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 2013 to Dec 2017   |   Jan 2017 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 20.98 NA 112,856 913,954 107,473
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
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

DEMOGRAPHIC DETAILS OF DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC)

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 90,185 79.91
Black 16,694 14.79
Hispanic 1,956 1.73
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Greater than 84 35,750 31.68
80 to 84 17,405 15.42
75 to 79 16,029 14.2

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 2017 to Dec 2017 % of DRG Volume
I110 Hypertensive heart disease with heart failure 68,003 60.26
E785 Hyperlipidemia, unspecified 51,775 45.88
I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 50,774 44.99

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

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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 2017 to Dec 2017 % of DRG Volume
Christiana Care Wilmington Hospital 501 W 14TH ST Wilmington DE 19801 260 0.23
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 245 0.22
NorthShore University HealthSystem Evanston Hospital 2650 RIDGE AVE Evanston IL 60201 231 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 2017 to Dec 2017 % of DRG Volume
DR. ZIAD SOUS 1145 S UTICA AVE TULSA OK 74104 66 0.06
DR. PADMAJA KONDAMURI 8840 CALUMET AVE MUNSTER IN 46321 53 0.05
DR. JOSEPH ROBERT BLATT 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 51 0.05

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 2017 to Dec 2017 % of DRG Volume
DR. DAVID M ROGERS 5645 MAIN ST FLUSHING NY 11355 37 0.03

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 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 I110 Hypertensive heart disease with heart failure 33,400 68,003
Cardiovascular Heart Failure And Shock Heart Failure And Shock E785 Hyperlipidemia, unspecified 153,021 51,775
Cardiovascular Heart Failure And Shock Heart Failure And Shock I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 147,734 50,774
Cardiovascular Heart Failure And Shock Heart Failure And Shock I5033 Acute on chronic diastolic (congestive) heart failure 82,730 33,207
Cardiovascular Heart Failure And Shock Heart Failure And Shock Z7901 Long term (current) use of anticoagulants 65,747 32,659
Cardiovascular Heart Failure And Shock Heart Failure And Shock Z87891 Personal history of nicotine dependence 82,029 32,611
Cardiovascular Heart Failure And Shock Heart Failure And Shock I5023 Acute on chronic systolic (congestive) heart failure 109,543 28,670
Cardiovascular Heart Failure And Shock Heart Failure And Shock Z7982 Long term (current) use of aspirin 59,636 26,932
Cardiovascular Heart Failure And Shock Heart Failure And Shock K219 Gastro-esophageal reflux disease without esophagitis 57,315 25,688
Cardiovascular Heart Failure And Shock Heart Failure And Shock J449 Chronic obstructive pulmonary disease, unspecified 67,213 25,350