*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I349 - Nonrheumatic mitral valve disorder, unspecified - as a primary diagnosis code | I349 - Nonrheumatic mitral valve disorder, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.5 | |
| Readmission Rate (%) | 20.95 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | 171 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I349 - Nonrheumatic mitral valve disorder, unspecified in DRG | 6.57 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | 5.15 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | 22.73 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | 15.58 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $1,543,918 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $1,754 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $9,029 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $6,578,224 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $38,469 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | 16.37 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | 28.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | 39 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD I349 - Nonrheumatic mitral valve disorder, unspecified in DRG | 1.5 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | 12.9 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $724,728 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $1,441 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $18,583 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $1,600,164 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $41,030 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | 28.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | 33 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD I349 - Nonrheumatic mitral valve disorder, unspecified in DRG | 1.27 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | 5.21 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $267,735 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $1,557 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $8,113 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $1,176,272 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $35,645 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD I349 - Nonrheumatic mitral valve disorder, 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 274: PERCUTANEOUS INTRACARDIAC PROCEDURES W/O 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 | 188,863 | ||||
| Total Hospitalizations with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | 30 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD I349 - Nonrheumatic mitral valve disorder, unspecified in DRG | 1.15 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | 11.5 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $536,854 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $1,556 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $17,895 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $1,111,111 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | $37,037 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD I349 - Nonrheumatic mitral valve disorder, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| KESSLER INSTITUTE FOR REHABILITATION | 1199 PLEASANT VALLEY WAY | WEST ORANGE | NJ | 07052 | 37 |
| YAVAPAI REGIONAL MEDICAL CENTER | 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | 32 |
| VALLEY HOSPITAL | 223 N VAN DIEN AVE | RIDGEWOOD | NJ | 07450 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NICHOLAS G SMEDIRA | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NICHOLAS G SMEDIRA | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 18 |
| Dr. ANTHONY LEE | 300 MARKET ST | SADDLE BROOK | NJ | 07663 | 12 |