DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2017 to Dec 2017   |   Jan 2013 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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DRG Code DRG Description Category Sub Category DRG Group Surgical Category Case Mix Level Total National Projected Hospitalizations - Annualized Total Medicare Hospitalizations - Jan 2017 to Dec 2017 Total Medicare Hospitalizations - Jan 2013 to Dec 2017 Total Medicare Hospitalizations After Exclusion Avg. LOS GMLOS All Cause Readmission Rate (%) Unplanned Readmission Rate (%) Total Medicare Payments Payment per Day Payment per Discharge Total Medicare Charges Avg. Charges Mortality Rate (%) SNF Discharge Rate (%) Home Discharge Rate (%)
291 HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Cardiovascular Heart Failure And Shock Heart Failure And Shock Non Surgical 51.45 345,782 380,142 1,308,371 1,205,885
292 HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) Cardiovascular Heart Failure And Shock Heart Failure And Shock Non Surgical 35.94 NA 112,856 913,954 873,054
293 HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Cardiovascular Heart Failure And Shock Heart Failure And Shock Non Surgical 12.61 NA 45,035 320,668 306,929

DEMOGRAPHIC DETAILS OF DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 1,005,887 76.88
Black 223,330 17.07
Hispanic 29,633 2.26
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 398,376 30.45
80 to 84 209,837 16.04
Less than 65 193,276 14.77

TOP ICD DIAGNOSIS CODES FOR DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4280 Congestive heart failure, unspecified 561,849 42.94
I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 356,947 27.28
E785 Hyperlipidemia, unspecified 353,725 27.04

TOP ICD PROCEDURE CODES FOR DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
3995 Hemodialysis 92,012 7.03
9390 Non-Invasive Mechanical Ventilation 78,964 6.04
5A09357 Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure 54,070 4.13

TOP HOSPITALS ASSOCIATED WITH DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Florida Hospital Orlando 601 E ROLLINS ST Orlando FL 32803 4,592 0.35
Methodist University Hospital 1265 UNION AVE Memphis TN 38104 3,080 0.24
Vidant Medical Center 2100 STANTONSBURG RD Greenville NC 27834 2,888 0.22

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. ZIAD SOUS 1145 S UTICA AVE TULSA OK 74104 508 0.04
DR. RAJESH AGARWAL 6770 MAYFIELD RD MAYFIELD HEIGHTS OH 44124 355 0.03
DR. GHIATH M ALMASRI BRODY OUTPATIENT CENTER GREENVILLE NC 27858 317 0.02

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. MARK J AULT 8700 BEVERLY BLVD LOS ANGELES CA 90048 300 0.02

DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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Category Sub Category DRG Group ICD Codes ICD Description National Projected Hospitalizations (Present on Admission - All) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - All) Jan 2013 to Dec 2017 National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - Yes) Jan 2013 to Dec 2017 National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - Not Y) Jan 2013 to Dec 2017 Total Discharges After Exclusion Avg. LOS GMLOS All Cause Readmission Rate (%) Unplanned Readmission Rate (%) Total Medicare Payments Payment per Day Payment per Discharge Total Medicare Charges Avg. Charges Mortality Rate (%) SNF Discharge Rate (%) Home Discharge Rate (%)
Cardiovascular Heart Failure And Shock Heart Failure And Shock 4280 Congestive heart failure, unspecified NA 561,849
Cardiovascular Heart Failure And Shock Heart Failure And Shock I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 191,866 356,947
Cardiovascular Heart Failure And Shock Heart Failure And Shock E785 Hyperlipidemia, unspecified 191,602 353,725
Cardiovascular Heart Failure And Shock Heart Failure And Shock I130 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease 111,307 299,726
Cardiovascular Heart Failure And Shock Heart Failure And Shock I5033 Acute on chronic diastolic (congestive) heart failure 138,401 277,608
Cardiovascular Heart Failure And Shock Heart Failure And Shock 42731 Atrial fibrillation NA 276,676
Cardiovascular Heart Failure And Shock Heart Failure And Shock 2724 Other and unspecified hyperlipidemia NA 260,232
Cardiovascular Heart Failure And Shock Heart Failure And Shock N179 Acute kidney failure, unspecified 135,179 234,274
Cardiovascular Heart Failure And Shock Heart Failure And Shock Z87891 Personal history of nicotine dependence 107,971 220,387
Cardiovascular Heart Failure And Shock Heart Failure And Shock N183 Chronic kidney disease, stage 3 (moderate) 91,485 204,618