| V1588 - History of fall - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.81 | |
| 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 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD V1588 - History of fall | 51,065 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD V1588 - History of fall in DRG | 8.51 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD V1588 - History of fall | 13.05 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD V1588 - History of fall | 14.59 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD V1588 - History of fall | 11.47 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD V1588 - History of fall | $920,268,583 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD V1588 - History of fall | $1,381 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD V1588 - History of fall | $18,022 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD V1588 - History of fall | $1,956,865,121 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD V1588 - History of fall | $38,321 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD V1588 - History of fall | 0.15 | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD V1588 - History of fall | 21.37 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD V1588 - History of fall | 16.57 |
| DRG 312: SYNCOPE AND COLLAPSE | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,065 | ||||
| Total Hospitalizations with ICD V1588 - History of fall | 14,218 | ||||
| DRG Share of Total Hospitalizations | 0.85 | ||||
| % of Total ICD V1588 - History of fall in DRG | 2.37 | ||||
| Avg LOS at DRG | 2.91 | ||||
| Avg LOS with ICD V1588 - History of fall | 3.47 | ||||
| Readmission Rate at DRG | 15.53 | ||||
| Readmission Rate with ICD V1588 - History of fall | 17.89 | ||||
| Unplanned Readmission Rate at DRG | 10.7 | ||||
| Unplanned Readmission Rate with ICD V1588 - History of fall | 11.59 | ||||
| Total Medicare payments at DRG | $873,114,027 | ||||
| Total Medicare payments with ICD V1588 - History of fall | $65,800,383 | ||||
| Total Medicare payment per Day at DRG | $1,540 | ||||
| Total Medicare payment per Day with ICD V1588 - History of fall | $1,333 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,476 | ||||
| Total Medicare payment per Hospitalization with ICD V1588 - History of fall | $4,628 | ||||
| Total Medicare Charges at DRG | $4,705,143,201 | ||||
| Total Medicare Charges with ICD V1588 - History of fall | $369,774,811 | ||||
| Avg Charges at DRG | $24,121 | ||||
| Avg Charges with ICD V1588 - History of fall | $26,008 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD V1588 - History of fall | 0.25 | ||||
| SNF Discharge Rate at DRG | 17.1 | ||||
| SNF Discharge Rate with ICD V1588 - History of fall | 32.89 | ||||
| Home Discharge Rate at DRG | 56.81 | ||||
| Home Discharge Rate with ICD V1588 - History of fall | 34.43 |
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 225,462 | ||||
| Total Hospitalizations with ICD V1588 - History of fall | 10,097 | ||||
| DRG Share of Total Hospitalizations | 0.99 | ||||
| % of Total ICD V1588 - History of fall in DRG | 1.68 | ||||
| Avg LOS at DRG | 4.38 | ||||
| Avg LOS with ICD V1588 - History of fall | 4.32 | ||||
| Readmission Rate at DRG | 36.08 | ||||
| Readmission Rate with ICD V1588 - History of fall | 36.91 | ||||
| Unplanned Readmission Rate at DRG | 8.19 | ||||
| Unplanned Readmission Rate with ICD V1588 - History of fall | 9.26 | ||||
| Total Medicare payments at DRG | $1,563,613,675 | ||||
| Total Medicare payments with ICD V1588 - History of fall | $68,270,155 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD V1588 - History of fall | $1,563 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,935 | ||||
| Total Medicare payment per Hospitalization with ICD V1588 - History of fall | $6,761 | ||||
| Total Medicare Charges at DRG | $7,541,062,508 | ||||
| Total Medicare Charges with ICD V1588 - History of fall | $317,471,074 | ||||
| Avg Charges at DRG | $33,447 | ||||
| Avg Charges with ICD V1588 - History of fall | $31,442 | ||||
| Mortality Rate at DRG | 2.36 | ||||
| Mortality Rate with ICD V1588 - History of fall | 2.11 | ||||
| SNF Discharge Rate at DRG | 26.21 | ||||
| SNF Discharge Rate with ICD V1588 - History of fall | 38.99 | ||||
| Home Discharge Rate at DRG | 24.01 | ||||
| Home Discharge Rate with ICD V1588 - History of fall | 11.86 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD V1588 - History of fall | 8,549 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD V1588 - History of fall in DRG | 1.43 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD V1588 - History of fall | 4.56 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD V1588 - History of fall | 24.92 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD V1588 - History of fall | 18.93 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD V1588 - History of fall | $53,993,304 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD V1588 - History of fall | $1,386 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD V1588 - History of fall | $6,316 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD V1588 - History of fall | $229,886,721 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD V1588 - History of fall | $26,890 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD V1588 - History of fall | 1.66 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD V1588 - History of fall | 36.41 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD V1588 - History of fall | 23.14 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 2,211 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 1,865 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF PLANO | 2800 W 15TH ST | PLANO | TX | 75075 | 1,692 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. CLIFFORD A MONDA | 1530 PARKWAY | GREENWOOD | SC | 29646 | 310 |
| Dr. PETER S. SCHREIBER | 126 DEL PRADO BLVD N | CAPE CORAL | FL | 33909 | 251 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 220 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. OMAR ALBERTO COLON GUTIERREZ | 2800 W 15TH ST | PLANO | TX | 75075 | 1,686 |
| Dr. MARK A FREDRICKSON | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 622 |
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 581 |