*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I259 - Chronic ischemic heart disease, unspecified - as a primary diagnosis code | I259 - Chronic ischemic heart disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.33 | |
| Readmission Rate (%) | 22.1 | |
| Unplanned Readmission Rate (%) | 11.08 | |
| 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) | 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) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 55,597 | ||||
| Total Hospitalizations with ICD I259 - Chronic ischemic heart disease, unspecified | 546 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD I259 - Chronic ischemic heart disease, unspecified in DRG | 59.74 | ||||
| Avg LOS at DRG | 2.64 | ||||
| Avg LOS with ICD I259 - Chronic ischemic heart disease, unspecified | 2.53 | ||||
| Readmission Rate at DRG | 18.86 | ||||
| Readmission Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 17.81 | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 10.18 | ||||
| Total Medicare payments at DRG | $242,992,572 | ||||
| Total Medicare payments with ICD I259 - Chronic ischemic heart disease, unspecified | $2,226,631 | ||||
| Total Medicare payment per Day at DRG | $1,658 | ||||
| Total Medicare payment per Day with ICD I259 - Chronic ischemic heart disease, unspecified | $1,610 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,371 | ||||
| Total Medicare payment per Hospitalization with ICD I259 - Chronic ischemic heart disease, unspecified | $4,078 | ||||
| Total Medicare Charges at DRG | $1,301,876,366 | ||||
| Total Medicare Charges with ICD I259 - Chronic ischemic heart disease, unspecified | $14,010,321 | ||||
| Avg Charges at DRG | $23,416 | ||||
| Avg Charges with ICD I259 - Chronic ischemic heart disease, unspecified | $25,660 | ||||
| Mortality Rate at DRG | 0.47 | ||||
| Mortality Rate with ICD I259 - Chronic ischemic heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 6.11 | ||||
| SNF Discharge Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 6.41 | ||||
| Home Discharge Rate at DRG | 64.46 | ||||
| Home Discharge Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 52.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK 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 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I259 - Chronic ischemic heart disease, unspecified | 2,559 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I259 - Chronic ischemic heart disease, unspecified in DRG | 5.17 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I259 - Chronic ischemic heart disease, unspecified | 6.22 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 23.73 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 16.35 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I259 - Chronic ischemic heart disease, unspecified | $29,449,527 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I259 - Chronic ischemic heart disease, unspecified | $1,850 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I259 - Chronic ischemic heart disease, unspecified | $11,508 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I259 - Chronic ischemic heart disease, unspecified | $148,160,465 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I259 - Chronic ischemic heart disease, unspecified | $57,898 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 16.57 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 29.97 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 20.83 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 303: ATHEROSCLEROSIS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,438 | ||||
| Total Hospitalizations with ICD I259 - Chronic ischemic heart disease, unspecified | 915 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD I259 - Chronic ischemic heart disease, unspecified in DRG | 1.85 | ||||
| Avg LOS at DRG | 2.51 | ||||
| Avg LOS with ICD I259 - Chronic ischemic heart disease, unspecified | 2.49 | ||||
| Readmission Rate at DRG | 10.86 | ||||
| Readmission Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 9.68 | ||||
| Unplanned Readmission Rate at DRG | 8.03 | ||||
| Unplanned Readmission Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 8.11 | ||||
| Total Medicare payments at DRG | $3,352,957,239 | ||||
| Total Medicare payments with ICD I259 - Chronic ischemic heart disease, unspecified | $11,334,039 | ||||
| Total Medicare payment per Day at DRG | $4,952 | ||||
| Total Medicare payment per Day with ICD I259 - Chronic ischemic heart disease, unspecified | $4,971 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,444 | ||||
| Total Medicare payment per Hospitalization with ICD I259 - Chronic ischemic heart disease, unspecified | $12,387 | ||||
| Total Medicare Charges at DRG | $22,958,558,443 | ||||
| Total Medicare Charges with ICD I259 - Chronic ischemic heart disease, unspecified | $79,489,619 | ||||
| Avg Charges at DRG | $85,209 | ||||
| Avg Charges with ICD I259 - Chronic ischemic heart disease, unspecified | $86,874 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD I259 - Chronic ischemic heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 2.62 | ||||
| SNF Discharge Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 2.3 | ||||
| Home Discharge Rate at DRG | 88.57 | ||||
| Home Discharge Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 89.29 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD I259 - Chronic ischemic heart disease, unspecified | 734 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD I259 - Chronic ischemic heart disease, unspecified in DRG | 1.48 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD I259 - Chronic ischemic heart disease, unspecified | 4.29 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 17.16 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 10.7 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD I259 - Chronic ischemic heart disease, unspecified | $4,670,983 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD I259 - Chronic ischemic heart disease, unspecified | $1,484 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD I259 - Chronic ischemic heart disease, unspecified | $6,364 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD I259 - Chronic ischemic heart disease, unspecified | $20,662,436 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD I259 - Chronic ischemic heart disease, unspecified | $28,150 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 2.59 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 22.62 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 42.51 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD I259 - Chronic ischemic heart disease, unspecified | 632 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD I259 - Chronic ischemic heart disease, unspecified in DRG | 1.28 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD I259 - Chronic ischemic heart disease, unspecified | 3.94 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 23.02 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 15.81 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD I259 - Chronic ischemic heart disease, unspecified | $3,559,347 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD I259 - Chronic ischemic heart disease, unspecified | $1,428 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD I259 - Chronic ischemic heart disease, unspecified | $5,632 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD I259 - Chronic ischemic heart disease, unspecified | $18,915,749 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD I259 - Chronic ischemic heart disease, unspecified | $29,930 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 2.22 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 25.47 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD I259 - Chronic ischemic heart disease, unspecified | 38.92 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LEE MEMORIAL HOSPITAL | 2776 CLEVELAND AVE | FT MYERS | FL | 33901 | 641 |
| CAPE CORAL HOSPITAL | 636 DEL PRADO BLVD | CAPE CORAL | FL | 33990 | 458 |
| GULF COAST MEDICAL CENTER | 13681 DOCTORS WAY | FORT MYERS | FL | 33912 | 442 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 59 |
| Dr. JOHN L HERZOG | 1257 HWY 61 S | HOLLANDALE | MS | 38748 | 57 |
| Dr. PALANIAPPAN MUTHAPPAN | 5845B WASHINGTON AVE | EXPORT | PA | 15632 | 55 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN R PAUL | 3131 TROUP HWY | TYLER | TX | 75701 | 252 |
| Dr. KARL KONRAD WOLF | 1262 E NORTH ST | MANTECA | CA | 95336 | 205 |
| Dr. DHRUVA CHAWLA | 310 S MCCASKEY RD | WILLIAMSTON | NC | 27892 | 194 |