*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I348 - Other nonrheumatic mitral valve disorders - as a primary diagnosis code | I348 - Other nonrheumatic mitral valve disorders - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.56 | |
| Readmission Rate (%) | 24.14 | |
| Unplanned Readmission Rate (%) | 13.22 | |
| 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 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 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 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,800 | ||||
| Total Hospitalizations with ICD I348 - Other nonrheumatic mitral valve disorders | 78 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I348 - Other nonrheumatic mitral valve disorders in DRG | 23.42 | ||||
| Avg LOS at DRG | 5.45 | ||||
| Avg LOS with ICD I348 - Other nonrheumatic mitral valve disorders | 7.55 | ||||
| Readmission Rate at DRG | 34.97 | ||||
| Readmission Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 33.85 | ||||
| Unplanned Readmission Rate at DRG | 17.75 | ||||
| Unplanned Readmission Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 21.54 | ||||
| Total Medicare payments at DRG | $119,131,393 | ||||
| Total Medicare payments with ICD I348 - Other nonrheumatic mitral valve disorders | $852,496 | ||||
| Total Medicare payment per Day at DRG | $1,852 | ||||
| Total Medicare payment per Day with ICD I348 - Other nonrheumatic mitral valve disorders | $1,447 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,096 | ||||
| Total Medicare payment per Hospitalization with ICD I348 - Other nonrheumatic mitral valve disorders | $10,929 | ||||
| Total Medicare Charges at DRG | $540,657,626 | ||||
| Total Medicare Charges with ICD I348 - Other nonrheumatic mitral valve disorders | $4,118,800 | ||||
| Avg Charges at DRG | $45,818 | ||||
| Avg Charges with ICD I348 - Other nonrheumatic mitral valve disorders | $52,805 | ||||
| Mortality Rate at DRG | 6.52 | ||||
| Mortality Rate with ICD I348 - Other nonrheumatic mitral valve disorders | NA | ||||
| SNF Discharge Rate at DRG | 16.02 | ||||
| SNF Discharge Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 16.67 | ||||
| Home Discharge Rate at DRG | 34.57 | ||||
| Home Discharge Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 37.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 274: PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 59,266 | ||
| Total Hospitalizations with ICD I348 - Other nonrheumatic mitral valve disorders | 12 | ||
| DRG Share of Total Hospitalizations | 0.18 | ||
| % of Total ICD I348 - Other nonrheumatic mitral valve disorders in DRG | 3.6 | ||
| Avg LOS at DRG | 2.51 | ||
| Avg LOS with ICD I348 - Other nonrheumatic mitral valve disorders | 2.08 | ||
| Readmission Rate at DRG | 12.28 | ||
| Readmission Rate with ICD I348 - Other nonrheumatic mitral valve disorders | NA | ||
| Unplanned Readmission Rate at DRG | 9.05 | ||
| Unplanned Readmission Rate with ICD I348 - Other nonrheumatic mitral valve disorders | NA | ||
| Total Medicare payments at DRG | $984,997,570 | ||
| Total Medicare payments with ICD I348 - Other nonrheumatic mitral valve disorders | $341,886 | ||
| Total Medicare payment per Day at DRG | $6,634 | ||
| Total Medicare payment per Day with ICD I348 - Other nonrheumatic mitral valve disorders | $13,675 | ||
| Total Medicare payment per Hospitalization at DRG | $16,620 | ||
| Total Medicare payment per Hospitalization with ICD I348 - Other nonrheumatic mitral valve disorders | $28,491 | ||
| Total Medicare Charges at DRG | $6,831,387,042 | ||
| Total Medicare Charges with ICD I348 - Other nonrheumatic mitral valve disorders | $2,227,074 | ||
| Avg Charges at DRG | $115,267 | ||
| Avg Charges with ICD I348 - Other nonrheumatic mitral valve disorders | $185,590 | ||
| Mortality Rate at DRG | 0.09 | ||
| Mortality Rate with ICD I348 - Other nonrheumatic mitral valve disorders | NA | ||
| SNF Discharge Rate at DRG | 3.2 | ||
| SNF Discharge Rate with ICD I348 - Other nonrheumatic mitral valve disorders | NA | ||
| Home Discharge Rate at DRG | 86.83 | ||
| Home Discharge Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 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 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I348 - Other nonrheumatic mitral valve disorders | 415 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I348 - Other nonrheumatic mitral valve disorders in DRG | 5.85 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I348 - Other nonrheumatic mitral valve disorders | 5.59 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 26.2 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 20.59 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I348 - Other nonrheumatic mitral valve disorders | $3,860,759 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I348 - Other nonrheumatic mitral valve disorders | $1,663 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I348 - Other nonrheumatic mitral valve disorders | $9,303 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I348 - Other nonrheumatic mitral valve disorders | $17,435,890 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I348 - Other nonrheumatic mitral valve disorders | $42,014 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 4.34 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 18.31 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 36.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 53,232 | ||||
| Total Hospitalizations with ICD I348 - Other nonrheumatic mitral valve disorders | 159 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD I348 - Other nonrheumatic mitral valve disorders in DRG | 2.24 | ||||
| Avg LOS at DRG | 6.67 | ||||
| Avg LOS with ICD I348 - Other nonrheumatic mitral valve disorders | 6.92 | ||||
| Readmission Rate at DRG | 19.14 | ||||
| Readmission Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 18.79 | ||||
| Unplanned Readmission Rate at DRG | 9.02 | ||||
| Unplanned Readmission Rate with ICD I348 - Other nonrheumatic mitral valve disorders | NA | ||||
| Total Medicare payments at DRG | $1,849,514,487 | ||||
| Total Medicare payments with ICD I348 - Other nonrheumatic mitral valve disorders | $5,606,530 | ||||
| Total Medicare payment per Day at DRG | $5,212 | ||||
| Total Medicare payment per Day with ICD I348 - Other nonrheumatic mitral valve disorders | $5,092 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,744 | ||||
| Total Medicare payment per Hospitalization with ICD I348 - Other nonrheumatic mitral valve disorders | $35,261 | ||||
| Total Medicare Charges at DRG | $9,786,140,365 | ||||
| Total Medicare Charges with ICD I348 - Other nonrheumatic mitral valve disorders | $30,994,156 | ||||
| Avg Charges at DRG | $183,839 | ||||
| Avg Charges with ICD I348 - Other nonrheumatic mitral valve disorders | $194,932 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD I348 - Other nonrheumatic mitral valve disorders | NA | ||||
| SNF Discharge Rate at DRG | 15.26 | ||||
| SNF Discharge Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 11.95 | ||||
| Home Discharge Rate at DRG | 35.21 | ||||
| Home Discharge Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 39.62 |
*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 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD I348 - Other nonrheumatic mitral valve disorders | 106 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD I348 - Other nonrheumatic mitral valve disorders in DRG | 1.49 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD I348 - Other nonrheumatic mitral valve disorders | 3.57 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 14.85 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD I348 - Other nonrheumatic mitral valve disorders | NA | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD I348 - Other nonrheumatic mitral valve disorders | $514,593 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD I348 - Other nonrheumatic mitral valve disorders | $1,361 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD I348 - Other nonrheumatic mitral valve disorders | $4,855 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD I348 - Other nonrheumatic mitral valve disorders | $2,677,330 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD I348 - Other nonrheumatic mitral valve disorders | $25,258 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD I348 - Other nonrheumatic mitral valve disorders | NA | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD I348 - Other nonrheumatic mitral valve disorders | NA | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD I348 - Other nonrheumatic mitral valve disorders | 83 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I348 - Other nonrheumatic mitral valve disorders in DRG | 1.17 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I348 - Other nonrheumatic mitral valve disorders | 7.31 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 31.34 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 17.91 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I348 - Other nonrheumatic mitral valve disorders | $1,134,949 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I348 - Other nonrheumatic mitral valve disorders | $1,870 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I348 - Other nonrheumatic mitral valve disorders | $13,674 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I348 - Other nonrheumatic mitral valve disorders | $5,961,794 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I348 - Other nonrheumatic mitral valve disorders | $71,829 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I348 - Other nonrheumatic mitral valve disorders | NA | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 22.89 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I348 - Other nonrheumatic mitral valve disorders | 37.35 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| KAWEAH DELTA MEDICAL CENTER | 400 W MINERAL KING AVE | VISALIA | CA | 93291 | 159 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 68 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 66 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHASHI K SHARMA | 100 WILLOW PLZ STE 208 | VISALIA | CA | 93291 | 14 |
| Dr. MOHAMMAD KHALED JAMEL GHANI | 4050 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MOHAMMAD KHALED JAMEL GHANI | 4050 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 20 |
| Dr. JOHN L HERZOG | 1257 HWY 61 S | HOLLANDALE | MS | 38748 | 17 |
| Dr. JAMES SCOTT CROCKETT | 307 LIVE OAK ST | MARLIN | TX | 76661 | 12 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I340 | Nonrheumatic mitral (valve) insufficiency |
| 2 | I10 | Essential (primary) hypertension |