FORE-SIGHT® - CAS MEDICAL SYSTEMS INC

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

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1	CAS MEDICAL SYSTEMS INC - FORE-SIGHT® : Product Information
2	CAS MEDICAL SYSTEMS INC - FORE-SIGHT® : Product Code Information
3	CAS MEDICAL SYSTEMS INC - FORE-SIGHT® : Reimbursement Data & Quality Outcomes
4	Physicians Who May Use CAS MEDICAL SYSTEMS INC - FORE-SIGHT®

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

Brand Name: FORE-SIGHT®
Commercial Distribution Status: In Commercial Distribution
Company Name: CAS MEDICAL SYSTEMS, INC.

Primary DI Number: 10609538710077
Issuing Agency: GS1
Commercial Distribution End Date: NA
Device Count: 1

Device Description: 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

Device Packaged as Sterile: No
Requires Sterilization Prior to Use: 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

	Jan 2017 to Dec 2017 Medicare Hospitalizations	Jan 2013 to Dec 2017 Medicare Hospitalizations
Inpatient (For Included Categories & DRGs)	1355	7819
Surgical (For Included Categories & DRGs)	1355	7819
Orthopedics (For Included DRGs)	501	3263
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY	501	3263
Cardiovascular (For Included DRGs)	350	2182
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION	198	1153
MAJOR CARDIOVASCULAR PROCEDURES	NA	396
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION	37	258
CAROTID ARTERY STENT PROCEDURE	27	145
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON	47	112
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM	15	64
ENDOVASCULAR CARDIAC VALVE REPLACEMENT	26	54
General Surgery (For Included DRGs)	320	1456
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES	169	684
EXTRACRANIAL PROCEDURES	61	370
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES	39	210
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK	51	192
Spine (For Included DRGs)	184	918
SPINAL FUSION EXCEPT CERVICAL	128	594
SPINAL PROCEDURES	17	125
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION	22	112
SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS	17	87

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

Data with Symbol is only for Dexur Customers. Get in touch with us to know more.

	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
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
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
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
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

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

Data with Symbol is only for Dexur Customers. Get in touch with us to know more.

Procedure Code	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

Data with Symbol is only for Dexur Customers. Get in touch with us to know more.

	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
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
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
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

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

Data with Symbol is only for Dexur Customers. Get in touch with us to know more.

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

Data with Symbol is only for Dexur Customers. Get in touch with us to know more.

Procedure Code	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
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
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
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

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

Data with Symbol is only for Dexur Customers. Get in touch with us to know more.

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

Data with Symbol is only for Dexur Customers. Get in touch with us to know more.

Procedure Code	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
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
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
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

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	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 : 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
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
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
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

Top ICD Diagnosis Codes for CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 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	431	NA	37.38	NA

Top Procedure Codes for CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | Back to Reimbursement Quality Outcomes Summary

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Procedure Code	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

Top ICD Diagnosis Codes for AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON | 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
I714	Abdominal aortic aneurysm, without rupture	90	36	80.36	76.6

Top Procedure Codes for AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON | Back to Reimbursement Quality Outcomes Summary

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Procedure Code	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
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
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

Top ICD Diagnosis Codes for CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION | 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
4280	Congestive heart failure, unspecified	103	NA	39.92	NA

Top Procedure Codes for CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION | Back to Reimbursement Quality Outcomes Summary

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Procedure Code	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

Top ICD Diagnosis Codes for ENDOVASCULAR CARDIAC VALVE REPLACEMENT | 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
Z006	Encounter for examination for normal comparison and control in clinical research program	51	26	94.44	100.0

Top Procedure Codes for ENDOVASCULAR CARDIAC VALVE REPLACEMENT | Back to Reimbursement Quality Outcomes Summary

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Procedure Code	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

Top ICD Diagnosis Codes for HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | 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
4280	Congestive heart failure, unspecified	29	NA	45.31	NA

Top Procedure Codes for HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | Back to Reimbursement Quality Outcomes Summary

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Procedure Code	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

Top ICD Diagnosis Codes for CAROTID ARTERY STENT PROCEDURE | 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	73	NA	50.34	NA

Top Procedure Codes for CAROTID ARTERY STENT PROCEDURE | Back to Reimbursement Quality Outcomes Summary

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Procedure Code	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

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
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
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

Top ICD Diagnosis Codes for MAJOR CARDIOVASCULAR 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	235	NA	59.34	NA

Top Procedure Codes for MAJOR CARDIOVASCULAR PROCEDURES | Back to Reimbursement Quality Outcomes Summary

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Procedure Code	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

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
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
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
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

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	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	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	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	53.12	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

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

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Procedure Code	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

Top ICD Diagnosis Codes for OTHER DIGESTIVE SYSTEM O.R. 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
I10	Essential (primary) hypertension	59	16	28.1	41.03

Top Procedure Codes for OTHER DIGESTIVE SYSTEM O.R. PROCEDURES | Back to Reimbursement Quality Outcomes Summary

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Procedure Code	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
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 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

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

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Procedure Code	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 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

Top ICD Diagnosis Codes for SPINAL FUSION EXCEPT CERVICAL | Back to Reimbursement Quality Outcomes Summary

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ICD Code	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

Top Procedure Codes for SPINAL FUSION EXCEPT CERVICAL | Back to Reimbursement Quality Outcomes Summary

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Procedure Code	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

Top ICD Diagnosis Codes for COMBINED ANTERIOR/POSTERIOR SPINAL FUSION | 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	37	NA	33.04	NA

Top Procedure Codes for COMBINED ANTERIOR/POSTERIOR SPINAL FUSION | Back to Reimbursement Quality Outcomes Summary

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Procedure Code	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

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

Top Procedure 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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Procedure Code	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 030 : SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY/MAJOR COMPLICATION OR COMORBIDITY		DRG 028 : SPINAL PROCEDURES WITH 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	36	NA	35
Avg. LOS	8.53	7.50	NA	6.64	NA	4.47	NA	11.81
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	$555,671	NA	$1,743,334
Payment per Day	$4,323	$4,052	NA	$4,267	NA	$3,451	NA	$4,101
Payment per Hospitalization	$36,873	$30,410	NA	$28,344	NA	$15,435	NA	$48,425
Total Medicare Charges	$2,136,775	$14,118,436	NA	$5,905,565	NA	$1,851,621	NA	$6,361,250
Avg. Charges	$125,693	$112,947	NA	$111,426	NA	$51,434	NA	$176,701
Mortality Rate (%)
SNF Discharge Rate (%)	NA	40.00	NA	47.17	NA	30.56	NA	38.89
Home Discharge Rate (%)	NA	16.80	NA	NA	NA	36.11	NA	NA

Top ICD Diagnosis Codes for SPINAL 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	45	NA	36.0	NA

Top Procedure Codes for SPINAL PROCEDURES | Back to Reimbursement Quality Outcomes Summary

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Procedure Code	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

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. ARNAR GEIRSSON	184	130
DR. JOSEPH M PIEPMEIER	184	40
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. MICHAEL A LUCHINI	55	NA
DR. MARY IRENE OCONNOR	55	26
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. KRISTOPHER T KAHLE	24	11
DR. NATALIE ELAINE CASEMYR	24	NA
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. ANTHONY W KIM	13	NA
DR. YOUNG MI ERBEN	13	NA
DR. PHILLIP S DICKEY	13	NA
DR. JUDITH L GORELICK	12	NA
DR. JOHN F KVETON	12	NA
DR. MARK W SCANLAN	12	NA