 | ||||
| Readmission Rate at DRG | 28.51 | ||||
| Readmission Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 24.44 | ||||
| Unplanned Readmission Rate at DRG | 8.02 | ||||
| Unplanned Readmission Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $1,988,955,682 | ||||
| Total Medicare payments with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $584,395 | ||||
| Total Medicare payment per Day at DRG | $2,371 | ||||
| Total Medicare payment per Day with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $2,231 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,922 | ||||
| Total Medicare payment per Hospitalization with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $12,434 | ||||
| Total Medicare Charges at DRG | $9,203,615,158 | ||||
| Total Medicare Charges with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $2,484,572 | ||||
| Avg Charges at DRG | $55,168 | ||||
| Avg Charges with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | $52,863 | ||||
| Mortality Rate at DRG | 0.47 | ||||
| Mortality Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 65.59 | ||||
| SNF Discharge Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | 72.34 | ||||
| Home Discharge Rate at DRG | 3.55 | ||||
| Home Discharge Rate with ICD 99799 - Complications affecting other specified body systems, not elsewhere classified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BROOKS REHABILITATION HOSPITAL | 3599 UNIVERSITY BLVD S | JACKSONVILLE | FL | 32216 | 37 |
| EMORY SAINT JOSEPH'S HOSPITAL | 5665 PEACHTREE DUNWOODY RD NE | ATLANTA | GA | 30342 | 26 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STEVEN K MACHEERS | 5665 PEACHTREE DUNWOODY RD | ATLANTA | GA | 30342 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. HOWARD BRUCE WEISS | 3901 UNIVERSITY BLVD S | JACKSONVILLE | FL | 32216 | 11 |
| Dr. STEVEN K MACHEERS | 5665 PEACHTREE DUNWOODY RD | ATLANTA | GA | 30342 | 11 |