| V6441 - Laparoscopic surgical procedure converted to open procedure - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 10.48 | |
| 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 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 415: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 414: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 416: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,396 | ||||
| Total Hospitalizations with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 9,175 | ||||
| DRG Share of Total Hospitalizations | 0.48 | ||||
| % of Total ICD V6441 - Laparoscopic surgical procedure converted to open procedure in DRG | 16.32 | ||||
| Avg LOS at DRG | 8.18 | ||||
| Avg LOS with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 8.1 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 17.06 | ||||
| Unplanned Readmission Rate at DRG | 11.1 | ||||
| Unplanned Readmission Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 11.13 | ||||
| Total Medicare payments at DRG | $1,748,330,612 | ||||
| Total Medicare payments with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $146,566,303 | ||||
| Total Medicare payment per Day at DRG | $1,954 | ||||
| Total Medicare payment per Day with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $1,972 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,982 | ||||
| Total Medicare payment per Hospitalization with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $15,975 | ||||
| Total Medicare Charges at DRG | $8,057,639,281 | ||||
| Total Medicare Charges with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $713,200,708 | ||||
| Avg Charges at DRG | $73,656 | ||||
| Avg Charges with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $77,733 | ||||
| Mortality Rate at DRG | 0.58 | ||||
| Mortality Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 0.38 | ||||
| SNF Discharge Rate at DRG | 16.21 | ||||
| SNF Discharge Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 14.33 | ||||
| Home Discharge Rate at DRG | 52.59 | ||||
| Home Discharge Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 55.54 |
| DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 742: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,482 | ||||
| Total Hospitalizations with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 2,861 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD V6441 - Laparoscopic surgical procedure converted to open procedure in DRG | 5.09 | ||||
| Avg LOS at DRG | 4.69 | ||||
| Avg LOS with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 5.43 | ||||
| Readmission Rate at DRG | 9.66 | ||||
| Readmission Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 13.4 | ||||
| Unplanned Readmission Rate at DRG | 6.57 | ||||
| Unplanned Readmission Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 9.4 | ||||
| Total Medicare payments at DRG | $481,328,194 | ||||
| Total Medicare payments with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $28,416,022 | ||||
| Total Medicare payment per Day at DRG | $2,072 | ||||
| Total Medicare payment per Day with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $1,831 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,727 | ||||
| Total Medicare payment per Hospitalization with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $9,932 | ||||
| Total Medicare Charges at DRG | $2,422,800,664 | ||||
| Total Medicare Charges with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $160,245,787 | ||||
| Avg Charges at DRG | $48,963 | ||||
| Avg Charges with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $56,010 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | NA | ||||
| SNF Discharge Rate at DRG | 5.79 | ||||
| SNF Discharge Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 6.36 | ||||
| Home Discharge Rate at DRG | 78.06 | ||||
| Home Discharge Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 75.39 |
| DRG 743: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 339: APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,284 | ||||
| Total Hospitalizations with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 869 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD V6441 - Laparoscopic surgical procedure converted to open procedure in DRG | 1.55 | ||||
| Avg LOS at DRG | 1.99 | ||||
| Avg LOS with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 2.38 | ||||
| Readmission Rate at DRG | 4.28 | ||||
| Readmission Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 7.72 | ||||
| Unplanned Readmission Rate at DRG | 3.1 | ||||
| Unplanned Readmission Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 5.18 | ||||
| Total Medicare payments at DRG | $145,119,123 | ||||
| Total Medicare payments with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $5,096,879 | ||||
| Total Medicare payment per Day at DRG | $2,879 | ||||
| Total Medicare payment per Day with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $2,466 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,740 | ||||
| Total Medicare payment per Hospitalization with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $5,865 | ||||
| Total Medicare Charges at DRG | $832,142,199 | ||||
| Total Medicare Charges with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $31,821,909 | ||||
| Avg Charges at DRG | $32,912 | ||||
| Avg Charges with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $36,619 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | NA | ||||
| SNF Discharge Rate at DRG | 1.12 | ||||
| SNF Discharge Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | NA | ||||
| Home Discharge Rate at DRG | 95.35 | ||||
| Home Discharge Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 95.63 |
| DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 657: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 740: UTERINE, ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,048 | ||||
| Total Hospitalizations with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 657 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD V6441 - Laparoscopic surgical procedure converted to open procedure in DRG | 1.17 | ||||
| Avg LOS at DRG | 7.4 | ||||
| Avg LOS with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 7.28 | ||||
| Readmission Rate at DRG | 21.74 | ||||
| Readmission Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 19.57 | ||||
| Unplanned Readmission Rate at DRG | 13.26 | ||||
| Unplanned Readmission Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 11.25 | ||||
| Total Medicare payments at DRG | $224,245,949 | ||||
| Total Medicare payments with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $13,136,088 | ||||
| Total Medicare payment per Day at DRG | $2,744 | ||||
| Total Medicare payment per Day with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $2,746 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,297 | ||||
| Total Medicare payment per Hospitalization with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $19,994 | ||||
| Total Medicare Charges at DRG | $1,033,088,493 | ||||
| Total Medicare Charges with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $65,181,524 | ||||
| Avg Charges at DRG | $93,509 | ||||
| Avg Charges with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | $99,211 | ||||
| Mortality Rate at DRG | 0.33 | ||||
| Mortality Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | NA | ||||
| SNF Discharge Rate at DRG | 9.95 | ||||
| SNF Discharge Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 12.02 | ||||
| Home Discharge Rate at DRG | 60.17 | ||||
| Home Discharge Rate with ICD V6441 - Laparoscopic surgical procedure converted to open procedure | 57.69 |
| 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 | 209 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 198 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 172 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ROBERT J. FITZGIBBONS | 601 N 30TH ST STE 3700 | OMAHA | NE | 68131 | 32 |
| Dr. BRUCE D. SCHIRMER | UVA HOSPITAL | CHARLOTTESVILLE | VA | 22908 | 26 |
| Dr. GUY R VOELLER | 1910 NONCONNAH BLVD | MEMPHIS | TN | 38132 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ROBERT J. FITZGIBBONS | 601 N 30TH ST STE 3700 | OMAHA | NE | 68131 | 33 |
| Dr. BRUCE D. SCHIRMER | UVA HOSPITAL | CHARLOTTESVILLE | VA | 22908 | 25 |
| Dr. PAUL G CURCILLO | 333 COTTMAN AVENUE | PHILADELPHIA | PA | 19111 | 23 |