*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I2782 - Chronic pulmonary embolism - as a primary diagnosis code | I2782 - Chronic pulmonary embolism - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.88 | |
| Readmission Rate (%) | 28.19 | |
| Unplanned Readmission Rate (%) | 15.78 | |
| 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 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 103,915 | ||||
| Total Hospitalizations with ICD I2782 - Chronic pulmonary embolism | 676 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD I2782 - Chronic pulmonary embolism in DRG | 59.09 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD I2782 - Chronic pulmonary embolism | 3.28 | ||||
| Readmission Rate at DRG | 13.92 | ||||
| Readmission Rate with ICD I2782 - Chronic pulmonary embolism | 19.04 | ||||
| Unplanned Readmission Rate at DRG | 10.02 | ||||
| Unplanned Readmission Rate with ICD I2782 - Chronic pulmonary embolism | 15.52 | ||||
| Total Medicare payments at DRG | $565,714,520 | ||||
| Total Medicare payments with ICD I2782 - Chronic pulmonary embolism | $3,975,160 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD I2782 - Chronic pulmonary embolism | $1,792 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,444 | ||||
| Total Medicare payment per Hospitalization with ICD I2782 - Chronic pulmonary embolism | $5,880 | ||||
| Total Medicare Charges at DRG | $3,040,468,542 | ||||
| Total Medicare Charges with ICD I2782 - Chronic pulmonary embolism | $19,788,875 | ||||
| Avg Charges at DRG | $29,259 | ||||
| Avg Charges with ICD I2782 - Chronic pulmonary embolism | $29,273 | ||||
| Mortality Rate at DRG | 0.51 | ||||
| Mortality Rate with ICD I2782 - Chronic pulmonary embolism | NA | ||||
| SNF Discharge Rate at DRG | 10.78 | ||||
| SNF Discharge Rate with ICD I2782 - Chronic pulmonary embolism | 9.91 | ||||
| Home Discharge Rate at DRG | 64.62 | ||||
| Home Discharge Rate with ICD I2782 - Chronic pulmonary embolism | 62.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 49,331 |
| Total Hospitalizations with ICD I2782 - Chronic pulmonary embolism | 17 |
| DRG Share of Total Hospitalizations | 0.15 |
| % of Total ICD I2782 - Chronic pulmonary embolism in DRG | 1.49 |
| Avg LOS at DRG | 5.76 |
| Avg LOS with ICD I2782 - Chronic pulmonary embolism | 11.24 |
| Readmission Rate at DRG | 13.39 |
| Readmission Rate with ICD I2782 - Chronic pulmonary embolism | NA |
| Unplanned Readmission Rate at DRG | 8.11 |
| Unplanned Readmission Rate with ICD I2782 - Chronic pulmonary embolism | NA |
| Total Medicare payments at DRG | $830,506,314 |
| Total Medicare payments with ICD I2782 - Chronic pulmonary embolism | $600,785 |
| Total Medicare payment per Day at DRG | $2,922 |
| Total Medicare payment per Day with ICD I2782 - Chronic pulmonary embolism | $3,145 |
| Total Medicare payment per Hospitalization at DRG | $16,835 |
| Total Medicare payment per Hospitalization with ICD I2782 - Chronic pulmonary embolism | $35,340 |
| Total Medicare Charges at DRG | $4,394,247,481 |
| Total Medicare Charges with ICD I2782 - Chronic pulmonary embolism | $3,535,358 |
| Avg Charges at DRG | $89,077 |
| Avg Charges with ICD I2782 - Chronic pulmonary embolism | $207,962 |
| Mortality Rate at DRG | 0.32 |
| Mortality Rate with ICD I2782 - Chronic pulmonary embolism | NA |
| SNF Discharge Rate at DRG | 6.7 |
| SNF Discharge Rate with ICD I2782 - Chronic pulmonary embolism | NA |
| Home Discharge Rate at DRG | 62.23 |
| Home Discharge Rate with ICD I2782 - Chronic pulmonary embolism | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 15 |
| TEMPLE UNIVERSITY HOSPITAL | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 11 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 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 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 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I2782 - Chronic pulmonary embolism | 2,481 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I2782 - Chronic pulmonary embolism in DRG | 6.88 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I2782 - Chronic pulmonary embolism | 7.48 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I2782 - Chronic pulmonary embolism | 30.86 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I2782 - Chronic pulmonary embolism | 22.44 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I2782 - Chronic pulmonary embolism | $32,718,868 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I2782 - Chronic pulmonary embolism | $1,762 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I2782 - Chronic pulmonary embolism | $13,188 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I2782 - Chronic pulmonary embolism | $180,308,823 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I2782 - Chronic pulmonary embolism | $72,676 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I2782 - Chronic pulmonary embolism | 11.97 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I2782 - Chronic pulmonary embolism | 26.92 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I2782 - Chronic pulmonary embolism | 23.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD I2782 - Chronic pulmonary embolism | 919 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD I2782 - Chronic pulmonary embolism in DRG | 2.55 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD I2782 - Chronic pulmonary embolism | 5.46 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD I2782 - Chronic pulmonary embolism | 28.62 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD I2782 - Chronic pulmonary embolism | 23.72 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD I2782 - Chronic pulmonary embolism | $7,234,294 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD I2782 - Chronic pulmonary embolism | $1,441 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD I2782 - Chronic pulmonary embolism | $7,872 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD I2782 - Chronic pulmonary embolism | $38,719,939 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD I2782 - Chronic pulmonary embolism | $42,133 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD I2782 - Chronic pulmonary embolism | 1.52 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD I2782 - Chronic pulmonary embolism | 18.82 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD I2782 - Chronic pulmonary embolism | 45.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD I2782 - Chronic pulmonary embolism | 515 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD I2782 - Chronic pulmonary embolism in DRG | 1.43 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD I2782 - Chronic pulmonary embolism | 3.87 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD I2782 - Chronic pulmonary embolism | 21.68 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD I2782 - Chronic pulmonary embolism | 16.97 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD I2782 - Chronic pulmonary embolism | $3,192,228 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD I2782 - Chronic pulmonary embolism | $1,601 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD I2782 - Chronic pulmonary embolism | $6,199 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD I2782 - Chronic pulmonary embolism | $17,442,208 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD I2782 - Chronic pulmonary embolism | $33,868 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD I2782 - Chronic pulmonary embolism | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD I2782 - Chronic pulmonary embolism | 13.79 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD I2782 - Chronic pulmonary embolism | 59.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD I2782 - Chronic pulmonary embolism | 397 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD I2782 - Chronic pulmonary embolism in DRG | 1.1 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD I2782 - Chronic pulmonary embolism | 11.87 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD I2782 - Chronic pulmonary embolism | 31.79 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD I2782 - Chronic pulmonary embolism | 21.39 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD I2782 - Chronic pulmonary embolism | $10,476,697 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD I2782 - Chronic pulmonary embolism | $2,224 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD I2782 - Chronic pulmonary embolism | $26,390 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD I2782 - Chronic pulmonary embolism | $49,964,456 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD I2782 - Chronic pulmonary embolism | $125,855 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD I2782 - Chronic pulmonary embolism | 9.82 | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD I2782 - Chronic pulmonary embolism | 24.94 | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD I2782 - Chronic pulmonary embolism | 26.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UC SAN DIEGO HEALTH - HILLCREST MEDICAL CENTER | 200 WEST ARBOR DRIVE | SAN DIEGO | CA | 92103 | 227 |
| MERCY MEDICAL CENTER - CEDAR RAPIDS | 701 10TH ST SE | CEDAR RAPIDS | IA | 52403 | 213 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 209 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL M MADANI | 200 WEST ARBOR DR | SAN DIEGO | CA | 92103 | 79 |
| Dr. GERT DIEDERICK VICTOR PRETORIUS | 200 WEST ARBOR DR | SAN DIEGO | CA | 92103 | 50 |
| Dr. YOSHIYA TOYODA | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID S POCH | 9300 CAMPUS POINT DR # MC7381 | LA JOLLA | CA | 92037 | 29 |
| Dr. MICHAEL M MADANI | 200 WEST ARBOR DR | SAN DIEGO | CA | 92103 | 27 |
| Dr. FAISAL W CHAUDHRY | 5705 REDBUD HWY | HONAKER | VA | 24260 | 26 |