*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves - as a primary diagnosis code | I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.05 | |
| Readmission Rate (%) | 25.4 | |
| Unplanned Readmission Rate (%) | 12.75 | |
| 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 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,685 | ||||
| Total Hospitalizations with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 1,685 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves in DRG | 17.9 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 3.05 | ||||
| Readmission Rate at DRG | 12.03 | ||||
| Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 13.71 | ||||
| Unplanned Readmission Rate at DRG | 8.33 | ||||
| Unplanned Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 9.55 | ||||
| Total Medicare payments at DRG | $2,520,642,710 | ||||
| Total Medicare payments with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $78,821,728 | ||||
| Total Medicare payment per Day at DRG | $15,685 | ||||
| Total Medicare payment per Day with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $15,320 | ||||
| Total Medicare payment per Hospitalization at DRG | $44,468 | ||||
| Total Medicare payment per Hospitalization with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $46,778 | ||||
| Total Medicare Charges at DRG | $10,767,214,002 | ||||
| Total Medicare Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $307,281,083 | ||||
| Avg Charges at DRG | $189,948 | ||||
| Avg Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $182,363 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | NA | ||||
| SNF Discharge Rate at DRG | 7.22 | ||||
| SNF Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 10.27 | ||||
| Home Discharge Rate at DRG | 67.96 | ||||
| Home Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 58.99 |
*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 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT 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 I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 540 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves in DRG | 5.74 | ||||
| Avg LOS at DRG | 14.92 | ||||
| Avg LOS with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 17.46 | ||||
| Readmission Rate at DRG | 36.41 | ||||
| Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 39.32 | ||||
| Unplanned Readmission Rate at DRG | 14.15 | ||||
| Unplanned Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 15.97 | ||||
| Total Medicare payments at DRG | $1,600,887,734 | ||||
| Total Medicare payments with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $40,636,517 | ||||
| Total Medicare payment per Day at DRG | $4,638 | ||||
| Total Medicare payment per Day with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $4,309 | ||||
| Total Medicare payment per Hospitalization at DRG | $69,174 | ||||
| Total Medicare payment per Hospitalization with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $75,253 | ||||
| Total Medicare Charges at DRG | $7,841,128,809 | ||||
| Total Medicare Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $195,399,380 | ||||
| Avg Charges at DRG | $338,812 | ||||
| Avg Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $361,851 | ||||
| Mortality Rate at DRG | 11.09 | ||||
| Mortality Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 6.11 | ||||
| SNF Discharge Rate at DRG | 24.56 | ||||
| SNF Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 33.52 | ||||
| Home Discharge Rate at DRG | 18.17 | ||||
| Home Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 11.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 274: PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 202 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves in DRG | 2.15 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 31.3 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 85.83 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | NA | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $34,168,240 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $5,405 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $169,150 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $167,906,371 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $831,220 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 33.66 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 8.42 | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH 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 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 215: OTHER HEART ASSIST SYSTEM IMPLANT | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 61 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves in DRG | 0.65 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 6.2 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 36.73 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | NA | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $771,699 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $2,042 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $12,651 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $3,441,867 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $56,424 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 19.67 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 21.31 |
| 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 | 225 |
| ST.VINCENT HEART CENTER OF INDIANA | 10580 N MERIDIAN ST | INDIANAPOLIS | IN | 46290 | 160 |
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 153 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK A GROH | 257 MCDOWELL ST | ASHEVILLE | NC | 28803 | 89 |
| Dr. MARK JOSEPH RUSSO | 201 LYONS AVENUE | NEWARK | NJ | 07112 | 67 |
| Dr. JOHN C WANG | 201 E UNIVERSITY PKWY | BALTIMORE | MD | 21218 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK JOSEPH RUSSO | 201 LYONS AVENUE | NEWARK | NJ | 07112 | 96 |
| Dr. MARK A GROH | 257 MCDOWELL ST | ASHEVILLE | NC | 28803 | 85 |
| Dr. JAMES E DAVIES | 200 1ST ST SW | ROCHESTER | MN | 55905 | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 21,863 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves in DRG | 13.58 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 5.67 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 25.93 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 19.91 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $204,032,142 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $1,645 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $9,332 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $932,484,180 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $42,651 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 4.29 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 23.92 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 30.56 |
*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 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 3,571 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves in DRG | 2.22 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 3.38 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 21.03 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 15.97 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $16,573,545 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $1,375 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $4,641 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $96,430,648 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $27,004 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 0.59 | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 13.97 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 58.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE 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 | 539,642 | ||||
| Total Hospitalizations with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 2,208 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves in DRG | 1.37 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 6.24 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 26.88 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 19.72 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $20,948,730 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $1,521 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $9,488 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $102,866,541 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $46,588 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 7.16 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 23.05 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 28.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 150,404 | ||||
| Total Hospitalizations with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 1,964 | ||||
| DRG Share of Total Hospitalizations | 0.46 | ||||
| % of Total ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves in DRG | 1.22 | ||||
| Avg LOS at DRG | 3.31 | ||||
| Avg LOS with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 3.72 | ||||
| Readmission Rate at DRG | 20.72 | ||||
| Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 22.21 | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 15.13 | ||||
| Total Medicare payments at DRG | $938,855,823 | ||||
| Total Medicare payments with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $12,212,900 | ||||
| Total Medicare payment per Day at DRG | $1,886 | ||||
| Total Medicare payment per Day with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $1,672 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,242 | ||||
| Total Medicare payment per Hospitalization with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $6,218 | ||||
| Total Medicare Charges at DRG | $5,236,903,865 | ||||
| Total Medicare Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $67,540,404 | ||||
| Avg Charges at DRG | $34,819 | ||||
| Avg Charges with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | $34,389 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | NA | ||||
| SNF Discharge Rate at DRG | 13.12 | ||||
| SNF Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 18.64 | ||||
| Home Discharge Rate at DRG | 52.08 | ||||
| Home Discharge Rate with ICD I083 - Combined rheumatic disorders of mitral, aortic and tricuspid valves | 44.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 1,082 |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER | 489 STATE ST | BANGOR | ME | 04401 | 979 |
| MEDSTAR FRANKLIN SQUARE MEDICAL CENTER | 9000 FRANKLIN SQUARE DR | BALTIMORE | MD | 21237 | 921 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK A GROH | 257 MCDOWELL ST | ASHEVILLE | NC | 28803 | 115 |
| Dr. JOHN C WANG | 201 E UNIVERSITY PKWY | BALTIMORE | MD | 21218 | 88 |
| Dr. MARK JOSEPH RUSSO | 201 LYONS AVENUE | NEWARK | NJ | 07112 | 81 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 160 |
| Dr. MARK A GROH | 257 MCDOWELL ST | ASHEVILLE | NC | 28803 | 113 |
| Dr. MARK JOSEPH RUSSO | 201 LYONS AVENUE | NEWARK | NJ | 07112 | 107 |