| V4502 - Automatic implantable cardiac defibrillator in situ - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 19.08 | |
| 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK 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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 54,548 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD V4502 - Automatic implantable cardiac defibrillator in situ in DRG | 10.26 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 4.35 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 29.69 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 22.88 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $341,097,645 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $1,437 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $6,253 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $1,481,243,177 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $27,155 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 1.28 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 10.48 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 54.93 |
| DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 173,056 | ||||
| Total Hospitalizations with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 11,451 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD V4502 - Automatic implantable cardiac defibrillator in situ in DRG | 2.15 | ||||
| Avg LOS at DRG | 3.22 | ||||
| Avg LOS with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 4.54 | ||||
| Readmission Rate at DRG | 16.06 | ||||
| Readmission Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 22.42 | ||||
| Unplanned Readmission Rate at DRG | 9.18 | ||||
| Unplanned Readmission Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 13.84 | ||||
| Total Medicare payments at DRG | $1,112,419,471 | ||||
| Total Medicare payments with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $80,662,903 | ||||
| Total Medicare payment per Day at DRG | $1,997 | ||||
| Total Medicare payment per Day with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $1,552 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,428 | ||||
| Total Medicare payment per Hospitalization with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $7,044 | ||||
| Total Medicare Charges at DRG | $7,057,392,157 | ||||
| Total Medicare Charges with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $539,800,372 | ||||
| Avg Charges at DRG | $40,781 | ||||
| Avg Charges with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $47,140 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 0.4 | ||||
| SNF Discharge Rate at DRG | 3.55 | ||||
| SNF Discharge Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 3.2 | ||||
| Home Discharge Rate at DRG | 78.82 | ||||
| Home Discharge Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 73.54 |
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 293,121 | ||||
| Total Hospitalizations with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 8,046 | ||||
| DRG Share of Total Hospitalizations | 1.28 | ||||
| % of Total ICD V4502 - Automatic implantable cardiac defibrillator in situ in DRG | 1.51 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 4.05 | ||||
| Readmission Rate at DRG | 17.73 | ||||
| Readmission Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 21.97 | ||||
| Unplanned Readmission Rate at DRG | 13.44 | ||||
| Unplanned Readmission Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 16.89 | ||||
| Total Medicare payments at DRG | $1,776,508,891 | ||||
| Total Medicare payments with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $50,215,289 | ||||
| Total Medicare payment per Day at DRG | $1,604 | ||||
| Total Medicare payment per Day with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $1,540 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
| Total Medicare payment per Hospitalization with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $6,241 | ||||
| Total Medicare Charges at DRG | $8,470,312,778 | ||||
| Total Medicare Charges with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $254,236,351 | ||||
| Avg Charges at DRG | $28,897 | ||||
| Avg Charges with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $31,598 | ||||
| Mortality Rate at DRG | 0.95 | ||||
| Mortality Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 0.96 | ||||
| SNF Discharge Rate at DRG | 14.94 | ||||
| SNF Discharge Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 10.54 | ||||
| Home Discharge Rate at DRG | 62.44 | ||||
| Home Discharge Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 67.72 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT 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 | 296,720 | ||||
| Total Hospitalizations with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 7,025 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD V4502 - Automatic implantable cardiac defibrillator in situ in DRG | 1.32 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 5.59 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 27.43 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 20.53 | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $63,233,308 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $1,610 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $9,001 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $268,666,714 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD V4502 - Automatic implantable cardiac defibrillator in situ | $38,244 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 4.36 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 18.51 | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD V4502 - Automatic implantable cardiac defibrillator in situ | 45.37 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 2,128 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,741 |
| ST. FRANCIS HOSPITAL ROSLYN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 1,676 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAFFAELE CORBISIERO | 200 TRENTON RD | BROWNS MILLS | NJ | 08015 | 98 |
| Dr. RICHARD A SHLOFMITZ | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 84 |
| Dr. THEODORE L SCHREIBER | 8545 COMMON ROAD | WARREN | MI | 48093 | 75 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RICHARD A SHLOFMITZ | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 242 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 166 |
| Dr. SCOTT L BEAU | 7 SHACKLEFORD WEST BLVD | LITTLE ROCK | AR | 72211 | 166 |