*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I279 - Pulmonary heart disease, unspecified - as a primary diagnosis code | I279 - Pulmonary heart disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.26 | |
| Readmission Rate (%) | 25.06 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I279 - Pulmonary heart disease, unspecified | 116 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I279 - Pulmonary heart disease, unspecified in DRG | 7.67 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I279 - Pulmonary heart disease, unspecified | 7.03 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I279 - Pulmonary heart disease, unspecified | 30.48 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I279 - Pulmonary heart disease, unspecified | 18.1 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I279 - Pulmonary heart disease, unspecified | $1,133,894 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I279 - Pulmonary heart disease, unspecified | $1,390 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I279 - Pulmonary heart disease, unspecified | $9,775 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I279 - Pulmonary heart disease, unspecified | $6,273,132 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I279 - Pulmonary heart disease, unspecified | $54,079 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I279 - Pulmonary heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I279 - Pulmonary heart disease, unspecified | 33.62 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I279 - Pulmonary heart disease, unspecified | 21.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD I279 - Pulmonary heart disease, unspecified | 40 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD I279 - Pulmonary heart disease, unspecified in DRG | 2.65 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD I279 - Pulmonary heart disease, unspecified | 3.33 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD I279 - Pulmonary heart disease, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD I279 - Pulmonary heart disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD I279 - Pulmonary heart disease, unspecified | $495,746 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD I279 - Pulmonary heart disease, unspecified | $3,727 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD I279 - Pulmonary heart disease, unspecified | $12,394 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD I279 - Pulmonary heart disease, unspecified | $2,529,794 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD I279 - Pulmonary heart disease, unspecified | $63,245 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD I279 - Pulmonary heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD I279 - Pulmonary heart disease, unspecified | 50.0 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD I279 - Pulmonary heart disease, unspecified | NA |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD I279 - Pulmonary heart disease, unspecified | 22 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD I279 - Pulmonary heart disease, unspecified in DRG | 1.46 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD I279 - Pulmonary heart disease, unspecified | 3.18 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD I279 - Pulmonary heart disease, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD I279 - Pulmonary heart disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD I279 - Pulmonary heart disease, unspecified | $133,239 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD I279 - Pulmonary heart disease, unspecified | $1,903 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD I279 - Pulmonary heart disease, unspecified | $6,056 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD I279 - Pulmonary heart disease, unspecified | $696,877 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD I279 - Pulmonary heart disease, unspecified | $31,676 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD I279 - Pulmonary heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD I279 - Pulmonary heart disease, unspecified | NA | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD I279 - Pulmonary heart disease, unspecified | 68.18 |
*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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD I279 - Pulmonary heart disease, unspecified | 20 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD I279 - Pulmonary heart disease, unspecified in DRG | 1.32 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD I279 - Pulmonary heart disease, unspecified | 4.0 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD I279 - Pulmonary heart disease, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD I279 - Pulmonary heart disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD I279 - Pulmonary heart disease, unspecified | $118,998 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD I279 - Pulmonary heart disease, unspecified | $1,487 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD I279 - Pulmonary heart disease, unspecified | $5,950 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD I279 - Pulmonary heart disease, unspecified | $496,503 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD I279 - Pulmonary heart disease, unspecified | $24,825 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I279 - Pulmonary heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD I279 - Pulmonary heart disease, unspecified | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD I279 - Pulmonary heart disease, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WHITE RIVER MEDICAL CENTER | 1710 HARRISON ST | BATESVILLE | AR | 72501 | 80 |
| LITTLE COMPANY OF MARY HOSPITAL | 2800 W 95TH ST | EVERGREEN PARK | IL | 60805 | 55 |
| YAVAPAI REGIONAL MEDICAL CENTER | 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN KENNETH MORGAN | 222 E TENNESSEE AVE | PINEVILLE | KY | 40977 | 14 |
| Dr. GREGORY WAYNE NEAVILLE | 3443 HARRISON ST | BATESVILLE | AR | 72501 | 12 |