*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
I361 - Nonrheumatic tricuspid (valve) insufficiency - as a primary diagnosis code | I361 - Nonrheumatic tricuspid (valve) insufficiency - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.4 | |
Readmission Rate (%) | 25.69 | |
Unplanned Readmission Rate (%) | 12.95 | |
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 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 49,301 | ||||
Total Hospitalizations with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 230 | ||||
DRG Share of Total Hospitalizations | 0.15 | ||||
% of Total ICD I361 - Nonrheumatic tricuspid (valve) insufficiency in DRG | 34.07 | ||||
Avg LOS at DRG | 10.92 | ||||
Avg LOS with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 12.9 | ||||
Readmission Rate at DRG | 32.06 | ||||
Readmission Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 28.91 | ||||
Unplanned Readmission Rate at DRG | 12.13 | ||||
Unplanned Readmission Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 13.74 | ||||
Total Medicare payments at DRG | $2,755,788,420 | ||||
Total Medicare payments with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $13,936,695 | ||||
Total Medicare payment per Day at DRG | $5,120 | ||||
Total Medicare payment per Day with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $4,697 | ||||
Total Medicare payment per Hospitalization at DRG | $55,897 | ||||
Total Medicare payment per Hospitalization with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $60,594 | ||||
Total Medicare Charges at DRG | $13,454,609,626 | ||||
Total Medicare Charges with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $64,547,379 | ||||
Avg Charges at DRG | $272,907 | ||||
Avg Charges with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $280,641 | ||||
Mortality Rate at DRG | 7.09 | ||||
Mortality Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 6.52 | ||||
SNF Discharge Rate at DRG | 21.99 | ||||
SNF Discharge Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 22.17 | ||||
Home Discharge Rate at DRG | 21.9 | ||||
Home Discharge Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 30.0 |
*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 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|
Total Hospitalizations at DRG | 114,725 | |||
Total Hospitalizations with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 36 | |||
DRG Share of Total Hospitalizations | 0.35 | |||
% of Total ICD I361 - Nonrheumatic tricuspid (valve) insufficiency in DRG | 5.33 | |||
Avg LOS at DRG | 6.91 | |||
Avg LOS with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 8.69 | |||
Readmission Rate at DRG | 28.23 | |||
Readmission Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 38.24 | |||
Unplanned Readmission Rate at DRG | 17.16 | |||
Unplanned Readmission Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | NA | |||
Total Medicare payments at DRG | $1,698,418,701 | |||
Total Medicare payments with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $551,664 | |||
Total Medicare payment per Day at DRG | $2,144 | |||
Total Medicare payment per Day with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $1,763 | |||
Total Medicare payment per Hospitalization at DRG | $14,804 | |||
Total Medicare payment per Hospitalization with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $15,324 | |||
Total Medicare Charges at DRG | $9,142,710,160 | |||
Total Medicare Charges with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $3,433,298 | |||
Avg Charges at DRG | $79,692 | |||
Avg Charges with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $95,369 | |||
Mortality Rate at DRG | 3.27 | |||
Mortality Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | NA | |||
SNF Discharge Rate at DRG | 10.66 | |||
SNF Discharge Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | NA | |||
Home Discharge Rate at DRG | 53.35 | |||
Home Discharge Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 63.89 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 40 |
CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 35 |
NEWYORK PRESBYTERIAN - COLUMBIA UNIVERSITY MEDICAL CENTER | 622 W 168TH ST | NEW YORK | NY | 10032 | 17 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. DAVID A HEIMANSOHN | 10590 N MERIDIAN ST STE 105 | INDIANAPOLIS | IN | 46290 | 13 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. DAVID A HEIMANSOHN | 10590 N MERIDIAN ST STE 105 | INDIANAPOLIS | IN | 46290 | 13 |
*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 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 | 1,013,774 | ||||
Total Hospitalizations with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 14,721 | ||||
DRG Share of Total Hospitalizations | 3.08 | ||||
% of Total ICD I361 - Nonrheumatic tricuspid (valve) insufficiency in DRG | 11.87 | ||||
Avg LOS at DRG | 5.34 | ||||
Avg LOS with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 6.06 | ||||
Readmission Rate at DRG | 28.25 | ||||
Readmission Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 28.08 | ||||
Unplanned Readmission Rate at DRG | 21.93 | ||||
Unplanned Readmission Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 21.39 | ||||
Total Medicare payments at DRG | $9,469,067,156 | ||||
Total Medicare payments with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $142,275,353 | ||||
Total Medicare payment per Day at DRG | $1,751 | ||||
Total Medicare payment per Day with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $1,595 | ||||
Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
Total Medicare payment per Hospitalization with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $9,665 | ||||
Total Medicare Charges at DRG | $43,343,716,813 | ||||
Total Medicare Charges with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $665,663,989 | ||||
Avg Charges at DRG | $42,755 | ||||
Avg Charges with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $45,219 | ||||
Mortality Rate at DRG | 3.72 | ||||
Mortality Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 4.7 | ||||
SNF Discharge Rate at DRG | 20.84 | ||||
SNF Discharge Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 23.25 | ||||
Home Discharge Rate at DRG | 37.68 | ||||
Home Discharge Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 31.57 |
*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 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 292,335 | ||||
Total Hospitalizations with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 2,639 | ||||
DRG Share of Total Hospitalizations | 0.89 | ||||
% of Total ICD I361 - Nonrheumatic tricuspid (valve) insufficiency in DRG | 2.13 | ||||
Avg LOS at DRG | 2.96 | ||||
Avg LOS with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 3.33 | ||||
Readmission Rate at DRG | 19.18 | ||||
Readmission Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 21.28 | ||||
Unplanned Readmission Rate at DRG | 13.96 | ||||
Unplanned Readmission Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 15.82 | ||||
Total Medicare payments at DRG | $1,347,436,356 | ||||
Total Medicare payments with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $12,182,410 | ||||
Total Medicare payment per Day at DRG | $1,557 | ||||
Total Medicare payment per Day with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $1,386 | ||||
Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
Total Medicare payment per Hospitalization with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $4,616 | ||||
Total Medicare Charges at DRG | $7,385,462,160 | ||||
Total Medicare Charges with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $69,758,014 | ||||
Avg Charges at DRG | $25,264 | ||||
Avg Charges with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $26,434 | ||||
Mortality Rate at DRG | 0.57 | ||||
Mortality Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 0.49 | ||||
SNF Discharge Rate at DRG | 11.55 | ||||
SNF Discharge Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 13.11 | ||||
Home Discharge Rate at DRG | 63.79 | ||||
Home Discharge Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 60.44 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 149,454 | ||||
Total Hospitalizations with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 1,960 | ||||
DRG Share of Total Hospitalizations | 0.45 | ||||
% of Total ICD I361 - Nonrheumatic tricuspid (valve) insufficiency in DRG | 1.58 | ||||
Avg LOS at DRG | 2.91 | ||||
Avg LOS with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 3.39 | ||||
Readmission Rate at DRG | 19.06 | ||||
Readmission Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 18.36 | ||||
Unplanned Readmission Rate at DRG | 13.94 | ||||
Unplanned Readmission Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 13.94 | ||||
Total Medicare payments at DRG | $634,267,172 | ||||
Total Medicare payments with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $8,142,894 | ||||
Total Medicare payment per Day at DRG | $1,460 | ||||
Total Medicare payment per Day with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $1,226 | ||||
Total Medicare payment per Hospitalization at DRG | $4,244 | ||||
Total Medicare payment per Hospitalization with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $4,155 | ||||
Total Medicare Charges at DRG | $3,009,861,593 | ||||
Total Medicare Charges with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $42,738,332 | ||||
Avg Charges at DRG | $20,139 | ||||
Avg Charges with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $21,805 | ||||
Mortality Rate at DRG | 0.61 | ||||
Mortality Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | NA | ||||
SNF Discharge Rate at DRG | 10.57 | ||||
SNF Discharge Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 11.63 | ||||
Home Discharge Rate at DRG | 58.05 | ||||
Home Discharge Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 53.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 312: SYNCOPE AND COLLAPSE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,522,684 | ||||
Total Hospitalizations with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 1,510 | ||||
DRG Share of Total Hospitalizations | 4.63 | ||||
% of Total ICD I361 - Nonrheumatic tricuspid (valve) insufficiency in DRG | 1.22 | ||||
Avg LOS at DRG | 2.52 | ||||
Avg LOS with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 3.8 | ||||
Readmission Rate at DRG | 9.03 | ||||
Readmission Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 19.75 | ||||
Unplanned Readmission Rate at DRG | 3.35 | ||||
Unplanned Readmission Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 8.31 | ||||
Total Medicare payments at DRG | $17,672,828,347 | ||||
Total Medicare payments with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $19,176,744 | ||||
Total Medicare payment per Day at DRG | $4,606 | ||||
Total Medicare payment per Day with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $3,340 | ||||
Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
Total Medicare payment per Hospitalization with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $12,700 | ||||
Total Medicare Charges at DRG | $91,836,200,128 | ||||
Total Medicare Charges with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $100,663,728 | ||||
Avg Charges at DRG | $60,312 | ||||
Avg Charges with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | $66,665 | ||||
Mortality Rate at DRG | 0.05 | ||||
Mortality Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | NA | ||||
SNF Discharge Rate at DRG | 23.53 | ||||
SNF Discharge Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 43.51 | ||||
Home Discharge Rate at DRG | 30.67 | ||||
Home Discharge Rate with ICD I361 - Nonrheumatic tricuspid (valve) insufficiency | 15.1 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 1,769 |
THE VILLAGES REGIONAL HOSPITAL | 1451 EL CAMINO REAL | THE VILLAGES | FL | 32159 | 900 |
CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 899 |
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 | 172 |
Dr. MICHAEL B CANNON | 5224 E I 240 SERVICE RD FL 2 | OKLAHOMA CITY | OK | 73135 | 126 |
Dr. JOHN L HERZOG | 1257 HWY 61 S | HOLLANDALE | MS | 38748 | 119 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MILTON HABER | 6801 MCPHERSON RD | LAREDO | TX | 78041 | 414 |
Dr. JOHN L HERZOG | 1257 HWY 61 S | HOLLANDALE | MS | 38748 | 286 |
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 149 |