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 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE | |
| 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 |
70.65 |
345,782 |
380,142 |
1,308,371 |
355,278 |
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| 292 |
HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) |
Cardiovascular |
Heart Failure And Shock |
Heart Failure And Shock |
Non Surgical |
20.98 |
NA |
112,856 |
913,954 |
107,473 |
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| 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 |
8.37 |
NA |
45,035 |
320,668 |
42,966 |
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DEMOGRAPHIC DETAILS OF DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
| Race |
Total Hospitalization Volume - Jan 2017 to Dec 2017 |
% of DRG Volume |
|---|
| White |
289,920 |
76.27 |
| Black |
66,722 |
17.55 |
| Hispanic |
8,262 |
2.17 |
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| Age Group ( Years ) |
Total Hospitalization Volume - Jan 2017 to Dec 2017 |
% of DRG Volume |
|---|
| Greater than 84 |
114,591 |
30.14 |
| 80 to 84 |
60,410 |
15.89 |
| 75 to 79 |
55,950 |
14.72 |
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TOP ICD DIAGNOSIS CODES FOR DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ICD PROCEDURE CODES FOR DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP HOSPITALS ASSOCIATED WITH DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
| Hospital Name |
Address |
City |
State |
Zip Code |
Total Hospital & DRG Hospitalization Volume - Jan 2017 to Dec 2017 |
% of DRG Volume |
| AdventHealth Orlando |
601 E ROLLINS ST |
Orlando |
FL |
32803 |
1,407 |
0.37 |
| Vidant Medical Center |
2100 STANTONSBURG RD |
Greenville |
NC |
27834 |
901 |
0.24 |
| Yale New Haven Hospital |
20 YORK ST |
New Haven |
CT |
06504 |
887 |
0.23 |
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TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
| Physician Name |
Address |
City |
State |
Zip Code |
Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 |
% of DRG Volume |
| DR. ZIAD SOUS |
1145 S UTICA AVE |
TULSA |
OK |
74104 |
196 |
0.05 |
| DR. KENNETH WAYNE DONOVAN |
365 MONTAUK AVE |
NEW LONDON |
CT |
06320 |
136 |
0.04 |
| DR. RAJESH AGARWAL |
6770 MAYFIELD RD |
MAYFIELD HEIGHTS |
OH |
44124 |
122 |
0.03 |
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TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
| Physician Name |
Address |
City |
State |
Zip Code |
Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 |
% of DRG Volume |
| DR. SAYED SAJID ALI |
1129 NORTHERN BLVD |
MANHASSET |
NY |
11030 |
109 |
0.03 |
| DR. MARK J AULT |
8700 BEVERLY BLVD |
LOS ANGELES |
CA |
90048 |
96 |
0.03 |
DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE | |
| 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 2017 to Dec 2017 |
National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 |
Medicare Hospitalizations (Present on Admission - Yes) Jan 2017 to Dec 2017 |
National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 |
Medicare Hospitalizations (Present on Admission - Not Y) Jan 2017 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 |
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 |
214,963 |
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| Cardiovascular |
Heart Failure And Shock |
Heart Failure And Shock |
I2510 |
Atherosclerotic heart disease of native coronary artery without angina pectoris |
191,866 |
191,067 |
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| Cardiovascular |
Heart Failure And Shock |
Heart Failure And Shock |
E785 |
Hyperlipidemia, unspecified |
191,602 |
189,395 |
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| Cardiovascular |
Heart Failure And Shock |
Heart Failure And Shock |
I5033 |
Acute on chronic diastolic (congestive) heart failure |
138,401 |
149,093 |
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| Cardiovascular |
Heart Failure And Shock |
Heart Failure And Shock |
E1122 |
Type 2 diabetes mellitus with diabetic chronic kidney disease |
57,617 |
137,491 |
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| Cardiovascular |
Heart Failure And Shock |
Heart Failure And Shock |
N179 |
Acute kidney failure, unspecified |
135,179 |
126,079 |
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| Cardiovascular |
Heart Failure And Shock |
Heart Failure And Shock |
N183 |
Chronic kidney disease, stage 3 (moderate) |
91,485 |
119,783 |
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| Cardiovascular |
Heart Failure And Shock |
Heart Failure And Shock |
Z87891 |
Personal history of nicotine dependence |
107,971 |
118,913 |
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| Cardiovascular |
Heart Failure And Shock |
Heart Failure And Shock |
I5023 |
Acute on chronic systolic (congestive) heart failure |
118,388 |
100,860 |
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| Cardiovascular |
Heart Failure And Shock |
Heart Failure And Shock |
Z7901 |
Long term (current) use of anticoagulants |
71,357 |
94,190 |
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