*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I2781 - Cor pulmonale (chronic) - as a primary diagnosis code | I2781 - Cor pulmonale (chronic) - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.13 | |
| Readmission Rate (%) | 29.56 | |
| Unplanned Readmission Rate (%) | 17.8 | |
| 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD I2781 - Cor pulmonale (chronic) | 1,185 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I2781 - Cor pulmonale (chronic) in DRG | 56.92 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I2781 - Cor pulmonale (chronic) | 6.1 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I2781 - Cor pulmonale (chronic) | 25.14 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I2781 - Cor pulmonale (chronic) | 18.27 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I2781 - Cor pulmonale (chronic) | $13,940,115 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I2781 - Cor pulmonale (chronic) | $1,929 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I2781 - Cor pulmonale (chronic) | $11,764 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I2781 - Cor pulmonale (chronic) | $49,919,090 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I2781 - Cor pulmonale (chronic) | $42,126 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I2781 - Cor pulmonale (chronic) | 5.15 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I2781 - Cor pulmonale (chronic) | 20.25 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I2781 - Cor pulmonale (chronic) | 36.54 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 250,159 |
| Total Hospitalizations with ICD I2781 - Cor pulmonale (chronic) | 16 |
| DRG Share of Total Hospitalizations | 0.76 |
| % of Total ICD I2781 - Cor pulmonale (chronic) in DRG | 0.77 |
| Avg LOS at DRG | 5.47 |
| Avg LOS with ICD I2781 - Cor pulmonale (chronic) | 5.69 |
| Readmission Rate at DRG | 27.88 |
| Readmission Rate with ICD I2781 - Cor pulmonale (chronic) | NA |
| Unplanned Readmission Rate at DRG | 19.94 |
| Unplanned Readmission Rate with ICD I2781 - Cor pulmonale (chronic) | NA |
| Total Medicare payments at DRG | $2,661,443,545 |
| Total Medicare payments with ICD I2781 - Cor pulmonale (chronic) | $161,648 |
| Total Medicare payment per Day at DRG | $1,946 |
| Total Medicare payment per Day with ICD I2781 - Cor pulmonale (chronic) | $1,776 |
| Total Medicare payment per Hospitalization at DRG | $10,639 |
| Total Medicare payment per Hospitalization with ICD I2781 - Cor pulmonale (chronic) | $10,103 |
| Total Medicare Charges at DRG | $13,270,497,724 |
| Total Medicare Charges with ICD I2781 - Cor pulmonale (chronic) | $713,279 |
| Avg Charges at DRG | $53,048 |
| Avg Charges with ICD I2781 - Cor pulmonale (chronic) | $44,580 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD I2781 - Cor pulmonale (chronic) | NA |
| SNF Discharge Rate at DRG | 21.63 |
| SNF Discharge Rate with ICD I2781 - Cor pulmonale (chronic) | NA |
| Home Discharge Rate at DRG | 34.87 |
| Home Discharge Rate with ICD I2781 - Cor pulmonale (chronic) | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BECKLEY ARH HOSPITAL | 306 STANAFORD RD | BECKLEY | WV | 25801 | 93 |
| SENTARA HALIFAX REGIONAL HOSPITAL | 2204 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 87 |
| PARKVIEW REGIONAL MEDICAL CENTER | 11109 PARKVIEW PLAZA DR | FORT WAYNE | IN | 46845 | 71 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TERRANCE J TRUITT | 2210 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 34 |
| Dr. JAMES F WITKO | 2210 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 20 |
| Dr. SURAYIA T HASAN | 224 PROFESSIONAL PARK | BECKLEY | WV | 25801 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SURAYIA T HASAN | 224 PROFESSIONAL PARK | BECKLEY | WV | 25801 | 47 |
| Dr. TERRANCE J TRUITT | 2210 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 39 |
| Dr. JAMES F WITKO | 2210 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 32 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I2781 - Cor pulmonale (chronic) | 18,354 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I2781 - Cor pulmonale (chronic) in DRG | 17.45 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I2781 - Cor pulmonale (chronic) | 6.78 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I2781 - Cor pulmonale (chronic) | 29.28 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I2781 - Cor pulmonale (chronic) | 21.4 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I2781 - Cor pulmonale (chronic) | $173,893,232 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I2781 - Cor pulmonale (chronic) | $1,397 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I2781 - Cor pulmonale (chronic) | $9,474 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I2781 - Cor pulmonale (chronic) | $961,229,804 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I2781 - Cor pulmonale (chronic) | $52,372 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I2781 - Cor pulmonale (chronic) | 5.37 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I2781 - Cor pulmonale (chronic) | 23.68 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I2781 - Cor pulmonale (chronic) | 29.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD I2781 - Cor pulmonale (chronic) | 3,000 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD I2781 - Cor pulmonale (chronic) in DRG | 2.85 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD I2781 - Cor pulmonale (chronic) | 4.6 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD I2781 - Cor pulmonale (chronic) | 29.51 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD I2781 - Cor pulmonale (chronic) | 23.18 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD I2781 - Cor pulmonale (chronic) | $18,354,916 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD I2781 - Cor pulmonale (chronic) | $1,330 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD I2781 - Cor pulmonale (chronic) | $6,118 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD I2781 - Cor pulmonale (chronic) | $98,788,377 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD I2781 - Cor pulmonale (chronic) | $32,929 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD I2781 - Cor pulmonale (chronic) | 0.7 | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD I2781 - Cor pulmonale (chronic) | 13.17 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD I2781 - Cor pulmonale (chronic) | 50.9 |
*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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS 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 I2781 - Cor pulmonale (chronic) | 1,678 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD I2781 - Cor pulmonale (chronic) in DRG | 1.6 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD I2781 - Cor pulmonale (chronic) | 7.88 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD I2781 - Cor pulmonale (chronic) | 32.24 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD I2781 - Cor pulmonale (chronic) | 23.45 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD I2781 - Cor pulmonale (chronic) | $17,282,363 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD I2781 - Cor pulmonale (chronic) | $1,307 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD I2781 - Cor pulmonale (chronic) | $10,299 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD I2781 - Cor pulmonale (chronic) | $100,523,545 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD I2781 - Cor pulmonale (chronic) | $59,907 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD I2781 - Cor pulmonale (chronic) | 10.49 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD I2781 - Cor pulmonale (chronic) | 30.33 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD I2781 - Cor pulmonale (chronic) | 20.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,802 | ||||
| Total Hospitalizations with ICD I2781 - Cor pulmonale (chronic) | 1,053 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD I2781 - Cor pulmonale (chronic) in DRG | 1.0 | ||||
| Avg LOS at DRG | 3.64 | ||||
| Avg LOS with ICD I2781 - Cor pulmonale (chronic) | 4.47 | ||||
| Readmission Rate at DRG | 22.8 | ||||
| Readmission Rate with ICD I2781 - Cor pulmonale (chronic) | 24.14 | ||||
| Unplanned Readmission Rate at DRG | 15.06 | ||||
| Unplanned Readmission Rate with ICD I2781 - Cor pulmonale (chronic) | 17.68 | ||||
| Total Medicare payments at DRG | $412,252,033 | ||||
| Total Medicare payments with ICD I2781 - Cor pulmonale (chronic) | $6,491,419 | ||||
| Total Medicare payment per Day at DRG | $1,719 | ||||
| Total Medicare payment per Day with ICD I2781 - Cor pulmonale (chronic) | $1,380 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,265 | ||||
| Total Medicare payment per Hospitalization with ICD I2781 - Cor pulmonale (chronic) | $6,165 | ||||
| Total Medicare Charges at DRG | $2,144,361,929 | ||||
| Total Medicare Charges with ICD I2781 - Cor pulmonale (chronic) | $33,099,967 | ||||
| Avg Charges at DRG | $32,588 | ||||
| Avg Charges with ICD I2781 - Cor pulmonale (chronic) | $31,434 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I2781 - Cor pulmonale (chronic) | NA | ||||
| SNF Discharge Rate at DRG | 12.49 | ||||
| SNF Discharge Rate with ICD I2781 - Cor pulmonale (chronic) | 17.19 | ||||
| Home Discharge Rate at DRG | 54.54 | ||||
| Home Discharge Rate with ICD I2781 - Cor pulmonale (chronic) | 47.2 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 1,072 |
| PARKVIEW REGIONAL MEDICAL CENTER | 11109 PARKVIEW PLAZA DR | FORT WAYNE | IN | 46845 | 519 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 492 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DEEPAK T PATEL | 1739 US HIGHWAY 27 S | SEBRING | FL | 33870 | 95 |
| Dr. TERRANCE J TRUITT | 2210 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 77 |
| Dr. JAMES F WITKO | 2210 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 72 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MANISH SHROFF | 1501 W 11TH PL | BIG SPRING | TX | 79720 | 234 |
| Dr. DEEPAK T PATEL | 1739 US HIGHWAY 27 S | SEBRING | FL | 33870 | 209 |
| Dr. SURAYIA T HASAN | 224 PROFESSIONAL PARK | BECKLEY | WV | 25801 | 154 |