| V5861 - Long-term (current) use of anticoagulants - as a primary diagnosis code | V5861 - Long-term (current) use of anticoagulants - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.43 | |
| Readmission Rate (%) | 23.44 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 7,002 | |
| Total Hospitalizations with ICD V5861 - Long-term (current) use of anticoagulants | 27 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD V5861 - Long-term (current) use of anticoagulants in DRG | 60.0 | |
| Avg LOS at DRG | 20.15 | |
| Avg LOS with ICD V5861 - Long-term (current) use of anticoagulants | 6.11 | |
| Readmission Rate at DRG | 27.28 | |
| Readmission Rate with ICD V5861 - Long-term (current) use of anticoagulants | NA | |
| Unplanned Readmission Rate at DRG | 14.36 | |
| Unplanned Readmission Rate with ICD V5861 - Long-term (current) use of anticoagulants | NA | |
| Total Medicare payments at DRG | $149,185,875 | |
| Total Medicare payments with ICD V5861 - Long-term (current) use of anticoagulants | $229,422 | |
| Total Medicare payment per Day at DRG | $1,057 | |
| Total Medicare payment per Day with ICD V5861 - Long-term (current) use of anticoagulants | $1,390 | |
| Total Medicare payment per Hospitalization at DRG | $21,306 | |
| Total Medicare payment per Hospitalization with ICD V5861 - Long-term (current) use of anticoagulants | $8,497 | |
| Total Medicare Charges at DRG | $509,208,807 | |
| Total Medicare Charges with ICD V5861 - Long-term (current) use of anticoagulants | $663,864 | |
| Avg Charges at DRG | $72,723 | |
| Avg Charges with ICD V5861 - Long-term (current) use of anticoagulants | $24,588 | |
| Mortality Rate at DRG | 4.16 | |
| Mortality Rate with ICD V5861 - Long-term (current) use of anticoagulants | NA | |
| SNF Discharge Rate at DRG | 30.65 | |
| SNF Discharge Rate with ICD V5861 - Long-term (current) use of anticoagulants | NA | |
| Home Discharge Rate at DRG | 16.02 | |
| Home Discharge Rate with ICD V5861 - Long-term (current) use of anticoagulants | 44.44 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD V5861 - Long-term (current) use of anticoagulants | 78,124 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD V5861 - Long-term (current) use of anticoagulants in DRG | 3.97 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD V5861 - Long-term (current) use of anticoagulants | 4.4 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD V5861 - Long-term (current) use of anticoagulants | 25.62 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD V5861 - Long-term (current) use of anticoagulants | 19.29 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD V5861 - Long-term (current) use of anticoagulants | $483,682,206 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD V5861 - Long-term (current) use of anticoagulants | $1,406 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD V5861 - Long-term (current) use of anticoagulants | $6,191 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD V5861 - Long-term (current) use of anticoagulants | $1,988,392,890 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD V5861 - Long-term (current) use of anticoagulants | $25,452 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD V5861 - Long-term (current) use of anticoagulants | 1.03 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD V5861 - Long-term (current) use of anticoagulants | 16.77 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD V5861 - Long-term (current) use of anticoagulants | 45.99 |
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT 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 | 293,121 | ||||
| Total Hospitalizations with ICD V5861 - Long-term (current) use of anticoagulants | 48,508 | ||||
| DRG Share of Total Hospitalizations | 1.28 | ||||
| % of Total ICD V5861 - Long-term (current) use of anticoagulants in DRG | 2.47 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD V5861 - Long-term (current) use of anticoagulants | 4.05 | ||||
| Readmission Rate at DRG | 17.73 | ||||
| Readmission Rate with ICD V5861 - Long-term (current) use of anticoagulants | 18.15 | ||||
| Unplanned Readmission Rate at DRG | 13.44 | ||||
| Unplanned Readmission Rate with ICD V5861 - Long-term (current) use of anticoagulants | 13.72 | ||||
| Total Medicare payments at DRG | $1,776,508,891 | ||||
| Total Medicare payments with ICD V5861 - Long-term (current) use of anticoagulants | $292,472,971 | ||||
| Total Medicare payment per Day at DRG | $1,604 | ||||
| Total Medicare payment per Day with ICD V5861 - Long-term (current) use of anticoagulants | $1,487 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
| Total Medicare payment per Hospitalization with ICD V5861 - Long-term (current) use of anticoagulants | $6,029 | ||||
| Total Medicare Charges at DRG | $8,470,312,778 | ||||
| Total Medicare Charges with ICD V5861 - Long-term (current) use of anticoagulants | $1,432,423,989 | ||||
| Avg Charges at DRG | $28,897 | ||||
| Avg Charges with ICD V5861 - Long-term (current) use of anticoagulants | $29,530 | ||||
| Mortality Rate at DRG | 0.95 | ||||
| Mortality Rate with ICD V5861 - Long-term (current) use of anticoagulants | 0.8 | ||||
| SNF Discharge Rate at DRG | 14.94 | ||||
| SNF Discharge Rate with ICD V5861 - Long-term (current) use of anticoagulants | 14.23 | ||||
| Home Discharge Rate at DRG | 62.44 | ||||
| Home Discharge Rate with ICD V5861 - Long-term (current) use of anticoagulants | 61.68 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 296,720 | ||||
| Total Hospitalizations with ICD V5861 - Long-term (current) use of anticoagulants | 29,697 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD V5861 - Long-term (current) use of anticoagulants in DRG | 1.51 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD V5861 - Long-term (current) use of anticoagulants | 5.9 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD V5861 - Long-term (current) use of anticoagulants | 24.64 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD V5861 - Long-term (current) use of anticoagulants | 18.01 | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD V5861 - Long-term (current) use of anticoagulants | $263,786,877 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD V5861 - Long-term (current) use of anticoagulants | $1,505 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD V5861 - Long-term (current) use of anticoagulants | $8,883 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD V5861 - Long-term (current) use of anticoagulants | $1,132,471,174 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD V5861 - Long-term (current) use of anticoagulants | $38,134 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD V5861 - Long-term (current) use of anticoagulants | 4.67 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD V5861 - Long-term (current) use of anticoagulants | 24.54 | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD V5861 - Long-term (current) use of anticoagulants | 37.1 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD V5861 - Long-term (current) use of anticoagulants | 27,218 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD V5861 - Long-term (current) use of anticoagulants in DRG | 1.38 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD V5861 - Long-term (current) use of anticoagulants | 4.23 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD V5861 - Long-term (current) use of anticoagulants | 24.85 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD V5861 - Long-term (current) use of anticoagulants | 17.99 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD V5861 - Long-term (current) use of anticoagulants | $162,467,036 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD V5861 - Long-term (current) use of anticoagulants | $1,412 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD V5861 - Long-term (current) use of anticoagulants | $5,969 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD V5861 - Long-term (current) use of anticoagulants | $682,558,340 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD V5861 - Long-term (current) use of anticoagulants | $25,077 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD V5861 - Long-term (current) use of anticoagulants | 1.31 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD V5861 - Long-term (current) use of anticoagulants | 24.66 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD V5861 - Long-term (current) use of anticoagulants | 42.75 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 6,040 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 5,153 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 4,798 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM WARREN JANES | 5101 MEDICAL DR | SAN ANTONIO | TX | 78229 | 545 |
| Dr. KYLE CHRISTOPHER SWANSON | 1431 PREMIER DRIVE | MANKATO | MN | 56001 | 471 |
| Dr. CLIFFORD A MONDA | 1530 PARKWAY | GREENWOOD | SC | 29646 | 399 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. AMIT G SHAH | 1040 EDGEWATER CORP PKWY STE 101 | INDIAN LAND | SC | 29707 | 1,065 |
| Dr. PADMAJA KONDAMURI | 8840 CALUMET AVE | MUNSTER | IN | 46321 | 901 |
| Dr. MUHAMMAD SALMANULLAH | 254 PLEASANT ST | CONCORD | NH | 03301 | 865 |