| V643 - Procedure not carried out for other reasons - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.14 | |
| 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | 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 554: BONE DISEASES AND ARTHROPATHIES 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 V643 - Procedure not carried out for other reasons | 495 | ||||
| DRG Share of Total Hospitalizations | 1.28 | ||||
| % of Total ICD V643 - Procedure not carried out for other reasons in DRG | 2.54 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD V643 - Procedure not carried out for other reasons | 4.72 | ||||
| Readmission Rate at DRG | 17.73 | ||||
| Readmission Rate with ICD V643 - Procedure not carried out for other reasons | 21.34 | ||||
| Unplanned Readmission Rate at DRG | 13.44 | ||||
| Unplanned Readmission Rate with ICD V643 - Procedure not carried out for other reasons | 16.81 | ||||
| Total Medicare payments at DRG | $1,776,508,891 | ||||
| Total Medicare payments with ICD V643 - Procedure not carried out for other reasons | $3,361,059 | ||||
| Total Medicare payment per Day at DRG | $1,604 | ||||
| Total Medicare payment per Day with ICD V643 - Procedure not carried out for other reasons | $1,439 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
| Total Medicare payment per Hospitalization with ICD V643 - Procedure not carried out for other reasons | $6,790 | ||||
| Total Medicare Charges at DRG | $8,470,312,778 | ||||
| Total Medicare Charges with ICD V643 - Procedure not carried out for other reasons | $17,504,339 | ||||
| Avg Charges at DRG | $28,897 | ||||
| Avg Charges with ICD V643 - Procedure not carried out for other reasons | $35,362 | ||||
| Mortality Rate at DRG | 0.95 | ||||
| Mortality Rate with ICD V643 - Procedure not carried out for other reasons | NA | ||||
| SNF Discharge Rate at DRG | 14.94 | ||||
| SNF Discharge Rate with ICD V643 - Procedure not carried out for other reasons | 22.63 | ||||
| Home Discharge Rate at DRG | 62.44 | ||||
| Home Discharge Rate with ICD V643 - Procedure not carried out for other reasons | 45.66 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 235,369 | ||||
| Total Hospitalizations with ICD V643 - Procedure not carried out for other reasons | 290 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD V643 - Procedure not carried out for other reasons in DRG | 1.49 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD V643 - Procedure not carried out for other reasons | 3.78 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD V643 - Procedure not carried out for other reasons | 27.68 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD V643 - Procedure not carried out for other reasons | 12.55 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD V643 - Procedure not carried out for other reasons | $3,200,084 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD V643 - Procedure not carried out for other reasons | $2,922 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD V643 - Procedure not carried out for other reasons | $11,035 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD V643 - Procedure not carried out for other reasons | $9,647,707 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD V643 - Procedure not carried out for other reasons | $33,268 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD V643 - Procedure not carried out for other reasons | 4.48 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD V643 - Procedure not carried out for other reasons | 11.72 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD V643 - Procedure not carried out for other reasons | 66.21 |
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 119,208 | ||||
| Total Hospitalizations with ICD V643 - Procedure not carried out for other reasons | 216 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD V643 - Procedure not carried out for other reasons in DRG | 1.11 | ||||
| Avg LOS at DRG | 5.97 | ||||
| Avg LOS with ICD V643 - Procedure not carried out for other reasons | 6.4 | ||||
| Readmission Rate at DRG | 28.49 | ||||
| Readmission Rate with ICD V643 - Procedure not carried out for other reasons | 33.87 | ||||
| Unplanned Readmission Rate at DRG | 21.2 | ||||
| Unplanned Readmission Rate with ICD V643 - Procedure not carried out for other reasons | 26.88 | ||||
| Total Medicare payments at DRG | $1,381,744,311 | ||||
| Total Medicare payments with ICD V643 - Procedure not carried out for other reasons | $2,680,045 | ||||
| Total Medicare payment per Day at DRG | $1,942 | ||||
| Total Medicare payment per Day with ICD V643 - Procedure not carried out for other reasons | $1,938 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,591 | ||||
| Total Medicare payment per Hospitalization with ICD V643 - Procedure not carried out for other reasons | $12,408 | ||||
| Total Medicare Charges at DRG | $6,006,105,446 | ||||
| Total Medicare Charges with ICD V643 - Procedure not carried out for other reasons | $11,473,817 | ||||
| Avg Charges at DRG | $50,383 | ||||
| Avg Charges with ICD V643 - Procedure not carried out for other reasons | $53,120 | ||||
| Mortality Rate at DRG | 6.32 | ||||
| Mortality Rate with ICD V643 - Procedure not carried out for other reasons | 8.33 | ||||
| SNF Discharge Rate at DRG | 24.09 | ||||
| SNF Discharge Rate with ICD V643 - Procedure not carried out for other reasons | 31.02 | ||||
| Home Discharge Rate at DRG | 39.74 | ||||
| Home Discharge Rate with ICD V643 - Procedure not carried out for other reasons | 32.41 |
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 166,476 | ||||
| Total Hospitalizations with ICD V643 - Procedure not carried out for other reasons | 188 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD V643 - Procedure not carried out for other reasons in DRG | 0.97 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD V643 - Procedure not carried out for other reasons | 3.98 | ||||
| Readmission Rate at DRG | 24.89 | ||||
| Readmission Rate with ICD V643 - Procedure not carried out for other reasons | 19.13 | ||||
| Unplanned Readmission Rate at DRG | 18.86 | ||||
| Unplanned Readmission Rate with ICD V643 - Procedure not carried out for other reasons | 14.21 | ||||
| Total Medicare payments at DRG | $827,236,531 | ||||
| Total Medicare payments with ICD V643 - Procedure not carried out for other reasons | $1,015,986 | ||||
| Total Medicare payment per Day at DRG | $1,454 | ||||
| Total Medicare payment per Day with ICD V643 - Procedure not carried out for other reasons | $1,358 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,969 | ||||
| Total Medicare payment per Hospitalization with ICD V643 - Procedure not carried out for other reasons | $5,404 | ||||
| Total Medicare Charges at DRG | $3,946,027,775 | ||||
| Total Medicare Charges with ICD V643 - Procedure not carried out for other reasons | $5,428,395 | ||||
| Avg Charges at DRG | $23,703 | ||||
| Avg Charges with ICD V643 - Procedure not carried out for other reasons | $28,874 | ||||
| Mortality Rate at DRG | 0.45 | ||||
| Mortality Rate with ICD V643 - Procedure not carried out for other reasons | NA | ||||
| SNF Discharge Rate at DRG | 14.41 | ||||
| SNF Discharge Rate with ICD V643 - Procedure not carried out for other reasons | 18.09 | ||||
| Home Discharge Rate at DRG | 64.74 | ||||
| Home Discharge Rate with ICD V643 - Procedure not carried out for other reasons | 54.79 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 132 |
| ST. CHARLES MEDICAL CENTER | 2500 NE NEFF RD | BEND | OR | 97701 | 113 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 102 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAMY YAKOBI-SHVILI | 150 55TH ST | BROOKLYN | NY | 11220 | 13 |
| Dr. LUIS GUTIERREZ-PERRY | 3406 BOB ROGERS DR. | EAGLE PASS | TX | 78852 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. LIISE KRISTINA KAYLER | 462 GRIDER ST | BUFFALO | NY | 14215 | 13 |
| Dr. TONY ABBASSI | 1321 NW 14TH ST | MIAMI | FL | 33125 | 13 |
| Dr. BIRENDRA BHATTARAI | 18550 US HIGHWAY 441 | MOUNT DORA | FL | 32757 | 12 |