| V4984 - Bed confinement status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.39 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS 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 | 901,552 | ||||
| Total Hospitalizations with ICD V4984 - Bed confinement status | 18,555 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD V4984 - Bed confinement status in DRG | 14.54 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD V4984 - Bed confinement status | 7.18 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD V4984 - Bed confinement status | 26.29 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD V4984 - Bed confinement status | 18.33 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD V4984 - Bed confinement status | $237,876,557 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD V4984 - Bed confinement status | $1,785 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD V4984 - Bed confinement status | $12,820 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD V4984 - Bed confinement status | $985,439,985 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD V4984 - Bed confinement status | $53,109 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD V4984 - Bed confinement status | 15.69 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD V4984 - Bed confinement status | 33.7 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD V4984 - Bed confinement status | 10.21 |
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 76,393 | ||||
| Total Hospitalizations with ICD V4984 - Bed confinement status | 3,216 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD V4984 - Bed confinement status in DRG | 2.52 | ||||
| Avg LOS at DRG | 6.52 | ||||
| Avg LOS with ICD V4984 - Bed confinement status | 6.22 | ||||
| Readmission Rate at DRG | 27.8 | ||||
| Readmission Rate with ICD V4984 - Bed confinement status | 26.76 | ||||
| Unplanned Readmission Rate at DRG | 20.05 | ||||
| Unplanned Readmission Rate with ICD V4984 - Bed confinement status | 22.05 | ||||
| Total Medicare payments at DRG | $810,198,003 | ||||
| Total Medicare payments with ICD V4984 - Bed confinement status | $31,802,115 | ||||
| Total Medicare payment per Day at DRG | $1,627 | ||||
| Total Medicare payment per Day with ICD V4984 - Bed confinement status | $1,589 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,606 | ||||
| Total Medicare payment per Hospitalization with ICD V4984 - Bed confinement status | $9,889 | ||||
| Total Medicare Charges at DRG | $3,422,113,136 | ||||
| Total Medicare Charges with ICD V4984 - Bed confinement status | $125,919,287 | ||||
| Avg Charges at DRG | $44,796 | ||||
| Avg Charges with ICD V4984 - Bed confinement status | $39,154 | ||||
| Mortality Rate at DRG | 3.2 | ||||
| Mortality Rate with ICD V4984 - Bed confinement status | 2.43 | ||||
| SNF Discharge Rate at DRG | 32.3 | ||||
| SNF Discharge Rate with ICD V4984 - Bed confinement status | 35.07 | ||||
| Home Discharge Rate at DRG | 28.25 | ||||
| Home Discharge Rate with ICD V4984 - Bed confinement status | 14.3 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD V4984 - Bed confinement status | 2,261 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD V4984 - Bed confinement status in DRG | 1.77 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD V4984 - Bed confinement status | 5.51 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD V4984 - Bed confinement status | 20.25 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD V4984 - Bed confinement status | 15.56 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD V4984 - Bed confinement status | $14,588,385 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD V4984 - Bed confinement status | $1,170 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD V4984 - Bed confinement status | $6,452 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD V4984 - Bed confinement status | $71,970,521 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD V4984 - Bed confinement status | $31,831 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD V4984 - Bed confinement status | 4.29 | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD V4984 - Bed confinement status | 33.79 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD V4984 - Bed confinement status | 21.58 |
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,386 | ||||
| Total Hospitalizations with ICD V4984 - Bed confinement status | 1,653 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD V4984 - Bed confinement status in DRG | 1.29 | ||||
| Avg LOS at DRG | 4.64 | ||||
| Avg LOS with ICD V4984 - Bed confinement status | 5.99 | ||||
| Readmission Rate at DRG | 29.51 | ||||
| Readmission Rate with ICD V4984 - Bed confinement status | 23.37 | ||||
| Unplanned Readmission Rate at DRG | 22.6 | ||||
| Unplanned Readmission Rate with ICD V4984 - Bed confinement status | 18.42 | ||||
| Total Medicare payments at DRG | $1,013,925,667 | ||||
| Total Medicare payments with ICD V4984 - Bed confinement status | $13,048,609 | ||||
| Total Medicare payment per Day at DRG | $1,625 | ||||
| Total Medicare payment per Day with ICD V4984 - Bed confinement status | $1,319 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,545 | ||||
| Total Medicare payment per Hospitalization with ICD V4984 - Bed confinement status | $7,894 | ||||
| Total Medicare Charges at DRG | $4,351,143,903 | ||||
| Total Medicare Charges with ICD V4984 - Bed confinement status | $59,181,022 | ||||
| Avg Charges at DRG | $32,378 | ||||
| Avg Charges with ICD V4984 - Bed confinement status | $35,802 | ||||
| Mortality Rate at DRG | 3.51 | ||||
| Mortality Rate with ICD V4984 - Bed confinement status | 6.17 | ||||
| SNF Discharge Rate at DRG | 22.05 | ||||
| SNF Discharge Rate with ICD V4984 - Bed confinement status | 35.63 | ||||
| Home Discharge Rate at DRG | 45.28 | ||||
| Home Discharge Rate with ICD V4984 - Bed confinement status | 14.46 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MAIMONIDES MEDICAL CENTER | 4802 10TH AVE | BROOKLYN | NY | 11219 | 1,069 |
| CALVARY HOSPITAL | 1740 EASTCHESTER RD | BRONX | NY | 10461 | 747 |
| BAPTIST HOSPITAL OF MIAMI | 8900 N KENDALL DR | MIAMI | FL | 33176 | 673 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. OLADAYO A SANUSI | 1901 PEASE ST | HARLINGEN | TX | 78550 | 96 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 77 |
| Dr. DEVMANI JAITLY | 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. OLADAYO A SANUSI | 1901 PEASE ST | HARLINGEN | TX | 78550 | 191 |
| Dr. RAJANIKANT SHANTARAM USGAONKER | 330 NUECES ST | EAGLE PASS | TX | 78852 | 133 |
| Dr. MUKESHKUMAR B PATEL | 4212 CARMICHAEL CT N | MONTGOMERY | AL | 36106 | 131 |