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I050 - ICD 10 Diagnosis Code - Rheumatic mitral stenosis - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to I050 - Rheumatic mitral stenosis

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

I050 - Rheumatic mitral stenosis - as a primary diagnosis code I050 - Rheumatic mitral stenosis - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 6.04
Readmission Rate (%) 27.97
Unplanned Readmission Rate (%) 14.32
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

Top DRGs Associated With I050 - Rheumatic mitral stenosis - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) DRG 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 49,301
Total Hospitalizations with ICD I050 - Rheumatic mitral stenosis 336
DRG Share of Total Hospitalizations 0.15
% of Total ICD I050 - Rheumatic mitral stenosis in DRG 22.34
Avg LOS at DRG 10.92
Avg LOS with ICD I050 - Rheumatic mitral stenosis 12.11
Readmission Rate at DRG 32.06
Readmission Rate with ICD I050 - Rheumatic mitral stenosis 37.0
Unplanned Readmission Rate at DRG 12.13
Unplanned Readmission Rate with ICD I050 - Rheumatic mitral stenosis 15.33
Total Medicare payments at DRG $2,755,788,420
Total Medicare payments with ICD I050 - Rheumatic mitral stenosis $19,448,003
Total Medicare payment per Day at DRG $5,120
Total Medicare payment per Day with ICD I050 - Rheumatic mitral stenosis $4,780
Total Medicare payment per Hospitalization at DRG $55,897
Total Medicare payment per Hospitalization with ICD I050 - Rheumatic mitral stenosis $57,881
Total Medicare Charges at DRG $13,454,609,626
Total Medicare Charges with ICD I050 - Rheumatic mitral stenosis $96,085,684
Avg Charges at DRG $272,907
Avg Charges with ICD I050 - Rheumatic mitral stenosis $285,969
Mortality Rate at DRG 7.09
Mortality Rate with ICD I050 - Rheumatic mitral stenosis 8.04
SNF Discharge Rate at DRG 21.99
SNF Discharge Rate with ICD I050 - Rheumatic mitral stenosis 26.79
Home Discharge Rate at DRG 21.9
Home Discharge Rate with ICD I050 - Rheumatic mitral stenosis 18.45

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 274: PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 273: PERCUTANEOUS INTRACARDIAC PROCEDURES W 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 23,143
Total Hospitalizations with ICD I050 - Rheumatic mitral stenosis 83
DRG Share of Total Hospitalizations 0.07
% of Total ICD I050 - Rheumatic mitral stenosis in DRG 5.52
Avg LOS at DRG 14.92
Avg LOS with ICD I050 - Rheumatic mitral stenosis 16.78
Readmission Rate at DRG 36.41
Readmission Rate with ICD I050 - Rheumatic mitral stenosis 32.39
Unplanned Readmission Rate at DRG 14.15
Unplanned Readmission Rate with ICD I050 - Rheumatic mitral stenosis NA
Total Medicare payments at DRG $1,600,887,734
Total Medicare payments with ICD I050 - Rheumatic mitral stenosis $5,886,986
Total Medicare payment per Day at DRG $4,638
Total Medicare payment per Day with ICD I050 - Rheumatic mitral stenosis $4,226
Total Medicare payment per Hospitalization at DRG $69,174
Total Medicare payment per Hospitalization with ICD I050 - Rheumatic mitral stenosis $70,928
Total Medicare Charges at DRG $7,841,128,809
Total Medicare Charges with ICD I050 - Rheumatic mitral stenosis $28,970,387
Avg Charges at DRG $338,812
Avg Charges with ICD I050 - Rheumatic mitral stenosis $349,041
Mortality Rate at DRG 11.09
Mortality Rate with ICD I050 - Rheumatic mitral stenosis NA
SNF Discharge Rate at DRG 24.56
SNF Discharge Rate with ICD I050 - Rheumatic mitral stenosis 33.73
Home Discharge Rate at DRG 18.17
Home Discharge Rate with ICD I050 - Rheumatic mitral stenosis 13.25

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 48,449
Total Hospitalizations with ICD I050 - Rheumatic mitral stenosis 37
DRG Share of Total Hospitalizations 0.15
% of Total ICD I050 - Rheumatic mitral stenosis in DRG 2.46
Avg LOS at DRG 29.97
Avg LOS with ICD I050 - Rheumatic mitral stenosis 26.14
Readmission Rate at DRG 76.3
Readmission Rate with ICD I050 - Rheumatic mitral stenosis 85.0
Unplanned Readmission Rate at DRG 6.46
Unplanned Readmission Rate with ICD I050 - Rheumatic mitral stenosis NA
Total Medicare payments at DRG $6,190,071,785
Total Medicare payments with ICD I050 - Rheumatic mitral stenosis $5,320,355
Total Medicare payment per Day at DRG $4,263
Total Medicare payment per Day with ICD I050 - Rheumatic mitral stenosis $5,502
Total Medicare payment per Hospitalization at DRG $127,765
Total Medicare payment per Hospitalization with ICD I050 - Rheumatic mitral stenosis $143,793
Total Medicare Charges at DRG $28,754,600,069
Total Medicare Charges with ICD I050 - Rheumatic mitral stenosis $25,358,554
Avg Charges at DRG $593,502
Avg Charges with ICD I050 - Rheumatic mitral stenosis $685,366
Mortality Rate at DRG 20.61
Mortality Rate with ICD I050 - Rheumatic mitral stenosis 43.24
SNF Discharge Rate at DRG 12.46
SNF Discharge Rate with ICD I050 - Rheumatic mitral stenosis NA
Home Discharge Rate at DRG 2.36
Home Discharge Rate with ICD I050 - Rheumatic mitral stenosis NA

Top Hospitals Associated With I050 - Rheumatic mitral stenosis - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
NEWYORK PRESBYTERIAN - COLUMBIA UNIVERSITY MEDICAL CENTER 622 W 168TH ST NEW YORK NY 10032 20
HOUSTON METHODIST HOSPITAL 6565 FANNIN ST HOUSTON TX 77030 20
ABBOTT NORTHWESTERN HOSPITAL 800 E 28TH ST MINNEAPOLIS MN 55407 16

Top DRGs Associated With I050 - Rheumatic mitral stenosis - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 1,013,774
Total Hospitalizations with ICD I050 - Rheumatic mitral stenosis 3,965
DRG Share of Total Hospitalizations 3.08
% of Total ICD I050 - Rheumatic mitral stenosis in DRG 11.6
Avg LOS at DRG 5.34
Avg LOS with ICD I050 - Rheumatic mitral stenosis 5.41
Readmission Rate at DRG 28.25
Readmission Rate with ICD I050 - Rheumatic mitral stenosis 31.11
Unplanned Readmission Rate at DRG 21.93
Unplanned Readmission Rate with ICD I050 - Rheumatic mitral stenosis 23.45
Total Medicare payments at DRG $9,469,067,156
Total Medicare payments with ICD I050 - Rheumatic mitral stenosis $37,088,573
Total Medicare payment per Day at DRG $1,751
Total Medicare payment per Day with ICD I050 - Rheumatic mitral stenosis $1,729
Total Medicare payment per Hospitalization at DRG $9,340
Total Medicare payment per Hospitalization with ICD I050 - Rheumatic mitral stenosis $9,354
Total Medicare Charges at DRG $43,343,716,813
Total Medicare Charges with ICD I050 - Rheumatic mitral stenosis $175,503,665
Avg Charges at DRG $42,755
Avg Charges with ICD I050 - Rheumatic mitral stenosis $44,263
Mortality Rate at DRG 3.72
Mortality Rate with ICD I050 - Rheumatic mitral stenosis 3.83
SNF Discharge Rate at DRG 20.84
SNF Discharge Rate with ICD I050 - Rheumatic mitral stenosis 22.4
Home Discharge Rate at DRG 37.68
Home Discharge Rate with ICD I050 - Rheumatic mitral stenosis 34.12

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 292,335
Total Hospitalizations with ICD I050 - Rheumatic mitral stenosis 705
DRG Share of Total Hospitalizations 0.89
% of Total ICD I050 - Rheumatic mitral stenosis in DRG 2.06
Avg LOS at DRG 2.96
Avg LOS with ICD I050 - Rheumatic mitral stenosis 3.43
Readmission Rate at DRG 19.18
Readmission Rate with ICD I050 - Rheumatic mitral stenosis 22.46
Unplanned Readmission Rate at DRG 13.96
Unplanned Readmission Rate with ICD I050 - Rheumatic mitral stenosis 14.87
Total Medicare payments at DRG $1,347,436,356
Total Medicare payments with ICD I050 - Rheumatic mitral stenosis $3,531,857
Total Medicare payment per Day at DRG $1,557
Total Medicare payment per Day with ICD I050 - Rheumatic mitral stenosis $1,460
Total Medicare payment per Hospitalization at DRG $4,609
Total Medicare payment per Hospitalization with ICD I050 - Rheumatic mitral stenosis $5,010
Total Medicare Charges at DRG $7,385,462,160
Total Medicare Charges with ICD I050 - Rheumatic mitral stenosis $20,050,213
Avg Charges at DRG $25,264
Avg Charges with ICD I050 - Rheumatic mitral stenosis $28,440
Mortality Rate at DRG 0.57
Mortality Rate with ICD I050 - Rheumatic mitral stenosis NA
SNF Discharge Rate at DRG 11.55
SNF Discharge Rate with ICD I050 - Rheumatic mitral stenosis 10.5
Home Discharge Rate at DRG 63.79
Home Discharge Rate with ICD I050 - Rheumatic mitral stenosis 61.28

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 682: RENAL FAILURE 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 49,301
Total Hospitalizations with ICD I050 - Rheumatic mitral stenosis 469
DRG Share of Total Hospitalizations 0.15
% of Total ICD I050 - Rheumatic mitral stenosis in DRG 1.37
Avg LOS at DRG 10.92
Avg LOS with ICD I050 - Rheumatic mitral stenosis 11.91
Readmission Rate at DRG 32.06
Readmission Rate with ICD I050 - Rheumatic mitral stenosis 35.97
Unplanned Readmission Rate at DRG 12.13
Unplanned Readmission Rate with ICD I050 - Rheumatic mitral stenosis 14.15
Total Medicare payments at DRG $2,755,788,420
Total Medicare payments with ICD I050 - Rheumatic mitral stenosis $27,456,154
Total Medicare payment per Day at DRG $5,120
Total Medicare payment per Day with ICD I050 - Rheumatic mitral stenosis $4,917
Total Medicare payment per Hospitalization at DRG $55,897
Total Medicare payment per Hospitalization with ICD I050 - Rheumatic mitral stenosis $58,542
Total Medicare Charges at DRG $13,454,609,626
Total Medicare Charges with ICD I050 - Rheumatic mitral stenosis $135,375,939
Avg Charges at DRG $272,907
Avg Charges with ICD I050 - Rheumatic mitral stenosis $288,648
Mortality Rate at DRG 7.09
Mortality Rate with ICD I050 - Rheumatic mitral stenosis 8.1
SNF Discharge Rate at DRG 21.99
SNF Discharge Rate with ICD I050 - Rheumatic mitral stenosis 26.65
Home Discharge Rate at DRG 21.9
Home Discharge Rate with ICD I050 - Rheumatic mitral stenosis 19.62

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*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 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 352,097
Total Hospitalizations with ICD I050 - Rheumatic mitral stenosis 426
DRG Share of Total Hospitalizations 1.07
% of Total ICD I050 - Rheumatic mitral stenosis in DRG 1.25
Avg LOS at DRG 3.96
Avg LOS with ICD I050 - Rheumatic mitral stenosis 4.11
Readmission Rate at DRG 35.38
Readmission Rate with ICD I050 - Rheumatic mitral stenosis 35.29
Unplanned Readmission Rate at DRG 7.63
Unplanned Readmission Rate with ICD I050 - Rheumatic mitral stenosis 8.82
Total Medicare payments at DRG $2,360,891,966
Total Medicare payments with ICD I050 - Rheumatic mitral stenosis $2,724,323
Total Medicare payment per Day at DRG $1,693
Total Medicare payment per Day with ICD I050 - Rheumatic mitral stenosis $1,557
Total Medicare payment per Hospitalization at DRG $6,705
Total Medicare payment per Hospitalization with ICD I050 - Rheumatic mitral stenosis $6,395
Total Medicare Charges at DRG $13,014,640,264
Total Medicare Charges with ICD I050 - Rheumatic mitral stenosis $15,486,843
Avg Charges at DRG $36,963
Avg Charges with ICD I050 - Rheumatic mitral stenosis $36,354
Mortality Rate at DRG 1.54
Mortality Rate with ICD I050 - Rheumatic mitral stenosis NA
SNF Discharge Rate at DRG 24.0
SNF Discharge Rate with ICD I050 - Rheumatic mitral stenosis 29.11
Home Discharge Rate at DRG 26.62
Home Discharge Rate with ICD I050 - Rheumatic mitral stenosis 21.13

Top Hospitals Associated With I050 - Rheumatic mitral stenosis - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
NORTH SHORE UNIVERSITY HOSPITAL 300 COMMUNITY DRIVE MANHASSET NY 11030 120
MISSION HOSPITAL 509 BILTMORE AVE ASHEVILLE NC 28801 108
MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT ST BOSTON MA 02114 108

Top Operating Physicians Associated With I050 - Rheumatic mitral stenosis - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. MATHEW R WILLIAMS 530 1ST AVE NEW YORK NY 10016 16
Dr. JOHN M BROWN 100 MADISON AVE MORRISTOWN NJ 07960 14
Dr. GABRIEL S ALDEA 1959 NE PACIFIC ST SEATTLE WA 98195 11

Top Attending Physicians Associated With I050 - Rheumatic mitral stenosis - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. ZIAD SOUS 1145 S UTICA AVE TULSA OK 74104 23
Dr. MATHEW R WILLIAMS 530 1ST AVE NEW YORK NY 10016 15
Dr. JOSEPH ROBERT BLATT 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 13