*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I340 - Nonrheumatic mitral (valve) insufficiency - as a primary diagnosis code | I340 - Nonrheumatic mitral (valve) insufficiency - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.81 | |
| Readmission Rate (%) | 24.66 | |
| Unplanned Readmission Rate (%) | 11.01 | |
| 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 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 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,301 | ||||
| Total Hospitalizations with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 7,893 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD I340 - Nonrheumatic mitral (valve) insufficiency in DRG | 23.91 | ||||
| Avg LOS at DRG | 10.92 | ||||
| Avg LOS with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 9.36 | ||||
| Readmission Rate at DRG | 32.06 | ||||
| Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 26.41 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 10.59 | ||||
| Total Medicare payments at DRG | $2,755,788,420 | ||||
| Total Medicare payments with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $409,128,123 | ||||
| Total Medicare payment per Day at DRG | $5,120 | ||||
| Total Medicare payment per Day with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $5,538 | ||||
| Total Medicare payment per Hospitalization at DRG | $55,897 | ||||
| Total Medicare payment per Hospitalization with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $51,834 | ||||
| Total Medicare Charges at DRG | $13,454,609,626 | ||||
| Total Medicare Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $1,813,025,097 | ||||
| Avg Charges at DRG | $272,907 | ||||
| Avg Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $229,700 | ||||
| Mortality Rate at DRG | 7.09 | ||||
| Mortality Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 3.31 | ||||
| SNF Discharge Rate at DRG | 21.99 | ||||
| SNF Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 18.46 | ||||
| Home Discharge Rate at DRG | 21.9 | ||||
| Home Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 29.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 274: PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 273: PERCUTANEOUS INTRACARDIAC PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 59,266 | ||||
| Total Hospitalizations with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 1,445 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD I340 - Nonrheumatic mitral (valve) insufficiency in DRG | 4.38 | ||||
| Avg LOS at DRG | 2.51 | ||||
| Avg LOS with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 2.17 | ||||
| Readmission Rate at DRG | 12.28 | ||||
| Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 12.66 | ||||
| Unplanned Readmission Rate at DRG | 9.05 | ||||
| Unplanned Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 9.74 | ||||
| Total Medicare payments at DRG | $984,997,570 | ||||
| Total Medicare payments with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $35,137,942 | ||||
| Total Medicare payment per Day at DRG | $6,634 | ||||
| Total Medicare payment per Day with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $11,198 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,620 | ||||
| Total Medicare payment per Hospitalization with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $24,317 | ||||
| Total Medicare Charges at DRG | $6,831,387,042 | ||||
| Total Medicare Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $256,292,382 | ||||
| Avg Charges at DRG | $115,267 | ||||
| Avg Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $177,365 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 3.2 | ||||
| SNF Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 4.71 | ||||
| Home Discharge Rate at DRG | 86.83 | ||||
| Home Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 77.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION 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 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,553 | ||||
| Total Hospitalizations with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 852 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD I340 - Nonrheumatic mitral (valve) insufficiency in DRG | 2.58 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 5.28 | ||||
| Readmission Rate at DRG | 13.7 | ||||
| Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 12.45 | ||||
| Unplanned Readmission Rate at DRG | 7.06 | ||||
| Unplanned Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 6.89 | ||||
| Total Medicare payments at DRG | $283,442,253 | ||||
| Total Medicare payments with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $24,309,940 | ||||
| Total Medicare payment per Day at DRG | $6,168 | ||||
| Total Medicare payment per Day with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $5,408 | ||||
| Total Medicare payment per Hospitalization at DRG | $29,670 | ||||
| Total Medicare payment per Hospitalization with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $28,533 | ||||
| Total Medicare Charges at DRG | $1,472,209,042 | ||||
| Total Medicare Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $127,061,483 | ||||
| Avg Charges at DRG | $154,110 | ||||
| Avg Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $149,133 | ||||
| Mortality Rate at DRG | 0.62 | ||||
| Mortality Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 8.75 | ||||
| SNF Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 9.74 | ||||
| Home Discharge Rate at DRG | 50.74 | ||||
| Home Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 48.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 218: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROEDURESC WITH CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 215: OTHER HEART ASSIST SYSTEM IMPLANT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,685 | ||||
| Total Hospitalizations with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 90 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD I340 - Nonrheumatic mitral (valve) insufficiency in DRG | 0.27 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 4.24 | ||||
| Readmission Rate at DRG | 12.03 | ||||
| Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 24.42 | ||||
| Unplanned Readmission Rate at DRG | 8.33 | ||||
| Unplanned Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 13.95 | ||||
| Total Medicare payments at DRG | $2,520,642,710 | ||||
| Total Medicare payments with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $3,849,798 | ||||
| Total Medicare payment per Day at DRG | $15,685 | ||||
| Total Medicare payment per Day with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $10,078 | ||||
| Total Medicare payment per Hospitalization at DRG | $44,468 | ||||
| Total Medicare payment per Hospitalization with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $42,776 | ||||
| Total Medicare Charges at DRG | $10,767,214,002 | ||||
| Total Medicare Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $16,123,341 | ||||
| Avg Charges at DRG | $189,948 | ||||
| Avg Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $179,148 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 7.22 | ||||
| SNF Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | NA | ||||
| Home Discharge Rate at DRG | 67.96 | ||||
| Home Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 54.44 |
| 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 | 628 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 537 |
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 401 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAIBAL KAR | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 303 |
| Dr. DAVID ADAMS | 1190 5TH AVE | NEW YORK | NY | 10029 | 194 |
| Dr. A MARC GILLINOV | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 169 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAIBAL KAR | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 283 |
| Dr. DAVID ADAMS | 1190 5TH AVE | NEW YORK | NY | 10029 | 229 |
| Dr. A MARC GILLINOV | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 168 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 79,816 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I340 - Nonrheumatic mitral (valve) insufficiency in DRG | 10.56 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 5.48 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 27.48 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 21.0 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $743,202,069 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $1,699 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $9,311 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $3,434,489,092 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $43,030 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 3.66 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 19.91 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 37.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 16,441 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD I340 - Nonrheumatic mitral (valve) insufficiency in DRG | 2.18 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 3.14 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 20.31 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 15.2 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $74,932,637 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $1,450 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $4,558 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $427,122,156 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $25,979 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 0.35 | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 10.36 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 65.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 149,454 | ||||
| Total Hospitalizations with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 12,549 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD I340 - Nonrheumatic mitral (valve) insufficiency in DRG | 1.66 | ||||
| Avg LOS at DRG | 2.91 | ||||
| Avg LOS with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 3.03 | ||||
| Readmission Rate at DRG | 19.06 | ||||
| Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 19.18 | ||||
| Unplanned Readmission Rate at DRG | 13.94 | ||||
| Unplanned Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 13.99 | ||||
| Total Medicare payments at DRG | $634,267,172 | ||||
| Total Medicare payments with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $50,853,923 | ||||
| Total Medicare payment per Day at DRG | $1,460 | ||||
| Total Medicare payment per Day with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $1,337 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,244 | ||||
| Total Medicare payment per Hospitalization with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $4,052 | ||||
| Total Medicare Charges at DRG | $3,009,861,593 | ||||
| Total Medicare Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $270,704,064 | ||||
| Avg Charges at DRG | $20,139 | ||||
| Avg Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $21,572 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 0.26 | ||||
| SNF Discharge Rate at DRG | 10.57 | ||||
| SNF Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 10.05 | ||||
| Home Discharge Rate at DRG | 58.05 | ||||
| Home Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 58.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,438 | ||||
| Total Hospitalizations with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 9,961 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD I340 - Nonrheumatic mitral (valve) insufficiency in DRG | 1.32 | ||||
| Avg LOS at DRG | 2.51 | ||||
| Avg LOS with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 2.95 | ||||
| Readmission Rate at DRG | 10.86 | ||||
| Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 13.59 | ||||
| Unplanned Readmission Rate at DRG | 8.03 | ||||
| Unplanned Readmission Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 9.63 | ||||
| Total Medicare payments at DRG | $3,352,957,239 | ||||
| Total Medicare payments with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $125,482,796 | ||||
| Total Medicare payment per Day at DRG | $4,952 | ||||
| Total Medicare payment per Day with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $4,268 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,444 | ||||
| Total Medicare payment per Hospitalization with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $12,597 | ||||
| Total Medicare Charges at DRG | $22,958,558,443 | ||||
| Total Medicare Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $867,145,923 | ||||
| Avg Charges at DRG | $85,209 | ||||
| Avg Charges with ICD I340 - Nonrheumatic mitral (valve) insufficiency | $87,054 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 0.28 | ||||
| SNF Discharge Rate at DRG | 2.62 | ||||
| SNF Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 3.84 | ||||
| Home Discharge Rate at DRG | 88.57 | ||||
| Home Discharge Rate with ICD I340 - Nonrheumatic mitral (valve) insufficiency | 84.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 3,258 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 2,712 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 2,692 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN D RANDOLPH | 4050 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 367 |
| Dr. SAIBAL KAR | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 359 |
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 259 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 690 |
| Dr. JOHN L HERZOG | 1257 HWY 61 S | HOLLANDALE | MS | 38748 | 397 |
| Dr. SAIBAL KAR | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 339 |