*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I359 - Nonrheumatic aortic valve disorder, unspecified - as a primary diagnosis code | I359 - Nonrheumatic aortic valve disorder, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.15 | |
| Readmission Rate (%) | 21.99 | |
| Unplanned Readmission Rate (%) | 13.24 | |
| 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 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,810 | ||||
| Total Hospitalizations with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 36 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I359 - Nonrheumatic aortic valve disorder, unspecified in DRG | 23.68 | ||||
| Avg LOS at DRG | 3.55 | ||||
| Avg LOS with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 4.58 | ||||
| Readmission Rate at DRG | 29.53 | ||||
| Readmission Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 11.75 | ||||
| Unplanned Readmission Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $77,584,876 | ||||
| Total Medicare payments with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $224,855 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $1,363 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,057 | ||||
| Total Medicare payment per Hospitalization with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $6,246 | ||||
| Total Medicare Charges at DRG | $376,243,909 | ||||
| Total Medicare Charges with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $962,551 | ||||
| Avg Charges at DRG | $29,371 | ||||
| Avg Charges with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $26,738 | ||||
| Mortality Rate at DRG | 1.05 | ||||
| Mortality Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 12.61 | ||||
| SNF Discharge Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 50.16 | ||||
| Home Discharge Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 52.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 733 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I359 - Nonrheumatic aortic valve disorder, unspecified in DRG | 5.56 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 5.0 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 24.7 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 19.58 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $6,627,843 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $1,807 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $9,042 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $29,024,162 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $39,596 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 4.5 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 20.46 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 38.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 241 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD I359 - Nonrheumatic aortic valve disorder, unspecified in DRG | 1.83 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 3.61 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 15.49 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 11.06 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $1,352,662 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $1,557 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $5,613 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $7,776,270 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $32,267 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 12.86 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 63.9 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 178 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD I359 - Nonrheumatic aortic valve disorder, unspecified in DRG | 1.35 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 4.23 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 32.52 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $1,249,503 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $1,659 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $7,020 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $7,108,453 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $39,935 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 28.09 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 21.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 149 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD I359 - Nonrheumatic aortic valve disorder, unspecified in DRG | 1.13 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 4.49 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 18.55 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 13.71 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $1,065,559 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $1,593 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $7,151 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $5,155,821 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | $34,603 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 16.11 | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD I359 - Nonrheumatic aortic valve disorder, unspecified | 48.99 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 440 |
| ST. PETER'S HOSPITAL | 315 SO. MANNING BLVD | ALBANY | NY | 12208 | 122 |
| PROVIDENCE SAINT JOSEPH MEDICAL CENTER | 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 107 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEPHANIE L MICK | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 82 |
| Dr. DOUGLAS ROSS JOHNSTON | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 55 |
| Dr. LARS G SVENSSON | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 53 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AMAR KRISHNASWAMY | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 59 |
| Dr. DOUGLAS ROSS JOHNSTON | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 57 |
| Dr. SAMIR R KAPADIA | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 53 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |
| 2 | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris |