*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I38 - Endocarditis, valve unspecified - as a primary diagnosis code | I38 - Endocarditis, valve unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.6 | |
| Readmission Rate (%) | 27.63 | |
| Unplanned Readmission Rate (%) | 18.58 | |
| 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 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,810 | ||||
| Total Hospitalizations with ICD I38 - Endocarditis, valve unspecified | 374 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I38 - Endocarditis, valve unspecified in DRG | 45.11 | ||||
| Avg LOS at DRG | 3.55 | ||||
| Avg LOS with ICD I38 - Endocarditis, valve unspecified | 5.9 | ||||
| Readmission Rate at DRG | 29.53 | ||||
| Readmission Rate with ICD I38 - Endocarditis, valve unspecified | 19.44 | ||||
| Unplanned Readmission Rate at DRG | 11.75 | ||||
| Unplanned Readmission Rate with ICD I38 - Endocarditis, valve unspecified | 12.15 | ||||
| Total Medicare payments at DRG | $77,584,876 | ||||
| Total Medicare payments with ICD I38 - Endocarditis, valve unspecified | $2,682,002 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD I38 - Endocarditis, valve unspecified | $1,215 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,057 | ||||
| Total Medicare payment per Hospitalization with ICD I38 - Endocarditis, valve unspecified | $7,171 | ||||
| Total Medicare Charges at DRG | $376,243,909 | ||||
| Total Medicare Charges with ICD I38 - Endocarditis, valve unspecified | $15,246,477 | ||||
| Avg Charges at DRG | $29,371 | ||||
| Avg Charges with ICD I38 - Endocarditis, valve unspecified | $40,766 | ||||
| Mortality Rate at DRG | 1.05 | ||||
| Mortality Rate with ICD I38 - Endocarditis, valve unspecified | NA | ||||
| SNF Discharge Rate at DRG | 12.61 | ||||
| SNF Discharge Rate with ICD I38 - Endocarditis, valve unspecified | 18.18 | ||||
| Home Discharge Rate at DRG | 50.16 | ||||
| Home Discharge Rate with ICD I38 - Endocarditis, valve unspecified | 32.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | |
|---|---|
| Total Hospitalizations at DRG | 37,449 |
| Total Hospitalizations with ICD I38 - Endocarditis, valve unspecified | 11 |
| DRG Share of Total Hospitalizations | 0.11 |
| % of Total ICD I38 - Endocarditis, valve unspecified in DRG | 1.33 |
| Avg LOS at DRG | 10.01 |
| Avg LOS with ICD I38 - Endocarditis, valve unspecified | 20.27 |
| Readmission Rate at DRG | 31.36 |
| Readmission Rate with ICD I38 - Endocarditis, valve unspecified | NA |
| Unplanned Readmission Rate at DRG | 20.04 |
| Unplanned Readmission Rate with ICD I38 - Endocarditis, valve unspecified | NA |
| Total Medicare payments at DRG | $793,793,345 |
| Total Medicare payments with ICD I38 - Endocarditis, valve unspecified | $291,846 |
| Total Medicare payment per Day at DRG | $2,118 |
| Total Medicare payment per Day with ICD I38 - Endocarditis, valve unspecified | $1,309 |
| Total Medicare payment per Hospitalization at DRG | $21,197 |
| Total Medicare payment per Hospitalization with ICD I38 - Endocarditis, valve unspecified | $26,531 |
| Total Medicare Charges at DRG | $3,956,370,459 |
| Total Medicare Charges with ICD I38 - Endocarditis, valve unspecified | $1,961,399 |
| Avg Charges at DRG | $105,647 |
| Avg Charges with ICD I38 - Endocarditis, valve unspecified | $178,309 |
| Mortality Rate at DRG | 5.33 |
| Mortality Rate with ICD I38 - Endocarditis, valve unspecified | NA |
| SNF Discharge Rate at DRG | 23.77 |
| SNF Discharge Rate with ICD I38 - Endocarditis, valve unspecified | NA |
| Home Discharge Rate at DRG | 33.21 |
| Home Discharge Rate with ICD I38 - Endocarditis, valve 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I38 - Endocarditis, valve unspecified | 5,483 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I38 - Endocarditis, valve unspecified in DRG | 10.94 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I38 - Endocarditis, valve unspecified | 8.66 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I38 - Endocarditis, valve unspecified | 31.84 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I38 - Endocarditis, valve unspecified | 19.3 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I38 - Endocarditis, valve unspecified | $72,142,457 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I38 - Endocarditis, valve unspecified | $1,520 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I38 - Endocarditis, valve unspecified | $13,157 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I38 - Endocarditis, valve unspecified | $466,842,223 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I38 - Endocarditis, valve unspecified | $85,144 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I38 - Endocarditis, valve unspecified | 14.43 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I38 - Endocarditis, valve unspecified | 27.19 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I38 - Endocarditis, valve unspecified | 16.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD I38 - Endocarditis, valve unspecified | 1,018 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD I38 - Endocarditis, valve unspecified in DRG | 2.03 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD I38 - Endocarditis, valve unspecified | 3.08 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD I38 - Endocarditis, valve unspecified | 14.47 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD I38 - Endocarditis, valve unspecified | 4.02 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD I38 - Endocarditis, valve unspecified | $12,165,683 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD I38 - Endocarditis, valve unspecified | $3,886 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD I38 - Endocarditis, valve unspecified | $11,951 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD I38 - Endocarditis, valve unspecified | $66,471,978 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD I38 - Endocarditis, valve unspecified | $65,297 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD I38 - Endocarditis, valve unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD I38 - Endocarditis, valve unspecified | 32.22 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD I38 - Endocarditis, valve unspecified | 24.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD I38 - Endocarditis, valve unspecified | 753 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD I38 - Endocarditis, valve unspecified in DRG | 1.5 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD I38 - Endocarditis, valve unspecified | 4.22 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD I38 - Endocarditis, valve unspecified | 19.94 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD I38 - Endocarditis, valve unspecified | 12.02 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD I38 - Endocarditis, valve unspecified | $4,844,701 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD I38 - Endocarditis, valve unspecified | $1,523 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD I38 - Endocarditis, valve unspecified | $6,434 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD I38 - Endocarditis, valve unspecified | $20,581,934 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD I38 - Endocarditis, valve unspecified | $27,333 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD I38 - Endocarditis, valve unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD I38 - Endocarditis, valve unspecified | 19.52 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD I38 - Endocarditis, valve unspecified | 46.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD I38 - Endocarditis, valve unspecified | 615 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD I38 - Endocarditis, valve unspecified in DRG | 1.23 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD I38 - Endocarditis, valve unspecified | 4.35 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD I38 - Endocarditis, valve unspecified | 25.39 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD I38 - Endocarditis, valve unspecified | 18.04 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD I38 - Endocarditis, valve unspecified | $3,594,171 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD I38 - Endocarditis, valve unspecified | $1,343 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD I38 - Endocarditis, valve unspecified | $5,844 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD I38 - Endocarditis, valve unspecified | $19,255,991 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD I38 - Endocarditis, valve unspecified | $31,311 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I38 - Endocarditis, valve unspecified | 2.11 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD I38 - Endocarditis, valve unspecified | 22.76 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD I38 - Endocarditis, valve unspecified | 38.21 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DOCTORS HOSPITAL OF SARASOTA | 5731 BEE RIDGE RD | SARASOTA | FL | 34233 | 352 |
| MARTIN GENERAL HOSPITAL | 310 S MCCASKEY RD | WILLIAMSTON | NC | 27892 | 333 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 299 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAMIR R KAPADIA | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 41 |
| Dr. STEPHANIE L MICK | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 38 |
| Dr. AMAR KRISHNASWAMY | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DHRUVA CHAWLA | 310 S MCCASKEY RD | WILLIAMSTON | NC | 27892 | 245 |
| Dr. SCOTT PAUL SHISLER | 1100 S VAN DYKE | BAD AXE | MI | 48413 | 116 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 94 |