*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I088 - Other rheumatic multiple valve diseases - as a primary diagnosis code | I088 - Other rheumatic multiple valve diseases - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.65 | |
| Readmission Rate (%) | 23.96 | |
| Unplanned Readmission Rate (%) | 11.4 | |
| 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 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 I088 - Other rheumatic multiple valve diseases | 27 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD I088 - Other rheumatic multiple valve diseases in DRG | 21.26 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD I088 - Other rheumatic multiple valve diseases | 3.04 | ||||
| Readmission Rate at DRG | 12.03 | ||||
| Readmission Rate with ICD I088 - Other rheumatic multiple valve diseases | NA | ||||
| Unplanned Readmission Rate at DRG | 8.33 | ||||
| Unplanned Readmission Rate with ICD I088 - Other rheumatic multiple valve diseases | NA | ||||
| Total Medicare payments at DRG | $2,520,642,710 | ||||
| Total Medicare payments with ICD I088 - Other rheumatic multiple valve diseases | $1,194,923 | ||||
| Total Medicare payment per Day at DRG | $15,685 | ||||
| Total Medicare payment per Day with ICD I088 - Other rheumatic multiple valve diseases | $14,572 | ||||
| Total Medicare payment per Hospitalization at DRG | $44,468 | ||||
| Total Medicare payment per Hospitalization with ICD I088 - Other rheumatic multiple valve diseases | $44,256 | ||||
| Total Medicare Charges at DRG | $10,767,214,002 | ||||
| Total Medicare Charges with ICD I088 - Other rheumatic multiple valve diseases | $6,278,307 | ||||
| Avg Charges at DRG | $189,948 | ||||
| Avg Charges with ICD I088 - Other rheumatic multiple valve diseases | $232,530 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD I088 - Other rheumatic multiple valve diseases | NA | ||||
| SNF Discharge Rate at DRG | 7.22 | ||||
| SNF Discharge Rate with ICD I088 - Other rheumatic multiple valve diseases | NA | ||||
| Home Discharge Rate at DRG | 67.96 | ||||
| Home Discharge Rate with ICD I088 - Other rheumatic multiple valve diseases | 55.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 I088 - Other rheumatic multiple valve diseases | 1,022 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I088 - Other rheumatic multiple valve diseases in DRG | 13.63 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I088 - Other rheumatic multiple valve diseases | 5.37 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I088 - Other rheumatic multiple valve diseases | 26.93 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I088 - Other rheumatic multiple valve diseases | 21.93 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I088 - Other rheumatic multiple valve diseases | $9,413,820 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I088 - Other rheumatic multiple valve diseases | $1,715 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I088 - Other rheumatic multiple valve diseases | $9,211 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I088 - Other rheumatic multiple valve diseases | $39,549,143 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I088 - Other rheumatic multiple valve diseases | $38,698 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I088 - Other rheumatic multiple valve diseases | 3.72 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I088 - Other rheumatic multiple valve diseases | 23.09 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I088 - Other rheumatic multiple valve diseases | 35.32 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD I088 - Other rheumatic multiple valve diseases | 160 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD I088 - Other rheumatic multiple valve diseases in DRG | 2.13 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD I088 - Other rheumatic multiple valve diseases | 3.19 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD I088 - Other rheumatic multiple valve diseases | 20.67 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD I088 - Other rheumatic multiple valve diseases | 15.33 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD I088 - Other rheumatic multiple valve diseases | $692,440 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD I088 - Other rheumatic multiple valve diseases | $1,358 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD I088 - Other rheumatic multiple valve diseases | $4,328 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD I088 - Other rheumatic multiple valve diseases | $4,436,550 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD I088 - Other rheumatic multiple valve diseases | $27,728 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD I088 - Other rheumatic multiple valve diseases | NA | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD I088 - Other rheumatic multiple valve diseases | 9.38 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD I088 - Other rheumatic multiple valve diseases | 63.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 209,527 | ||||
| Total Hospitalizations with ICD I088 - Other rheumatic multiple valve diseases | 111 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD I088 - Other rheumatic multiple valve diseases in DRG | 1.48 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD I088 - Other rheumatic multiple valve diseases | 3.46 | ||||
| Readmission Rate at DRG | 15.34 | ||||
| Readmission Rate with ICD I088 - Other rheumatic multiple valve diseases | 24.0 | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD I088 - Other rheumatic multiple valve diseases | 12.0 | ||||
| Total Medicare payments at DRG | $1,394,352,541 | ||||
| Total Medicare payments with ICD I088 - Other rheumatic multiple valve diseases | $755,927 | ||||
| Total Medicare payment per Day at DRG | $2,234 | ||||
| Total Medicare payment per Day with ICD I088 - Other rheumatic multiple valve diseases | $1,969 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,655 | ||||
| Total Medicare payment per Hospitalization with ICD I088 - Other rheumatic multiple valve diseases | $6,810 | ||||
| Total Medicare Charges at DRG | $9,726,714,225 | ||||
| Total Medicare Charges with ICD I088 - Other rheumatic multiple valve diseases | $5,295,200 | ||||
| Avg Charges at DRG | $46,422 | ||||
| Avg Charges with ICD I088 - Other rheumatic multiple valve diseases | $47,705 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD I088 - Other rheumatic multiple valve diseases | NA | ||||
| SNF Discharge Rate at DRG | 3.41 | ||||
| SNF Discharge Rate with ICD I088 - Other rheumatic multiple valve diseases | NA | ||||
| Home Discharge Rate at DRG | 79.22 | ||||
| Home Discharge Rate with ICD I088 - Other rheumatic multiple valve diseases | 76.58 |
*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 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD I088 - Other rheumatic multiple valve diseases | 98 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD I088 - Other rheumatic multiple valve diseases in DRG | 1.31 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD I088 - Other rheumatic multiple valve diseases | 3.33 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD I088 - Other rheumatic multiple valve diseases | 21.43 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD I088 - Other rheumatic multiple valve diseases | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD I088 - Other rheumatic multiple valve diseases | $1,233,810 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD I088 - Other rheumatic multiple valve diseases | $3,785 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD I088 - Other rheumatic multiple valve diseases | $12,590 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD I088 - Other rheumatic multiple valve diseases | $5,804,635 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD I088 - Other rheumatic multiple valve diseases | $59,231 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD I088 - Other rheumatic multiple valve diseases | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD I088 - Other rheumatic multiple valve diseases | 43.88 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD I088 - Other rheumatic multiple valve diseases | 13.27 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HUNTINGTON HOSPITAL - NORTHWELL HEALTH | 270 PARK AVE | HUNTINGTON | NY | 11743 | 161 |
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 136 |
| GWINNETT MEDICAL CENTER | 1000 MEDICAL CENTER BLVD | LAWRENCEVILLE | GA | 30046 | 125 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MATTHEW GENTILE | 2300 WESTERN AVE | MANITOWOC | WI | 54220 | 19 |
| Dr. LOUIS V EBERLE | 6263 POPLAR AVE | MEMPHIS | TN | 38119 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NABIL KARIM ABUDAYEH | 20700 LAKE CHABOT ROAD | CASTRO VALLEY | CA | 94546 | 28 |
| Dr. LOUIS V EBERLE | 6263 POPLAR AVE | MEMPHIS | TN | 38119 | 20 |
| Dr. KEVIN R BARGMEYER | 1141 N MONROE DR | XENIA | OH | 45385 | 15 |