*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I071 - Rheumatic tricuspid insufficiency - as a primary diagnosis code | I071 - Rheumatic tricuspid insufficiency - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.26 | |
| Readmission Rate (%) | 25.67 | |
| Unplanned Readmission Rate (%) | 18.74 | |
| 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 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 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,301 | ||||
| Total Hospitalizations with ICD I071 - Rheumatic tricuspid insufficiency | 223 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD I071 - Rheumatic tricuspid insufficiency in DRG | 24.86 | ||||
| Avg LOS at DRG | 10.92 | ||||
| Avg LOS with ICD I071 - Rheumatic tricuspid insufficiency | 12.77 | ||||
| Readmission Rate at DRG | 32.06 | ||||
| Readmission Rate with ICD I071 - Rheumatic tricuspid insufficiency | 42.36 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD I071 - Rheumatic tricuspid insufficiency | 18.23 | ||||
| Total Medicare payments at DRG | $2,755,788,420 | ||||
| Total Medicare payments with ICD I071 - Rheumatic tricuspid insufficiency | $13,165,367 | ||||
| Total Medicare payment per Day at DRG | $5,120 | ||||
| Total Medicare payment per Day with ICD I071 - Rheumatic tricuspid insufficiency | $4,624 | ||||
| Total Medicare payment per Hospitalization at DRG | $55,897 | ||||
| Total Medicare payment per Hospitalization with ICD I071 - Rheumatic tricuspid insufficiency | $59,038 | ||||
| Total Medicare Charges at DRG | $13,454,609,626 | ||||
| Total Medicare Charges with ICD I071 - Rheumatic tricuspid insufficiency | $63,511,216 | ||||
| Avg Charges at DRG | $272,907 | ||||
| Avg Charges with ICD I071 - Rheumatic tricuspid insufficiency | $284,804 | ||||
| Mortality Rate at DRG | 7.09 | ||||
| Mortality Rate with ICD I071 - Rheumatic tricuspid insufficiency | 6.73 | ||||
| SNF Discharge Rate at DRG | 21.99 | ||||
| SNF Discharge Rate with ICD I071 - Rheumatic tricuspid insufficiency | 20.63 | ||||
| Home Discharge Rate at DRG | 21.9 | ||||
| Home Discharge Rate with ICD I071 - Rheumatic tricuspid insufficiency | 24.66 |
*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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD I071 - Rheumatic tricuspid insufficiency | 47 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD I071 - Rheumatic tricuspid insufficiency in DRG | 5.24 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD I071 - Rheumatic tricuspid insufficiency | 10.04 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD I071 - Rheumatic tricuspid insufficiency | 36.59 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD I071 - Rheumatic tricuspid insufficiency | NA | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD I071 - Rheumatic tricuspid insufficiency | $924,858 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD I071 - Rheumatic tricuspid insufficiency | $1,959 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD I071 - Rheumatic tricuspid insufficiency | $19,678 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD I071 - Rheumatic tricuspid insufficiency | $5,024,007 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD I071 - Rheumatic tricuspid insufficiency | $106,894 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD I071 - Rheumatic tricuspid insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD I071 - Rheumatic tricuspid insufficiency | NA | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD I071 - Rheumatic tricuspid insufficiency | 53.19 |
| 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 | 38 |
| PIEDMONT ATLANTA HOSPITAL | 1968 PEACHTREE RD NW | ATLANTA | GA | 30309 | 28 |
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 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 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 I071 - Rheumatic tricuspid insufficiency | 24,834 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I071 - Rheumatic tricuspid insufficiency in DRG | 11.98 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I071 - Rheumatic tricuspid insufficiency | 6.09 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I071 - Rheumatic tricuspid insufficiency | 27.16 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I071 - Rheumatic tricuspid insufficiency | 20.92 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I071 - Rheumatic tricuspid insufficiency | $238,467,988 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I071 - Rheumatic tricuspid insufficiency | $1,577 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I071 - Rheumatic tricuspid insufficiency | $9,602 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I071 - Rheumatic tricuspid insufficiency | $1,145,701,871 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I071 - Rheumatic tricuspid insufficiency | $46,134 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I071 - Rheumatic tricuspid insufficiency | 4.24 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I071 - Rheumatic tricuspid insufficiency | 23.81 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I071 - Rheumatic tricuspid insufficiency | 32.6 |
*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 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD I071 - Rheumatic tricuspid insufficiency | 4,299 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD I071 - Rheumatic tricuspid insufficiency in DRG | 2.07 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD I071 - Rheumatic tricuspid insufficiency | 3.32 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD I071 - Rheumatic tricuspid insufficiency | 20.0 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD I071 - Rheumatic tricuspid insufficiency | 15.39 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD I071 - Rheumatic tricuspid insufficiency | $20,108,752 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD I071 - Rheumatic tricuspid insufficiency | $1,411 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD I071 - Rheumatic tricuspid insufficiency | $4,678 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD I071 - Rheumatic tricuspid insufficiency | $113,233,745 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD I071 - Rheumatic tricuspid insufficiency | $26,340 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD I071 - Rheumatic tricuspid insufficiency | 0.37 | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD I071 - Rheumatic tricuspid insufficiency | 12.96 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD I071 - Rheumatic tricuspid insufficiency | 62.13 |
*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 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD I071 - Rheumatic tricuspid insufficiency | 3,176 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD I071 - Rheumatic tricuspid insufficiency in DRG | 1.53 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD I071 - Rheumatic tricuspid insufficiency | 8.87 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD I071 - Rheumatic tricuspid insufficiency | 29.62 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD I071 - Rheumatic tricuspid insufficiency | 18.21 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD I071 - Rheumatic tricuspid insufficiency | $50,995,464 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD I071 - Rheumatic tricuspid insufficiency | $1,811 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD I071 - Rheumatic tricuspid insufficiency | $16,057 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD I071 - Rheumatic tricuspid insufficiency | $285,537,725 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD I071 - Rheumatic tricuspid insufficiency | $89,905 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD I071 - Rheumatic tricuspid insufficiency | 3.65 | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD I071 - Rheumatic tricuspid insufficiency | 11.81 | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD I071 - Rheumatic tricuspid insufficiency | 47.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD I071 - Rheumatic tricuspid insufficiency | 2,391 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD I071 - Rheumatic tricuspid insufficiency in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD I071 - Rheumatic tricuspid insufficiency | 4.35 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD I071 - Rheumatic tricuspid insufficiency | 24.71 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD I071 - Rheumatic tricuspid insufficiency | 18.63 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD I071 - Rheumatic tricuspid insufficiency | $13,938,604 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD I071 - Rheumatic tricuspid insufficiency | $1,339 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD I071 - Rheumatic tricuspid insufficiency | $5,830 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD I071 - Rheumatic tricuspid insufficiency | $77,094,708 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD I071 - Rheumatic tricuspid insufficiency | $32,244 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I071 - Rheumatic tricuspid insufficiency | 1.17 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD I071 - Rheumatic tricuspid insufficiency | 23.76 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD I071 - Rheumatic tricuspid insufficiency | 42.2 |
| 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 | 1,206 |
| ASCENSION PROVIDENCE HOSPITAL - SOUTHFIELD CAMPUS | 16001 W 9 MILE RD | SOUTHFIELD | MI | 48075 | 1,147 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 928 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN CHERIAN | 200 LOTHROP STREET | PITTSBURGH | PA | 15213 | 241 |
| Dr. KAMRAN IJAZ MUHAMMAD | 1265 S UTICA AVE | TULSA | OK | 74104 | 53 |
| Dr. DON TUAN WYNN | 101 N US HIGHWAY 75 | DENISON | TX | 75020 | 43 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MILTON HABER | 6801 MCPHERSON RD | LAREDO | TX | 78041 | 383 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 348 |
| Dr. MORAD L EL-RAHEB | 1145 S UTICA AVE | TULSA | OK | 74104 | 97 |