*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I252 - Old myocardial infarction - as a primary diagnosis code | I252 - Old myocardial infarction - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.95 | |
| Readmission Rate (%) | 24.12 | |
| Unplanned Readmission Rate (%) | 18.32 | |
| 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 303: ATHEROSCLEROSIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 302: ATHEROSCLEROSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 55,597 | |
| Total Hospitalizations with ICD I252 - Old myocardial infarction | 81 | |
| DRG Share of Total Hospitalizations | 0.17 | |
| % of Total ICD I252 - Old myocardial infarction in DRG | 53.64 | |
| Avg LOS at DRG | 2.64 | |
| Avg LOS with ICD I252 - Old myocardial infarction | 6.74 | |
| Readmission Rate at DRG | 18.86 | |
| Readmission Rate with ICD I252 - Old myocardial infarction | 21.43 | |
| Unplanned Readmission Rate at DRG | 13.07 | |
| Unplanned Readmission Rate with ICD I252 - Old myocardial infarction | 15.71 | |
| Total Medicare payments at DRG | $242,992,572 | |
| Total Medicare payments with ICD I252 - Old myocardial infarction | $770,219 | |
| Total Medicare payment per Day at DRG | $1,658 | |
| Total Medicare payment per Day with ICD I252 - Old myocardial infarction | $1,411 | |
| Total Medicare payment per Hospitalization at DRG | $4,371 | |
| Total Medicare payment per Hospitalization with ICD I252 - Old myocardial infarction | $9,509 | |
| Total Medicare Charges at DRG | $1,301,876,366 | |
| Total Medicare Charges with ICD I252 - Old myocardial infarction | $2,097,945 | |
| Avg Charges at DRG | $23,416 | |
| Avg Charges with ICD I252 - Old myocardial infarction | $25,901 | |
| Mortality Rate at DRG | 0.47 | |
| Mortality Rate with ICD I252 - Old myocardial infarction | NA | |
| SNF Discharge Rate at DRG | 6.11 | |
| SNF Discharge Rate with ICD I252 - Old myocardial infarction | NA | |
| Home Discharge Rate at DRG | 64.46 | |
| Home Discharge Rate with ICD I252 - Old myocardial infarction | 45.68 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH REHABILITATION HOSPITAL OF RICHARDSON | 3351 WATERVIEW PARKWAY | RICHARDSON | TX | 75080 | 11 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I252 - Old myocardial infarction | 160,899 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I252 - Old myocardial infarction in DRG | 6.17 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I252 - Old myocardial infarction | 4.91 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I252 - Old myocardial infarction | 29.32 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I252 - Old myocardial infarction | 23.25 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I252 - Old myocardial infarction | $1,480,755,386 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I252 - Old myocardial infarction | $1,874 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I252 - Old myocardial infarction | $9,203 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I252 - Old myocardial infarction | $6,162,466,144 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I252 - Old myocardial infarction | $38,300 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I252 - Old myocardial infarction | 3.2 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I252 - Old myocardial infarction | 17.91 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I252 - Old myocardial infarction | 41.33 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,438 | ||||
| Total Hospitalizations with ICD I252 - Old myocardial infarction | 50,841 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD I252 - Old myocardial infarction in DRG | 1.95 | ||||
| Avg LOS at DRG | 2.51 | ||||
| Avg LOS with ICD I252 - Old myocardial infarction | 2.53 | ||||
| Readmission Rate at DRG | 10.86 | ||||
| Readmission Rate with ICD I252 - Old myocardial infarction | 11.83 | ||||
| Unplanned Readmission Rate at DRG | 8.03 | ||||
| Unplanned Readmission Rate with ICD I252 - Old myocardial infarction | 9.08 | ||||
| Total Medicare payments at DRG | $3,352,957,239 | ||||
| Total Medicare payments with ICD I252 - Old myocardial infarction | $642,261,160 | ||||
| Total Medicare payment per Day at DRG | $4,952 | ||||
| Total Medicare payment per Day with ICD I252 - Old myocardial infarction | $4,992 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,444 | ||||
| Total Medicare payment per Hospitalization with ICD I252 - Old myocardial infarction | $12,633 | ||||
| Total Medicare Charges at DRG | $22,958,558,443 | ||||
| Total Medicare Charges with ICD I252 - Old myocardial infarction | $4,277,753,122 | ||||
| Avg Charges at DRG | $85,209 | ||||
| Avg Charges with ICD I252 - Old myocardial infarction | $84,140 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD I252 - Old myocardial infarction | 0.2 | ||||
| SNF Discharge Rate at DRG | 2.62 | ||||
| SNF Discharge Rate with ICD I252 - Old myocardial infarction | 2.64 | ||||
| Home Discharge Rate at DRG | 88.57 | ||||
| Home Discharge Rate with ICD I252 - Old myocardial infarction | 88.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD I252 - Old myocardial infarction | 38,365 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD I252 - Old myocardial infarction in DRG | 1.47 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD I252 - Old myocardial infarction | 3.7 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD I252 - Old myocardial infarction | 23.98 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD I252 - Old myocardial infarction | 18.36 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD I252 - Old myocardial infarction | $216,026,023 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD I252 - Old myocardial infarction | $1,523 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD I252 - Old myocardial infarction | $5,631 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD I252 - Old myocardial infarction | $1,027,607,549 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD I252 - Old myocardial infarction | $26,785 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I252 - Old myocardial infarction | 0.91 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD I252 - Old myocardial infarction | 20.57 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD I252 - Old myocardial infarction | 47.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD I252 - Old myocardial infarction | 30,388 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD I252 - Old myocardial infarction in DRG | 1.16 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD I252 - Old myocardial infarction | 3.74 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD I252 - Old myocardial infarction | 18.15 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD I252 - Old myocardial infarction | 13.46 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD I252 - Old myocardial infarction | $176,052,380 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD I252 - Old myocardial infarction | $1,548 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD I252 - Old myocardial infarction | $5,793 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD I252 - Old myocardial infarction | $808,741,973 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD I252 - Old myocardial infarction | $26,614 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD I252 - Old myocardial infarction | 0.81 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD I252 - Old myocardial infarction | 16.37 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD I252 - Old myocardial infarction | 53.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 8,045 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 7,422 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 6,783 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 389 |
| Dr. NICHOLAS SHANE KOUNS | 1107 W LEXINGTON AVE | WINCHESTER | KY | 40391 | 300 |
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 287 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 1,006 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 705 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 587 |