*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I371 - Nonrheumatic pulmonary valve insufficiency - as a primary diagnosis code | I371 - Nonrheumatic pulmonary valve insufficiency - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.69 | |
| Readmission Rate (%) | 23.67 | |
| Unplanned Readmission Rate (%) | 10.22 | |
| 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 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 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,301 | |||
| Total Hospitalizations with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 40 | |||
| DRG Share of Total Hospitalizations | 0.15 | |||
| % of Total ICD I371 - Nonrheumatic pulmonary valve insufficiency in DRG | 28.17 | |||
| Avg LOS at DRG | 10.92 | |||
| Avg LOS with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 8.03 | |||
| Readmission Rate at DRG | 32.06 | |||
| Readmission Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | NA | |||
| Unplanned Readmission Rate at DRG | 12.13 | |||
| Unplanned Readmission Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | NA | |||
| Total Medicare payments at DRG | $2,755,788,420 | |||
| Total Medicare payments with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $1,903,123 | |||
| Total Medicare payment per Day at DRG | $5,120 | |||
| Total Medicare payment per Day with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $5,929 | |||
| Total Medicare payment per Hospitalization at DRG | $55,897 | |||
| Total Medicare payment per Hospitalization with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $47,578 | |||
| Total Medicare Charges at DRG | $13,454,609,626 | |||
| Total Medicare Charges with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $8,665,734 | |||
| Avg Charges at DRG | $272,907 | |||
| Avg Charges with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $216,643 | |||
| Mortality Rate at DRG | 7.09 | |||
| Mortality Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | NA | |||
| SNF Discharge Rate at DRG | 21.99 | |||
| SNF Discharge Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | NA | |||
| Home Discharge Rate at DRG | 21.9 | |||
| Home Discharge Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 52.5 |
*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 I371 - Nonrheumatic pulmonary valve insufficiency | 2,857 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I371 - Nonrheumatic pulmonary valve insufficiency in DRG | 11.42 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 5.57 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 26.86 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 21.11 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $26,813,822 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $1,684 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $9,385 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $117,063,427 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $40,974 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 3.54 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 20.83 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 36.33 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 548 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD I371 - Nonrheumatic pulmonary valve insufficiency in DRG | 2.19 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 3.06 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 17.93 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 13.06 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $2,523,188 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $1,505 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $4,604 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $12,880,639 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $23,505 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 9.31 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 64.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 221,460 | ||||
| Total Hospitalizations with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 378 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD I371 - Nonrheumatic pulmonary valve insufficiency in DRG | 1.51 | ||||
| Avg LOS at DRG | 2.1 | ||||
| Avg LOS with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 2.25 | ||||
| Readmission Rate at DRG | 11.15 | ||||
| Readmission Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 11.63 | ||||
| Unplanned Readmission Rate at DRG | 7.88 | ||||
| Unplanned Readmission Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 8.86 | ||||
| Total Medicare payments at DRG | $635,922,710 | ||||
| Total Medicare payments with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $1,085,346 | ||||
| Total Medicare payment per Day at DRG | $1,367 | ||||
| Total Medicare payment per Day with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $1,275 | ||||
| Total Medicare payment per Hospitalization at DRG | $2,872 | ||||
| Total Medicare payment per Hospitalization with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $2,871 | ||||
| Total Medicare Charges at DRG | $4,179,979,444 | ||||
| Total Medicare Charges with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $7,387,886 | ||||
| Avg Charges at DRG | $18,875 | ||||
| Avg Charges with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $19,545 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 4.01 | ||||
| SNF Discharge Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 4.23 | ||||
| Home Discharge Rate at DRG | 82.23 | ||||
| Home Discharge Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 82.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 325 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD I371 - Nonrheumatic pulmonary valve insufficiency in DRG | 1.3 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 5.39 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 29.17 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 21.18 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $2,302,115 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $1,313 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $7,083 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $12,960,806 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD I371 - Nonrheumatic pulmonary valve insufficiency | $39,879 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 3.69 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 16.92 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD I371 - Nonrheumatic pulmonary valve insufficiency | 41.23 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RICHMOND UNIVERSITY MEDICAL CENTER | 355 BARD AVE | STATEN ISLAND | NY | 10310 | 241 |
| WILLIS KNIGHTON MEDICAL CENTER | 2600 GREENWOOD RD | SHREVEPORT | LA | 71103 | 221 |
| LAKELAND REGIONAL MEDICAL CENTER | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 219 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FELIZEN SOTO AGNO | 281 GRANT AVE | AUBURN | NY | 13021 | 72 |
| Dr. MALIK M. NAQI | 15260 NW 147TH DR | ALACHUA | FL | 32615 | 41 |
| Dr. MICHAEL B CANNON | 5224 E I 240 SERVICE RD FL 2 | OKLAHOMA CITY | OK | 73135 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MALIK M. NAQI | 15260 NW 147TH DR | ALACHUA | FL | 32615 | 124 |
| Dr. FRANK JOSEPH MONDSCHEIN | 102 SUMMERWOOD WAY | AIKEN | SC | 29803 | 38 |
| Dr. JOHN L HERZOG | 1257 HWY 61 S | HOLLANDALE | MS | 38748 | 37 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I361 | Nonrheumatic tricuspid (valve) insufficiency |
| 2 | I340 | Nonrheumatic mitral (valve) insufficiency |