| V153 - Personal history of irradiation, presenting hazards to health - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.73 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD V153 - Personal history of irradiation, presenting hazards to health | 10,647 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD V153 - Personal history of irradiation, presenting hazards to health in DRG | 3.8 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD V153 - Personal history of irradiation, presenting hazards to health | 5.92 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 24.8 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 17.62 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD V153 - Personal history of irradiation, presenting hazards to health | $132,611,166 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD V153 - Personal history of irradiation, presenting hazards to health | $2,105 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD V153 - Personal history of irradiation, presenting hazards to health | $12,455 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD V153 - Personal history of irradiation, presenting hazards to health | $518,253,800 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD V153 - Personal history of irradiation, presenting hazards to health | $48,676 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 15.45 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 19.48 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 28.35 |
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 293,121 | ||||
| Total Hospitalizations with ICD V153 - Personal history of irradiation, presenting hazards to health | 4,320 | ||||
| DRG Share of Total Hospitalizations | 1.28 | ||||
| % of Total ICD V153 - Personal history of irradiation, presenting hazards to health in DRG | 1.54 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD V153 - Personal history of irradiation, presenting hazards to health | 3.62 | ||||
| Readmission Rate at DRG | 17.73 | ||||
| Readmission Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 20.6 | ||||
| Unplanned Readmission Rate at DRG | 13.44 | ||||
| Unplanned Readmission Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 15.73 | ||||
| Total Medicare payments at DRG | $1,776,508,891 | ||||
| Total Medicare payments with ICD V153 - Personal history of irradiation, presenting hazards to health | $27,611,628 | ||||
| Total Medicare payment per Day at DRG | $1,604 | ||||
| Total Medicare payment per Day with ICD V153 - Personal history of irradiation, presenting hazards to health | $1,766 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
| Total Medicare payment per Hospitalization with ICD V153 - Personal history of irradiation, presenting hazards to health | $6,392 | ||||
| Total Medicare Charges at DRG | $8,470,312,778 | ||||
| Total Medicare Charges with ICD V153 - Personal history of irradiation, presenting hazards to health | $124,782,266 | ||||
| Avg Charges at DRG | $28,897 | ||||
| Avg Charges with ICD V153 - Personal history of irradiation, presenting hazards to health | $28,885 | ||||
| Mortality Rate at DRG | 0.95 | ||||
| Mortality Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 1.23 | ||||
| SNF Discharge Rate at DRG | 14.94 | ||||
| SNF Discharge Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 11.02 | ||||
| Home Discharge Rate at DRG | 62.44 | ||||
| Home Discharge Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 65.95 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD V153 - Personal history of irradiation, presenting hazards to health | 3,681 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD V153 - Personal history of irradiation, presenting hazards to health in DRG | 1.31 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD V153 - Personal history of irradiation, presenting hazards to health | 4.21 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 25.71 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 18.52 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD V153 - Personal history of irradiation, presenting hazards to health | $23,507,317 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD V153 - Personal history of irradiation, presenting hazards to health | $1,515 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD V153 - Personal history of irradiation, presenting hazards to health | $6,386 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD V153 - Personal history of irradiation, presenting hazards to health | $99,601,716 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD V153 - Personal history of irradiation, presenting hazards to health | $27,058 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 1.66 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 16.06 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 50.26 |
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 112,879 | ||||
| Total Hospitalizations with ICD V153 - Personal history of irradiation, presenting hazards to health | 3,158 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD V153 - Personal history of irradiation, presenting hazards to health in DRG | 1.13 | ||||
| Avg LOS at DRG | 4.3 | ||||
| Avg LOS with ICD V153 - Personal history of irradiation, presenting hazards to health | 4.23 | ||||
| Readmission Rate at DRG | 19.89 | ||||
| Readmission Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 22.78 | ||||
| Unplanned Readmission Rate at DRG | 14.72 | ||||
| Unplanned Readmission Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 17.06 | ||||
| Total Medicare payments at DRG | $615,346,360 | ||||
| Total Medicare payments with ICD V153 - Personal history of irradiation, presenting hazards to health | $18,394,641 | ||||
| Total Medicare payment per Day at DRG | $1,267 | ||||
| Total Medicare payment per Day with ICD V153 - Personal history of irradiation, presenting hazards to health | $1,377 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,451 | ||||
| Total Medicare payment per Hospitalization with ICD V153 - Personal history of irradiation, presenting hazards to health | $5,825 | ||||
| Total Medicare Charges at DRG | $2,910,060,003 | ||||
| Total Medicare Charges with ICD V153 - Personal history of irradiation, presenting hazards to health | $81,944,217 | ||||
| Avg Charges at DRG | $25,780 | ||||
| Avg Charges with ICD V153 - Personal history of irradiation, presenting hazards to health | $25,948 | ||||
| Mortality Rate at DRG | 1.02 | ||||
| Mortality Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 0.79 | ||||
| SNF Discharge Rate at DRG | 12.59 | ||||
| SNF Discharge Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 7.76 | ||||
| Home Discharge Rate at DRG | 64.19 | ||||
| Home Discharge Rate with ICD V153 - Personal history of irradiation, presenting hazards to health | 71.66 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 2,223 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 1,912 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 1,910 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SCOTT SWANSON | 75 FRANCIS ST | BOSTON | MA | 02115 | 51 |
| Dr. JACQUES-PIERRE FONTAINE | 195 COLLYER ST | PROVIDENCE | RI | 02904 | 46 |
| Dr. NAM DUY TRAN | 12902 USF MAGNOLIA DR | TAMPA | FL | 33612 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 94 |
| Dr. MANJULA SHARADA NAIK | 333 COTTMAN AVE | PHILADELPHIA | PA | 19111 | 65 |
| Dr. PRANEETH BARATAM | 833 CHESTNUT STREET | PHILADELPHIA | PA | 19107 | 62 |