*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I213 - ST elevation (STEMI) myocardial infarction of unspecified site - as a primary diagnosis code | I213 - ST elevation (STEMI) myocardial infarction of unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.33 | |
| Readmission Rate (%) | 24.46 | |
| Unplanned Readmission Rate (%) | 12.54 | |
| 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 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,438 | ||||
| Total Hospitalizations with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 4,659 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site in DRG | 18.72 | ||||
| Avg LOS at DRG | 2.51 | ||||
| Avg LOS with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 2.49 | ||||
| Readmission Rate at DRG | 10.86 | ||||
| Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 11.32 | ||||
| Unplanned Readmission Rate at DRG | 8.03 | ||||
| Unplanned Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 8.69 | ||||
| Total Medicare payments at DRG | $3,352,957,239 | ||||
| Total Medicare payments with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $57,706,544 | ||||
| Total Medicare payment per Day at DRG | $4,952 | ||||
| Total Medicare payment per Day with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $4,968 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,444 | ||||
| Total Medicare payment per Hospitalization with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $12,386 | ||||
| Total Medicare Charges at DRG | $22,958,558,443 | ||||
| Total Medicare Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $417,351,524 | ||||
| Avg Charges at DRG | $85,209 | ||||
| Avg Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $89,580 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 1.4 | ||||
| SNF Discharge Rate at DRG | 2.62 | ||||
| SNF Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 2.6 | ||||
| Home Discharge Rate at DRG | 88.57 | ||||
| Home Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 86.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 282: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 284: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH COMPLICATION OR COMORBIDITY (CC) | DRG 249: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 75,769 | ||||
| Total Hospitalizations with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 1,815 | ||||
| DRG Share of Total Hospitalizations | 0.23 | ||||
| % of Total ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site in DRG | 7.29 | ||||
| Avg LOS at DRG | 2.15 | ||||
| Avg LOS with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 2.27 | ||||
| Readmission Rate at DRG | 14.75 | ||||
| Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 14.56 | ||||
| Unplanned Readmission Rate at DRG | 9.43 | ||||
| Unplanned Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 8.22 | ||||
| Total Medicare payments at DRG | $333,683,744 | ||||
| Total Medicare payments with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $8,843,756 | ||||
| Total Medicare payment per Day at DRG | $2,045 | ||||
| Total Medicare payment per Day with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $2,145 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,404 | ||||
| Total Medicare payment per Hospitalization with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $4,873 | ||||
| Total Medicare Charges at DRG | $2,153,250,086 | ||||
| Total Medicare Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $45,027,178 | ||||
| Avg Charges at DRG | $28,419 | ||||
| Avg Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $24,808 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 5.57 | ||||
| SNF Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 7.33 | ||||
| Home Discharge Rate at DRG | 57.49 | ||||
| Home Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 44.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 251: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 248: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 234: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 215: OTHER HEART ASSIST SYSTEM IMPLANT | DRG 285: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,326 | ||||
| Total Hospitalizations with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 405 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site in DRG | 1.63 | ||||
| Avg LOS at DRG | 2.61 | ||||
| Avg LOS with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 2.52 | ||||
| Readmission Rate at DRG | 15.58 | ||||
| Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 18.48 | ||||
| Unplanned Readmission Rate at DRG | 11.04 | ||||
| Unplanned Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 14.08 | ||||
| Total Medicare payments at DRG | $179,646,764 | ||||
| Total Medicare payments with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $3,956,685 | ||||
| Total Medicare payment per Day at DRG | $3,756 | ||||
| Total Medicare payment per Day with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $3,872 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,803 | ||||
| Total Medicare payment per Hospitalization with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $9,770 | ||||
| Total Medicare Charges at DRG | $1,253,870,279 | ||||
| Total Medicare Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $28,339,642 | ||||
| Avg Charges at DRG | $68,420 | ||||
| Avg Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $69,974 | ||||
| Mortality Rate at DRG | 1.61 | ||||
| Mortality Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 7.16 | ||||
| SNF Discharge Rate at DRG | 3.3 | ||||
| SNF Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 2.96 | ||||
| Home Discharge Rate at DRG | 81.19 | ||||
| Home Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 70.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,741 | ||||
| Total Hospitalizations with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 269 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site in DRG | 1.08 | ||||
| Avg LOS at DRG | 9.93 | ||||
| Avg LOS with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 10.88 | ||||
| Readmission Rate at DRG | 29.41 | ||||
| Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 35.74 | ||||
| Unplanned Readmission Rate at DRG | 10.75 | ||||
| Unplanned Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 14.06 | ||||
| Total Medicare payments at DRG | $1,189,879,422 | ||||
| Total Medicare payments with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $10,241,465 | ||||
| Total Medicare payment per Day at DRG | $3,776 | ||||
| Total Medicare payment per Day with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $3,500 | ||||
| Total Medicare payment per Hospitalization at DRG | $37,487 | ||||
| Total Medicare payment per Hospitalization with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $38,072 | ||||
| Total Medicare Charges at DRG | $6,309,081,458 | ||||
| Total Medicare Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $62,639,682 | ||||
| Avg Charges at DRG | $198,768 | ||||
| Avg Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $232,861 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 5.58 | ||||
| SNF Discharge Rate at DRG | 21.05 | ||||
| SNF Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 23.79 | ||||
| Home Discharge Rate at DRG | 24.23 | ||||
| Home Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 18.22 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 91 |
| YORK HOSPITAL | 1001 SOUTH GEORGE STREET | YORK | PA | 17405 | 85 |
| HUNTSVILLE HOSPITAL | 101 SIVLEY RD SW | HUNTSVILLE | AL | 35801 | 83 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD B ZELMAN | 25 MAIN ST | HYANNIS | MA | 02601 | 28 |
| Dr. LIOR SHAMAI | 1301 PLEASANT VALLEY ROAD | OWENSBORO | KY | 42303 | 20 |
| Dr. CARLOS G CIGARROA | 702 E CALTON RD | LAREDO | TX | 78041 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD B ZELMAN | 25 MAIN ST | HYANNIS | MA | 02601 | 27 |
| Dr. JOSEPH E LEMLEK | 630 S HILLSIDE ST | WICHITA | KS | 67211 | 22 |
| Dr. CODY FOSTER | 300 E 6TH ST | TEXARKANA | AR | 71854 | 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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 6,875 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site in DRG | 11.44 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 5.58 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 26.09 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 17.76 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $75,553,634 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $1,970 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $10,990 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $354,103,502 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $51,506 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 20.25 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 28.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 282: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,001 | ||||
| Total Hospitalizations with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 3,183 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site in DRG | 5.3 | ||||
| Avg LOS at DRG | 5.32 | ||||
| Avg LOS with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 5.17 | ||||
| Readmission Rate at DRG | 23.7 | ||||
| Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 24.21 | ||||
| Unplanned Readmission Rate at DRG | 16.43 | ||||
| Unplanned Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 15.94 | ||||
| Total Medicare payments at DRG | $2,854,117,533 | ||||
| Total Medicare payments with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $68,533,616 | ||||
| Total Medicare payment per Day at DRG | $4,006 | ||||
| Total Medicare payment per Day with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $4,163 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,299 | ||||
| Total Medicare payment per Hospitalization with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $21,531 | ||||
| Total Medicare Charges at DRG | $16,607,700,460 | ||||
| Total Medicare Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $424,253,706 | ||||
| Avg Charges at DRG | $123,937 | ||||
| Avg Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $133,287 | ||||
| Mortality Rate at DRG | 3.88 | ||||
| Mortality Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 11.47 | ||||
| SNF Discharge Rate at DRG | 10.96 | ||||
| SNF Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 9.36 | ||||
| Home Discharge Rate at DRG | 62.82 | ||||
| Home Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 57.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 284: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 1,003 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site in DRG | 1.67 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 12.44 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 42.55 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 20.83 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $37,608,265 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $3,015 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $37,496 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $203,317,135 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $202,709 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 39.98 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 21.04 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 8.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 728 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site in DRG | 1.21 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 11.2 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 19.16 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 15.42 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $12,262,932 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $16,845 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $31,232,904 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | $42,902 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 1.51 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 9.75 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD I213 - ST elevation (STEMI) myocardial infarction of unspecified site | 24.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | 3999 RICHMOND RD | BEACHWOOD | OH | 44122 | 369 |
| UH CLEVELAND MEDICAL CENTER | 11100 EUCLID AVE | CLEVELAND | OH | 44106 | 344 |
| UH PARMA MEDICAL CENTER | 7007 POWERS BLVD | PARMA | OH | 44129 | 318 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD B ZELMAN | 25 MAIN ST | HYANNIS | MA | 02601 | 32 |
| Dr. LIOR SHAMAI | 1301 PLEASANT VALLEY ROAD | OWENSBORO | KY | 42303 | 25 |
| Dr. CARLOS G CIGARROA | 702 E CALTON RD | LAREDO | TX | 78041 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VLADIMIR SLUTSKER | 801 GOODYEAR AVE | GADSDEN | AL | 35903 | 74 |
| Dr. HAITHAM M AZEM | 88 CENTER RD STE 130 | BEDFORD | OH | 44146 | 48 |
| Dr. PRIYADHARSHINI UMAPATHY | 88 CENTER RD | BEDFORD | OH | 44146 | 46 |