| V4589 - Other postprocedural status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.38 | |
| 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 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) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD V4589 - Other postprocedural status | 24,054 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD V4589 - Other postprocedural status in DRG | 6.39 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD V4589 - Other postprocedural status | 12.56 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD V4589 - Other postprocedural status | 15.27 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD V4589 - Other postprocedural status | 11.0 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD V4589 - Other postprocedural status | $425,666,965 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD V4589 - Other postprocedural status | $1,409 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD V4589 - Other postprocedural status | $17,696 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD V4589 - Other postprocedural status | $1,040,943,593 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD V4589 - Other postprocedural status | $43,275 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD V4589 - Other postprocedural status | 0.13 | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD V4589 - Other postprocedural status | 17.23 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD V4589 - Other postprocedural status | 21.21 |
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD V4589 - Other postprocedural status | 5,956 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD V4589 - Other postprocedural status in DRG | 1.58 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD V4589 - Other postprocedural status | 3.57 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD V4589 - Other postprocedural status | 17.77 | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD V4589 - Other postprocedural status | 12.13 | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD V4589 - Other postprocedural status | $28,696,363 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD V4589 - Other postprocedural status | $1,349 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD V4589 - Other postprocedural status | $4,818 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD V4589 - Other postprocedural status | $126,349,425 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD V4589 - Other postprocedural status | $21,214 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD V4589 - Other postprocedural status | 0.22 | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD V4589 - Other postprocedural status | 21.93 | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD V4589 - Other postprocedural status | 50.2 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD V4589 - Other postprocedural status | 5,124 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD V4589 - Other postprocedural status in DRG | 1.36 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD V4589 - Other postprocedural status | 4.42 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD V4589 - Other postprocedural status | 18.61 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD V4589 - Other postprocedural status | 12.27 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD V4589 - Other postprocedural status | $33,984,218 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD V4589 - Other postprocedural status | $1,501 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD V4589 - Other postprocedural status | $6,632 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD V4589 - Other postprocedural status | $152,381,365 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD V4589 - Other postprocedural status | $29,739 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD V4589 - Other postprocedural status | 1.87 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD V4589 - Other postprocedural status | 18.46 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD V4589 - Other postprocedural status | 51.19 |
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 123,582 | ||||
| Total Hospitalizations with ICD V4589 - Other postprocedural status | 3,932 | ||||
| DRG Share of Total Hospitalizations | 0.54 | ||||
| % of Total ICD V4589 - Other postprocedural status in DRG | 1.04 | ||||
| Avg LOS at DRG | 3.98 | ||||
| Avg LOS with ICD V4589 - Other postprocedural status | 6.68 | ||||
| Readmission Rate at DRG | 21.86 | ||||
| Readmission Rate with ICD V4589 - Other postprocedural status | 18.28 | ||||
| Unplanned Readmission Rate at DRG | 10.18 | ||||
| Unplanned Readmission Rate with ICD V4589 - Other postprocedural status | 8.89 | ||||
| Total Medicare payments at DRG | $678,335,493 | ||||
| Total Medicare payments with ICD V4589 - Other postprocedural status | $36,857,186 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD V4589 - Other postprocedural status | $1,404 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,489 | ||||
| Total Medicare payment per Hospitalization with ICD V4589 - Other postprocedural status | $9,374 | ||||
| Total Medicare Charges at DRG | $3,226,573,785 | ||||
| Total Medicare Charges with ICD V4589 - Other postprocedural status | $101,093,869 | ||||
| Avg Charges at DRG | $26,109 | ||||
| Avg Charges with ICD V4589 - Other postprocedural status | $25,711 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD V4589 - Other postprocedural status | NA | ||||
| SNF Discharge Rate at DRG | 34.84 | ||||
| SNF Discharge Rate with ICD V4589 - Other postprocedural status | 23.91 | ||||
| Home Discharge Rate at DRG | 32.92 | ||||
| Home Discharge Rate with ICD V4589 - Other postprocedural status | 33.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| COVENANT MEDICAL CENTER | 3615 19TH ST | LUBBOCK | TX | 79410 | 3,077 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 2,809 |
| SENTARA MARTHA JEFFERSON HOSPITAL | 500 MARTHA JEFFERSON DR | CHARLOTTESVILLE | VA | 22911 | 2,755 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 227 |
| Dr. WILLIAM TIMOTHY BALLARD | 2415 MCCALLIE AVE | CHATTANOOGA | TN | 37404 | 213 |
| Dr. LINDSEY L WHITE | 1134 N ROAD ST | ELIZABETH CITY | NC | 27909 | 162 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN PATRICK MABERRY | 77 PRINGLE WAY | RENO | NV | 89502 | 357 |
| Dr. JEFFREY C. WILKINS | 2376 CYPRESS CIR STE 300 | CONWAY | SC | 29526 | 323 |
| Dr. CLAY J VANDOREN | 134 HOMER AVE | CORTLAND | NY | 13045 | 266 |