*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I079 - Rheumatic tricuspid valve disease, unspecified - as a primary diagnosis code | I079 - Rheumatic tricuspid valve disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.85 | |
| Readmission Rate (%) | 29.25 | |
| Unplanned Readmission Rate (%) | 25.93 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 11,800 | |
| Total Hospitalizations with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 28 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD I079 - Rheumatic tricuspid valve disease, unspecified in DRG | 43.75 | |
| Avg LOS at DRG | 5.45 | |
| Avg LOS with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 9.0 | |
| Readmission Rate at DRG | 34.97 | |
| Readmission Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | |
| Unplanned Readmission Rate at DRG | 17.75 | |
| Unplanned Readmission Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | |
| Total Medicare payments at DRG | $119,131,393 | |
| Total Medicare payments with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $316,662 | |
| Total Medicare payment per Day at DRG | $1,852 | |
| Total Medicare payment per Day with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $1,257 | |
| Total Medicare payment per Hospitalization at DRG | $10,096 | |
| Total Medicare payment per Hospitalization with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $11,309 | |
| Total Medicare Charges at DRG | $540,657,626 | |
| Total Medicare Charges with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $1,345,404 | |
| Avg Charges at DRG | $45,818 | |
| Avg Charges with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $48,050 | |
| Mortality Rate at DRG | 6.52 | |
| Mortality Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | |
| SNF Discharge Rate at DRG | 16.02 | |
| SNF Discharge Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | |
| Home Discharge Rate at DRG | 34.57 | |
| Home Discharge Rate with ICD I079 - Rheumatic tricuspid 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 307 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I079 - Rheumatic tricuspid valve disease, unspecified in DRG | 10.67 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 9.5 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 33.04 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 19.64 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $4,025,811 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $1,381 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $13,113 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $27,775,806 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $90,475 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 10.1 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 24.43 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 16.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 47 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD I079 - Rheumatic tricuspid valve disease, unspecified in DRG | 1.63 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 3.13 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $592,633 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $4,032 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $12,609 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $2,493,254 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $53,048 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 42.55 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 29.79 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 36 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD I079 - Rheumatic tricuspid valve disease, unspecified in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 3.5 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $208,521 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $1,655 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $5,792 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $1,010,235 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $28,062 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 58.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 288: ACUTE AND SUBACUTE ENDOCARDITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 260: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 31 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD I079 - Rheumatic tricuspid valve disease, unspecified in DRG | 1.08 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 14.0 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $892,795 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $2,057 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $28,800 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $4,542,218 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD I079 - Rheumatic tricuspid valve disease, unspecified | $146,523 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | NA | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD I079 - Rheumatic tricuspid valve disease, unspecified | 41.94 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER | 1414 KUHL AVE | ORLANDO | FL | 32806 | 24 |
| BETHESDA HOSPITAL EAST | 2815 S SEACREST BLVD | BOYNTON BEACH | FL | 33435 | 14 |
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID ADAMS | 1190 5TH AVE | NEW YORK | NY | 10029 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID ADAMS | 1190 5TH AVE | NEW YORK | NY | 10029 | 12 |