*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I2609 - Other pulmonary embolism with acute cor pulmonale - as a primary diagnosis code | I2609 - Other pulmonary embolism with acute cor pulmonale - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.39 | |
| Readmission Rate (%) | 21.94 | |
| Unplanned Readmission Rate (%) | 9.84 | |
| 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 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 80,433 | ||||
| Total Hospitalizations with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 8,021 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD I2609 - Other pulmonary embolism with acute cor pulmonale in DRG | 79.87 | ||||
| Avg LOS at DRG | 5.24 | ||||
| Avg LOS with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 5.11 | ||||
| Readmission Rate at DRG | 20.23 | ||||
| Readmission Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 15.05 | ||||
| Unplanned Readmission Rate at DRG | 13.84 | ||||
| Unplanned Readmission Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 9.52 | ||||
| Total Medicare payments at DRG | $734,471,819 | ||||
| Total Medicare payments with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $73,529,080 | ||||
| Total Medicare payment per Day at DRG | $1,743 | ||||
| Total Medicare payment per Day with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $1,792 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,131 | ||||
| Total Medicare payment per Hospitalization with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $9,167 | ||||
| Total Medicare Charges at DRG | $3,786,674,716 | ||||
| Total Medicare Charges with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $412,908,590 | ||||
| Avg Charges at DRG | $47,079 | ||||
| Avg Charges with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $51,478 | ||||
| Mortality Rate at DRG | 3.47 | ||||
| Mortality Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 3.38 | ||||
| SNF Discharge Rate at DRG | 20.28 | ||||
| SNF Discharge Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 17.84 | ||||
| Home Discharge Rate at DRG | 42.82 | ||||
| Home Discharge Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 48.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | |||
| Total Hospitalizations with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 85 | |||
| DRG Share of Total Hospitalizations | 0.33 | |||
| % of Total ICD I2609 - Other pulmonary embolism with acute cor pulmonale in DRG | 0.85 | |||
| Avg LOS at DRG | 12.66 | |||
| Avg LOS with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 9.84 | |||
| Readmission Rate at DRG | 35.31 | |||
| Readmission Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 25.0 | |||
| Unplanned Readmission Rate at DRG | 20.73 | |||
| Unplanned Readmission Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | NA | |||
| Total Medicare payments at DRG | $3,554,922,428 | |||
| Total Medicare payments with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $2,782,787 | |||
| Total Medicare payment per Day at DRG | $2,575 | |||
| Total Medicare payment per Day with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $3,329 | |||
| Total Medicare payment per Hospitalization at DRG | $32,609 | |||
| Total Medicare payment per Hospitalization with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $32,739 | |||
| Total Medicare Charges at DRG | $15,445,232,132 | |||
| Total Medicare Charges with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $11,560,299 | |||
| Avg Charges at DRG | $141,676 | |||
| Avg Charges with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $136,004 | |||
| Mortality Rate at DRG | 8.99 | |||
| Mortality Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 24.71 | |||
| SNF Discharge Rate at DRG | 27.26 | |||
| SNF Discharge Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 22.35 | |||
| Home Discharge Rate at DRG | 27.78 | |||
| Home Discharge Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 24.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 66 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 44 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT L MAHOLIC | 120 E 2ND ST | ERIE | PA | 16507 | 12 |
| Dr. CHAD R LAURICH | 1305 W 18TH ST | SIOUX FALLS | SD | 57105 | 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 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 80,433 | ||||
| Total Hospitalizations with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 8,115 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD I2609 - Other pulmonary embolism with acute cor pulmonale in DRG | 45.19 | ||||
| Avg LOS at DRG | 5.24 | ||||
| Avg LOS with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 5.13 | ||||
| Readmission Rate at DRG | 20.23 | ||||
| Readmission Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 14.99 | ||||
| Unplanned Readmission Rate at DRG | 13.84 | ||||
| Unplanned Readmission Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 9.5 | ||||
| Total Medicare payments at DRG | $734,471,819 | ||||
| Total Medicare payments with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $74,451,668 | ||||
| Total Medicare payment per Day at DRG | $1,743 | ||||
| Total Medicare payment per Day with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $1,790 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,131 | ||||
| Total Medicare payment per Hospitalization with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $9,175 | ||||
| Total Medicare Charges at DRG | $3,786,674,716 | ||||
| Total Medicare Charges with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $418,817,948 | ||||
| Avg Charges at DRG | $47,079 | ||||
| Avg Charges with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $51,610 | ||||
| Mortality Rate at DRG | 3.47 | ||||
| Mortality Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 3.38 | ||||
| SNF Discharge Rate at DRG | 20.28 | ||||
| SNF Discharge Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 17.93 | ||||
| Home Discharge Rate at DRG | 42.82 | ||||
| Home Discharge Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 48.61 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 596 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD I2609 - Other pulmonary embolism with acute cor pulmonale in DRG | 3.32 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 8.91 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 29.78 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 20.93 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $6,781,652 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $1,276 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $11,379 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $37,652,298 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $63,175 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 10.91 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 21.14 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 25.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 61,098 | ||||
| Total Hospitalizations with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 222 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD I2609 - Other pulmonary embolism with acute cor pulmonale in DRG | 1.24 | ||||
| Avg LOS at DRG | 5.7 | ||||
| Avg LOS with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 5.38 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 17.1 | ||||
| Unplanned Readmission Rate at DRG | 18.13 | ||||
| Unplanned Readmission Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 10.36 | ||||
| Total Medicare payments at DRG | $598,307,989 | ||||
| Total Medicare payments with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $2,067,945 | ||||
| Total Medicare payment per Day at DRG | $1,718 | ||||
| Total Medicare payment per Day with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $1,730 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,793 | ||||
| Total Medicare payment per Hospitalization with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $9,315 | ||||
| Total Medicare Charges at DRG | $2,857,501,478 | ||||
| Total Medicare Charges with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $11,201,074 | ||||
| Avg Charges at DRG | $46,769 | ||||
| Avg Charges with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $50,455 | ||||
| Mortality Rate at DRG | 4.95 | ||||
| Mortality Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 5.86 | ||||
| SNF Discharge Rate at DRG | 20.44 | ||||
| SNF Discharge Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 19.37 | ||||
| Home Discharge Rate at DRG | 39.23 | ||||
| Home Discharge Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 40.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE 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 | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 140 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD I2609 - Other pulmonary embolism with acute cor pulmonale in DRG | 0.78 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 8.09 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 28.7 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 19.13 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $1,566,722 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $1,384 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $11,191 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $9,261,515 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | $66,154 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 12.14 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 22.86 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD I2609 - Other pulmonary embolism with acute cor pulmonale | 25.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 94 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 67 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 66 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHAD R LAURICH | 1305 W 18TH ST | SIOUX FALLS | SD | 57105 | 12 |
| Dr. ROBERT L MAHOLIC | 120 E 2ND ST | ERIE | PA | 16507 | 12 |
| Dr. MOHINDER PAUL S. RANDHAWA | 5012 S US HIGHWAY 75 | DENISON | TX | 75020 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NARESH J GANESH | 15982 TUSCOLA RD | APPLE VALLEY | CA | 92307 | 47 |
| Dr. PETER W. WARNER | 3801 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | 17 |
| Dr. SURAYIA T HASAN | 224 PROFESSIONAL PARK | BECKLEY | WV | 25801 | 17 |