*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I310 - Chronic adhesive pericarditis - as a primary diagnosis code | I310 - Chronic adhesive pericarditis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.5 | |
| Readmission Rate (%) | 29.54 | |
| 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 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 52,336 |
| Total Hospitalizations with ICD I310 - Chronic adhesive pericarditis | 18 |
| DRG Share of Total Hospitalizations | 0.16 |
| % of Total ICD I310 - Chronic adhesive pericarditis in DRG | 47.37 |
| Avg LOS at DRG | 9.25 |
| Avg LOS with ICD I310 - Chronic adhesive pericarditis | 12.06 |
| Readmission Rate at DRG | 34.8 |
| Readmission Rate with ICD I310 - Chronic adhesive pericarditis | NA |
| Unplanned Readmission Rate at DRG | 18.65 |
| Unplanned Readmission Rate with ICD I310 - Chronic adhesive pericarditis | NA |
| Total Medicare payments at DRG | $1,809,252,224 |
| Total Medicare payments with ICD I310 - Chronic adhesive pericarditis | $626,036 |
| Total Medicare payment per Day at DRG | $3,736 |
| Total Medicare payment per Day with ICD I310 - Chronic adhesive pericarditis | $2,885 |
| Total Medicare payment per Hospitalization at DRG | $34,570 |
| Total Medicare payment per Hospitalization with ICD I310 - Chronic adhesive pericarditis | $34,780 |
| Total Medicare Charges at DRG | $9,023,705,730 |
| Total Medicare Charges with ICD I310 - Chronic adhesive pericarditis | $2,734,443 |
| Avg Charges at DRG | $172,419 |
| Avg Charges with ICD I310 - Chronic adhesive pericarditis | $151,914 |
| Mortality Rate at DRG | 16.82 |
| Mortality Rate with ICD I310 - Chronic adhesive pericarditis | NA |
| SNF Discharge Rate at DRG | 18.8 |
| SNF Discharge Rate with ICD I310 - Chronic adhesive pericarditis | NA |
| Home Discharge Rate at DRG | 28.81 |
| Home Discharge Rate with ICD I310 - Chronic adhesive pericarditis | 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 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,301 | ||||
| Total Hospitalizations with ICD I310 - Chronic adhesive pericarditis | 733 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD I310 - Chronic adhesive pericarditis in DRG | 17.9 | ||||
| Avg LOS at DRG | 10.92 | ||||
| Avg LOS with ICD I310 - Chronic adhesive pericarditis | 12.0 | ||||
| Readmission Rate at DRG | 32.06 | ||||
| Readmission Rate with ICD I310 - Chronic adhesive pericarditis | 32.61 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD I310 - Chronic adhesive pericarditis | 12.67 | ||||
| Total Medicare payments at DRG | $2,755,788,420 | ||||
| Total Medicare payments with ICD I310 - Chronic adhesive pericarditis | $42,871,766 | ||||
| Total Medicare payment per Day at DRG | $5,120 | ||||
| Total Medicare payment per Day with ICD I310 - Chronic adhesive pericarditis | $4,875 | ||||
| Total Medicare payment per Hospitalization at DRG | $55,897 | ||||
| Total Medicare payment per Hospitalization with ICD I310 - Chronic adhesive pericarditis | $58,488 | ||||
| Total Medicare Charges at DRG | $13,454,609,626 | ||||
| Total Medicare Charges with ICD I310 - Chronic adhesive pericarditis | $217,348,118 | ||||
| Avg Charges at DRG | $272,907 | ||||
| Avg Charges with ICD I310 - Chronic adhesive pericarditis | $296,519 | ||||
| Mortality Rate at DRG | 7.09 | ||||
| Mortality Rate with ICD I310 - Chronic adhesive pericarditis | 8.87 | ||||
| SNF Discharge Rate at DRG | 21.99 | ||||
| SNF Discharge Rate with ICD I310 - Chronic adhesive pericarditis | 23.06 | ||||
| Home Discharge Rate at DRG | 21.9 | ||||
| Home Discharge Rate with ICD I310 - Chronic adhesive pericarditis | 18.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 234: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT 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 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,786 | ||||
| Total Hospitalizations with ICD I310 - Chronic adhesive pericarditis | 249 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD I310 - Chronic adhesive pericarditis in DRG | 6.08 | ||||
| Avg LOS at DRG | 12.78 | ||||
| Avg LOS with ICD I310 - Chronic adhesive pericarditis | 14.14 | ||||
| Readmission Rate at DRG | 33.96 | ||||
| Readmission Rate with ICD I310 - Chronic adhesive pericarditis | 36.89 | ||||
| Unplanned Readmission Rate at DRG | 11.51 | ||||
| Unplanned Readmission Rate with ICD I310 - Chronic adhesive pericarditis | 13.33 | ||||
| Total Medicare payments at DRG | $1,756,263,094 | ||||
| Total Medicare payments with ICD I310 - Chronic adhesive pericarditis | $12,100,858 | ||||
| Total Medicare payment per Day at DRG | $3,636 | ||||
| Total Medicare payment per Day with ICD I310 - Chronic adhesive pericarditis | $3,436 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,479 | ||||
| Total Medicare payment per Hospitalization with ICD I310 - Chronic adhesive pericarditis | $48,598 | ||||
| Total Medicare Charges at DRG | $9,653,959,492 | ||||
| Total Medicare Charges with ICD I310 - Chronic adhesive pericarditis | $67,526,950 | ||||
| Avg Charges at DRG | $255,490 | ||||
| Avg Charges with ICD I310 - Chronic adhesive pericarditis | $271,193 | ||||
| Mortality Rate at DRG | 4.14 | ||||
| Mortality Rate with ICD I310 - Chronic adhesive pericarditis | 9.24 | ||||
| SNF Discharge Rate at DRG | 23.92 | ||||
| SNF Discharge Rate with ICD I310 - Chronic adhesive pericarditis | 28.51 | ||||
| Home Discharge Rate at DRG | 19.79 | ||||
| Home Discharge Rate with ICD I310 - Chronic adhesive pericarditis | 15.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) | DRG 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION 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 | 14,183 | ||||
| Total Hospitalizations with ICD I310 - Chronic adhesive pericarditis | 101 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I310 - Chronic adhesive pericarditis in DRG | 2.47 | ||||
| Avg LOS at DRG | 9.71 | ||||
| Avg LOS with ICD I310 - Chronic adhesive pericarditis | 13.63 | ||||
| Readmission Rate at DRG | 30.83 | ||||
| Readmission Rate with ICD I310 - Chronic adhesive pericarditis | 36.78 | ||||
| Unplanned Readmission Rate at DRG | 15.01 | ||||
| Unplanned Readmission Rate with ICD I310 - Chronic adhesive pericarditis | NA | ||||
| Total Medicare payments at DRG | $676,123,364 | ||||
| Total Medicare payments with ICD I310 - Chronic adhesive pericarditis | $5,600,694 | ||||
| Total Medicare payment per Day at DRG | $4,909 | ||||
| Total Medicare payment per Day with ICD I310 - Chronic adhesive pericarditis | $4,067 | ||||
| Total Medicare payment per Hospitalization at DRG | $47,671 | ||||
| Total Medicare payment per Hospitalization with ICD I310 - Chronic adhesive pericarditis | $55,452 | ||||
| Total Medicare Charges at DRG | $3,193,795,581 | ||||
| Total Medicare Charges with ICD I310 - Chronic adhesive pericarditis | $27,363,208 | ||||
| Avg Charges at DRG | $225,185 | ||||
| Avg Charges with ICD I310 - Chronic adhesive pericarditis | $270,923 | ||||
| Mortality Rate at DRG | 6.32 | ||||
| Mortality Rate with ICD I310 - Chronic adhesive pericarditis | 12.87 | ||||
| SNF Discharge Rate at DRG | 19.23 | ||||
| SNF Discharge Rate with ICD I310 - Chronic adhesive pericarditis | 17.82 | ||||
| Home Discharge Rate at DRG | 37.04 | ||||
| Home Discharge Rate with ICD I310 - Chronic adhesive pericarditis | 21.78 |
*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) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 002: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 231: CORONARY BYPASS WITH PTCA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 227: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD I310 - Chronic adhesive pericarditis | 32 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD I310 - Chronic adhesive pericarditis in DRG | 0.78 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD I310 - Chronic adhesive pericarditis | 5.75 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD I310 - Chronic adhesive pericarditis | NA | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD I310 - Chronic adhesive pericarditis | NA | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD I310 - Chronic adhesive pericarditis | $554,161 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD I310 - Chronic adhesive pericarditis | $3,012 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD I310 - Chronic adhesive pericarditis | $17,318 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD I310 - Chronic adhesive pericarditis | $2,615,264 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD I310 - Chronic adhesive pericarditis | $81,727 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD I310 - Chronic adhesive pericarditis | NA | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD I310 - Chronic adhesive pericarditis | NA | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD I310 - Chronic adhesive pericarditis | 75.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 116 |
| ST.VINCENT HEART CENTER OF INDIANA | 10580 N MERIDIAN ST | INDIANAPOLIS | IN | 46290 | 88 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 62 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID A HEIMANSOHN | 10590 N MERIDIAN ST STE 105 | INDIANAPOLIS | IN | 46290 | 63 |
| Dr. EDWARD G SOLTESZ | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 51 |
| Dr. CHRISTOPHER T SALERNO | 8433 HARCOURT RD STE 100 | INDIANAPOLIS | IN | 46260 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID A HEIMANSOHN | 10590 N MERIDIAN ST STE 105 | INDIANAPOLIS | IN | 46290 | 64 |
| Dr. EDWARD G SOLTESZ | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 50 |
| Dr. CHRISTOPHER T SALERNO | 8433 HARCOURT RD STE 100 | INDIANAPOLIS | IN | 46260 | 32 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I313 | Pericardial effusion (noninflammatory) |
| 2 | Z87891 | Personal history of nicotine dependence |
| 3 | E785 | Hyperlipidemia, unspecified |