| V4986 - Do not resuscitate status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.95 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD V4986 - Do not resuscitate status | 218,021 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD V4986 - Do not resuscitate status in DRG | 11.05 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD V4986 - Do not resuscitate status | 5.79 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD V4986 - Do not resuscitate status | 17.54 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD V4986 - Do not resuscitate status | 12.72 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD V4986 - Do not resuscitate status | $2,663,173,740 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD V4986 - Do not resuscitate status | $2,110 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD V4986 - Do not resuscitate status | $12,215 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD V4986 - Do not resuscitate status | $10,331,563,104 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD V4986 - Do not resuscitate status | $47,388 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD V4986 - Do not resuscitate status | 32.69 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD V4986 - Do not resuscitate status | 27.6 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD V4986 - Do not resuscitate status | 7.59 |
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 | 153,096 | ||||
| Total Hospitalizations with ICD V4986 - Do not resuscitate status | 45,742 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD V4986 - Do not resuscitate status in DRG | 2.32 | ||||
| Avg LOS at DRG | 6.26 | ||||
| Avg LOS with ICD V4986 - Do not resuscitate status | 5.4 | ||||
| Readmission Rate at DRG | 35.37 | ||||
| Readmission Rate with ICD V4986 - Do not resuscitate status | 18.19 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD V4986 - Do not resuscitate status | 8.01 | ||||
| Total Medicare payments at DRG | $1,801,821,071 | ||||
| Total Medicare payments with ICD V4986 - Do not resuscitate status | $537,699,481 | ||||
| Total Medicare payment per Day at DRG | $1,879 | ||||
| Total Medicare payment per Day with ICD V4986 - Do not resuscitate status | $2,176 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,769 | ||||
| Total Medicare payment per Hospitalization with ICD V4986 - Do not resuscitate status | $11,755 | ||||
| Total Medicare Charges at DRG | $8,109,256,409 | ||||
| Total Medicare Charges with ICD V4986 - Do not resuscitate status | $2,161,296,551 | ||||
| Avg Charges at DRG | $52,968 | ||||
| Avg Charges with ICD V4986 - Do not resuscitate status | $47,250 | ||||
| Mortality Rate at DRG | 18.83 | ||||
| Mortality Rate with ICD V4986 - Do not resuscitate status | 38.35 | ||||
| SNF Discharge Rate at DRG | 27.6 | ||||
| SNF Discharge Rate with ICD V4986 - Do not resuscitate status | 22.55 | ||||
| Home Discharge Rate at DRG | 11.4 | ||||
| Home Discharge Rate with ICD V4986 - Do not resuscitate status | 2.84 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 235,369 | ||||
| Total Hospitalizations with ICD V4986 - Do not resuscitate status | 35,107 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD V4986 - Do not resuscitate status in DRG | 1.78 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD V4986 - Do not resuscitate status | 6.34 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD V4986 - Do not resuscitate status | 18.28 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD V4986 - Do not resuscitate status | 13.55 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD V4986 - Do not resuscitate status | $355,953,493 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD V4986 - Do not resuscitate status | $1,599 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD V4986 - Do not resuscitate status | $10,139 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD V4986 - Do not resuscitate status | $1,446,687,533 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD V4986 - Do not resuscitate status | $41,208 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD V4986 - Do not resuscitate status | 18.56 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD V4986 - Do not resuscitate status | 33.63 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD V4986 - Do not resuscitate status | 9.17 |
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,983 | ||||
| Total Hospitalizations with ICD V4986 - Do not resuscitate status | 27,517 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD V4986 - Do not resuscitate status in DRG | 1.39 | ||||
| Avg LOS at DRG | 5.25 | ||||
| Avg LOS with ICD V4986 - Do not resuscitate status | 5.23 | ||||
| Readmission Rate at DRG | 23.18 | ||||
| Readmission Rate with ICD V4986 - Do not resuscitate status | 16.95 | ||||
| Unplanned Readmission Rate at DRG | 16.92 | ||||
| Unplanned Readmission Rate with ICD V4986 - Do not resuscitate status | 13.39 | ||||
| Total Medicare payments at DRG | $1,156,626,896 | ||||
| Total Medicare payments with ICD V4986 - Do not resuscitate status | $195,131,287 | ||||
| Total Medicare payment per Day at DRG | $1,369 | ||||
| Total Medicare payment per Day with ICD V4986 - Do not resuscitate status | $1,356 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,185 | ||||
| Total Medicare payment per Hospitalization with ICD V4986 - Do not resuscitate status | $7,091 | ||||
| Total Medicare Charges at DRG | $4,987,639,842 | ||||
| Total Medicare Charges with ICD V4986 - Do not resuscitate status | $818,477,672 | ||||
| Avg Charges at DRG | $30,982 | ||||
| Avg Charges with ICD V4986 - Do not resuscitate status | $29,744 | ||||
| Mortality Rate at DRG | 1.79 | ||||
| Mortality Rate with ICD V4986 - Do not resuscitate status | 4.78 | ||||
| SNF Discharge Rate at DRG | 39.38 | ||||
| SNF Discharge Rate with ICD V4986 - Do not resuscitate status | 47.16 | ||||
| Home Discharge Rate at DRG | 25.49 | ||||
| Home Discharge Rate with ICD V4986 - Do not resuscitate status | 13.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 5,415 |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM EVANSTON HOSPITAL | 2650 RIDGE AVE | EVANSTON | IL | 60201 | 5,390 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 4,941 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ELENA A SCHMUTER | 333 BROADWAY | AMITYVILLE | NY | 11701 | 259 |
| Dr. WILLIAM G WOLFF | 5645 MAIN ST | FLUSHING | NY | 11355 | 243 |
| Dr. RICHARD KELLEY MYERS | 302 BLAIR CV | MARION | AR | 72364 | 200 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 540 |
| Dr. GARY LANGNAS | 27483 DEQUINDRE RD | MADISON HEIGHTS | MI | 48071 | 491 |
| Dr. MALIK M. NAQI | 15260 NW 147TH DR | ALACHUA | FL | 32615 | 477 |