*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I080 - Rheumatic disorders of both mitral and aortic valves - as a primary diagnosis code | I080 - Rheumatic disorders of both mitral and aortic valves - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.74 | |
| Readmission Rate (%) | 24.95 | |
| Unplanned Readmission Rate (%) | 12.26 | |
| 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 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 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,685 | ||||
| Total Hospitalizations with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 2,452 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD I080 - Rheumatic disorders of both mitral and aortic valves in DRG | 17.06 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 3.04 | ||||
| Readmission Rate at DRG | 12.03 | ||||
| Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 13.79 | ||||
| Unplanned Readmission Rate at DRG | 8.33 | ||||
| Unplanned Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 9.31 | ||||
| Total Medicare payments at DRG | $2,520,642,710 | ||||
| Total Medicare payments with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $110,803,614 | ||||
| Total Medicare payment per Day at DRG | $15,685 | ||||
| Total Medicare payment per Day with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $14,855 | ||||
| Total Medicare payment per Hospitalization at DRG | $44,468 | ||||
| Total Medicare payment per Hospitalization with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $45,189 | ||||
| Total Medicare Charges at DRG | $10,767,214,002 | ||||
| Total Medicare Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $457,712,310 | ||||
| Avg Charges at DRG | $189,948 | ||||
| Avg Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $186,669 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | NA | ||||
| SNF Discharge Rate at DRG | 7.22 | ||||
| SNF Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 8.03 | ||||
| Home Discharge Rate at DRG | 67.96 | ||||
| Home Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 63.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 273: PERCUTANEOUS INTRACARDIAC PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,143 | ||||
| Total Hospitalizations with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 745 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD I080 - Rheumatic disorders of both mitral and aortic valves in DRG | 5.18 | ||||
| Avg LOS at DRG | 14.92 | ||||
| Avg LOS with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 15.69 | ||||
| Readmission Rate at DRG | 36.41 | ||||
| Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 38.12 | ||||
| Unplanned Readmission Rate at DRG | 14.15 | ||||
| Unplanned Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 14.65 | ||||
| Total Medicare payments at DRG | $1,600,887,734 | ||||
| Total Medicare payments with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $51,701,822 | ||||
| Total Medicare payment per Day at DRG | $4,638 | ||||
| Total Medicare payment per Day with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $4,424 | ||||
| Total Medicare payment per Hospitalization at DRG | $69,174 | ||||
| Total Medicare payment per Hospitalization with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $69,398 | ||||
| Total Medicare Charges at DRG | $7,841,128,809 | ||||
| Total Medicare Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $249,279,173 | ||||
| Avg Charges at DRG | $338,812 | ||||
| Avg Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $334,603 | ||||
| Mortality Rate at DRG | 11.09 | ||||
| Mortality Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 8.46 | ||||
| SNF Discharge Rate at DRG | 24.56 | ||||
| SNF Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 26.58 | ||||
| Home Discharge Rate at DRG | 18.17 | ||||
| Home Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 12.75 |
*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) | DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 274: PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,904 | ||||
| Total Hospitalizations with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 286 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD I080 - Rheumatic disorders of both mitral and aortic valves in DRG | 1.99 | ||||
| Avg LOS at DRG | 8.89 | ||||
| Avg LOS with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 9.14 | ||||
| Readmission Rate at DRG | 21.39 | ||||
| Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 27.27 | ||||
| Unplanned Readmission Rate at DRG | 9.45 | ||||
| Unplanned Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 8.0 | ||||
| Total Medicare payments at DRG | $381,915,809 | ||||
| Total Medicare payments with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $12,435,457 | ||||
| Total Medicare payment per Day at DRG | $4,825 | ||||
| Total Medicare payment per Day with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $4,759 | ||||
| Total Medicare payment per Hospitalization at DRG | $42,893 | ||||
| Total Medicare payment per Hospitalization with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $43,481 | ||||
| Total Medicare Charges at DRG | $2,002,616,985 | ||||
| Total Medicare Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $65,629,366 | ||||
| Avg Charges at DRG | $224,912 | ||||
| Avg Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $229,473 | ||||
| Mortality Rate at DRG | 1.84 | ||||
| Mortality Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | NA | ||||
| SNF Discharge Rate at DRG | 16.72 | ||||
| SNF Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 17.83 | ||||
| Home Discharge Rate at DRG | 35.89 | ||||
| Home Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 25.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 215: OTHER HEART ASSIST SYSTEM IMPLANT | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,787 | ||||
| Total Hospitalizations with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 71 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD I080 - Rheumatic disorders of both mitral and aortic valves in DRG | 0.49 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 1.89 | ||||
| Readmission Rate at DRG | 16.39 | ||||
| Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 20.0 | ||||
| Unplanned Readmission Rate at DRG | 9.3 | ||||
| Unplanned Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | NA | ||||
| Total Medicare payments at DRG | $479,470,734 | ||||
| Total Medicare payments with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $990,516 | ||||
| Total Medicare payment per Day at DRG | $6,431 | ||||
| Total Medicare payment per Day with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $7,392 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,371 | ||||
| Total Medicare payment per Hospitalization with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $13,951 | ||||
| Total Medicare Charges at DRG | $2,502,493,324 | ||||
| Total Medicare Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $11,805,157 | ||||
| Avg Charges at DRG | $158,516 | ||||
| Avg Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $166,270 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | NA | ||||
| SNF Discharge Rate at DRG | 9.74 | ||||
| SNF Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | NA | ||||
| Home Discharge Rate at DRG | 61.15 | ||||
| Home Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 76.06 |
| 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 | 188 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 166 |
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 164 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 112 |
| Dr. LOWELL FRANKLIN SATLER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 75 |
| Dr. JAMES E DAVIES | 200 1ST ST SW | ROCHESTER | MN | 55905 | 68 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 99 |
| Dr. JAMES E DAVIES | 200 1ST ST SW | ROCHESTER | MN | 55905 | 97 |
| Dr. LOWELL FRANKLIN SATLER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 82 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 20,064 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I080 - Rheumatic disorders of both mitral and aortic valves in DRG | 10.74 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 5.24 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 25.79 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 20.04 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $184,112,092 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $1,752 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $9,176 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $805,825,202 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $40,163 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 4.17 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 22.15 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 32.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY 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 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 3,511 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD I080 - Rheumatic disorders of both mitral and aortic valves in DRG | 1.88 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 3.15 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 21.17 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 15.86 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $16,074,299 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $1,452 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $4,578 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $90,492,956 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $25,774 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 0.48 | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 14.41 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 59.16 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 3,115 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD I080 - Rheumatic disorders of both mitral and aortic valves in DRG | 1.67 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 6.82 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 36.09 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 18.01 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $44,575,513 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $2,098 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $14,310 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $237,240,745 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $76,161 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 2.86 | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 10.75 | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 49.21 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 41,575 | ||||
| Total Hospitalizations with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 2,539 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD I080 - Rheumatic disorders of both mitral and aortic valves in DRG | 1.36 | ||||
| Avg LOS at DRG | 6.1 | ||||
| Avg LOS with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 7.05 | ||||
| Readmission Rate at DRG | 21.03 | ||||
| Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 23.13 | ||||
| Unplanned Readmission Rate at DRG | 12.58 | ||||
| Unplanned Readmission Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 13.91 | ||||
| Total Medicare payments at DRG | $2,337,662,115 | ||||
| Total Medicare payments with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $146,064,596 | ||||
| Total Medicare payment per Day at DRG | $9,211 | ||||
| Total Medicare payment per Day with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $8,165 | ||||
| Total Medicare payment per Hospitalization at DRG | $56,228 | ||||
| Total Medicare payment per Hospitalization with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $57,528 | ||||
| Total Medicare Charges at DRG | $9,802,565,172 | ||||
| Total Medicare Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $615,581,828 | ||||
| Avg Charges at DRG | $235,780 | ||||
| Avg Charges with ICD I080 - Rheumatic disorders of both mitral and aortic valves | $242,451 | ||||
| Mortality Rate at DRG | 2.62 | ||||
| Mortality Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 3.15 | ||||
| SNF Discharge Rate at DRG | 16.12 | ||||
| SNF Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 18.2 | ||||
| Home Discharge Rate at DRG | 50.75 | ||||
| Home Discharge Rate with ICD I080 - Rheumatic disorders of both mitral and aortic valves | 47.18 |
| 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 | 816 |
| MUNSON MEDICAL CENTER | 1105 6TH ST | TRAVERSE CITY | MI | 49684 | 807 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 698 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 143 |
| Dr. LOWELL FRANKLIN SATLER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 89 |
| Dr. JAMES E DAVIES | 200 1ST ST SW | ROCHESTER | MN | 55905 | 88 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES E DAVIES | 200 1ST ST SW | ROCHESTER | MN | 55905 | 122 |
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 116 |
| Dr. LOWELL FRANKLIN SATLER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 98 |