*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I060 - Rheumatic aortic stenosis - as a primary diagnosis code | I060 - Rheumatic aortic stenosis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.7 | |
| Readmission Rate (%) | 22.84 | |
| Unplanned Readmission Rate (%) | 9.79 | |
| 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 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT 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 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,685 | ||||
| Total Hospitalizations with ICD I060 - Rheumatic aortic stenosis | 176 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD I060 - Rheumatic aortic stenosis in DRG | 24.08 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD I060 - Rheumatic aortic stenosis | 3.33 | ||||
| Readmission Rate at DRG | 12.03 | ||||
| Readmission Rate with ICD I060 - Rheumatic aortic stenosis | 8.93 | ||||
| Unplanned Readmission Rate at DRG | 8.33 | ||||
| Unplanned Readmission Rate with ICD I060 - Rheumatic aortic stenosis | 7.14 | ||||
| Total Medicare payments at DRG | $2,520,642,710 | ||||
| Total Medicare payments with ICD I060 - Rheumatic aortic stenosis | $8,147,741 | ||||
| Total Medicare payment per Day at DRG | $15,685 | ||||
| Total Medicare payment per Day with ICD I060 - Rheumatic aortic stenosis | $13,904 | ||||
| Total Medicare payment per Hospitalization at DRG | $44,468 | ||||
| Total Medicare payment per Hospitalization with ICD I060 - Rheumatic aortic stenosis | $46,294 | ||||
| Total Medicare Charges at DRG | $10,767,214,002 | ||||
| Total Medicare Charges with ICD I060 - Rheumatic aortic stenosis | $32,670,894 | ||||
| Avg Charges at DRG | $189,948 | ||||
| Avg Charges with ICD I060 - Rheumatic aortic stenosis | $185,630 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| SNF Discharge Rate at DRG | 7.22 | ||||
| SNF Discharge Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| Home Discharge Rate at DRG | 67.96 | ||||
| Home Discharge Rate with ICD I060 - Rheumatic aortic stenosis | 61.36 |
*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 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION 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 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS 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 | 209,527 | ||||
| Total Hospitalizations with ICD I060 - Rheumatic aortic stenosis | 31 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD I060 - Rheumatic aortic stenosis in DRG | 4.24 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD I060 - Rheumatic aortic stenosis | 2.45 | ||||
| Readmission Rate at DRG | 15.34 | ||||
| Readmission Rate with ICD I060 - Rheumatic aortic stenosis | 40.74 | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| Total Medicare payments at DRG | $1,394,352,541 | ||||
| Total Medicare payments with ICD I060 - Rheumatic aortic stenosis | $213,284 | ||||
| Total Medicare payment per Day at DRG | $2,234 | ||||
| Total Medicare payment per Day with ICD I060 - Rheumatic aortic stenosis | $2,806 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,655 | ||||
| Total Medicare payment per Hospitalization with ICD I060 - Rheumatic aortic stenosis | $6,880 | ||||
| Total Medicare Charges at DRG | $9,726,714,225 | ||||
| Total Medicare Charges with ICD I060 - Rheumatic aortic stenosis | $1,183,109 | ||||
| Avg Charges at DRG | $46,422 | ||||
| Avg Charges with ICD I060 - Rheumatic aortic stenosis | $38,165 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| SNF Discharge Rate at DRG | 3.41 | ||||
| SNF Discharge Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| Home Discharge Rate at DRG | 79.22 | ||||
| Home Discharge Rate with ICD I060 - Rheumatic aortic stenosis | 74.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 8,904 |
| Total Hospitalizations with ICD I060 - Rheumatic aortic stenosis | 14 |
| DRG Share of Total Hospitalizations | 0.03 |
| % of Total ICD I060 - Rheumatic aortic stenosis in DRG | 1.92 |
| Avg LOS at DRG | 8.89 |
| Avg LOS with ICD I060 - Rheumatic aortic stenosis | 8.43 |
| Readmission Rate at DRG | 21.39 |
| Readmission Rate with ICD I060 - Rheumatic aortic stenosis | NA |
| Unplanned Readmission Rate at DRG | 9.45 |
| Unplanned Readmission Rate with ICD I060 - Rheumatic aortic stenosis | NA |
| Total Medicare payments at DRG | $381,915,809 |
| Total Medicare payments with ICD I060 - Rheumatic aortic stenosis | $602,071 |
| Total Medicare payment per Day at DRG | $4,825 |
| Total Medicare payment per Day with ICD I060 - Rheumatic aortic stenosis | $5,102 |
| Total Medicare payment per Hospitalization at DRG | $42,893 |
| Total Medicare payment per Hospitalization with ICD I060 - Rheumatic aortic stenosis | $43,005 |
| Total Medicare Charges at DRG | $2,002,616,985 |
| Total Medicare Charges with ICD I060 - Rheumatic aortic stenosis | $2,680,833 |
| Avg Charges at DRG | $224,912 |
| Avg Charges with ICD I060 - Rheumatic aortic stenosis | $191,488 |
| Mortality Rate at DRG | 1.84 |
| Mortality Rate with ICD I060 - Rheumatic aortic stenosis | NA |
| SNF Discharge Rate at DRG | 16.72 |
| SNF Discharge Rate with ICD I060 - Rheumatic aortic stenosis | NA |
| Home Discharge Rate at DRG | 35.89 |
| Home Discharge Rate with ICD I060 - Rheumatic aortic stenosis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 15 |
| INTEGRIS BAPTIST MEDICAL CENTER | 3300 NW EXPRESSWAY ST | OKLAHOMA CITY | OK | 73112 | 13 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 12 |
*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 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 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 I060 - Rheumatic aortic stenosis | 186 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD I060 - Rheumatic aortic stenosis in DRG | 6.44 | ||||
| Avg LOS at DRG | 6.67 | ||||
| Avg LOS with ICD I060 - Rheumatic aortic stenosis | 6.42 | ||||
| Readmission Rate at DRG | 19.14 | ||||
| Readmission Rate with ICD I060 - Rheumatic aortic stenosis | 19.23 | ||||
| Unplanned Readmission Rate at DRG | 9.02 | ||||
| Unplanned Readmission Rate with ICD I060 - Rheumatic aortic stenosis | 8.79 | ||||
| Total Medicare payments at DRG | $1,849,514,487 | ||||
| Total Medicare payments with ICD I060 - Rheumatic aortic stenosis | $6,230,400 | ||||
| Total Medicare payment per Day at DRG | $5,212 | ||||
| Total Medicare payment per Day with ICD I060 - Rheumatic aortic stenosis | $5,214 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,744 | ||||
| Total Medicare payment per Hospitalization with ICD I060 - Rheumatic aortic stenosis | $33,497 | ||||
| Total Medicare Charges at DRG | $9,786,140,365 | ||||
| Total Medicare Charges with ICD I060 - Rheumatic aortic stenosis | $32,914,430 | ||||
| Avg Charges at DRG | $183,839 | ||||
| Avg Charges with ICD I060 - Rheumatic aortic stenosis | $176,959 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| SNF Discharge Rate at DRG | 15.26 | ||||
| SNF Discharge Rate with ICD I060 - Rheumatic aortic stenosis | 15.59 | ||||
| Home Discharge Rate at DRG | 35.21 | ||||
| Home Discharge Rate with ICD I060 - Rheumatic aortic stenosis | 40.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 41,575 | ||||
| Total Hospitalizations with ICD I060 - Rheumatic aortic stenosis | 103 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD I060 - Rheumatic aortic stenosis in DRG | 3.57 | ||||
| Avg LOS at DRG | 6.1 | ||||
| Avg LOS with ICD I060 - Rheumatic aortic stenosis | 7.6 | ||||
| Readmission Rate at DRG | 21.03 | ||||
| Readmission Rate with ICD I060 - Rheumatic aortic stenosis | 19.15 | ||||
| Unplanned Readmission Rate at DRG | 12.58 | ||||
| Unplanned Readmission Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| Total Medicare payments at DRG | $2,337,662,115 | ||||
| Total Medicare payments with ICD I060 - Rheumatic aortic stenosis | $5,996,624 | ||||
| Total Medicare payment per Day at DRG | $9,211 | ||||
| Total Medicare payment per Day with ICD I060 - Rheumatic aortic stenosis | $7,659 | ||||
| Total Medicare payment per Hospitalization at DRG | $56,228 | ||||
| Total Medicare payment per Hospitalization with ICD I060 - Rheumatic aortic stenosis | $58,220 | ||||
| Total Medicare Charges at DRG | $9,802,565,172 | ||||
| Total Medicare Charges with ICD I060 - Rheumatic aortic stenosis | $23,751,838 | ||||
| Avg Charges at DRG | $235,780 | ||||
| Avg Charges with ICD I060 - Rheumatic aortic stenosis | $230,600 | ||||
| Mortality Rate at DRG | 2.62 | ||||
| Mortality Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| SNF Discharge Rate at DRG | 16.12 | ||||
| SNF Discharge Rate with ICD I060 - Rheumatic aortic stenosis | 12.62 | ||||
| Home Discharge Rate at DRG | 50.75 | ||||
| Home Discharge Rate with ICD I060 - Rheumatic aortic stenosis | 51.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION 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 | 12,810 | ||||
| Total Hospitalizations with ICD I060 - Rheumatic aortic stenosis | 42 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I060 - Rheumatic aortic stenosis in DRG | 1.45 | ||||
| Avg LOS at DRG | 3.55 | ||||
| Avg LOS with ICD I060 - Rheumatic aortic stenosis | 4.4 | ||||
| Readmission Rate at DRG | 29.53 | ||||
| Readmission Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| Unplanned Readmission Rate at DRG | 11.75 | ||||
| Unplanned Readmission Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| Total Medicare payments at DRG | $77,584,876 | ||||
| Total Medicare payments with ICD I060 - Rheumatic aortic stenosis | $303,921 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD I060 - Rheumatic aortic stenosis | $1,643 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,057 | ||||
| Total Medicare payment per Hospitalization with ICD I060 - Rheumatic aortic stenosis | $7,236 | ||||
| Total Medicare Charges at DRG | $376,243,909 | ||||
| Total Medicare Charges with ICD I060 - Rheumatic aortic stenosis | $1,053,386 | ||||
| Avg Charges at DRG | $29,371 | ||||
| Avg Charges with ICD I060 - Rheumatic aortic stenosis | $25,081 | ||||
| Mortality Rate at DRG | 1.05 | ||||
| Mortality Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| SNF Discharge Rate at DRG | 12.61 | ||||
| SNF Discharge Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| Home Discharge Rate at DRG | 50.16 | ||||
| Home Discharge Rate with ICD I060 - Rheumatic aortic stenosis | 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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I060 - Rheumatic aortic stenosis | 36 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I060 - Rheumatic aortic stenosis in DRG | 1.25 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I060 - Rheumatic aortic stenosis | 4.86 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I060 - Rheumatic aortic stenosis | $390,074 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I060 - Rheumatic aortic stenosis | $2,229 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I060 - Rheumatic aortic stenosis | $10,835 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I060 - Rheumatic aortic stenosis | $1,716,054 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I060 - Rheumatic aortic stenosis | $47,668 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I060 - Rheumatic aortic stenosis | NA | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I060 - Rheumatic aortic stenosis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEDSTAR GOOD SAMARITAN HOSPITAL | 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 46 |
| ST. BERNARDS HEALTHCARE | 225 E JACKSON AVE | JONESBORO | AR | 72401 | 45 |
| INTEGRIS BAPTIST MEDICAL CENTER | 3300 NW EXPRESSWAY ST | OKLAHOMA CITY | OK | 73112 | 44 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |
| 2 | D62 | Acute posthemorrhagic anemia |