| V667 - Encounter for palliative care - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 7.05 | |
| 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 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD V667 - Encounter for palliative care | 98,826 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD V667 - Encounter for palliative care in DRG | 14.61 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD V667 - Encounter for palliative care | 5.71 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD V667 - Encounter for palliative care | 7.69 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD V667 - Encounter for palliative care | 5.51 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD V667 - Encounter for palliative care | $1,242,585,608 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD V667 - Encounter for palliative care | $2,203 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD V667 - Encounter for palliative care | $12,573 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD V667 - Encounter for palliative care | $4,976,265,260 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD V667 - Encounter for palliative care | $50,354 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD V667 - Encounter for palliative care | 49.02 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD V667 - Encounter for palliative care | 11.6 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD V667 - Encounter for palliative care | 2.23 |
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 151,975 | ||||
| Total Hospitalizations with ICD V667 - Encounter for palliative care | 17,227 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD V667 - Encounter for palliative care in DRG | 2.55 | ||||
| Avg LOS at DRG | 8.26 | ||||
| Avg LOS with ICD V667 - Encounter for palliative care | 7.15 | ||||
| Readmission Rate at DRG | 27.23 | ||||
| Readmission Rate with ICD V667 - Encounter for palliative care | 8.18 | ||||
| Unplanned Readmission Rate at DRG | 18.84 | ||||
| Unplanned Readmission Rate with ICD V667 - Encounter for palliative care | 5.92 | ||||
| Total Medicare payments at DRG | $2,014,358,740 | ||||
| Total Medicare payments with ICD V667 - Encounter for palliative care | $223,759,076 | ||||
| Total Medicare payment per Day at DRG | $1,605 | ||||
| Total Medicare payment per Day with ICD V667 - Encounter for palliative care | $1,817 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,255 | ||||
| Total Medicare payment per Hospitalization with ICD V667 - Encounter for palliative care | $12,989 | ||||
| Total Medicare Charges at DRG | $8,492,043,787 | ||||
| Total Medicare Charges with ICD V667 - Encounter for palliative care | $859,951,132 | ||||
| Avg Charges at DRG | $55,878 | ||||
| Avg Charges with ICD V667 - Encounter for palliative care | $49,919 | ||||
| Mortality Rate at DRG | 9.63 | ||||
| Mortality Rate with ICD V667 - Encounter for palliative care | 33.93 | ||||
| SNF Discharge Rate at DRG | 33.6 | ||||
| SNF Discharge Rate with ICD V667 - Encounter for palliative care | 14.71 | ||||
| Home Discharge Rate at DRG | 18.52 | ||||
| Home Discharge Rate with ICD V667 - Encounter for palliative care | 2.86 |
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 225,462 | ||||
| Total Hospitalizations with ICD V667 - Encounter for palliative care | 10,402 | ||||
| DRG Share of Total Hospitalizations | 0.99 | ||||
| % of Total ICD V667 - Encounter for palliative care in DRG | 1.54 | ||||
| Avg LOS at DRG | 4.38 | ||||
| Avg LOS with ICD V667 - Encounter for palliative care | 4.1 | ||||
| Readmission Rate at DRG | 36.08 | ||||
| Readmission Rate with ICD V667 - Encounter for palliative care | 5.26 | ||||
| Unplanned Readmission Rate at DRG | 8.19 | ||||
| Unplanned Readmission Rate with ICD V667 - Encounter for palliative care | 2.68 | ||||
| Total Medicare payments at DRG | $1,563,613,675 | ||||
| Total Medicare payments with ICD V667 - Encounter for palliative care | $71,559,452 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD V667 - Encounter for palliative care | $1,676 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,935 | ||||
| Total Medicare payment per Hospitalization with ICD V667 - Encounter for palliative care | $6,879 | ||||
| Total Medicare Charges at DRG | $7,541,062,508 | ||||
| Total Medicare Charges with ICD V667 - Encounter for palliative care | $293,907,925 | ||||
| Avg Charges at DRG | $33,447 | ||||
| Avg Charges with ICD V667 - Encounter for palliative care | $28,255 | ||||
| Mortality Rate at DRG | 2.36 | ||||
| Mortality Rate with ICD V667 - Encounter for palliative care | 26.8 | ||||
| SNF Discharge Rate at DRG | 26.21 | ||||
| SNF Discharge Rate with ICD V667 - Encounter for palliative care | 16.47 | ||||
| Home Discharge Rate at DRG | 24.01 | ||||
| Home Discharge Rate with ICD V667 - Encounter for palliative care | 2.44 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD V667 - Encounter for palliative care | 7,777 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD V667 - Encounter for palliative care in DRG | 1.15 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD V667 - Encounter for palliative care | 4.66 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD V667 - Encounter for palliative care | 7.44 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD V667 - Encounter for palliative care | 6.03 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD V667 - Encounter for palliative care | $55,616,531 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD V667 - Encounter for palliative care | $1,536 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD V667 - Encounter for palliative care | $7,151 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD V667 - Encounter for palliative care | $240,255,187 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD V667 - Encounter for palliative care | $30,893 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD V667 - Encounter for palliative care | 27.53 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD V667 - Encounter for palliative care | 17.47 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD V667 - Encounter for palliative care | 5.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CALVARY HOSPITAL | 1740 EASTCHESTER RD | BRONX | NY | 10461 | 2,454 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 2,124 |
| HUNTSVILLE HOSPITAL | 101 SIVLEY RD SW | HUNTSVILLE | AL | 35801 | 2,069 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RICHARD KELLEY MYERS | 302 BLAIR CV | MARION | AR | 72364 | 133 |
| Dr. SREENIVASA R PATIBANDLA | 1740 EASTCHESTER RD | BRONX | NY | 10461 | 108 |
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 99 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MELANIE G. OBLENDER | 3615 19TH ST | LUBBOCK | TX | 79410 | 367 |
| Dr. STEVEN MICHAEL GRISWOLD | 439 ORIANA RD | NEWPORT NEWS | VA | 23608 | 322 |
| Dr. SREENIVASA R PATIBANDLA | 1740 EASTCHESTER RD | BRONX | NY | 10461 | 280 |