| V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 8.75 | |
| 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 775: VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES | DRG 312: SYNCOPE AND COLLAPSE | DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 999 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] in DRG | 5.03 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 3.41 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 10.62 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 6.8 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $4,784,507 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $1,404 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $4,789 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $19,729,452 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $19,749 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | NA | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 8.31 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 68.07 |
| DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 166,828 | ||||
| Total Hospitalizations with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 467 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] in DRG | 2.35 | ||||
| Avg LOS at DRG | 5.03 | ||||
| Avg LOS with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 5.05 | ||||
| Readmission Rate at DRG | 28.51 | ||||
| Readmission Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 33.98 | ||||
| Unplanned Readmission Rate at DRG | 8.02 | ||||
| Unplanned Readmission Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 6.67 | ||||
| Total Medicare payments at DRG | $1,988,955,682 | ||||
| Total Medicare payments with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $5,541,669 | ||||
| Total Medicare payment per Day at DRG | $2,371 | ||||
| Total Medicare payment per Day with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $2,351 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,922 | ||||
| Total Medicare payment per Hospitalization with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $11,867 | ||||
| Total Medicare Charges at DRG | $9,203,615,158 | ||||
| Total Medicare Charges with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $27,136,452 | ||||
| Avg Charges at DRG | $55,168 | ||||
| Avg Charges with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $58,108 | ||||
| Mortality Rate at DRG | 0.47 | ||||
| Mortality Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | NA | ||||
| SNF Discharge Rate at DRG | 65.59 | ||||
| SNF Discharge Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 61.88 | ||||
| Home Discharge Rate at DRG | 3.55 | ||||
| Home Discharge Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 2.57 |
| DRG 766: CESAREAN SECTION 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 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,641 | ||||
| Total Hospitalizations with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 375 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] in DRG | 1.89 | ||||
| Avg LOS at DRG | 3.01 | ||||
| Avg LOS with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 3.04 | ||||
| Readmission Rate at DRG | 3.46 | ||||
| Readmission Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 3.21 | ||||
| Unplanned Readmission Rate at DRG | 2.48 | ||||
| Unplanned Readmission Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | NA | ||||
| Total Medicare payments at DRG | $27,649,694 | ||||
| Total Medicare payments with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $1,877,946 | ||||
| Total Medicare payment per Day at DRG | $1,627 | ||||
| Total Medicare payment per Day with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $1,647 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,902 | ||||
| Total Medicare payment per Hospitalization with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $5,008 | ||||
| Total Medicare Charges at DRG | $111,647,629 | ||||
| Total Medicare Charges with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $7,964,830 | ||||
| Avg Charges at DRG | $19,792 | ||||
| Avg Charges with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $21,240 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | NA | ||||
| Home Discharge Rate at DRG | 96.72 | ||||
| Home Discharge Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 97.07 |
| DRG 774: VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,511 | ||||
| Total Hospitalizations with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 280 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] in DRG | 1.41 | ||||
| Avg LOS at DRG | 3.11 | ||||
| Avg LOS with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 2.8 | ||||
| Readmission Rate at DRG | 4.3 | ||||
| Readmission Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 3.93 | ||||
| Unplanned Readmission Rate at DRG | 2.64 | ||||
| Unplanned Readmission Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | NA | ||||
| Total Medicare payments at DRG | $23,826,869 | ||||
| Total Medicare payments with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $1,297,795 | ||||
| Total Medicare payment per Day at DRG | $1,698 | ||||
| Total Medicare payment per Day with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $1,657 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,282 | ||||
| Total Medicare payment per Hospitalization with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $4,635 | ||||
| Total Medicare Charges at DRG | $82,047,598 | ||||
| Total Medicare Charges with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $4,542,776 | ||||
| Avg Charges at DRG | $18,188 | ||||
| Avg Charges with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | $16,224 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | NA | ||||
| Home Discharge Rate at DRG | 95.48 | ||||
| Home Discharge Rate with ICD V061 - Need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [DTP] [DTaP] | 96.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ST. LUKE'S BOISE MEDICAL CENTER | 190 E BANNOCK ST | BOISE | ID | 83712 | 780 |
| MERCY HOSPITAL ST. LOUIS | 615 S NEW BALLAS RD | SAINT LOUIS | MO | 63141 | 291 |
| CHI HEALTH CREIGHTON UNIVERSITY MEDICAL CENTER - BERGAN MERCY | 601 N 30TH ST | OMAHA | NE | 68131 | 246 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOSE M UGARTE | 1311 GENERAL CAVAZOS BLVD | KINGSVILLE | TX | 78363 | 30 |
| Dr. TODD DALE SEKUNDIAK | 601 N 30TH ST | OMAHA | NE | 68131 | 27 |
| Dr. RONALD M KRISTENSEN | 703 S AMERICANA BLVD | BOISE | ID | 83702 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOSE M UGARTE | 1311 GENERAL CAVAZOS BLVD | KINGSVILLE | TX | 78363 | 39 |
| Dr. DONNA L. BEESON | 190 E BANNOCK ST | BOISE | ID | 83712 | 29 |
| Dr. TRACY TUYET TRAN | 620 SHADOW LANE | LAS VEGAS | NV | 89106 | 27 |