*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I214 - Non-ST elevation (NSTEMI) myocardial infarction - as a primary diagnosis code | I214 - Non-ST elevation (NSTEMI) myocardial infarction - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.26 | |
| Readmission Rate (%) | 24.69 | |
| Unplanned Readmission Rate (%) | 13.92 | |
| 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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE 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 282: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 154,174 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction in DRG | 25.34 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 5.16 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 27.34 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 19.44 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $1,590,392,964 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $2,001 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $10,316 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $8,026,295,955 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $52,060 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 20.87 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 35.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 234: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 249: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 251: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,786 | ||||
| Total Hospitalizations with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 17,593 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction in DRG | 2.89 | ||||
| Avg LOS at DRG | 12.78 | ||||
| Avg LOS with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 13.48 | ||||
| Readmission Rate at DRG | 33.96 | ||||
| Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 35.62 | ||||
| Unplanned Readmission Rate at DRG | 11.51 | ||||
| Unplanned Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 12.15 | ||||
| Total Medicare payments at DRG | $1,756,263,094 | ||||
| Total Medicare payments with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $837,928,426 | ||||
| Total Medicare payment per Day at DRG | $3,636 | ||||
| Total Medicare payment per Day with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $3,534 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,479 | ||||
| Total Medicare payment per Hospitalization with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $47,629 | ||||
| Total Medicare Charges at DRG | $9,653,959,492 | ||||
| Total Medicare Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $4,628,536,956 | ||||
| Avg Charges at DRG | $255,490 | ||||
| Avg Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $263,090 | ||||
| Mortality Rate at DRG | 4.14 | ||||
| Mortality Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 4.46 | ||||
| SNF Discharge Rate at DRG | 23.92 | ||||
| SNF Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 26.47 | ||||
| Home Discharge Rate at DRG | 19.79 | ||||
| Home Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 17.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 248: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,799 | ||||
| Total Hospitalizations with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 6,245 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction in DRG | 1.03 | ||||
| Avg LOS at DRG | 6.14 | ||||
| Avg LOS with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 6.41 | ||||
| Readmission Rate at DRG | 29.11 | ||||
| Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 29.76 | ||||
| Unplanned Readmission Rate at DRG | 20.1 | ||||
| Unplanned Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 20.89 | ||||
| Total Medicare payments at DRG | $311,271,577 | ||||
| Total Medicare payments with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $123,411,682 | ||||
| Total Medicare payment per Day at DRG | $3,210 | ||||
| Total Medicare payment per Day with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $3,085 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,702 | ||||
| Total Medicare payment per Hospitalization with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $19,762 | ||||
| Total Medicare Charges at DRG | $1,825,154,704 | ||||
| Total Medicare Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $733,462,817 | ||||
| Avg Charges at DRG | $115,523 | ||||
| Avg Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $117,448 | ||||
| Mortality Rate at DRG | 7.82 | ||||
| Mortality Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 4.87 | ||||
| SNF Discharge Rate at DRG | 14.98 | ||||
| SNF Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 17.47 | ||||
| Home Discharge Rate at DRG | 50.02 | ||||
| Home Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 49.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 215: OTHER HEART ASSIST SYSTEM IMPLANT | DRG 284: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH COMPLICATION OR COMORBIDITY (CC) | DRG 242: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 222: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,144 | ||||
| Total Hospitalizations with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 3,912 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction in DRG | 0.64 | ||||
| Avg LOS at DRG | 5.13 | ||||
| Avg LOS with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 5.57 | ||||
| Readmission Rate at DRG | 27.25 | ||||
| Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 30.61 | ||||
| Unplanned Readmission Rate at DRG | 19.04 | ||||
| Unplanned Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 22.1 | ||||
| Total Medicare payments at DRG | $205,691,880 | ||||
| Total Medicare payments with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $66,680,227 | ||||
| Total Medicare payment per Day at DRG | $3,304 | ||||
| Total Medicare payment per Day with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $3,059 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,938 | ||||
| Total Medicare payment per Hospitalization with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $17,045 | ||||
| Total Medicare Charges at DRG | $1,187,498,975 | ||||
| Total Medicare Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $387,159,012 | ||||
| Avg Charges at DRG | $97,785 | ||||
| Avg Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $98,967 | ||||
| Mortality Rate at DRG | 8.03 | ||||
| Mortality Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 5.9 | ||||
| SNF Discharge Rate at DRG | 10.5 | ||||
| SNF Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 12.37 | ||||
| Home Discharge Rate at DRG | 56.65 | ||||
| Home Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 54.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHARLESTON AREA MEDICAL CENTER | 501 MORRIS ST | CHARLESTON | WV | 25301 | 1,790 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 1,751 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 1,714 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANANTHA K RAO | 6495 NEW HAMPSHIRE AVE | HYATTSVILLE | MD | 20783 | 285 |
| Dr. GEORGE FEHRENBACHER | 2 MEDICAL PLAZA DR | ROSEVILLE | CA | 95661 | 219 |
| Dr. MAYURI H PATEL | 415 CHRIS GAUPP DR | GALLOWAY | NJ | 08205 | 218 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 501 |
| Dr. ANANTHA K RAO | 6495 NEW HAMPSHIRE AVE | HYATTSVILLE | MD | 20783 | 288 |
| Dr. GHIATH M ALMASRI | BRODY OUTPATIENT CENTER | GREENVILLE | NC | 27858 | 277 |
*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 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 207,826 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction in DRG | 18.91 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 5.43 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 27.98 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 20.03 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $2,191,984,925 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $1,942 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $10,547 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $11,039,170,648 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $53,117 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 21.52 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 34.77 |
*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 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 234: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 75,769 | ||||
| Total Hospitalizations with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 65,827 | ||||
| DRG Share of Total Hospitalizations | 0.23 | ||||
| % of Total ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction in DRG | 5.99 | ||||
| Avg LOS at DRG | 2.15 | ||||
| Avg LOS with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 2.12 | ||||
| Readmission Rate at DRG | 14.75 | ||||
| Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 14.77 | ||||
| Unplanned Readmission Rate at DRG | 9.43 | ||||
| Unplanned Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 9.36 | ||||
| Total Medicare payments at DRG | $333,683,744 | ||||
| Total Medicare payments with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $287,598,411 | ||||
| Total Medicare payment per Day at DRG | $2,045 | ||||
| Total Medicare payment per Day with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $2,056 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,404 | ||||
| Total Medicare payment per Hospitalization with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $4,369 | ||||
| Total Medicare Charges at DRG | $2,153,250,086 | ||||
| Total Medicare Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $1,876,062,280 | ||||
| Avg Charges at DRG | $28,419 | ||||
| Avg Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $28,500 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | NA | ||||
| SNF Discharge Rate at DRG | 5.57 | ||||
| SNF Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 5.38 | ||||
| Home Discharge Rate at DRG | 57.49 | ||||
| Home Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 57.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 377: G.I. HEMORRHAGE 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 14,545 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction in DRG | 1.32 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 6.44 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 34.63 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 11.76 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $173,802,788 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $1,855 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $11,949 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $965,544,141 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $66,383 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 14.59 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 27.16 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 12.0 |
*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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 249: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 10,174 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction in DRG | 0.93 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 8.41 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 27.89 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 19.34 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $120,857,950 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $1,413 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $11,879 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $634,819,424 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | $62,396 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 12.36 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 22.98 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD I214 - Non-ST elevation (NSTEMI) myocardial infarction | 23.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHARLESTON AREA MEDICAL CENTER | 501 MORRIS ST | CHARLESTON | WV | 25301 | 3,121 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 2,817 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 2,782 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANANTHA K RAO | 6495 NEW HAMPSHIRE AVE | HYATTSVILLE | MD | 20783 | 322 |
| Dr. VIVEK KHETPAL | 2701 W. UNIVERSITY BLVD | DURANT | OK | 74701 | 261 |
| Dr. ADAM TOMASZ STYS | 1305 W 18TH ST | SIOUX FALLS | SD | 57105 | 259 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 1,027 |
| Dr. KALYAN AKKINENI | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 393 |
| Dr. MOHAMMED SHAKEEL UR REHMAN | 609 W MAPLE AVE | SPRINGDALE | AR | 72764 | 389 |