*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I059 - Rheumatic mitral valve disease, unspecified - as a primary diagnosis code | I059 - Rheumatic mitral valve disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.13 | |
| Readmission Rate (%) | 24.32 | |
| Unplanned Readmission Rate (%) | 15.16 | |
| 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 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 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 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,800 | ||||
| Total Hospitalizations with ICD I059 - Rheumatic mitral valve disease, unspecified | 96 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I059 - Rheumatic mitral valve disease, unspecified in DRG | 25.88 | ||||
| Avg LOS at DRG | 5.45 | ||||
| Avg LOS with ICD I059 - Rheumatic mitral valve disease, unspecified | 8.35 | ||||
| Readmission Rate at DRG | 34.97 | ||||
| Readmission Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 38.89 | ||||
| Unplanned Readmission Rate at DRG | 17.75 | ||||
| Unplanned Readmission Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 27.78 | ||||
| Total Medicare payments at DRG | $119,131,393 | ||||
| Total Medicare payments with ICD I059 - Rheumatic mitral valve disease, unspecified | $1,155,661 | ||||
| Total Medicare payment per Day at DRG | $1,852 | ||||
| Total Medicare payment per Day with ICD I059 - Rheumatic mitral valve disease, unspecified | $1,441 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,096 | ||||
| Total Medicare payment per Hospitalization with ICD I059 - Rheumatic mitral valve disease, unspecified | $12,038 | ||||
| Total Medicare Charges at DRG | $540,657,626 | ||||
| Total Medicare Charges with ICD I059 - Rheumatic mitral valve disease, unspecified | $6,206,953 | ||||
| Avg Charges at DRG | $45,818 | ||||
| Avg Charges with ICD I059 - Rheumatic mitral valve disease, unspecified | $64,656 | ||||
| Mortality Rate at DRG | 6.52 | ||||
| Mortality Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 16.02 | ||||
| SNF Discharge Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 14.58 | ||||
| Home Discharge Rate at DRG | 34.57 | ||||
| Home Discharge Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 27.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 114,725 |
| Total Hospitalizations with ICD I059 - Rheumatic mitral valve disease, unspecified | 16 |
| DRG Share of Total Hospitalizations | 0.35 |
| % of Total ICD I059 - Rheumatic mitral valve disease, unspecified in DRG | 4.31 |
| Avg LOS at DRG | 6.91 |
| Avg LOS with ICD I059 - Rheumatic mitral valve disease, unspecified | 8.13 |
| Readmission Rate at DRG | 28.23 |
| Readmission Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | NA |
| Unplanned Readmission Rate at DRG | 17.16 |
| Unplanned Readmission Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | NA |
| Total Medicare payments at DRG | $1,698,418,701 |
| Total Medicare payments with ICD I059 - Rheumatic mitral valve disease, unspecified | $229,452 |
| Total Medicare payment per Day at DRG | $2,144 |
| Total Medicare payment per Day with ICD I059 - Rheumatic mitral valve disease, unspecified | $1,765 |
| Total Medicare payment per Hospitalization at DRG | $14,804 |
| Total Medicare payment per Hospitalization with ICD I059 - Rheumatic mitral valve disease, unspecified | $14,341 |
| Total Medicare Charges at DRG | $9,142,710,160 |
| Total Medicare Charges with ICD I059 - Rheumatic mitral valve disease, unspecified | $1,583,806 |
| Avg Charges at DRG | $79,692 |
| Avg Charges with ICD I059 - Rheumatic mitral valve disease, unspecified | $98,988 |
| Mortality Rate at DRG | 3.27 |
| Mortality Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | NA |
| SNF Discharge Rate at DRG | 10.66 |
| SNF Discharge Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | NA |
| Home Discharge Rate at DRG | 53.35 |
| Home Discharge Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I059 - Rheumatic mitral valve disease, unspecified | 1,418 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I059 - Rheumatic mitral valve disease, unspecified in DRG | 7.4 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I059 - Rheumatic mitral valve disease, unspecified | 7.99 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 31.79 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 18.21 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I059 - Rheumatic mitral valve disease, unspecified | $16,854,999 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I059 - Rheumatic mitral valve disease, unspecified | $1,488 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I059 - Rheumatic mitral valve disease, unspecified | $11,886 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I059 - Rheumatic mitral valve disease, unspecified | $107,269,394 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I059 - Rheumatic mitral valve disease, unspecified | $75,648 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 12.41 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 26.38 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 18.69 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD I059 - Rheumatic mitral valve disease, unspecified | 276 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD I059 - Rheumatic mitral valve disease, unspecified in DRG | 1.44 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD I059 - Rheumatic mitral valve disease, unspecified | 2.92 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 16.29 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 11.74 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD I059 - Rheumatic mitral valve disease, unspecified | $1,167,022 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD I059 - Rheumatic mitral valve disease, unspecified | $1,446 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD I059 - Rheumatic mitral valve disease, unspecified | $4,228 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD I059 - Rheumatic mitral valve disease, unspecified | $6,527,473 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD I059 - Rheumatic mitral valve disease, unspecified | $23,650 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 9.78 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 70.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I059 - Rheumatic mitral valve disease, unspecified | 252 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I059 - Rheumatic mitral valve disease, unspecified in DRG | 1.32 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I059 - Rheumatic mitral valve disease, unspecified | 6.5 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 31.53 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 20.72 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I059 - Rheumatic mitral valve disease, unspecified | $2,722,705 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I059 - Rheumatic mitral valve disease, unspecified | $1,663 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I059 - Rheumatic mitral valve disease, unspecified | $10,804 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I059 - Rheumatic mitral valve disease, unspecified | $16,123,563 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I059 - Rheumatic mitral valve disease, unspecified | $63,982 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 23.81 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 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 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD I059 - Rheumatic mitral valve disease, unspecified | 230 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I059 - Rheumatic mitral valve disease, unspecified in DRG | 1.2 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD I059 - Rheumatic mitral valve disease, unspecified | 7.69 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 36.93 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 7.95 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD I059 - Rheumatic mitral valve disease, unspecified | $2,708,444 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD I059 - Rheumatic mitral valve disease, unspecified | $1,531 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD I059 - Rheumatic mitral valve disease, unspecified | $11,776 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD I059 - Rheumatic mitral valve disease, unspecified | $16,614,944 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD I059 - Rheumatic mitral valve disease, unspecified | $72,239 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 15.65 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 23.48 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD I059 - Rheumatic mitral valve disease, unspecified | 8.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 235 |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 186 |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | 8200 WALNUT HILL LANE | DALLAS | TX | 75231 | 122 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. A MARC GILLINOV | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 81 |
| Dr. STEPHANIE L MICK | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 36 |
| Dr. KENNETH R MCCURRY | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. A MARC GILLINOV | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 82 |
| Dr. STEPHANIE L MICK | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 36 |
| Dr. KENNETH R MCCURRY | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 25 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |