| V4582 - Percutaneous transluminal coronary angioplasty status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.54 | |
| 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 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 54,018 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD V4582 - Percutaneous transluminal coronary angioplasty status in DRG | 3.15 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 4.17 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 27.28 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 20.9 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $332,956,726 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $1,477 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $6,164 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $1,442,930,441 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $26,712 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 0.97 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 13.53 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 50.68 |
| DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 173,056 | ||||
| Total Hospitalizations with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 44,299 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD V4582 - Percutaneous transluminal coronary angioplasty status in DRG | 2.58 | ||||
| Avg LOS at DRG | 3.22 | ||||
| Avg LOS with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 2.77 | ||||
| Readmission Rate at DRG | 16.06 | ||||
| Readmission Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 15.14 | ||||
| Unplanned Readmission Rate at DRG | 9.18 | ||||
| Unplanned Readmission Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 9.28 | ||||
| Total Medicare payments at DRG | $1,112,419,471 | ||||
| Total Medicare payments with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $280,896,801 | ||||
| Total Medicare payment per Day at DRG | $1,997 | ||||
| Total Medicare payment per Day with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $2,285 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,428 | ||||
| Total Medicare payment per Hospitalization with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $6,341 | ||||
| Total Medicare Charges at DRG | $7,057,392,157 | ||||
| Total Medicare Charges with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $1,678,540,364 | ||||
| Avg Charges at DRG | $40,781 | ||||
| Avg Charges with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $37,891 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 0.12 | ||||
| SNF Discharge Rate at DRG | 3.55 | ||||
| SNF Discharge Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 2.67 | ||||
| Home Discharge Rate at DRG | 78.82 | ||||
| Home Discharge Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 82.74 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 25,129 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD V4582 - Percutaneous transluminal coronary angioplasty status in DRG | 1.46 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 12.38 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 18.25 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 13.99 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $450,769,057 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $1,449 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $17,938 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $1,173,676,368 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $46,706 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 0.32 | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 14.71 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 23.22 |
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 204,070 | ||||
| Total Hospitalizations with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 22,003 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD V4582 - Percutaneous transluminal coronary angioplasty status in DRG | 1.28 | ||||
| Avg LOS at DRG | 3.24 | ||||
| Avg LOS with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 3.05 | ||||
| Readmission Rate at DRG | 20.27 | ||||
| Readmission Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 21.2 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 15.4 | ||||
| Total Medicare payments at DRG | $973,540,845 | ||||
| Total Medicare payments with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $103,405,780 | ||||
| Total Medicare payment per Day at DRG | $1,471 | ||||
| Total Medicare payment per Day with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,771 | ||||
| Total Medicare payment per Hospitalization with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $4,700 | ||||
| Total Medicare Charges at DRG | $4,751,640,685 | ||||
| Total Medicare Charges with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $489,664,545 | ||||
| Avg Charges at DRG | $23,284 | ||||
| Avg Charges with ICD V4582 - Percutaneous transluminal coronary angioplasty status | $22,254 | ||||
| Mortality Rate at DRG | 0.86 | ||||
| Mortality Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 0.76 | ||||
| SNF Discharge Rate at DRG | 13.34 | ||||
| SNF Discharge Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 9.05 | ||||
| Home Discharge Rate at DRG | 60.61 | ||||
| Home Discharge Rate with ICD V4582 - Percutaneous transluminal coronary angioplasty status | 66.77 |
| 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 | 5,673 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 4,418 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 4,291 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 389 |
| Dr. THEODORE L SCHREIBER | 8545 COMMON ROAD | WARREN | MI | 48093 | 349 |
| Dr. JAPHET G JOSEPH | 714 S TRUMBULL ST | BAY CITY | MI | 48708 | 274 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 589 |
| Dr. THEODORE L SCHREIBER | 8545 COMMON ROAD | WARREN | MI | 48093 | 520 |
| Dr. RICHARD A SHLOFMITZ | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 502 |