| 9999 - Other and unspecified complications of medical care, not elsewhere classified - as a primary diagnosis code | 9999 - Other and unspecified complications of medical care, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.2 | |
| Readmission Rate (%) | 26.71 | |
| Unplanned Readmission Rate (%) | 21.53 | |
| 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 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 921: COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,886 | |||
| Total Hospitalizations with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 217 | |||
| DRG Share of Total Hospitalizations | 0.13 | |||
| % of Total ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified in DRG | 59.78 | |||
| Avg LOS at DRG | 9.67 | |||
| Avg LOS with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 4.5 | |||
| Readmission Rate at DRG | 30.8 | |||
| Readmission Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 29.81 | |||
| Unplanned Readmission Rate at DRG | 19.66 | |||
| Unplanned Readmission Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 23.08 | |||
| Total Medicare payments at DRG | $474,487,275 | |||
| Total Medicare payments with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $2,562,593 | |||
| Total Medicare payment per Day at DRG | $1,642 | |||
| Total Medicare payment per Day with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $2,626 | |||
| Total Medicare payment per Hospitalization at DRG | $15,877 | |||
| Total Medicare payment per Hospitalization with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $11,809 | |||
| Total Medicare Charges at DRG | $1,939,749,402 | |||
| Total Medicare Charges with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $7,654,202 | |||
| Avg Charges at DRG | $64,905 | |||
| Avg Charges with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $35,273 | |||
| Mortality Rate at DRG | 4.11 | |||
| Mortality Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | NA | |||
| SNF Discharge Rate at DRG | 15.94 | |||
| SNF Discharge Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 11.06 | |||
| Home Discharge Rate at DRG | 46.08 | |||
| Home Discharge Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 66.36 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 285 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified in DRG | 4.83 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 8.51 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 30.42 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 21.67 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $3,803,451 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $1,568 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $13,345 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $18,974,396 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $66,577 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 12.63 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 32.63 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 23.86 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 89 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified in DRG | 1.51 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 8.64 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 26.25 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 17.5 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $960,675 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $1,249 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $10,794 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $5,609,336 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $63,026 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 34.83 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 22.47 |
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,386 | ||||
| Total Hospitalizations with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 73 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified in DRG | 1.24 | ||||
| Avg LOS at DRG | 4.64 | ||||
| Avg LOS with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 7.44 | ||||
| Readmission Rate at DRG | 29.51 | ||||
| Readmission Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 27.94 | ||||
| Unplanned Readmission Rate at DRG | 22.6 | ||||
| Unplanned Readmission Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 17.65 | ||||
| Total Medicare payments at DRG | $1,013,925,667 | ||||
| Total Medicare payments with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $657,083 | ||||
| Total Medicare payment per Day at DRG | $1,625 | ||||
| Total Medicare payment per Day with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $1,210 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,545 | ||||
| Total Medicare payment per Hospitalization with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $9,001 | ||||
| Total Medicare Charges at DRG | $4,351,143,903 | ||||
| Total Medicare Charges with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $3,814,441 | ||||
| Avg Charges at DRG | $32,378 | ||||
| Avg Charges with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $52,253 | ||||
| Mortality Rate at DRG | 3.51 | ||||
| Mortality Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 22.05 | ||||
| SNF Discharge Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 16.44 | ||||
| Home Discharge Rate at DRG | 45.28 | ||||
| Home Discharge Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 52.05 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 66 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified in DRG | 1.12 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 6.85 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 25.4 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 20.63 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $420,139 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $930 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $6,366 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $2,931,885 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | $44,423 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 9999 - Other and unspecified complications of medical care, not elsewhere classified | 45.45 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | 9200 W WISCONSIN AVE | MILWAUKEE | WI | 53226 | 41 |
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 40 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 37 |