| V641 - Surgical or other procedure not carried out because of contraindication - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.06 | |
| 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 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,641 | ||||
| Total Hospitalizations with ICD V641 - Surgical or other procedure not carried out because of contraindication | 1,131 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD V641 - Surgical or other procedure not carried out because of contraindication in DRG | 2.9 | ||||
| Avg LOS at DRG | 4.59 | ||||
| Avg LOS with ICD V641 - Surgical or other procedure not carried out because of contraindication | 0.72 | ||||
| Readmission Rate at DRG | 16.83 | ||||
| Readmission Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 44.54 | ||||
| Unplanned Readmission Rate at DRG | 8.85 | ||||
| Unplanned Readmission Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 3.52 | ||||
| Total Medicare payments at DRG | $203,124,203 | ||||
| Total Medicare payments with ICD V641 - Surgical or other procedure not carried out because of contraindication | $4,391,511 | ||||
| Total Medicare payment per Day at DRG | $1,355 | ||||
| Total Medicare payment per Day with ICD V641 - Surgical or other procedure not carried out because of contraindication | $5,422 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD V641 - Surgical or other procedure not carried out because of contraindication | $3,883 | ||||
| Total Medicare Charges at DRG | $655,789,653 | ||||
| Total Medicare Charges with ICD V641 - Surgical or other procedure not carried out because of contraindication | $11,299,921 | ||||
| Avg Charges at DRG | $20,091 | ||||
| Avg Charges with ICD V641 - Surgical or other procedure not carried out because of contraindication | $9,991 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | NA | ||||
| SNF Discharge Rate at DRG | 23.36 | ||||
| SNF Discharge Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 2.56 | ||||
| Home Discharge Rate at DRG | 44.86 | ||||
| Home Discharge Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 91.16 |
| DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 173,056 | ||||
| Total Hospitalizations with ICD V641 - Surgical or other procedure not carried out because of contraindication | 581 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD V641 - Surgical or other procedure not carried out because of contraindication in DRG | 1.49 | ||||
| Avg LOS at DRG | 3.22 | ||||
| Avg LOS with ICD V641 - Surgical or other procedure not carried out because of contraindication | 4.38 | ||||
| Readmission Rate at DRG | 16.06 | ||||
| Readmission Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 31.64 | ||||
| Unplanned Readmission Rate at DRG | 9.18 | ||||
| Unplanned Readmission Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 13.64 | ||||
| Total Medicare payments at DRG | $1,112,419,471 | ||||
| Total Medicare payments with ICD V641 - Surgical or other procedure not carried out because of contraindication | $4,250,883 | ||||
| Total Medicare payment per Day at DRG | $1,997 | ||||
| Total Medicare payment per Day with ICD V641 - Surgical or other procedure not carried out because of contraindication | $1,671 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,428 | ||||
| Total Medicare payment per Hospitalization with ICD V641 - Surgical or other procedure not carried out because of contraindication | $7,316 | ||||
| Total Medicare Charges at DRG | $7,057,392,157 | ||||
| Total Medicare Charges with ICD V641 - Surgical or other procedure not carried out because of contraindication | $31,570,722 | ||||
| Avg Charges at DRG | $40,781 | ||||
| Avg Charges with ICD V641 - Surgical or other procedure not carried out because of contraindication | $54,339 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | NA | ||||
| SNF Discharge Rate at DRG | 3.55 | ||||
| SNF Discharge Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 4.48 | ||||
| Home Discharge Rate at DRG | 78.82 | ||||
| Home Discharge Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 75.04 |
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 119,208 | ||||
| Total Hospitalizations with ICD V641 - Surgical or other procedure not carried out because of contraindication | 445 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD V641 - Surgical or other procedure not carried out because of contraindication in DRG | 1.14 | ||||
| Avg LOS at DRG | 5.97 | ||||
| Avg LOS with ICD V641 - Surgical or other procedure not carried out because of contraindication | 6.96 | ||||
| Readmission Rate at DRG | 28.49 | ||||
| Readmission Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 26.22 | ||||
| Unplanned Readmission Rate at DRG | 21.2 | ||||
| Unplanned Readmission Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 20.27 | ||||
| Total Medicare payments at DRG | $1,381,744,311 | ||||
| Total Medicare payments with ICD V641 - Surgical or other procedure not carried out because of contraindication | $5,314,123 | ||||
| Total Medicare payment per Day at DRG | $1,942 | ||||
| Total Medicare payment per Day with ICD V641 - Surgical or other procedure not carried out because of contraindication | $1,716 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,591 | ||||
| Total Medicare payment per Hospitalization with ICD V641 - Surgical or other procedure not carried out because of contraindication | $11,942 | ||||
| Total Medicare Charges at DRG | $6,006,105,446 | ||||
| Total Medicare Charges with ICD V641 - Surgical or other procedure not carried out because of contraindication | $25,197,768 | ||||
| Avg Charges at DRG | $50,383 | ||||
| Avg Charges with ICD V641 - Surgical or other procedure not carried out because of contraindication | $56,624 | ||||
| Mortality Rate at DRG | 6.32 | ||||
| Mortality Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 9.89 | ||||
| SNF Discharge Rate at DRG | 24.09 | ||||
| SNF Discharge Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 23.6 | ||||
| Home Discharge Rate at DRG | 39.74 | ||||
| Home Discharge Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 28.31 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD V641 - Surgical or other procedure not carried out because of contraindication | 376 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD V641 - Surgical or other procedure not carried out because of contraindication in DRG | 0.97 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD V641 - Surgical or other procedure not carried out because of contraindication | 4.46 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 29.83 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 14.09 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD V641 - Surgical or other procedure not carried out because of contraindication | $2,516,996 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD V641 - Surgical or other procedure not carried out because of contraindication | $1,502 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD V641 - Surgical or other procedure not carried out because of contraindication | $6,694 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD V641 - Surgical or other procedure not carried out because of contraindication | $11,019,917 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD V641 - Surgical or other procedure not carried out because of contraindication | $29,308 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | NA | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 15.16 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD V641 - Surgical or other procedure not carried out because of contraindication | 57.98 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 381 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 221 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 214 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 23 |
| Dr. RANDY JOSEPH VILLANUEVA | 6027 WALNUT GROVE | MEMPHIS | TN | 38120 | 14 |
| Dr. EDWARD CANTU | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. EDWARD CANTU | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 38 |
| Dr. RICHARD VICTOR PEREZ | 2315 STOCKTON BLVD | SACRAMENTO | CA | 95817 | 33 |
| Dr. VINOD H THOURANI | 55 WHITCHER ST NE | MARIETTA | GA | 30060 | 26 |