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FORE-SIGHT® - CAS MEDICAL SYSTEMS INC - In Depth Guide

CAS MEDICAL SYSTEMS INC - FORE-SIGHT® : Product InformationBack to Top


 FORE-SIGHT®
 In Commercial Distribution
 CAS MEDICAL SYSTEMS, INC.
 10609538710077
 GS1
 NA
 1
 Tissue Oximeter Sensor (Dual Large)

FORE-SIGHT® - Device Characteristics


MRI safety Status Labeling does not contain MRI Safety Information
Device required to be labeled as containing natural rubber latex or dry natural rubber (21 CFR 801.437) No
Device labeled as "Not made with natural rubber latex" No
For Single-Use True
Prescription Use (Rx) True
Over the Counter (OTC) No
Kit No
Combination Product No
Human Cell, Tissue or Cellular or Tissue-Based Product (HCT/P) No

FORE-SIGHT® - GMDN


GMDN Preferred Term Name GMDN Definition
Tissue saturation oximeter sensor, single-use A photoelectric device that is applied externally to a site on the body surface of a paediatric or adult patient for transcutaneous measurement the percent oxygen saturation of haemoglobin in a volume of tissue (StO2) to assess the amount of oxygen delivered to that tissue, typically during circulatory or perfusion examinations of skeletal muscle or when there is a suspicion of compromised circulation. It is connected to a tissue saturation oximeter via a fibreoptic cable and will typically include a light shield to protect the measurements from ambient light. This is a single-use device.

FORE-SIGHT® - Sterilization


 No
 No

CAS MEDICAL SYSTEMS INC - FORE-SIGHT® : Product Code InformationBack to Top


FDA Product Code

Product Code Product Code Name
MUD Oximeter, tissue saturation

CAS MEDICAL SYSTEMS INC - FORE-SIGHT® : Reimbursement Data & Quality OutcomesBack to Top


This sample data is for Yale New Haven Hospital & shows the reimbursement and quality outcomes data to help understand the the ROI, Business Case, HEOR & VAC Metrics in the use FORE-SIGHT® by CAS MEDICAL SYSTEMS INC.
To get metrics for your Hospital, click here.

Quality Outcomes Data from Medicare Claims Analysis

Inpatient Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


Data with Symbol is for Dexur Pro Members. Sign Up Now.

Inpatient All (For Included Categories & DRGs) Inpatient - Surgical (For Included Categories & DRGs)
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 1,355 7,819 1,355 7,819
Total Hospitalizations After Exclusion 1,318 7,581 1,318 7,581
Avg. LOS 7.04 6.58 7.04 6.58
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $51,048,131 $284,564,075 $51,048,131 $284,564,075
Payment per Day $5,349 $5,530 $5,349 $5,530
Payment per Hospitalization $37,673 $36,393 $37,673 $36,393
Total Medicare Charges $193,141,619 $1,010,952,353 $193,141,619 $1,010,952,353
Avg. Charges $142,540 $129,294 $142,540 $129,294
Mortality Rate (%)
SNF Discharge Rate (%) 32.69 37.22 32.69 37.22
Home Discharge Rate (%) 17.42 16.61 17.42 16.61
Repair Of Heart Valves
Total Hospitalizations with Repair Of Heart Valves
Total Hospitalizations After Exclusion with Repair Of Heart Valves
Avg. LOS with Repair Of Heart Valves
30 Day Repair Of Heart Valves Readmission Rate (%)
30 Day Readmission Rate with Repair Of Heart Valves(%)
30 Day Repair Of Heart Valves Unplanned Readmission Rate (%)
ICU Stays with Repair Of Heart Valves
Avg. Number of Days in ICU per ICU Stay with Repair Of Heart Valves
Medicare Payments with Repair Of Heart Valves
Payment per Day with Repair Of Heart Valves
Payment per Hospitalization with Repair Of Heart Valves
Medicare Charges with Repair Of Heart Valves
Avg. Charges with Repair Of Heart Valves
Inpatient Hospital Mortality Rate (%) with Repair Of Heart Valves
SNF Discharge Rate (%) with Repair Of Heart Valves
Home Discharge Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves after Exclusions
Hip Surgeries
Total Hospitalizations with Hip Surgeries
Total Hospitalizations After Exclusion with Hip Surgeries
Avg. LOS with Hip Surgeries
30 Day Hip Surgeries Readmission Rate (%)
30 Day Readmission Rate with Hip Surgeries(%)
30 Day Hip Surgeries Unplanned Readmission Rate (%)
ICU Stays with Hip Surgeries
Avg. Number of Days in ICU per ICU Stay with Hip Surgeries
Medicare Payments with Hip Surgeries
Payment per Day with Hip Surgeries
Payment per Hospitalization with Hip Surgeries
Medicare Charges with Hip Surgeries
Avg. Charges with Hip Surgeries
Inpatient Hospital Mortality Rate (%) with Hip Surgeries
SNF Discharge Rate (%) with Hip Surgeries
Home Discharge Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries after Exclusions
Cerebral Vasospasm
Total Hospitalizations with Cerebral Vasospasm
Total Hospitalizations After Exclusion with Cerebral Vasospasm
Avg. LOS with Cerebral Vasospasm
30 Day Cerebral Vasospasm Readmission Rate (%)
30 Day Readmission Rate with Cerebral Vasospasm(%)
30 Day Cerebral Vasospasm Unplanned Readmission Rate (%)
ICU Stays with Cerebral Vasospasm
Avg. Number of Days in ICU per ICU Stay with Cerebral Vasospasm
Medicare Payments with Cerebral Vasospasm
Payment per Day with Cerebral Vasospasm
Payment per Hospitalization with Cerebral Vasospasm
Medicare Charges with Cerebral Vasospasm
Avg. Charges with Cerebral Vasospasm
Inpatient Hospital Mortality Rate (%) with Cerebral Vasospasm
SNF Discharge Rate (%) with Cerebral Vasospasm
Home Discharge Rate (%) with Cerebral Vasospasm
Incidence Rate (%) with Cerebral Vasospasm
Incidence Rate (%) with Cerebral Vasospasm after Exclusions
Thoracic Aortic Aneurysm
Total Hospitalizations with Thoracic Aortic Aneurysm
Total Hospitalizations After Exclusion with Thoracic Aortic Aneurysm
Avg. LOS with Thoracic Aortic Aneurysm
30 Day Thoracic Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Thoracic Aortic Aneurysm(%)
30 Day Thoracic Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Thoracic Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Thoracic Aortic Aneurysm
Medicare Payments with Thoracic Aortic Aneurysm
Payment per Day with Thoracic Aortic Aneurysm
Payment per Hospitalization with Thoracic Aortic Aneurysm
Medicare Charges with Thoracic Aortic Aneurysm
Avg. Charges with Thoracic Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Thoracic Aortic Aneurysm
SNF Discharge Rate (%) with Thoracic Aortic Aneurysm
Home Discharge Rate (%) with Thoracic Aortic Aneurysm
Incidence Rate (%) with Thoracic Aortic Aneurysm
Incidence Rate (%) with Thoracic Aortic Aneurysm after Exclusions
Aortic Aneurysm
Total Hospitalizations with Aortic Aneurysm
Total Hospitalizations After Exclusion with Aortic Aneurysm
Avg. LOS with Aortic Aneurysm
30 Day Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Aortic Aneurysm(%)
30 Day Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Aortic Aneurysm
Medicare Payments with Aortic Aneurysm
Payment per Day with Aortic Aneurysm
Payment per Hospitalization with Aortic Aneurysm
Medicare Charges with Aortic Aneurysm
Avg. Charges with Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Aortic Aneurysm
SNF Discharge Rate (%) with Aortic Aneurysm
Home Discharge Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm after Exclusions
Knee Surgeries
Total Hospitalizations with Knee Surgeries
Total Hospitalizations After Exclusion with Knee Surgeries
Avg. LOS with Knee Surgeries
30 Day Knee Surgeries Readmission Rate (%)
30 Day Readmission Rate with Knee Surgeries(%)
30 Day Knee Surgeries Unplanned Readmission Rate (%)
ICU Stays with Knee Surgeries
Avg. Number of Days in ICU per ICU Stay with Knee Surgeries
Medicare Payments with Knee Surgeries
Payment per Day with Knee Surgeries
Payment per Hospitalization with Knee Surgeries
Medicare Charges with Knee Surgeries
Avg. Charges with Knee Surgeries
Inpatient Hospital Mortality Rate (%) with Knee Surgeries
SNF Discharge Rate (%) with Knee Surgeries
Home Discharge Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries after Exclusions

Top ICD Diagnosis Codes For Inpatient (For Included Categories & DRGs)   |   Back to Reimbursement Quality Outcomes Summary


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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
4019 Unspecified essential hypertension 2622 NA 33.53 NA

Top Procedure Codes For Inpatient (For Included Categories & DRGs)   |   Back to Reimbursement Quality Outcomes Summary


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Procedure Code Procedure Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
8154 907 NA 11.6 NA

Orthopedics Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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Orthopedics (For Included DRGs) Orthopedics - Surgical (For Included DRGs)
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 501 3,263 501 3,263
Total Hospitalizations After Exclusion 499 3,245 499 3,245
Avg. LOS 3.12 3.24 3.12 3.24
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $8,370,687 $57,811,777 $8,370,687 $57,811,777
Payment per Day $5,355 $5,469 $5,355 $5,469
Payment per Hospitalization $16,707 $17,717 $16,707 $17,717
Total Medicare Charges $28,497,919 $183,737,823 $28,497,919 $183,737,823
Avg. Charges $56,882 $56,309 $56,882 $56,309
Mortality Rate (%)
SNF Discharge Rate (%) 42.32 48.36 42.32 48.36
Home Discharge Rate (%) 4.59 2.33 4.59 2.33
Repair Of Heart Valves
Total Hospitalizations with Repair Of Heart Valves
Total Hospitalizations After Exclusion with Repair Of Heart Valves
Avg. LOS with Repair Of Heart Valves
30 Day Repair Of Heart Valves Readmission Rate (%)
30 Day Readmission Rate with Repair Of Heart Valves(%)
30 Day Repair Of Heart Valves Unplanned Readmission Rate (%)
ICU Stays with Repair Of Heart Valves
Avg. Number of Days in ICU per ICU Stay with Repair Of Heart Valves
Medicare Payments with Repair Of Heart Valves
Payment per Day with Repair Of Heart Valves
Payment per Hospitalization with Repair Of Heart Valves
Medicare Charges with Repair Of Heart Valves
Avg. Charges with Repair Of Heart Valves
Inpatient Hospital Mortality Rate (%) with Repair Of Heart Valves
SNF Discharge Rate (%) with Repair Of Heart Valves
Home Discharge Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves after Exclusions
Knee Surgeries
Total Hospitalizations with Knee Surgeries
Total Hospitalizations After Exclusion with Knee Surgeries
Avg. LOS with Knee Surgeries
30 Day Knee Surgeries Readmission Rate (%)
30 Day Readmission Rate with Knee Surgeries(%)
30 Day Knee Surgeries Unplanned Readmission Rate (%)
ICU Stays with Knee Surgeries
Avg. Number of Days in ICU per ICU Stay with Knee Surgeries
Medicare Payments with Knee Surgeries
Payment per Day with Knee Surgeries
Payment per Hospitalization with Knee Surgeries
Medicare Charges with Knee Surgeries
Avg. Charges with Knee Surgeries
Inpatient Hospital Mortality Rate (%) with Knee Surgeries
SNF Discharge Rate (%) with Knee Surgeries
Home Discharge Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries after Exclusions
Hip Surgeries
Total Hospitalizations with Hip Surgeries
Total Hospitalizations After Exclusion with Hip Surgeries
Avg. LOS with Hip Surgeries
30 Day Hip Surgeries Readmission Rate (%)
30 Day Readmission Rate with Hip Surgeries(%)
30 Day Hip Surgeries Unplanned Readmission Rate (%)
ICU Stays with Hip Surgeries
Avg. Number of Days in ICU per ICU Stay with Hip Surgeries
Medicare Payments with Hip Surgeries
Payment per Day with Hip Surgeries
Payment per Hospitalization with Hip Surgeries
Medicare Charges with Hip Surgeries
Avg. Charges with Hip Surgeries
Inpatient Hospital Mortality Rate (%) with Hip Surgeries
SNF Discharge Rate (%) with Hip Surgeries
Home Discharge Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries after Exclusions
Aortic Aneurysm
Total Hospitalizations with Aortic Aneurysm
Total Hospitalizations After Exclusion with Aortic Aneurysm
Avg. LOS with Aortic Aneurysm
30 Day Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Aortic Aneurysm(%)
30 Day Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Aortic Aneurysm
Medicare Payments with Aortic Aneurysm
Payment per Day with Aortic Aneurysm
Payment per Hospitalization with Aortic Aneurysm
Medicare Charges with Aortic Aneurysm
Avg. Charges with Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Aortic Aneurysm
SNF Discharge Rate (%) with Aortic Aneurysm
Home Discharge Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm after Exclusions

Top ICD Diagnosis Codes for Orthopedics (For Included Categories & DRGs)   |   Back to Reimbursement Quality Outcomes Summary


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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
4019 Unspecified essential hypertension 1136 NA 34.81 NA

Top Procedure Codes for Orthopedics (For Included Categories & DRGs)   |   Back to Reimbursement Quality Outcomes Summary


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Procedure Code Procedure Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
8154 907 NA 27.8 NA

DRG Group : MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY - Orthopedics DRG 470 : MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY DRG 469 : MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY
DRG Group MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 501 3,263 462 3,063 39 200
Total Hospitalizations After Exclusion 499 3,245 462 3,054 37 191
Avg. LOS 3.12 3.24 2.76 2.95 7.41 7.69
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $8,370,687 $57,811,777 $7,272,222 $52,113,881 $1,098,465 $5,697,895
Payment per Day $5,355 $5,469 $5,708 $5,769 $3,800 $3,707
Payment per Hospitalization $16,707 $17,717 $15,740 $17,013 $28,165 $28,489
Total Medicare Charges $28,497,919 $183,737,823 $24,351,759 $162,970,711 $4,146,160 $20,767,112
Avg. Charges $56,882 $56,309 $52,709 $53,206 $106,312 $103,836
Mortality Rate (%)
SNF Discharge Rate (%) 42.32 48.36 40.04 46.75 69.23 73.00
Home Discharge Rate (%) 4.59 2.33 4.76 2.42 NA NA
Hip Surgeries
Total Hospitalizations with Hip Surgeries
Total Hospitalizations After Exclusion with Hip Surgeries
Avg. LOS with Hip Surgeries
30 Day Hip Surgeries Readmission Rate (%)
30 Day Readmission Rate with Hip Surgeries(%)
30 Day Hip Surgeries Unplanned Readmission Rate (%)
ICU Stays with Hip Surgeries
Avg. Number of Days in ICU per ICU Stay with Hip Surgeries
Medicare Payments with Hip Surgeries
Payment per Day with Hip Surgeries
Payment per Hospitalization with Hip Surgeries
Medicare Charges with Hip Surgeries
Avg. Charges with Hip Surgeries
Inpatient Hospital Mortality Rate (%) with Hip Surgeries
SNF Discharge Rate (%) with Hip Surgeries
Home Discharge Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries after Exclusions
Repair Of Heart Valves
Total Hospitalizations with Repair Of Heart Valves
Total Hospitalizations After Exclusion with Repair Of Heart Valves
Avg. LOS with Repair Of Heart Valves
30 Day Repair Of Heart Valves Readmission Rate (%)
30 Day Readmission Rate with Repair Of Heart Valves(%)
30 Day Repair Of Heart Valves Unplanned Readmission Rate (%)
ICU Stays with Repair Of Heart Valves
Avg. Number of Days in ICU per ICU Stay with Repair Of Heart Valves
Medicare Payments with Repair Of Heart Valves
Payment per Day with Repair Of Heart Valves
Payment per Hospitalization with Repair Of Heart Valves
Medicare Charges with Repair Of Heart Valves
Avg. Charges with Repair Of Heart Valves
Inpatient Hospital Mortality Rate (%) with Repair Of Heart Valves
SNF Discharge Rate (%) with Repair Of Heart Valves
Home Discharge Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves after Exclusions
Aortic Aneurysm
Total Hospitalizations with Aortic Aneurysm
Total Hospitalizations After Exclusion with Aortic Aneurysm
Avg. LOS with Aortic Aneurysm
30 Day Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Aortic Aneurysm(%)
30 Day Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Aortic Aneurysm
Medicare Payments with Aortic Aneurysm
Payment per Day with Aortic Aneurysm
Payment per Hospitalization with Aortic Aneurysm
Medicare Charges with Aortic Aneurysm
Avg. Charges with Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Aortic Aneurysm
SNF Discharge Rate (%) with Aortic Aneurysm
Home Discharge Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm after Exclusions
Knee Surgeries
Total Hospitalizations with Knee Surgeries
Total Hospitalizations After Exclusion with Knee Surgeries
Avg. LOS with Knee Surgeries
30 Day Knee Surgeries Readmission Rate (%)
30 Day Readmission Rate with Knee Surgeries(%)
30 Day Knee Surgeries Unplanned Readmission Rate (%)
ICU Stays with Knee Surgeries
Avg. Number of Days in ICU per ICU Stay with Knee Surgeries
Medicare Payments with Knee Surgeries
Payment per Day with Knee Surgeries
Payment per Hospitalization with Knee Surgeries
Medicare Charges with Knee Surgeries
Avg. Charges with Knee Surgeries
Inpatient Hospital Mortality Rate (%) with Knee Surgeries
SNF Discharge Rate (%) with Knee Surgeries
Home Discharge Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries after Exclusions

Top ICD Diagnosis Codes for MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY   |   Back to Reimbursement Quality Outcomes Summary


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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
4019 Unspecified essential hypertension 1133 NA 34.72 NA

Top Procedure Codes for MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY   |   Back to Reimbursement Quality Outcomes Summary


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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
8154 907 NA 27.8 NA

Cardiovascular Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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Cardiovascular (For Included DRGs) Cardiovascular - Surgical (For Included DRGs)
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 350 2,182 350 2,182
Total Hospitalizations After Exclusion 339 2,075 339 2,075
Avg. LOS 8.71 9.03 8.71 9.03
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $20,575,390 $124,959,294 $20,575,390 $124,959,294
Payment per Day $6,750 $6,339 $6,750 $6,339
Payment per Hospitalization $58,786 $57,268 $58,786 $57,268
Total Medicare Charges $73,638,174 $443,448,431 $73,638,174 $443,448,431
Avg. Charges $210,395 $203,230 $210,395 $203,230
Mortality Rate (%)
SNF Discharge Rate (%) 24.86 26.76 24.86 26.76
Home Discharge Rate (%) 22.86 24.43 22.86 24.43
Repair Of Heart Valves
Total Hospitalizations with Repair Of Heart Valves
Total Hospitalizations After Exclusion with Repair Of Heart Valves
Avg. LOS with Repair Of Heart Valves
30 Day Repair Of Heart Valves Readmission Rate (%)
30 Day Readmission Rate with Repair Of Heart Valves(%)
30 Day Repair Of Heart Valves Unplanned Readmission Rate (%)
ICU Stays with Repair Of Heart Valves
Avg. Number of Days in ICU per ICU Stay with Repair Of Heart Valves
Medicare Payments with Repair Of Heart Valves
Payment per Day with Repair Of Heart Valves
Payment per Hospitalization with Repair Of Heart Valves
Medicare Charges with Repair Of Heart Valves
Avg. Charges with Repair Of Heart Valves
Inpatient Hospital Mortality Rate (%) with Repair Of Heart Valves
SNF Discharge Rate (%) with Repair Of Heart Valves
Home Discharge Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves after Exclusions
Knee Surgeries
Total Hospitalizations with Knee Surgeries
Total Hospitalizations After Exclusion with Knee Surgeries
Avg. LOS with Knee Surgeries
30 Day Knee Surgeries Readmission Rate (%)
30 Day Readmission Rate with Knee Surgeries(%)
30 Day Knee Surgeries Unplanned Readmission Rate (%)
ICU Stays with Knee Surgeries
Avg. Number of Days in ICU per ICU Stay with Knee Surgeries
Medicare Payments with Knee Surgeries
Payment per Day with Knee Surgeries
Payment per Hospitalization with Knee Surgeries
Medicare Charges with Knee Surgeries
Avg. Charges with Knee Surgeries
Inpatient Hospital Mortality Rate (%) with Knee Surgeries
SNF Discharge Rate (%) with Knee Surgeries
Home Discharge Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries after Exclusions
Hip Surgeries
Total Hospitalizations with Hip Surgeries
Total Hospitalizations After Exclusion with Hip Surgeries
Avg. LOS with Hip Surgeries
30 Day Hip Surgeries Readmission Rate (%)
30 Day Readmission Rate with Hip Surgeries(%)
30 Day Hip Surgeries Unplanned Readmission Rate (%)
ICU Stays with Hip Surgeries
Avg. Number of Days in ICU per ICU Stay with Hip Surgeries
Medicare Payments with Hip Surgeries
Payment per Day with Hip Surgeries
Payment per Hospitalization with Hip Surgeries
Medicare Charges with Hip Surgeries
Avg. Charges with Hip Surgeries
Inpatient Hospital Mortality Rate (%) with Hip Surgeries
SNF Discharge Rate (%) with Hip Surgeries
Home Discharge Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries after Exclusions
Thoracic Aortic Aneurysm
Total Hospitalizations with Thoracic Aortic Aneurysm
Total Hospitalizations After Exclusion with Thoracic Aortic Aneurysm
Avg. LOS with Thoracic Aortic Aneurysm
30 Day Thoracic Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Thoracic Aortic Aneurysm(%)
30 Day Thoracic Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Thoracic Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Thoracic Aortic Aneurysm
Medicare Payments with Thoracic Aortic Aneurysm
Payment per Day with Thoracic Aortic Aneurysm
Payment per Hospitalization with Thoracic Aortic Aneurysm
Medicare Charges with Thoracic Aortic Aneurysm
Avg. Charges with Thoracic Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Thoracic Aortic Aneurysm
SNF Discharge Rate (%) with Thoracic Aortic Aneurysm
Home Discharge Rate (%) with Thoracic Aortic Aneurysm
Incidence Rate (%) with Thoracic Aortic Aneurysm
Incidence Rate (%) with Thoracic Aortic Aneurysm after Exclusions
Aortic Aneurysm
Total Hospitalizations with Aortic Aneurysm
Total Hospitalizations After Exclusion with Aortic Aneurysm
Avg. LOS with Aortic Aneurysm
30 Day Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Aortic Aneurysm(%)
30 Day Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Aortic Aneurysm
Medicare Payments with Aortic Aneurysm
Payment per Day with Aortic Aneurysm
Payment per Hospitalization with Aortic Aneurysm
Medicare Charges with Aortic Aneurysm
Avg. Charges with Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Aortic Aneurysm
SNF Discharge Rate (%) with Aortic Aneurysm
Home Discharge Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm after Exclusions

Top ICD Diagnosis Codes for Cardiovascular (For Included Categories & DRGs)   |   Back to Reimbursement Quality Outcomes Summary


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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
4019 Unspecified essential hypertension 810 NA 37.12 NA

Top Procedure Codes for Cardiovascular (For Included Categories & DRGs)   |   Back to Reimbursement Quality Outcomes Summary


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Procedure Code Procedure Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
3961 750 NA 34.37 NA

DRG Group : MAJOR CARDIOVASCULAR PROCEDURES Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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MAJOR CARDIOVASCULAR PROCEDURES - Cardiovascular DRG 238 : DRG 237 :
DRG Group MAJOR CARDIOVASCULAR PROCEDURES MAJOR CARDIOVASCULAR PROCEDURES MAJOR CARDIOVASCULAR PROCEDURES
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations NA 396 NA 251 NA 145
Total Hospitalizations After Exclusion NA 353 NA 240 NA 113
Avg. LOS NA 6.33 NA 3.76 NA 10.77
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments NA $15,323,279 NA $7,708,644 NA $7,614,635
Payment per Day NA $6,114 NA $8,165 NA $4,874
Payment per Hospitalization NA $38,695 NA $30,711 NA $52,514
Total Medicare Charges NA $54,683,573 NA $25,999,330 NA $28,684,243
Avg. Charges NA $138,090 NA $103,583 NA $197,822
Mortality Rate (%)
SNF Discharge Rate (%) NA 24.75 NA 19.12 NA 34.48
Home Discharge Rate (%) NA 37.63 NA 49.00 NA 17.93
Repair Of Heart Valves
Total Hospitalizations with Repair Of Heart Valves
Total Hospitalizations After Exclusion with Repair Of Heart Valves
Avg. LOS with Repair Of Heart Valves
30 Day Repair Of Heart Valves Readmission Rate (%)
30 Day Readmission Rate with Repair Of Heart Valves(%)
30 Day Repair Of Heart Valves Unplanned Readmission Rate (%)
ICU Stays with Repair Of Heart Valves
Avg. Number of Days in ICU per ICU Stay with Repair Of Heart Valves
Medicare Payments with Repair Of Heart Valves
Payment per Day with Repair Of Heart Valves
Payment per Hospitalization with Repair Of Heart Valves
Medicare Charges with Repair Of Heart Valves
Avg. Charges with Repair Of Heart Valves
Inpatient Hospital Mortality Rate (%) with Repair Of Heart Valves
SNF Discharge Rate (%) with Repair Of Heart Valves
Home Discharge Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves after Exclusions
Aortic Aneurysm
Total Hospitalizations with Aortic Aneurysm
Total Hospitalizations After Exclusion with Aortic Aneurysm
Avg. LOS with Aortic Aneurysm
30 Day Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Aortic Aneurysm(%)
30 Day Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Aortic Aneurysm
Medicare Payments with Aortic Aneurysm
Payment per Day with Aortic Aneurysm
Payment per Hospitalization with Aortic Aneurysm
Medicare Charges with Aortic Aneurysm
Avg. Charges with Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Aortic Aneurysm
SNF Discharge Rate (%) with Aortic Aneurysm
Home Discharge Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm after Exclusions

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
4019 Unspecified essential hypertension 235 NA 59.34 NA

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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
3971 140 NA 35.35 NA

DRG Group : CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION - Cardiovascular DRG 220 : CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY DRG 219 : CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY DRG 221 : CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY/MAJOR COMPLICATION OR COMORBIDITY
DRG Group CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 198 1,153 90 588 107 516 NA 49
Total Hospitalizations After Exclusion 195 1,126 90 585 104 494 NA 47
Avg. LOS 7.30 7.71 5.63 6.22 8.73 9.73 NA 4.47
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $10,012,710 $61,753,220 $3,551,050 $26,063,846 $6,420,226 $33,987,578 NA $1,701,795
Payment per Day $6,924 $6,943 $7,004 $7,131 $6,873 $6,770 NA $7,770
Payment per Hospitalization $50,569 $53,558 $39,456 $44,326 $60,002 $65,867 NA $34,730
Total Medicare Charges $34,406,234 $204,075,110 $12,916,467 $86,379,071 $21,344,010 $111,943,295 NA $5,752,744
Avg. Charges $173,769 $176,995 $143,516 $146,903 $199,477 $216,944 NA $117,403
Mortality Rate (%)
SNF Discharge Rate (%) 27.27 26.71 15.56 21.09 37.38 34.88 NA NA
Home Discharge Rate (%) 13.64 15.96 15.56 17.18 12.15 12.60 NA 36.73
Hip Surgeries
Total Hospitalizations with Hip Surgeries
Total Hospitalizations After Exclusion with Hip Surgeries
Avg. LOS with Hip Surgeries
30 Day Hip Surgeries Readmission Rate (%)
30 Day Readmission Rate with Hip Surgeries(%)
30 Day Hip Surgeries Unplanned Readmission Rate (%)
ICU Stays with Hip Surgeries
Avg. Number of Days in ICU per ICU Stay with Hip Surgeries
Medicare Payments with Hip Surgeries
Payment per Day with Hip Surgeries
Payment per Hospitalization with Hip Surgeries
Medicare Charges with Hip Surgeries
Avg. Charges with Hip Surgeries
Inpatient Hospital Mortality Rate (%) with Hip Surgeries
SNF Discharge Rate (%) with Hip Surgeries
Home Discharge Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries after Exclusions
Repair Of Heart Valves
Total Hospitalizations with Repair Of Heart Valves
Total Hospitalizations After Exclusion with Repair Of Heart Valves
Avg. LOS with Repair Of Heart Valves
30 Day Repair Of Heart Valves Readmission Rate (%)
30 Day Readmission Rate with Repair Of Heart Valves(%)
30 Day Repair Of Heart Valves Unplanned Readmission Rate (%)
ICU Stays with Repair Of Heart Valves
Avg. Number of Days in ICU per ICU Stay with Repair Of Heart Valves
Medicare Payments with Repair Of Heart Valves
Payment per Day with Repair Of Heart Valves
Payment per Hospitalization with Repair Of Heart Valves
Medicare Charges with Repair Of Heart Valves
Avg. Charges with Repair Of Heart Valves
Inpatient Hospital Mortality Rate (%) with Repair Of Heart Valves
SNF Discharge Rate (%) with Repair Of Heart Valves
Home Discharge Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves after Exclusions
Thoracic Aortic Aneurysm
Total Hospitalizations with Thoracic Aortic Aneurysm
Total Hospitalizations After Exclusion with Thoracic Aortic Aneurysm
Avg. LOS with Thoracic Aortic Aneurysm
30 Day Thoracic Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Thoracic Aortic Aneurysm(%)
30 Day Thoracic Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Thoracic Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Thoracic Aortic Aneurysm
Medicare Payments with Thoracic Aortic Aneurysm
Payment per Day with Thoracic Aortic Aneurysm
Payment per Hospitalization with Thoracic Aortic Aneurysm
Medicare Charges with Thoracic Aortic Aneurysm
Avg. Charges with Thoracic Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Thoracic Aortic Aneurysm
SNF Discharge Rate (%) with Thoracic Aortic Aneurysm
Home Discharge Rate (%) with Thoracic Aortic Aneurysm
Incidence Rate (%) with Thoracic Aortic Aneurysm
Incidence Rate (%) with Thoracic Aortic Aneurysm after Exclusions
Aortic Aneurysm
Total Hospitalizations with Aortic Aneurysm
Total Hospitalizations After Exclusion with Aortic Aneurysm
Avg. LOS with Aortic Aneurysm
30 Day Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Aortic Aneurysm(%)
30 Day Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Aortic Aneurysm
Medicare Payments with Aortic Aneurysm
Payment per Day with Aortic Aneurysm
Payment per Hospitalization with Aortic Aneurysm
Medicare Charges with Aortic Aneurysm
Avg. Charges with Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Aortic Aneurysm
SNF Discharge Rate (%) with Aortic Aneurysm
Home Discharge Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm after Exclusions
Knee Surgeries
Total Hospitalizations with Knee Surgeries
Total Hospitalizations After Exclusion with Knee Surgeries
Avg. LOS with Knee Surgeries
30 Day Knee Surgeries Readmission Rate (%)
30 Day Readmission Rate with Knee Surgeries(%)
30 Day Knee Surgeries Unplanned Readmission Rate (%)
ICU Stays with Knee Surgeries
Avg. Number of Days in ICU per ICU Stay with Knee Surgeries
Medicare Payments with Knee Surgeries
Payment per Day with Knee Surgeries
Payment per Hospitalization with Knee Surgeries
Medicare Charges with Knee Surgeries
Avg. Charges with Knee Surgeries
Inpatient Hospital Mortality Rate (%) with Knee Surgeries
SNF Discharge Rate (%) with Knee Surgeries
Home Discharge Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries after Exclusions

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
4019 Unspecified essential hypertension 431 NA 37.38 NA

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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
3961 592 NA 51.34 NA

DRG Group : AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON - Cardiovascular DRG 269 : AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY DRG 268 : AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MAJOR COMPLICATION OR COMORBIDITY
DRG Group AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 47 112 37 90 NA 22
Total Hospitalizations After Exclusion 45 109 37 90 NA 19
Avg. LOS 4.96 4.71 2.78 2.48 NA 13.86
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $1,881,325 $4,501,403 $1,285,278 $3,095,644 NA $1,405,758
Payment per Day $8,074 $8,525 $12,478 $13,881 NA $4,609
Payment per Hospitalization $40,028 $40,191 $34,737 $34,396 NA $63,898
Total Medicare Charges $6,342,793 $14,385,898 $3,953,439 $8,934,023 NA $5,451,875
Avg. Charges $134,953 $128,446 $106,850 $99,267 NA $247,813
Mortality Rate (%)
SNF Discharge Rate (%) NA 18.75 NA 13.33 NA NA
Home Discharge Rate (%) 46.81 52.68 54.05 61.11 NA NA
Aortic Aneurysm
Total Hospitalizations with Aortic Aneurysm
Total Hospitalizations After Exclusion with Aortic Aneurysm
Avg. LOS with Aortic Aneurysm
30 Day Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Aortic Aneurysm(%)
30 Day Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Aortic Aneurysm
Medicare Payments with Aortic Aneurysm
Payment per Day with Aortic Aneurysm
Payment per Hospitalization with Aortic Aneurysm
Medicare Charges with Aortic Aneurysm
Avg. Charges with Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Aortic Aneurysm
SNF Discharge Rate (%) with Aortic Aneurysm
Home Discharge Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm after Exclusions

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
I714 Abdominal aortic aneurysm, without rupture 90 36 80.36 76.6

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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
04V03DZ 72 22 64.29 46.81

DRG Group : CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION - Cardiovascular DRG 216 : CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY DRG 217 : CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY
DRG Group CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 37 258 28 184 NA 74
Total Hospitalizations After Exclusion 34 241 25 168 NA 73
Avg. LOS 16.22 15.85 18.04 18.19 NA 10.04
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $3,016,692 $20,967,178 $2,552,537 $16,740,818 NA $4,226,360
Payment per Day $5,027 $5,126 $5,054 $5,001 NA $5,688
Payment per Hospitalization $81,532 $81,268 $91,162 $90,982 NA $57,112
Total Medicare Charges $10,319,983 $74,680,062 $8,378,857 $60,200,418 NA $14,479,644
Avg. Charges $278,918 $289,458 $299,245 $327,176 NA $195,671
Mortality Rate (%)
SNF Discharge Rate (%) 40.54 49.22 42.86 52.72 NA 40.54
Home Discharge Rate (%) NA 6.20 NA NA NA 14.86
Hip Surgeries
Total Hospitalizations with Hip Surgeries
Total Hospitalizations After Exclusion with Hip Surgeries
Avg. LOS with Hip Surgeries
30 Day Hip Surgeries Readmission Rate (%)
30 Day Readmission Rate with Hip Surgeries(%)
30 Day Hip Surgeries Unplanned Readmission Rate (%)
ICU Stays with Hip Surgeries
Avg. Number of Days in ICU per ICU Stay with Hip Surgeries
Medicare Payments with Hip Surgeries
Payment per Day with Hip Surgeries
Payment per Hospitalization with Hip Surgeries
Medicare Charges with Hip Surgeries
Avg. Charges with Hip Surgeries
Inpatient Hospital Mortality Rate (%) with Hip Surgeries
SNF Discharge Rate (%) with Hip Surgeries
Home Discharge Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries after Exclusions
Thoracic Aortic Aneurysm
Total Hospitalizations with Thoracic Aortic Aneurysm
Total Hospitalizations After Exclusion with Thoracic Aortic Aneurysm
Avg. LOS with Thoracic Aortic Aneurysm
30 Day Thoracic Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Thoracic Aortic Aneurysm(%)
30 Day Thoracic Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Thoracic Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Thoracic Aortic Aneurysm
Medicare Payments with Thoracic Aortic Aneurysm
Payment per Day with Thoracic Aortic Aneurysm
Payment per Hospitalization with Thoracic Aortic Aneurysm
Medicare Charges with Thoracic Aortic Aneurysm
Avg. Charges with Thoracic Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Thoracic Aortic Aneurysm
SNF Discharge Rate (%) with Thoracic Aortic Aneurysm
Home Discharge Rate (%) with Thoracic Aortic Aneurysm
Incidence Rate (%) with Thoracic Aortic Aneurysm
Incidence Rate (%) with Thoracic Aortic Aneurysm after Exclusions
Aortic Aneurysm
Total Hospitalizations with Aortic Aneurysm
Total Hospitalizations After Exclusion with Aortic Aneurysm
Avg. LOS with Aortic Aneurysm
30 Day Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Aortic Aneurysm(%)
30 Day Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Aortic Aneurysm
Medicare Payments with Aortic Aneurysm
Payment per Day with Aortic Aneurysm
Payment per Hospitalization with Aortic Aneurysm
Medicare Charges with Aortic Aneurysm
Avg. Charges with Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Aortic Aneurysm
SNF Discharge Rate (%) with Aortic Aneurysm
Home Discharge Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm after Exclusions

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
4280 Congestive heart failure, unspecified 103 NA 39.92 NA

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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
3961 127 NA 49.22 NA

DRG Group : ENDOVASCULAR CARDIAC VALVE REPLACEMENT Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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ENDOVASCULAR CARDIAC VALVE REPLACEMENT - Cardiovascular DRG 267 : ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY
DRG Group ENDOVASCULAR CARDIAC VALVE REPLACEMENT ENDOVASCULAR CARDIAC VALVE REPLACEMENT
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 26 54 26 54
Total Hospitalizations After Exclusion 26 54 26 54
Avg. LOS 2.73 3.39 2.73 3.39
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $1,477,838 $2,992,445 $1,477,838 $2,992,445
Payment per Day $20,814 $16,352 $20,814 $16,352
Payment per Hospitalization $56,839 $55,415 $56,839 $55,415
Total Medicare Charges $4,544,455 $9,777,217 $4,544,455 $9,777,217
Avg. Charges $174,787 $181,060 $174,787 $181,060
Mortality Rate (%)
SNF Discharge Rate (%) NA 20.37 NA 20.37
Home Discharge Rate (%) NA 35.19 NA 35.19

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
Z006 Encounter for examination for normal comparison and control in clinical research program 51 26 94.44 100.0

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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
02RF38Z 44 22 81.48 84.62

DRG Group : HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM - Cardiovascular DRG 001 : HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY
DRG Group HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 15 64 15 64
Total Hospitalizations After Exclusion 12 47 12 47
Avg. LOS 41.07 48.00 41.07 48.00
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $3,723,150 $16,757,752 $3,723,150 $16,757,752
Payment per Day $6,044 $5,454 $6,044 $5,454
Payment per Hospitalization $248,210 $261,839 $248,210 $261,839
Total Medicare Charges $16,011,680 $74,597,915 $16,011,680 $74,597,915
Avg. Charges $1,067,445 $1,165,592 $1,067,445 $1,165,592
Mortality Rate (%)
SNF Discharge Rate (%) NA NA NA NA
Home Discharge Rate (%) NA NA NA NA

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
4280 Congestive heart failure, unspecified 29 NA 45.31 NA

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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
02HV33Z 35 15 54.69 100.0

DRG Group : CAROTID ARTERY STENT PROCEDURE Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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CAROTID ARTERY STENT PROCEDURE - Cardiovascular DRG 036 : CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY/MAJOR COMPLICATION OR COMORBIDITY DRG 035 : CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION OR COMORBIDITY DRG 034 : CAROTID ARTERY STENT PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY
DRG Group CAROTID ARTERY STENT PROCEDURE CAROTID ARTERY STENT PROCEDURE CAROTID ARTERY STENT PROCEDURE CAROTID ARTERY STENT PROCEDURE
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 27 145 12 75 NA 54 NA 16
Total Hospitalizations After Exclusion 27 145 12 75 NA 54 NA 16
Avg. LOS 3.04 3.01 1.25 2.12 NA 3.19 NA 6.63
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $463,674 $2,664,015 $158,746 $1,099,945 NA $973,432 NA $590,637
Payment per Day $5,654 $6,096 $10,583 $6,917 NA $5,659 NA $5,572
Payment per Hospitalization $17,173 $18,372 $13,228 $14,665 NA $18,026 NA $36,914
Total Medicare Charges $2,013,029 $11,248,656 $644,806 $4,685,841 NA $4,484,077 NA $2,078,738
Avg. Charges $74,557 $77,577 $53,734 $62,478 NA $83,038 NA $129,921
Mortality Rate (%)
SNF Discharge Rate (%) NA 8.97 NA NA NA NA NA NA
Home Discharge Rate (%) 74.07 72.41 100.00 81.33 NA 74.07 NA NA

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
43310 Occlusion and stenosis of carotid artery without mention of cerebral infarction 73 NA 50.34 NA

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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
0061 85 NA 58.62 NA

General Surgery Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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General Surgery (For Included DRGs) General Surgery - Surgical (For Included DRGs)
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 320 1,456 320 1,456
Total Hospitalizations After Exclusion 298 1,353 298 1,353
Avg. LOS 12.36 11.15 12.36 11.15
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $14,893,221 $64,079,350 $14,893,221 $64,079,350
Payment per Day $3,764 $3,946 $3,764 $3,946
Payment per Hospitalization $46,541 $44,010 $46,541 $44,010
Total Medicare Charges $66,780,608 $269,119,603 $66,780,608 $269,119,603
Avg. Charges $208,689 $184,835 $208,689 $184,835
Mortality Rate (%)
SNF Discharge Rate (%) 21.25 22.05 21.25 22.05
Home Discharge Rate (%) 33.44 38.32 33.44 38.32
Repair Of Heart Valves
Total Hospitalizations with Repair Of Heart Valves
Total Hospitalizations After Exclusion with Repair Of Heart Valves
Avg. LOS with Repair Of Heart Valves
30 Day Repair Of Heart Valves Readmission Rate (%)
30 Day Readmission Rate with Repair Of Heart Valves(%)
30 Day Repair Of Heart Valves Unplanned Readmission Rate (%)
ICU Stays with Repair Of Heart Valves
Avg. Number of Days in ICU per ICU Stay with Repair Of Heart Valves
Medicare Payments with Repair Of Heart Valves
Payment per Day with Repair Of Heart Valves
Payment per Hospitalization with Repair Of Heart Valves
Medicare Charges with Repair Of Heart Valves
Avg. Charges with Repair Of Heart Valves
Inpatient Hospital Mortality Rate (%) with Repair Of Heart Valves
SNF Discharge Rate (%) with Repair Of Heart Valves
Home Discharge Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves
Incidence Rate (%) with Repair Of Heart Valves after Exclusions
Knee Surgeries
Total Hospitalizations with Knee Surgeries
Total Hospitalizations After Exclusion with Knee Surgeries
Avg. LOS with Knee Surgeries
30 Day Knee Surgeries Readmission Rate (%)
30 Day Readmission Rate with Knee Surgeries(%)
30 Day Knee Surgeries Unplanned Readmission Rate (%)
ICU Stays with Knee Surgeries
Avg. Number of Days in ICU per ICU Stay with Knee Surgeries
Medicare Payments with Knee Surgeries
Payment per Day with Knee Surgeries
Payment per Hospitalization with Knee Surgeries
Medicare Charges with Knee Surgeries
Avg. Charges with Knee Surgeries
Inpatient Hospital Mortality Rate (%) with Knee Surgeries
SNF Discharge Rate (%) with Knee Surgeries
Home Discharge Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries after Exclusions
Hip Surgeries
Total Hospitalizations with Hip Surgeries
Total Hospitalizations After Exclusion with Hip Surgeries
Avg. LOS with Hip Surgeries
30 Day Hip Surgeries Readmission Rate (%)
30 Day Readmission Rate with Hip Surgeries(%)
30 Day Hip Surgeries Unplanned Readmission Rate (%)
ICU Stays with Hip Surgeries
Avg. Number of Days in ICU per ICU Stay with Hip Surgeries
Medicare Payments with Hip Surgeries
Payment per Day with Hip Surgeries
Payment per Hospitalization with Hip Surgeries
Medicare Charges with Hip Surgeries
Avg. Charges with Hip Surgeries
Inpatient Hospital Mortality Rate (%) with Hip Surgeries
SNF Discharge Rate (%) with Hip Surgeries
Home Discharge Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries after Exclusions
Thoracic Aortic Aneurysm
Total Hospitalizations with Thoracic Aortic Aneurysm
Total Hospitalizations After Exclusion with Thoracic Aortic Aneurysm
Avg. LOS with Thoracic Aortic Aneurysm
30 Day Thoracic Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Thoracic Aortic Aneurysm(%)
30 Day Thoracic Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Thoracic Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Thoracic Aortic Aneurysm
Medicare Payments with Thoracic Aortic Aneurysm
Payment per Day with Thoracic Aortic Aneurysm
Payment per Hospitalization with Thoracic Aortic Aneurysm
Medicare Charges with Thoracic Aortic Aneurysm
Avg. Charges with Thoracic Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Thoracic Aortic Aneurysm
SNF Discharge Rate (%) with Thoracic Aortic Aneurysm
Home Discharge Rate (%) with Thoracic Aortic Aneurysm
Incidence Rate (%) with Thoracic Aortic Aneurysm
Incidence Rate (%) with Thoracic Aortic Aneurysm after Exclusions
Aortic Aneurysm
Total Hospitalizations with Aortic Aneurysm
Total Hospitalizations After Exclusion with Aortic Aneurysm
Avg. LOS with Aortic Aneurysm
30 Day Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Aortic Aneurysm(%)
30 Day Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Aortic Aneurysm
Medicare Payments with Aortic Aneurysm
Payment per Day with Aortic Aneurysm
Payment per Hospitalization with Aortic Aneurysm
Medicare Charges with Aortic Aneurysm
Avg. Charges with Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Aortic Aneurysm
SNF Discharge Rate (%) with Aortic Aneurysm
Home Discharge Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm after Exclusions

Top ICD Diagnosis Codes for General Surgery (For Included Categories & DRGs)   |   Back to Reimbursement Quality Outcomes Summary


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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
4019 Unspecified essential hypertension 414 NA 28.43 NA

Top Procedure Codes for General Surgery (For Included Categories & DRGs)   |   Back to Reimbursement Quality Outcomes Summary


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Procedure Code Procedure Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
0040 213 NA 14.63 NA

DRG Group : CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES - General Surgery DRG 025 : CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY DRG 027 : CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY/MAJOR COMPLICATION OR COMORBIDITY DRG 026 : CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY
DRG Group CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 169 684 108 423 35 151 26 110
Total Hospitalizations After Exclusion 165 657 104 397 35 150 26 110
Avg. LOS 7.26 6.85 9.48 8.74 2.91 2.92 3.88 4.97
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $4,799,131 $20,723,048 $3,526,241 $15,348,347 $637,709 $2,635,890 $635,180 $2,738,810
Payment per Day $3,911 $4,422 $3,443 $4,150 $6,252 $5,977 $6,288 $5,006
Payment per Hospitalization $28,397 $30,296 $32,650 $36,284 $18,220 $17,456 $24,430 $24,898
Total Medicare Charges $20,915,787 $86,427,126 $14,766,198 $60,588,497 $3,477,142 $13,595,669 $2,672,447 $12,242,960
Avg. Charges $123,762 $126,355 $136,724 $143,235 $99,347 $90,038 $102,786 $111,300
Mortality Rate (%)
SNF Discharge Rate (%) 24.26 27.19 32.41 34.99 NA NA NA 25.45
Home Discharge Rate (%) 33.14 32.16 22.22 17.97 54.29 64.24 50.00 42.73
Hip Surgeries
Total Hospitalizations with Hip Surgeries
Total Hospitalizations After Exclusion with Hip Surgeries
Avg. LOS with Hip Surgeries
30 Day Hip Surgeries Readmission Rate (%)
30 Day Readmission Rate with Hip Surgeries(%)
30 Day Hip Surgeries Unplanned Readmission Rate (%)
ICU Stays with Hip Surgeries
Avg. Number of Days in ICU per ICU Stay with Hip Surgeries
Medicare Payments with Hip Surgeries
Payment per Day with Hip Surgeries
Payment per Hospitalization with Hip Surgeries
Medicare Charges with Hip Surgeries
Avg. Charges with Hip Surgeries
Inpatient Hospital Mortality Rate (%) with Hip Surgeries
SNF Discharge Rate (%) with Hip Surgeries
Home Discharge Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries after Exclusions
Knee Surgeries
Total Hospitalizations with Knee Surgeries
Total Hospitalizations After Exclusion with Knee Surgeries
Avg. LOS with Knee Surgeries
30 Day Knee Surgeries Readmission Rate (%)
30 Day Readmission Rate with Knee Surgeries(%)
30 Day Knee Surgeries Unplanned Readmission Rate (%)
ICU Stays with Knee Surgeries
Avg. Number of Days in ICU per ICU Stay with Knee Surgeries
Medicare Payments with Knee Surgeries
Payment per Day with Knee Surgeries
Payment per Hospitalization with Knee Surgeries
Medicare Charges with Knee Surgeries
Avg. Charges with Knee Surgeries
Inpatient Hospital Mortality Rate (%) with Knee Surgeries
SNF Discharge Rate (%) with Knee Surgeries
Home Discharge Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries after Exclusions

Top ICD Diagnosis Codes for CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES   |   Back to Reimbursement Quality Outcomes Summary


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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
4019 Unspecified essential hypertension 187 NA 27.34 NA

Top Procedure Codes for CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES   |   Back to Reimbursement Quality Outcomes Summary


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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
0159 117 NA 17.11 NA

DRG Group : ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK - General Surgery DRG 003 : ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE
DRG Group ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 51 192 51 192
Total Hospitalizations After Exclusion 34 132 34 132
Avg. LOS 42.04 44.41 42.04 44.41
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $8,185,220 $32,840,228 $8,185,220 $32,840,228
Payment per Day $3,817 $3,851 $3,817 $3,851
Payment per Hospitalization $160,494 $171,042 $160,494 $171,042
Total Medicare Charges $36,753,390 $137,603,323 $36,753,390 $137,603,323
Avg. Charges $720,655 $716,684 $720,655 $716,684
Mortality Rate (%)
SNF Discharge Rate (%) 23.53 22.40 23.53 22.40
Home Discharge Rate (%) NA NA NA NA
Aortic Aneurysm
Total Hospitalizations with Aortic Aneurysm
Total Hospitalizations After Exclusion with Aortic Aneurysm
Avg. LOS with Aortic Aneurysm
30 Day Aortic Aneurysm Readmission Rate (%)
30 Day Readmission Rate with Aortic Aneurysm(%)
30 Day Aortic Aneurysm Unplanned Readmission Rate (%)
ICU Stays with Aortic Aneurysm
Avg. Number of Days in ICU per ICU Stay with Aortic Aneurysm
Medicare Payments with Aortic Aneurysm
Payment per Day with Aortic Aneurysm
Payment per Hospitalization with Aortic Aneurysm
Medicare Charges with Aortic Aneurysm
Avg. Charges with Aortic Aneurysm
Inpatient Hospital Mortality Rate (%) with Aortic Aneurysm
SNF Discharge Rate (%) with Aortic Aneurysm
Home Discharge Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm
Incidence Rate (%) with Aortic Aneurysm after Exclusions

Top ICD Diagnosis Codes for ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK   |   Back to Reimbursement Quality Outcomes Summary


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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
D62 Acute posthemorrhagic anemia 55 31 28.65 60.78

Top Procedure Codes for ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK   |   Back to Reimbursement Quality Outcomes Summary


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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
9604 102 NA 53.13 NA

DRG Group : EXTRACRANIAL PROCEDURES Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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EXTRACRANIAL PROCEDURES - General Surgery DRG 039 : EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY/MAJOR COMPLICATION OR COMORBIDITY DRG 038 : EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY DRG 037 : EXTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY
DRG Group EXTRACRANIAL PROCEDURES EXTRACRANIAL PROCEDURES EXTRACRANIAL PROCEDURES EXTRACRANIAL PROCEDURES
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 61 370 30 198 19 116 12 56
Total Hospitalizations After Exclusion 60 366 30 198 18 115 12 53
Avg. LOS 3.54 3.16 1.60 1.45 3.89 3.92 7.83 7.66
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $839,261 $4,965,903 $282,242 $1,815,417 $270,830 $1,546,358 $286,188 $1,604,126
Payment per Day $3,885 $4,240 $5,880 $6,325 $3,659 $3,398 $3,044 $3,739
Payment per Hospitalization $13,758 $13,421 $9,408 $9,168 $14,254 $13,330 $23,849 $28,645
Total Medicare Charges $4,208,020 $21,765,511 $1,358,164 $7,278,241 $1,567,467 $7,973,463 $1,282,389 $6,513,807
Avg. Charges $68,984 $58,826 $45,272 $36,759 $82,498 $68,737 $106,866 $116,318
Mortality Rate (%)
SNF Discharge Rate (%) NA 9.73 NA NA NA 14.66 NA 30.36
Home Discharge Rate (%) 70.49 71.08 83.33 88.38 63.16 62.93 NA 26.79
Hip Surgeries
Total Hospitalizations with Hip Surgeries
Total Hospitalizations After Exclusion with Hip Surgeries
Avg. LOS with Hip Surgeries
30 Day Hip Surgeries Readmission Rate (%)
30 Day Readmission Rate with Hip Surgeries(%)
30 Day Hip Surgeries Unplanned Readmission Rate (%)
ICU Stays with Hip Surgeries
Avg. Number of Days in ICU per ICU Stay with Hip Surgeries
Medicare Payments with Hip Surgeries
Payment per Day with Hip Surgeries
Payment per Hospitalization with Hip Surgeries
Medicare Charges with Hip Surgeries
Avg. Charges with Hip Surgeries
Inpatient Hospital Mortality Rate (%) with Hip Surgeries
SNF Discharge Rate (%) with Hip Surgeries
Home Discharge Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries after Exclusions
Knee Surgeries
Total Hospitalizations with Knee Surgeries
Total Hospitalizations After Exclusion with Knee Surgeries
Avg. LOS with Knee Surgeries
30 Day Knee Surgeries Readmission Rate (%)
30 Day Readmission Rate with Knee Surgeries(%)
30 Day Knee Surgeries Unplanned Readmission Rate (%)
ICU Stays with Knee Surgeries
Avg. Number of Days in ICU per ICU Stay with Knee Surgeries
Medicare Payments with Knee Surgeries
Payment per Day with Knee Surgeries
Payment per Hospitalization with Knee Surgeries
Medicare Charges with Knee Surgeries
Avg. Charges with Knee Surgeries
Inpatient Hospital Mortality Rate (%) with Knee Surgeries
SNF Discharge Rate (%) with Knee Surgeries
Home Discharge Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries after Exclusions

Top ICD Diagnosis Codes for EXTRACRANIAL PROCEDURES   |   Back to Reimbursement Quality Outcomes Summary


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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
43310 Occlusion and stenosis of carotid artery without mention of cerebral infarction 178 NA 48.11 NA

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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
0040 191 NA 51.62 NA

DRG Group : OTHER DIGESTIVE SYSTEM O.R. PROCEDURES Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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OTHER DIGESTIVE SYSTEM O.R. PROCEDURES - General Surgery DRG 356 : OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY DRG 357 : OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY DRG 358 : OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY/MAJOR COMPLICATION OR COMORBIDITY
DRG Group OTHER DIGESTIVE SYSTEM O.R. PROCEDURES OTHER DIGESTIVE SYSTEM O.R. PROCEDURES OTHER DIGESTIVE SYSTEM O.R. PROCEDURES OTHER DIGESTIVE SYSTEM O.R. PROCEDURES
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 39 210 20 103 16 89 NA 18
Total Hospitalizations After Exclusion 39 198 20 94 16 87 NA 17
Avg. LOS 9.46 8.84 11.10 12.03 8.44 6.38 NA 2.72
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $1,069,607 $5,550,169 $676,030 $3,674,399 $357,357 $1,680,906 NA $194,863
Payment per Day $2,898 $2,990 $3,045 $2,965 $2,647 $2,959 NA $3,976
Payment per Hospitalization $27,425 $26,429 $33,801 $35,673 $22,334 $18,886 NA $10,825
Total Medicare Charges $4,903,411 $23,323,643 $3,007,736 $15,175,828 $1,722,002 $7,243,504 NA $904,311
Avg. Charges $125,728 $111,065 $150,387 $147,338 $107,625 $81,388 NA $50,240
Mortality Rate (%)
SNF Discharge Rate (%) NA 26.67 NA 35.92 NA 20.22 NA NA
Home Discharge Rate (%) NA 33.81 NA 20.39 NA 41.57 NA 72.22

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
I10 Essential (primary) hypertension 59 16 28.1 41.03

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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
387 25 NA 11.9 NA

Spine Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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Spine (For Included DRGs) Spine - Surgical (For Included DRGs)
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 184 918 184 918
Total Hospitalizations After Exclusion 182 908 182 908
Avg. LOS 5.30 5.38 5.30 5.38
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $7,208,831 $37,713,653 $7,208,831 $37,713,653
Payment per Day $7,386 $7,637 $7,386 $7,637
Payment per Hospitalization $39,178 $41,082 $39,178 $41,082
Total Medicare Charges $24,224,918 $114,646,496 $24,224,918 $114,646,496
Avg. Charges $131,657 $124,887 $131,657 $124,887
Mortality Rate (%)
SNF Discharge Rate (%) 41.30 46.51 41.30 46.51
Home Discharge Rate (%) 14.13 14.38 14.13 14.38
Knee Surgeries
Total Hospitalizations with Knee Surgeries
Total Hospitalizations After Exclusion with Knee Surgeries
Avg. LOS with Knee Surgeries
30 Day Knee Surgeries Readmission Rate (%)
30 Day Readmission Rate with Knee Surgeries(%)
30 Day Knee Surgeries Unplanned Readmission Rate (%)
ICU Stays with Knee Surgeries
Avg. Number of Days in ICU per ICU Stay with Knee Surgeries
Medicare Payments with Knee Surgeries
Payment per Day with Knee Surgeries
Payment per Hospitalization with Knee Surgeries
Medicare Charges with Knee Surgeries
Avg. Charges with Knee Surgeries
Inpatient Hospital Mortality Rate (%) with Knee Surgeries
SNF Discharge Rate (%) with Knee Surgeries
Home Discharge Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries after Exclusions
Hip Surgeries
Total Hospitalizations with Hip Surgeries
Total Hospitalizations After Exclusion with Hip Surgeries
Avg. LOS with Hip Surgeries
30 Day Hip Surgeries Readmission Rate (%)
30 Day Readmission Rate with Hip Surgeries(%)
30 Day Hip Surgeries Unplanned Readmission Rate (%)
ICU Stays with Hip Surgeries
Avg. Number of Days in ICU per ICU Stay with Hip Surgeries
Medicare Payments with Hip Surgeries
Payment per Day with Hip Surgeries
Payment per Hospitalization with Hip Surgeries
Medicare Charges with Hip Surgeries
Avg. Charges with Hip Surgeries
Inpatient Hospital Mortality Rate (%) with Hip Surgeries
SNF Discharge Rate (%) with Hip Surgeries
Home Discharge Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries after Exclusions

Top ICD Diagnosis Codes for Spine (For Included Categories & DRGs)   |   Back to Reimbursement Quality Outcomes Summary


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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
I10 Essential (primary) hypertension 275 114 29.96 61.96

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Procedure Code Procedure Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
8162 308 NA 33.55 NA

DRG Group : SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS - Spine DRG 457 : SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY DRG 456 : SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY
DRG Group SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 17 87 NA 58 NA 29
Total Hospitalizations After Exclusion 17 86 NA 58 NA 28
Avg. LOS 9.65 9.47 NA 6.81 NA 14.79
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $954,472 $5,727,955 NA $3,439,789 NA $2,288,166
Payment per Day $5,819 $6,951 NA $8,708 NA $5,333
Payment per Hospitalization $56,145 $65,838 NA $59,306 NA $78,902
Total Medicare Charges $3,598,026 $17,265,501 NA $9,802,015 NA $7,463,486
Avg. Charges $211,649 $198,454 NA $169,000 NA $257,362
Mortality Rate (%)
SNF Discharge Rate (%) NA 50.57 NA 55.17 NA 41.38
Home Discharge Rate (%) NA NA NA NA NA NA

Top ICD Diagnosis Codes for SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS   |   Back to Reimbursement Quality Outcomes Summary


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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
I10 Essential (primary) hypertension 31 11 35.63 64.71

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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
8105 26 NA 29.89 NA

DRG Group : SPINAL PROCEDURES Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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SPINAL PROCEDURES - Spine DRG 029 : SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY OR SPINAL NEUROSTIMULATORS DRG 028 : SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY DRG 030 : SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY/MAJOR COMPLICATION OR COMORBIDITY
DRG Group SPINAL PROCEDURES SPINAL PROCEDURES SPINAL PROCEDURES SPINAL PROCEDURES
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 17 125 NA 53 NA 36 NA 36
Total Hospitalizations After Exclusion 17 124 NA 53 NA 35 NA 36
Avg. LOS 8.53 7.50 NA 6.64 NA 11.81 NA 4.47
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $626,854 $3,801,262 NA $1,502,255 NA $1,743,334 NA $555,671
Payment per Day $4,323 $4,052 NA $4,267 NA $4,101 NA $3,451
Payment per Hospitalization $36,873 $30,410 NA $28,344 NA $48,425 NA $15,435
Total Medicare Charges $2,136,775 $14,118,436 NA $5,905,565 NA $6,361,250 NA $1,851,621
Avg. Charges $125,693 $112,947 NA $111,426 NA $176,701 NA $51,434
Mortality Rate (%)
SNF Discharge Rate (%) NA 40.00 NA 47.17 NA 38.89 NA 30.56
Home Discharge Rate (%) NA 16.80 NA NA NA NA NA 36.11

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
4019 Unspecified essential hypertension 45 NA 36.0 NA

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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
0309 43 NA 34.4 NA

DRG Group : SPINAL FUSION EXCEPT CERVICAL Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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SPINAL FUSION EXCEPT CERVICAL - Spine DRG 460 : SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY DRG 459 : SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY
DRG Group SPINAL FUSION EXCEPT CERVICAL SPINAL FUSION EXCEPT CERVICAL SPINAL FUSION EXCEPT CERVICAL
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 128 594 108 514 20 80
Total Hospitalizations After Exclusion 126 588 108 512 18 76
Avg. LOS 4.07 4.25 3.59 3.63 6.65 8.19
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $4,269,368 $21,273,761 $3,410,440 $17,056,873 $858,927 $4,216,888
Payment per Day $8,194 $8,431 $8,789 $9,131 $6,458 $6,437
Payment per Hospitalization $33,354 $35,814 $31,578 $33,184 $42,946 $52,711
Total Medicare Charges $14,307,196 $63,372,531 $11,004,617 $50,250,941 $3,302,579 $13,121,590
Avg. Charges $111,775 $106,688 $101,895 $97,764 $165,129 $164,020
Mortality Rate (%)
SNF Discharge Rate (%) 41.41 46.63 41.67 44.75 NA 58.75
Home Discharge Rate (%) 17.97 15.82 19.44 17.90 NA NA
Hip Surgeries
Total Hospitalizations with Hip Surgeries
Total Hospitalizations After Exclusion with Hip Surgeries
Avg. LOS with Hip Surgeries
30 Day Hip Surgeries Readmission Rate (%)
30 Day Readmission Rate with Hip Surgeries(%)
30 Day Hip Surgeries Unplanned Readmission Rate (%)
ICU Stays with Hip Surgeries
Avg. Number of Days in ICU per ICU Stay with Hip Surgeries
Medicare Payments with Hip Surgeries
Payment per Day with Hip Surgeries
Payment per Hospitalization with Hip Surgeries
Medicare Charges with Hip Surgeries
Avg. Charges with Hip Surgeries
Inpatient Hospital Mortality Rate (%) with Hip Surgeries
SNF Discharge Rate (%) with Hip Surgeries
Home Discharge Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries
Incidence Rate (%) with Hip Surgeries after Exclusions
Knee Surgeries
Total Hospitalizations with Knee Surgeries
Total Hospitalizations After Exclusion with Knee Surgeries
Avg. LOS with Knee Surgeries
30 Day Knee Surgeries Readmission Rate (%)
30 Day Readmission Rate with Knee Surgeries(%)
30 Day Knee Surgeries Unplanned Readmission Rate (%)
ICU Stays with Knee Surgeries
Avg. Number of Days in ICU per ICU Stay with Knee Surgeries
Medicare Payments with Knee Surgeries
Payment per Day with Knee Surgeries
Payment per Hospitalization with Knee Surgeries
Medicare Charges with Knee Surgeries
Avg. Charges with Knee Surgeries
Inpatient Hospital Mortality Rate (%) with Knee Surgeries
SNF Discharge Rate (%) with Knee Surgeries
Home Discharge Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries
Incidence Rate (%) with Knee Surgeries after Exclusions

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
M4806 220 82 37.04 64.06

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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
8162 232 NA 39.06 NA

DRG Group : COMBINED ANTERIOR/POSTERIOR SPINAL FUSION Quality Outcomes Data from Medicare Claims Analysis   |   Back to Reimbursement Quality Outcomes Summary


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COMBINED ANTERIOR/POSTERIOR SPINAL FUSION - Spine DRG 454 : COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY DRG 455 : COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY/MAJOR COMPLICATION OR COMORBIDITY DRG 453 : COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY
DRG Group COMBINED ANTERIOR/POSTERIOR SPINAL FUSION COMBINED ANTERIOR/POSTERIOR SPINAL FUSION COMBINED ANTERIOR/POSTERIOR SPINAL FUSION COMBINED ANTERIOR/POSTERIOR SPINAL FUSION
Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017 Jan 2017 to Dec 2017 Jan 2013 to Dec 2017
Total Hospitalizations 22 112 14 67 NA 31 NA 14
Total Hospitalizations After Exclusion 22 110 14 67 NA 31 NA 12
Avg. LOS 6.64 5.83 6.21 5.49 NA 3.65 NA 12.29
All Cause Readmission Rate (%)
Unplanned Readmission Rate (%)
ICU Stays
Avg. Number of Days in ICU per ICU Stay
Total Medicare Payments $1,358,136 $6,910,674 $945,876 $4,366,425 NA $1,399,830 NA $1,144,417
Payment per Day $9,302 $10,582 $10,872 $11,865 NA $12,387 NA $6,653
Payment per Hospitalization $61,733 $61,702 $67,562 $65,170 NA $45,155 NA $81,744
Total Medicare Charges $4,182,921 $19,890,028 $2,712,248 $11,975,876 NA $4,340,546 NA $3,573,606
Avg. Charges $190,133 $177,590 $193,732 $178,744 NA $140,018 NA $255,258
Mortality Rate (%)
SNF Discharge Rate (%) NA 50.00 NA 58.21 NA 38.71 NA NA
Home Discharge Rate (%) NA 11.61 NA NA NA NA NA NA

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
4019 Unspecified essential hypertension 37 NA 33.04 NA

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Procedure Code Procedure Code Description Total Procedure Code & DRG Hospitalization Volume - Jan 2013 to Dec 2017 Total Procedure Code & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume - Jan 2013 to Dec 2017 % of DRG Volume - Jan 2017 to Dec 2017
8451 70 NA 62.5 NA

Physicians Who May Use CAS MEDICAL SYSTEMS INC - FORE-SIGHT®Back to Top


This sample data is for Yale New Haven Hospital & shows the top physicians that may be impacted by use of FORE-SIGHT® by CAS MEDICAL SYSTEMS INC.
To get physicians impacted for your Hospital, click here.

Data from Medicare Claims Analysis

Physician Name Total Hospitalizations - Jan 2013 to Dec 2017 Total Hospitalizations - Jan 2017 to Dec 2017
DR. CHRISTOPHER B LYNCH 1215 176
DR. JOHN D MCCALLUM 1196 152
DR. PHILIP MINOTTI 912 NA
DR. DAVID HUDSON GIBSON 636 136
DR. SABET HASHIM 613 NA
DR. JOHN A ELEFTERIADES 530 81
DR. UMER MANSOOR DARR 505 114
DR. RICHARD R PELKER 362 61
DR. SHIRVINDA A WIJESEKERA 320 60
DR. MICHAEL PATRICK LESLIE 288 83
DR. KHALID M ABBED 282 62
DR. CHARLES CHRISTIAN MATOUK 272 48
DR. VERONICA L CHIANG 244 68
DR. MICHAEL L DEWAR 231 46
DR. ABEEL A MANGI 224 43
DR. JEFFREY M SUMNER 211 36
DR. RALPH WAYNE DENATALE 209 36
DR. ANTOINE M FERNEINI 194 26
DR. JOSEPH M PIEPMEIER 184 40
DR. ARNAR GEIRSSON 184 130
DR. JOHN K FORREST 163 33
DR. VASANT B KHACHANE 159 14
DR. CARLOS I MENA-HURTADO 150 23
DR. JASON L GERRARD 144 37
DR. LEE ERIC RUBIN 135 135
DR. PRAMOD BONDE 133 28
DR. MICHAEL R BAUMGAERTNER 123 21
DR. BART E MUHS 116 NA
DR. BAUER E SUMPIO 112 21
DR. TIMUR P SARAC 111 30
DR. ROWLAND B MAYOR 108 33
DR. PATRICK R TOMAK 106 22
DR. MAXWELL SCOTT LAURANS 106 17
DR. JENNIFER ALISSA MOLITERNO GUNEL 105 40
DR. JEFFREY ERWIN INDES 100 NA
DR. JOHN STEPHEN REACH 94 NA
DR. RICHARD A ZELL 90 16
DR. PETER GREGORY WHANG 89 15
DR. CASSIUS IYAD N OCHOA CHAAR 86 NA
DR. VINCENT J WILLIAMS 84 NA
DR. DAVID BRANDON COHEN 83 19
DR. JAMES J YUE 77 15
DR. OLUWASEUN TEMITOPE AKINBO 77 NA
DR. MICHAEL PIERCE CONNAIR 68 NA
DR. JONATHAN NEWMAN GRAUER 63 NA
DR. PHILLIP P LUCHINI 62 NA
DR. BRIAN W COYLE 58 NA
DR. MARY IRENE OCONNOR 55 26
DR. MICHAEL A LUCHINI 55 NA
DR. JOHN M BEINER 54 14
DR. KETAN RAMANLAL BULSARA 52 NA
DR. KENNETH M KRAMER 46 NA
DR. JOHN AVERSA 40 NA
DR. DEREK S SHIA 37 18
DR. MICHAEL LOUIS DILUNA 36 NA
DR. DENNIS DEE SPENCER 35 NA
DR. MICHAEL W CLEMAN 34 NA
DR. SACIT BULENT OMAY 32 30
DR. JOSEPH CHENG 28 NA
DR. MARK PHILLIPS ALTMAN 27 NA
DR. DIETER M LINDSKOG 25 NA
DR. CLARENCE T SASAKI 25 NA
DR. NATALIE ELAINE CASEMYR 24 NA
DR. KRISTOPHER T KAHLE 24 11
DR. GARY M BLOOMGARDEN 18 NA
DR. MICHAEL S REMETZ 17 NA
DR. JOHN F IRVING 16 NA
DR. VISWA B NATHAN 14 NA
DR. YOUNG MI ERBEN 13 NA
DR. PHILLIP S DICKEY 13 NA
DR. ANTHONY W KIM 13 NA
DR. JOHN F KVETON 12 NA
DR. JUDITH L GORELICK 12 NA
DR. MARK W SCANLAN 12 NA