DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/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

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%)
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
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

DEMOGRAPHIC DETAILS OF DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 261,221 81.46
Black 43,091 13.44
Hispanic 6,197 1.93
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 123,267 38.44
80 to 84 57,945 18.07
75 to 79 45,674 14.24

TOP ICD DIAGNOSIS CODES FOR DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 193,831 60.45
4019 Unspecified essential hypertension 99,872 31.14
42731 Atrial fibrillation 97,095 30.28

TOP ICD PROCEDURE CODES FOR DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/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
8872 Diagnostic Ultrasound Of Heart 10,375 3.24
9904 Transfusion Of Packed Cells 4,361 1.36
9390 Non-Invasive Mechanical Ventilation 3,509 1.09

TOP HOSPITALS ASSOCIATED WITH DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/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
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 738 0.23
Christiana Care Wilmington Hospital 501 W 14TH ST Wilmington DE 19801 677 0.21
NorthShore University HealthSystem Evanston Hospital 2650 RIDGE AVE Evanston IL 60201 581 0.18

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. RICHARD J HELTON 108 W OHIO COALGATE OK 74538 207 0.06
DR. JOHN L HERZOG 1257 HWY 61 S HOLLANDALE MS 38748 144 0.04
DR. ABDULKADER DAHHAN 120 PROFESSIONAL LN HARLAN KY 40831 137 0.04

DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 193,831
Cardiovascular Heart Failure And Shock Heart Failure And Shock 4019 Unspecified essential hypertension NA 99,872
Cardiovascular Heart Failure And Shock Heart Failure And Shock 42731 Atrial fibrillation NA 97,095
Cardiovascular Heart Failure And Shock Heart Failure And Shock 2724 Other and unspecified hyperlipidemia NA 92,954
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 66,499
Cardiovascular Heart Failure And Shock Heart Failure And Shock 41401 Coronary atherosclerosis of native coronary artery NA 61,243
Cardiovascular Heart Failure And Shock Heart Failure And Shock I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 54,595 59,380
Cardiovascular Heart Failure And Shock Heart Failure And Shock E785 Hyperlipidemia, unspecified 53,728 56,873
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 48,267
Cardiovascular Heart Failure And Shock Heart Failure And Shock 41400 Coronary atherosclerosis of unspecified type of vessel, native or graft NA 48,170