DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) - 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) 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 (%)
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
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
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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 716,401 78.38
Black 151,764 16.61
Hispanic 16,174 1.77
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 293,039 32.06
80 to 84 150,536 16.47
75 to 79 129,990 14.22

TOP ICD DIAGNOSIS CODES FOR DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC)

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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 542,602 59.37
42731 Atrial fibrillation 276,458 30.25
2724 Other and unspecified hyperlipidemia 263,591 28.84

TOP ICD PROCEDURE CODES FOR DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
8872 Diagnostic Ultrasound Of Heart 33,107 3.62
3491 Thoracentesis 29,473 3.22
9904 Transfusion Of Packed Cells 24,782 2.71

TOP HOSPITALS ASSOCIATED WITH DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC)

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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 2,645 0.29
Christiana Hospital 501 W 14TH ST Wilmington DE 19801 2,203 0.24
Medstar Washington Hospital Center 110 IRVING ST NW Washington DC 20010 1,795 0.2

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC)

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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 373 0.04
DR. WAI H. LEE 303 S NAPPANEE ST ELKHART IN 46514 215 0.02
DR. JOHN L HERZOG 1257 HWY 61 S HOLLANDALE MS 38748 214 0.02

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC)

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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 153 0.02

DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) 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 542,602
Cardiovascular Heart Failure And Shock Heart Failure And Shock 42731 Atrial fibrillation NA 276,458
Cardiovascular Heart Failure And Shock Heart Failure And Shock 2724 Other and unspecified hyperlipidemia NA 263,591
Cardiovascular Heart Failure And Shock Heart Failure And Shock 40390 Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified NA 205,745
Cardiovascular Heart Failure And Shock Heart Failure And Shock 4019 Unspecified essential hypertension NA 194,825
Cardiovascular Heart Failure And Shock Heart Failure And Shock 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 181,358
Cardiovascular Heart Failure And Shock Heart Failure And Shock 41401 Coronary atherosclerosis of native coronary artery NA 175,678
Cardiovascular Heart Failure And Shock Heart Failure And Shock 42823 Acute on chronic systolic heart failure NA 167,533
Cardiovascular Heart Failure And Shock Heart Failure And Shock E785 Hyperlipidemia, unspecified 153,021 166,260
Cardiovascular Heart Failure And Shock Heart Failure And Shock I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 147,734 164,973