V642 - Surgical or other procedure not carried out because of patient's decision - as a primary or secondary diagnosis code | ||
---|---|---|
OUTCOMES | ||
Avg. LOS | ||
Readmission Rate (%) | ||
Unplanned Readmission Rate (%) | 17.95 | |
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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 901,552 | ||||
Total Hospitalizations with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 1,455 | ||||
DRG Share of Total Hospitalizations | 3.95 | ||||
% of Total ICD V642 - Surgical or other procedure not carried out because of patient's decision in DRG | 3.36 | ||||
Avg LOS at DRG | 6.79 | ||||
Avg LOS with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 7.36 | ||||
Readmission Rate at DRG | 25.38 | ||||
Readmission Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 25.89 | ||||
Unplanned Readmission Rate at DRG | 17.1 | ||||
Unplanned Readmission Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 18.57 | ||||
Total Medicare payments at DRG | $11,142,976,193 | ||||
Total Medicare payments with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $20,008,024 | ||||
Total Medicare payment per Day at DRG | $1,821 | ||||
Total Medicare payment per Day with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $1,868 | ||||
Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
Total Medicare payment per Hospitalization with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $13,751 | ||||
Total Medicare Charges at DRG | $48,288,426,708 | ||||
Total Medicare Charges with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $84,919,927 | ||||
Avg Charges at DRG | $53,561 | ||||
Avg Charges with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $58,364 | ||||
Mortality Rate at DRG | 15.16 | ||||
Mortality Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 12.03 | ||||
SNF Discharge Rate at DRG | 28.41 | ||||
SNF Discharge Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 25.84 | ||||
Home Discharge Rate at DRG | 23.21 | ||||
Home Discharge Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 18.21 |
DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 417,595 | ||||
Total Hospitalizations with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 938 | ||||
DRG Share of Total Hospitalizations | 1.83 | ||||
% of Total ICD V642 - Surgical or other procedure not carried out because of patient's decision in DRG | 2.16 | ||||
Avg LOS at DRG | 3.34 | ||||
Avg LOS with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 3.51 | ||||
Readmission Rate at DRG | 17.47 | ||||
Readmission Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 22.13 | ||||
Unplanned Readmission Rate at DRG | 12.56 | ||||
Unplanned Readmission Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 16.27 | ||||
Total Medicare payments at DRG | $1,834,433,235 | ||||
Total Medicare payments with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $4,709,179 | ||||
Total Medicare payment per Day at DRG | $1,317 | ||||
Total Medicare payment per Day with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $1,431 | ||||
Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
Total Medicare payment per Hospitalization with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $5,020 | ||||
Total Medicare Charges at DRG | $9,558,780,965 | ||||
Total Medicare Charges with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $27,180,529 | ||||
Avg Charges at DRG | $22,890 | ||||
Avg Charges with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $28,977 | ||||
Mortality Rate at DRG | 0.23 | ||||
Mortality Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | NA | ||||
SNF Discharge Rate at DRG | 8.82 | ||||
SNF Discharge Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 10.66 | ||||
Home Discharge Rate at DRG | 73.03 | ||||
Home Discharge Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 50.11 |
DRG 313: CHEST PAIN | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 153,752 | ||||
Total Hospitalizations with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 727 | ||||
DRG Share of Total Hospitalizations | 0.67 | ||||
% of Total ICD V642 - Surgical or other procedure not carried out because of patient's decision in DRG | 1.68 | ||||
Avg LOS at DRG | 2.07 | ||||
Avg LOS with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 2.05 | ||||
Readmission Rate at DRG | 17.09 | ||||
Readmission Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 20.26 | ||||
Unplanned Readmission Rate at DRG | 12.71 | ||||
Unplanned Readmission Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 15.9 | ||||
Total Medicare payments at DRG | $541,339,287 | ||||
Total Medicare payments with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $2,999,321 | ||||
Total Medicare payment per Day at DRG | $1,703 | ||||
Total Medicare payment per Day with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $2,014 | ||||
Total Medicare payment per Hospitalization at DRG | $3,521 | ||||
Total Medicare payment per Hospitalization with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $4,126 | ||||
Total Medicare Charges at DRG | $3,245,079,276 | ||||
Total Medicare Charges with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $15,684,541 | ||||
Avg Charges at DRG | $21,106 | ||||
Avg Charges with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $21,574 | ||||
Mortality Rate at DRG | 0.16 | ||||
Mortality Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | NA | ||||
SNF Discharge Rate at DRG | 7.71 | ||||
SNF Discharge Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 8.39 | ||||
Home Discharge Rate at DRG | 73.3 | ||||
Home Discharge Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 42.37 |
DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 305,326 | ||||
Total Hospitalizations with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 530 | ||||
DRG Share of Total Hospitalizations | 1.34 | ||||
% of Total ICD V642 - Surgical or other procedure not carried out because of patient's decision in DRG | 1.22 | ||||
Avg LOS at DRG | 5.11 | ||||
Avg LOS with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 5.46 | ||||
Readmission Rate at DRG | 24.58 | ||||
Readmission Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 30.12 | ||||
Unplanned Readmission Rate at DRG | 18.98 | ||||
Unplanned Readmission Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 24.94 | ||||
Total Medicare payments at DRG | $2,231,748,038 | ||||
Total Medicare payments with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $4,381,425 | ||||
Total Medicare payment per Day at DRG | $1,430 | ||||
Total Medicare payment per Day with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $1,515 | ||||
Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
Total Medicare payment per Hospitalization with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $8,267 | ||||
Total Medicare Charges at DRG | $10,098,826,638 | ||||
Total Medicare Charges with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $21,741,610 | ||||
Avg Charges at DRG | $33,076 | ||||
Avg Charges with ICD V642 - Surgical or other procedure not carried out because of patient's decision | $41,022 | ||||
Mortality Rate at DRG | 1.47 | ||||
Mortality Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | NA | ||||
SNF Discharge Rate at DRG | 14.55 | ||||
SNF Discharge Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 12.64 | ||||
Home Discharge Rate at DRG | 53.12 | ||||
Home Discharge Rate with ICD V642 - Surgical or other procedure not carried out because of patient's decision | 40.57 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 460 |
MAIMONIDES MEDICAL CENTER | 4802 10TH AVE | BROOKLYN | NY | 11219 | 368 |
SOUTH NASSAU COMMUNITIES HOSPITAL | 1 HEALTHY WAY | OCEANSIDE | NY | 11572 | 356 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. ELENA A SCHMUTER | 333 BROADWAY | AMITYVILLE | NY | 11701 | 35 |
Dr. DAVID WELTMAN | 101 HOSPITAL RD. | PATCHOGUE | NY | 11772 | 28 |
Dr. SYDNEY S. YOON | 9350 TURKEY LAKE RD | ORLANDO | FL | 32819 | 24 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. ISAAC JAYARAO ALAMURI | 888 OLD COUNTRY RD | PLAINVIEW | NY | 11803 | 42 |
Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 41 |
Dr. ELENA A SCHMUTER | 333 BROADWAY | AMITYVILLE | NY | 11701 | 40 |