*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D151 - Benign neoplasm of heart - as a primary diagnosis code | D151 - Benign neoplasm of heart - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.14 | |
| Readmission Rate (%) | 26.45 | |
| Unplanned Readmission Rate (%) | 9.08 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,787 | ||||
| Total Hospitalizations with ICD D151 - Benign neoplasm of heart | 596 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD D151 - Benign neoplasm of heart in DRG | 41.19 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD D151 - Benign neoplasm of heart | 6.57 | ||||
| Readmission Rate at DRG | 16.39 | ||||
| Readmission Rate with ICD D151 - Benign neoplasm of heart | 16.75 | ||||
| Unplanned Readmission Rate at DRG | 9.3 | ||||
| Unplanned Readmission Rate with ICD D151 - Benign neoplasm of heart | 7.01 | ||||
| Total Medicare payments at DRG | $479,470,734 | ||||
| Total Medicare payments with ICD D151 - Benign neoplasm of heart | $17,980,081 | ||||
| Total Medicare payment per Day at DRG | $6,431 | ||||
| Total Medicare payment per Day with ICD D151 - Benign neoplasm of heart | $4,595 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,371 | ||||
| Total Medicare payment per Hospitalization with ICD D151 - Benign neoplasm of heart | $30,168 | ||||
| Total Medicare Charges at DRG | $2,502,493,324 | ||||
| Total Medicare Charges with ICD D151 - Benign neoplasm of heart | $86,591,064 | ||||
| Avg Charges at DRG | $158,516 | ||||
| Avg Charges with ICD D151 - Benign neoplasm of heart | $145,287 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD D151 - Benign neoplasm of heart | NA | ||||
| SNF Discharge Rate at DRG | 9.74 | ||||
| SNF Discharge Rate with ICD D151 - Benign neoplasm of heart | 13.26 | ||||
| Home Discharge Rate at DRG | 61.15 | ||||
| Home Discharge Rate with ICD D151 - Benign neoplasm of heart | 38.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 230: OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 53,232 | ||||
| Total Hospitalizations with ICD D151 - Benign neoplasm of heart | 48 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD D151 - Benign neoplasm of heart in DRG | 3.32 | ||||
| Avg LOS at DRG | 6.67 | ||||
| Avg LOS with ICD D151 - Benign neoplasm of heart | 6.81 | ||||
| Readmission Rate at DRG | 19.14 | ||||
| Readmission Rate with ICD D151 - Benign neoplasm of heart | 25.53 | ||||
| Unplanned Readmission Rate at DRG | 9.02 | ||||
| Unplanned Readmission Rate with ICD D151 - Benign neoplasm of heart | NA | ||||
| Total Medicare payments at DRG | $1,849,514,487 | ||||
| Total Medicare payments with ICD D151 - Benign neoplasm of heart | $1,667,903 | ||||
| Total Medicare payment per Day at DRG | $5,212 | ||||
| Total Medicare payment per Day with ICD D151 - Benign neoplasm of heart | $5,101 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,744 | ||||
| Total Medicare payment per Hospitalization with ICD D151 - Benign neoplasm of heart | $34,748 | ||||
| Total Medicare Charges at DRG | $9,786,140,365 | ||||
| Total Medicare Charges with ICD D151 - Benign neoplasm of heart | $7,305,693 | ||||
| Avg Charges at DRG | $183,839 | ||||
| Avg Charges with ICD D151 - Benign neoplasm of heart | $152,202 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD D151 - Benign neoplasm of heart | NA | ||||
| SNF Discharge Rate at DRG | 15.26 | ||||
| SNF Discharge Rate with ICD D151 - Benign neoplasm of heart | NA | ||||
| Home Discharge Rate at DRG | 35.21 | ||||
| Home Discharge Rate with ICD D151 - Benign neoplasm of heart | 33.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 114,725 | |
| Total Hospitalizations with ICD D151 - Benign neoplasm of heart | 20 | |
| DRG Share of Total Hospitalizations | 0.35 | |
| % of Total ICD D151 - Benign neoplasm of heart in DRG | 1.38 | |
| Avg LOS at DRG | 6.91 | |
| Avg LOS with ICD D151 - Benign neoplasm of heart | 9.8 | |
| Readmission Rate at DRG | 28.23 | |
| Readmission Rate with ICD D151 - Benign neoplasm of heart | NA | |
| Unplanned Readmission Rate at DRG | 17.16 | |
| Unplanned Readmission Rate with ICD D151 - Benign neoplasm of heart | NA | |
| Total Medicare payments at DRG | $1,698,418,701 | |
| Total Medicare payments with ICD D151 - Benign neoplasm of heart | $348,462 | |
| Total Medicare payment per Day at DRG | $2,144 | |
| Total Medicare payment per Day with ICD D151 - Benign neoplasm of heart | $1,778 | |
| Total Medicare payment per Hospitalization at DRG | $14,804 | |
| Total Medicare payment per Hospitalization with ICD D151 - Benign neoplasm of heart | $17,423 | |
| Total Medicare Charges at DRG | $9,142,710,160 | |
| Total Medicare Charges with ICD D151 - Benign neoplasm of heart | $2,331,535 | |
| Avg Charges at DRG | $79,692 | |
| Avg Charges with ICD D151 - Benign neoplasm of heart | $116,577 | |
| Mortality Rate at DRG | 3.27 | |
| Mortality Rate with ICD D151 - Benign neoplasm of heart | NA | |
| SNF Discharge Rate at DRG | 10.66 | |
| SNF Discharge Rate with ICD D151 - Benign neoplasm of heart | NA | |
| Home Discharge Rate at DRG | 53.35 | |
| Home Discharge Rate with ICD D151 - Benign neoplasm of heart | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 23 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 21 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,787 | ||||
| Total Hospitalizations with ICD D151 - Benign neoplasm of heart | 678 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD D151 - Benign neoplasm of heart in DRG | 13.32 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD D151 - Benign neoplasm of heart | 6.73 | ||||
| Readmission Rate at DRG | 16.39 | ||||
| Readmission Rate with ICD D151 - Benign neoplasm of heart | 17.27 | ||||
| Unplanned Readmission Rate at DRG | 9.3 | ||||
| Unplanned Readmission Rate with ICD D151 - Benign neoplasm of heart | 7.36 | ||||
| Total Medicare payments at DRG | $479,470,734 | ||||
| Total Medicare payments with ICD D151 - Benign neoplasm of heart | $20,505,905 | ||||
| Total Medicare payment per Day at DRG | $6,431 | ||||
| Total Medicare payment per Day with ICD D151 - Benign neoplasm of heart | $4,497 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,371 | ||||
| Total Medicare payment per Hospitalization with ICD D151 - Benign neoplasm of heart | $30,245 | ||||
| Total Medicare Charges at DRG | $2,502,493,324 | ||||
| Total Medicare Charges with ICD D151 - Benign neoplasm of heart | $99,920,821 | ||||
| Avg Charges at DRG | $158,516 | ||||
| Avg Charges with ICD D151 - Benign neoplasm of heart | $147,376 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD D151 - Benign neoplasm of heart | NA | ||||
| SNF Discharge Rate at DRG | 9.74 | ||||
| SNF Discharge Rate with ICD D151 - Benign neoplasm of heart | 14.31 | ||||
| Home Discharge Rate at DRG | 61.15 | ||||
| Home Discharge Rate with ICD D151 - Benign neoplasm of heart | 38.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD D151 - Benign neoplasm of heart | 131 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD D151 - Benign neoplasm of heart in DRG | 2.57 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD D151 - Benign neoplasm of heart | 4.66 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD D151 - Benign neoplasm of heart | 33.06 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD D151 - Benign neoplasm of heart | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD D151 - Benign neoplasm of heart | $816,447 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD D151 - Benign neoplasm of heart | $1,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD D151 - Benign neoplasm of heart | $6,232 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD D151 - Benign neoplasm of heart | $5,636,573 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD D151 - Benign neoplasm of heart | $43,027 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD D151 - Benign neoplasm of heart | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD D151 - Benign neoplasm of heart | 25.95 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD D151 - Benign neoplasm of heart | 19.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 209,527 | ||||
| Total Hospitalizations with ICD D151 - Benign neoplasm of heart | 84 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD D151 - Benign neoplasm of heart in DRG | 1.65 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD D151 - Benign neoplasm of heart | 3.85 | ||||
| Readmission Rate at DRG | 15.34 | ||||
| Readmission Rate with ICD D151 - Benign neoplasm of heart | 44.78 | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD D151 - Benign neoplasm of heart | NA | ||||
| Total Medicare payments at DRG | $1,394,352,541 | ||||
| Total Medicare payments with ICD D151 - Benign neoplasm of heart | $598,071 | ||||
| Total Medicare payment per Day at DRG | $2,234 | ||||
| Total Medicare payment per Day with ICD D151 - Benign neoplasm of heart | $1,852 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,655 | ||||
| Total Medicare payment per Hospitalization with ICD D151 - Benign neoplasm of heart | $7,120 | ||||
| Total Medicare Charges at DRG | $9,726,714,225 | ||||
| Total Medicare Charges with ICD D151 - Benign neoplasm of heart | $4,653,159 | ||||
| Avg Charges at DRG | $46,422 | ||||
| Avg Charges with ICD D151 - Benign neoplasm of heart | $55,395 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD D151 - Benign neoplasm of heart | NA | ||||
| SNF Discharge Rate at DRG | 3.41 | ||||
| SNF Discharge Rate with ICD D151 - Benign neoplasm of heart | NA | ||||
| Home Discharge Rate at DRG | 79.22 | ||||
| Home Discharge Rate with ICD D151 - Benign neoplasm of heart | 61.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD D151 - Benign neoplasm of heart | 59 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD D151 - Benign neoplasm of heart in DRG | 1.16 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD D151 - Benign neoplasm of heart | 8.92 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD D151 - Benign neoplasm of heart | 25.45 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD D151 - Benign neoplasm of heart | 21.82 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD D151 - Benign neoplasm of heart | $666,344 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD D151 - Benign neoplasm of heart | $1,267 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD D151 - Benign neoplasm of heart | $11,294 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD D151 - Benign neoplasm of heart | $3,626,196 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD D151 - Benign neoplasm of heart | $61,461 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD D151 - Benign neoplasm of heart | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD D151 - Benign neoplasm of heart | 23.73 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD D151 - Benign neoplasm of heart | 32.2 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 83 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 36 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LUIS JERONIMO CASTRO | 2900 WHIPPLE AVE | REDWOOD CITY | CA | 94062 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LUIS JERONIMO CASTRO | 2900 WHIPPLE AVE | REDWOOD CITY | CA | 94062 | 11 |