*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I078 - Other rheumatic tricuspid valve diseases - as a primary diagnosis code | I078 - Other rheumatic tricuspid valve diseases - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.93 | |
| Readmission Rate (%) | 33.43 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | 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 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD I078 - Other rheumatic tricuspid valve diseases | 28 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD I078 - Other rheumatic tricuspid valve diseases in DRG | 6.93 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD I078 - Other rheumatic tricuspid valve diseases | 9.25 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD I078 - Other rheumatic tricuspid valve diseases | NA | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD I078 - Other rheumatic tricuspid valve diseases | NA | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD I078 - Other rheumatic tricuspid valve diseases | $226,856 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD I078 - Other rheumatic tricuspid valve diseases | $876 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD I078 - Other rheumatic tricuspid valve diseases | $8,102 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD I078 - Other rheumatic tricuspid valve diseases | $1,209,544 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD I078 - Other rheumatic tricuspid valve diseases | $43,198 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD I078 - Other rheumatic tricuspid valve diseases | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD I078 - Other rheumatic tricuspid valve diseases | NA | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD I078 - Other rheumatic tricuspid valve diseases | 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 138,345 |
| Total Hospitalizations with ICD I078 - Other rheumatic tricuspid valve diseases | 12 |
| DRG Share of Total Hospitalizations | 0.42 |
| % of Total ICD I078 - Other rheumatic tricuspid valve diseases in DRG | 2.97 |
| Avg LOS at DRG | 6.92 |
| Avg LOS with ICD I078 - Other rheumatic tricuspid valve diseases | 12.75 |
| Readmission Rate at DRG | 32.2 |
| Readmission Rate with ICD I078 - Other rheumatic tricuspid valve diseases | NA |
| Unplanned Readmission Rate at DRG | 22.95 |
| Unplanned Readmission Rate with ICD I078 - Other rheumatic tricuspid valve diseases | NA |
| Total Medicare payments at DRG | $1,845,581,658 |
| Total Medicare payments with ICD I078 - Other rheumatic tricuspid valve diseases | $178,209 |
| Total Medicare payment per Day at DRG | $1,929 |
| Total Medicare payment per Day with ICD I078 - Other rheumatic tricuspid valve diseases | $1,165 |
| Total Medicare payment per Hospitalization at DRG | $13,340 |
| Total Medicare payment per Hospitalization with ICD I078 - Other rheumatic tricuspid valve diseases | $14,851 |
| Total Medicare Charges at DRG | $9,021,459,592 |
| Total Medicare Charges with ICD I078 - Other rheumatic tricuspid valve diseases | $1,117,963 |
| Avg Charges at DRG | $65,210 |
| Avg Charges with ICD I078 - Other rheumatic tricuspid valve diseases | $93,164 |
| Mortality Rate at DRG | 5.29 |
| Mortality Rate with ICD I078 - Other rheumatic tricuspid valve diseases | NA |
| SNF Discharge Rate at DRG | 18.8 |
| SNF Discharge Rate with ICD I078 - Other rheumatic tricuspid valve diseases | NA |
| Home Discharge Rate at DRG | 39.78 |
| Home Discharge Rate with ICD I078 - Other rheumatic tricuspid valve diseases | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ALLEGIANCE SPECIALTY HOSPITAL OF GREENVILLE | 300 WASHINGTON AVE | GREENVILLE | MS | 38701 | 62 |
| FLAGLER HOSPITAL | 400 HEALTH PARK BLVD | ST AUGUSTINE | FL | 32086 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN L HERZOG | 1257 HWY 61 S | HOLLANDALE | MS | 38748 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN L HERZOG | 1257 HWY 61 S | HOLLANDALE | MS | 38748 | 51 |