*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I32 - Pericarditis in diseases classified elsewhere - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 27.02 | |
| 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD I32 - Pericarditis in diseases classified elsewhere | 372 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD I32 - Pericarditis in diseases classified elsewhere in DRG | 16.48 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD I32 - Pericarditis in diseases classified elsewhere | 5.85 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD I32 - Pericarditis in diseases classified elsewhere | 30.53 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD I32 - Pericarditis in diseases classified elsewhere | 23.36 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD I32 - Pericarditis in diseases classified elsewhere | $3,766,034 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD I32 - Pericarditis in diseases classified elsewhere | $1,730 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD I32 - Pericarditis in diseases classified elsewhere | $10,124 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD I32 - Pericarditis in diseases classified elsewhere | $22,657,720 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD I32 - Pericarditis in diseases classified elsewhere | $60,908 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD I32 - Pericarditis in diseases classified elsewhere | 4.3 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD I32 - Pericarditis in diseases classified elsewhere | 12.1 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD I32 - Pericarditis in diseases classified elsewhere | 61.56 |
*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) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES 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 | 52,336 | ||||
| Total Hospitalizations with ICD I32 - Pericarditis in diseases classified elsewhere | 88 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD I32 - Pericarditis in diseases classified elsewhere in DRG | 3.9 | ||||
| Avg LOS at DRG | 9.25 | ||||
| Avg LOS with ICD I32 - Pericarditis in diseases classified elsewhere | 12.57 | ||||
| Readmission Rate at DRG | 34.8 | ||||
| Readmission Rate with ICD I32 - Pericarditis in diseases classified elsewhere | 36.71 | ||||
| Unplanned Readmission Rate at DRG | 18.65 | ||||
| Unplanned Readmission Rate with ICD I32 - Pericarditis in diseases classified elsewhere | 30.38 | ||||
| Total Medicare payments at DRG | $1,809,252,224 | ||||
| Total Medicare payments with ICD I32 - Pericarditis in diseases classified elsewhere | $3,176,118 | ||||
| Total Medicare payment per Day at DRG | $3,736 | ||||
| Total Medicare payment per Day with ICD I32 - Pericarditis in diseases classified elsewhere | $2,872 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,570 | ||||
| Total Medicare payment per Hospitalization with ICD I32 - Pericarditis in diseases classified elsewhere | $36,092 | ||||
| Total Medicare Charges at DRG | $9,023,705,730 | ||||
| Total Medicare Charges with ICD I32 - Pericarditis in diseases classified elsewhere | $15,027,016 | ||||
| Avg Charges at DRG | $172,419 | ||||
| Avg Charges with ICD I32 - Pericarditis in diseases classified elsewhere | $170,762 | ||||
| Mortality Rate at DRG | 16.82 | ||||
| Mortality Rate with ICD I32 - Pericarditis in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I32 - Pericarditis in diseases classified elsewhere | 22.73 | ||||
| Home Discharge Rate at DRG | 28.81 | ||||
| Home Discharge Rate with ICD I32 - Pericarditis in diseases classified elsewhere | 42.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES 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 | 114,725 | ||||
| Total Hospitalizations with ICD I32 - Pericarditis in diseases classified elsewhere | 56 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD I32 - Pericarditis in diseases classified elsewhere in DRG | 2.48 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD I32 - Pericarditis in diseases classified elsewhere | 9.14 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD I32 - Pericarditis in diseases classified elsewhere | 32.61 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD I32 - Pericarditis in diseases classified elsewhere | 30.43 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD I32 - Pericarditis in diseases classified elsewhere | $1,006,565 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD I32 - Pericarditis in diseases classified elsewhere | $1,966 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD I32 - Pericarditis in diseases classified elsewhere | $17,974 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD I32 - Pericarditis in diseases classified elsewhere | $5,618,808 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD I32 - Pericarditis in diseases classified elsewhere | $100,336 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD I32 - Pericarditis in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD I32 - Pericarditis in diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD I32 - Pericarditis in diseases classified elsewhere | 62.5 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 674: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,301 | ||||
| Total Hospitalizations with ICD I32 - Pericarditis in diseases classified elsewhere | 29 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD I32 - Pericarditis in diseases classified elsewhere in DRG | 1.28 | ||||
| Avg LOS at DRG | 10.92 | ||||
| Avg LOS with ICD I32 - Pericarditis in diseases classified elsewhere | 14.17 | ||||
| Readmission Rate at DRG | 32.06 | ||||
| Readmission Rate with ICD I32 - Pericarditis in diseases classified elsewhere | 53.85 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD I32 - Pericarditis in diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $2,755,788,420 | ||||
| Total Medicare payments with ICD I32 - Pericarditis in diseases classified elsewhere | $1,835,323 | ||||
| Total Medicare payment per Day at DRG | $5,120 | ||||
| Total Medicare payment per Day with ICD I32 - Pericarditis in diseases classified elsewhere | $4,466 | ||||
| Total Medicare payment per Hospitalization at DRG | $55,897 | ||||
| Total Medicare payment per Hospitalization with ICD I32 - Pericarditis in diseases classified elsewhere | $63,287 | ||||
| Total Medicare Charges at DRG | $13,454,609,626 | ||||
| Total Medicare Charges with ICD I32 - Pericarditis in diseases classified elsewhere | $10,590,423 | ||||
| Avg Charges at DRG | $272,907 | ||||
| Avg Charges with ICD I32 - Pericarditis in diseases classified elsewhere | $365,187 | ||||
| Mortality Rate at DRG | 7.09 | ||||
| Mortality Rate with ICD I32 - Pericarditis in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 21.99 | ||||
| SNF Discharge Rate with ICD I32 - Pericarditis in diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 21.9 | ||||
| Home Discharge Rate with ICD I32 - Pericarditis in diseases classified elsewhere | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 23 |
| PIEDMONT ATLANTA HOSPITAL | 1968 PEACHTREE RD NW | ATLANTA | GA | 30309 | 14 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 13 |