*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I240 - Acute coronary thrombosis not resulting in myocardial infarction - as a primary diagnosis code | I240 - Acute coronary thrombosis not resulting in myocardial infarction - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.0 | |
| Readmission Rate (%) | 27.74 | |
| Unplanned Readmission Rate (%) | 13.2 | |
| 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 311: ANGINA PECTORIS | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION 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 | 21,826 | ||||
| Total Hospitalizations with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 340 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction in DRG | 51.28 | ||||
| Avg LOS at DRG | 2.26 | ||||
| Avg LOS with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 4.39 | ||||
| Readmission Rate at DRG | 17.34 | ||||
| Readmission Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 20.86 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 14.24 | ||||
| Total Medicare payments at DRG | $84,869,479 | ||||
| Total Medicare payments with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $1,724,376 | ||||
| Total Medicare payment per Day at DRG | $1,719 | ||||
| Total Medicare payment per Day with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $1,154 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,888 | ||||
| Total Medicare payment per Hospitalization with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $5,072 | ||||
| Total Medicare Charges at DRG | $513,592,200 | ||||
| Total Medicare Charges with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $10,878,174 | ||||
| Avg Charges at DRG | $23,531 | ||||
| Avg Charges with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $31,995 | ||||
| Mortality Rate at DRG | 0.96 | ||||
| Mortality Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | NA | ||||
| SNF Discharge Rate at DRG | 7.97 | ||||
| SNF Discharge Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 10.59 | ||||
| Home Discharge Rate at DRG | 59.08 | ||||
| Home Discharge Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 59.71 |
*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 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 844 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction in DRG | 7.22 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 7.63 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 30.41 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 21.92 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $9,302,119 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $1,444 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $11,021 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $50,859,663 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $60,260 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 7.58 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 20.38 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 31.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 311: ANGINA PECTORIS | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 357 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction in DRG | 3.05 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 5.04 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 33.53 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 7.25 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $2,461,981 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $1,367 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $6,896 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $15,576,125 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $43,631 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 21.57 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 28.01 |
*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 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,001 | ||||
| Total Hospitalizations with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 262 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction in DRG | 2.24 | ||||
| Avg LOS at DRG | 5.32 | ||||
| Avg LOS with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 5.5 | ||||
| Readmission Rate at DRG | 23.7 | ||||
| Readmission Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 18.14 | ||||
| Unplanned Readmission Rate at DRG | 16.43 | ||||
| Unplanned Readmission Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 8.44 | ||||
| Total Medicare payments at DRG | $2,854,117,533 | ||||
| Total Medicare payments with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $5,857,261 | ||||
| Total Medicare payment per Day at DRG | $4,006 | ||||
| Total Medicare payment per Day with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $4,062 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,299 | ||||
| Total Medicare payment per Hospitalization with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $22,356 | ||||
| Total Medicare Charges at DRG | $16,607,700,460 | ||||
| Total Medicare Charges with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $35,808,410 | ||||
| Avg Charges at DRG | $123,937 | ||||
| Avg Charges with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $136,673 | ||||
| Mortality Rate at DRG | 3.88 | ||||
| Mortality Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 6.49 | ||||
| SNF Discharge Rate at DRG | 10.96 | ||||
| SNF Discharge Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 6.11 | ||||
| Home Discharge Rate at DRG | 62.82 | ||||
| Home Discharge Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 67.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 117 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction in DRG | 1.0 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 7.54 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 20.2 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 15.15 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $1,316,782 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $1,493 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $11,255 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $7,036,843 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | $60,144 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 18.8 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD I240 - Acute coronary thrombosis not resulting in myocardial infarction | 30.77 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 51 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 49 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 48 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JON A ROBKEN | 1236 E RUSHOLME ST | DAVENPORT | IA | 52803 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 13 |