| V4611 - Dependence on respirator, status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 21.7 | |
| 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 89,944 | ||||
| Total Hospitalizations with ICD V4611 - Dependence on respirator, status | 21,368 | ||||
| DRG Share of Total Hospitalizations | 0.39 | ||||
| % of Total ICD V4611 - Dependence on respirator, status in DRG | 25.2 | ||||
| Avg LOS at DRG | 21.37 | ||||
| Avg LOS with ICD V4611 - Dependence on respirator, status | 28.81 | ||||
| Readmission Rate at DRG | 40.58 | ||||
| Readmission Rate with ICD V4611 - Dependence on respirator, status | 41.96 | ||||
| Unplanned Readmission Rate at DRG | 20.26 | ||||
| Unplanned Readmission Rate with ICD V4611 - Dependence on respirator, status | 25.69 | ||||
| Total Medicare payments at DRG | $4,108,813,026 | ||||
| Total Medicare payments with ICD V4611 - Dependence on respirator, status | $1,211,428,131 | ||||
| Total Medicare payment per Day at DRG | $2,137 | ||||
| Total Medicare payment per Day with ICD V4611 - Dependence on respirator, status | $1,968 | ||||
| Total Medicare payment per Hospitalization at DRG | $45,682 | ||||
| Total Medicare payment per Hospitalization with ICD V4611 - Dependence on respirator, status | $56,694 | ||||
| Total Medicare Charges at DRG | $16,393,740,063 | ||||
| Total Medicare Charges with ICD V4611 - Dependence on respirator, status | $4,598,703,436 | ||||
| Avg Charges at DRG | $182,266 | ||||
| Avg Charges with ICD V4611 - Dependence on respirator, status | $215,215 | ||||
| Mortality Rate at DRG | 28.83 | ||||
| Mortality Rate with ICD V4611 - Dependence on respirator, status | 21.02 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD V4611 - Dependence on respirator, status | 39.11 | ||||
| Home Discharge Rate at DRG | 6.42 | ||||
| Home Discharge Rate with ICD V4611 - Dependence on respirator, status | 4.38 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD V4611 - Dependence on respirator, status | 3,993 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD V4611 - Dependence on respirator, status in DRG | 4.71 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD V4611 - Dependence on respirator, status | 6.12 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD V4611 - Dependence on respirator, status | 38.6 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD V4611 - Dependence on respirator, status | 23.29 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD V4611 - Dependence on respirator, status | $53,975,018 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD V4611 - Dependence on respirator, status | $2,207 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD V4611 - Dependence on respirator, status | $13,517 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD V4611 - Dependence on respirator, status | $314,348,313 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD V4611 - Dependence on respirator, status | $78,725 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD V4611 - Dependence on respirator, status | 40.92 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD V4611 - Dependence on respirator, status | 23.74 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD V4611 - Dependence on respirator, status | 6.81 |
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 102,753 | ||||
| Total Hospitalizations with ICD V4611 - Dependence on respirator, status | 654 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD V4611 - Dependence on respirator, status in DRG | 0.77 | ||||
| Avg LOS at DRG | 7.33 | ||||
| Avg LOS with ICD V4611 - Dependence on respirator, status | 13.04 | ||||
| Readmission Rate at DRG | 32.63 | ||||
| Readmission Rate with ICD V4611 - Dependence on respirator, status | 49.28 | ||||
| Unplanned Readmission Rate at DRG | 22.44 | ||||
| Unplanned Readmission Rate with ICD V4611 - Dependence on respirator, status | 30.67 | ||||
| Total Medicare payments at DRG | $1,376,213,228 | ||||
| Total Medicare payments with ICD V4611 - Dependence on respirator, status | $12,907,248 | ||||
| Total Medicare payment per Day at DRG | $1,828 | ||||
| Total Medicare payment per Day with ICD V4611 - Dependence on respirator, status | $1,513 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,393 | ||||
| Total Medicare payment per Hospitalization with ICD V4611 - Dependence on respirator, status | $19,736 | ||||
| Total Medicare Charges at DRG | $5,899,767,418 | ||||
| Total Medicare Charges with ICD V4611 - Dependence on respirator, status | $99,034,922 | ||||
| Avg Charges at DRG | $57,417 | ||||
| Avg Charges with ICD V4611 - Dependence on respirator, status | $151,430 | ||||
| Mortality Rate at DRG | 5.59 | ||||
| Mortality Rate with ICD V4611 - Dependence on respirator, status | 20.49 | ||||
| SNF Discharge Rate at DRG | 19.0 | ||||
| SNF Discharge Rate with ICD V4611 - Dependence on respirator, status | 39.3 | ||||
| Home Discharge Rate at DRG | 40.54 | ||||
| Home Discharge Rate with ICD V4611 - Dependence on respirator, status | 4.89 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 237: MAJOR CARDIOVASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD V4611 - Dependence on respirator, status | 511 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD V4611 - Dependence on respirator, status in DRG | 0.6 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD V4611 - Dependence on respirator, status | 12.66 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD V4611 - Dependence on respirator, status | 38.92 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD V4611 - Dependence on respirator, status | 22.44 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD V4611 - Dependence on respirator, status | $8,544,686 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD V4611 - Dependence on respirator, status | $1,321 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD V4611 - Dependence on respirator, status | $16,721 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD V4611 - Dependence on respirator, status | $73,754,710 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD V4611 - Dependence on respirator, status | $144,334 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD V4611 - Dependence on respirator, status | 27.4 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD V4611 - Dependence on respirator, status | 27.01 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD V4611 - Dependence on respirator, status | 9.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 727 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 592 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 568 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM F GRELLA | 224 HAMBURG TPKE | WAYNE | NJ | 07470 | 185 |
| Dr. NECHEMIA B PELEG | 4955 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 178 |
| Dr. EMBRA ROPER | 904 7TH AVE | SEATTLE | WA | 98104 | 144 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM F GRELLA | 224 HAMBURG TPKE | WAYNE | NJ | 07470 | 209 |
| Dr. ARUNPAL SEHGAL | 3300 E. SOUTH STREET | LONG BEACH | CA | 90805 | 161 |
| Dr. LOUIS V EBERLE | 6263 POPLAR AVE | MEMPHIS | TN | 38119 | 152 |