*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I426 - Alcoholic cardiomyopathy - as a primary diagnosis code | I426 - Alcoholic cardiomyopathy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.05 | |
| Readmission Rate (%) | 26.82 | |
| Unplanned Readmission Rate (%) | 17.3 | |
| 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD I426 - Alcoholic cardiomyopathy | 124 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I426 - Alcoholic cardiomyopathy in DRG | 32.8 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I426 - Alcoholic cardiomyopathy | 6.24 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I426 - Alcoholic cardiomyopathy | 22.43 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I426 - Alcoholic cardiomyopathy | 15.89 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I426 - Alcoholic cardiomyopathy | $1,692,803 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I426 - Alcoholic cardiomyopathy | $2,187 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I426 - Alcoholic cardiomyopathy | $13,652 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I426 - Alcoholic cardiomyopathy | $6,983,949 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I426 - Alcoholic cardiomyopathy | $56,322 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I426 - Alcoholic cardiomyopathy | 8.87 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I426 - Alcoholic cardiomyopathy | 16.13 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I426 - Alcoholic cardiomyopathy | 45.16 |
*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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT 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 I426 - Alcoholic cardiomyopathy | 1,462 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I426 - Alcoholic cardiomyopathy in DRG | 8.98 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I426 - Alcoholic cardiomyopathy | 6.52 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I426 - Alcoholic cardiomyopathy | 29.41 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I426 - Alcoholic cardiomyopathy | 23.4 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I426 - Alcoholic cardiomyopathy | $15,512,822 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I426 - Alcoholic cardiomyopathy | $1,627 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I426 - Alcoholic cardiomyopathy | $10,611 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I426 - Alcoholic cardiomyopathy | $77,457,851 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I426 - Alcoholic cardiomyopathy | $52,981 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I426 - Alcoholic cardiomyopathy | 4.58 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I426 - Alcoholic cardiomyopathy | 17.17 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I426 - Alcoholic cardiomyopathy | 45.28 |
*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 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD I426 - Alcoholic cardiomyopathy | 470 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD I426 - Alcoholic cardiomyopathy in DRG | 2.89 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD I426 - Alcoholic cardiomyopathy | 3.5 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD I426 - Alcoholic cardiomyopathy | 25.81 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD I426 - Alcoholic cardiomyopathy | 20.47 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD I426 - Alcoholic cardiomyopathy | $2,371,855 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD I426 - Alcoholic cardiomyopathy | $1,443 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD I426 - Alcoholic cardiomyopathy | $5,047 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD I426 - Alcoholic cardiomyopathy | $13,097,795 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD I426 - Alcoholic cardiomyopathy | $27,868 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD I426 - Alcoholic cardiomyopathy | NA | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD I426 - Alcoholic cardiomyopathy | 8.51 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD I426 - Alcoholic cardiomyopathy | 70.85 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD I426 - Alcoholic cardiomyopathy | 237 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD I426 - Alcoholic cardiomyopathy in DRG | 1.46 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD I426 - Alcoholic cardiomyopathy | 4.89 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD I426 - Alcoholic cardiomyopathy | 31.22 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD I426 - Alcoholic cardiomyopathy | 24.43 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD I426 - Alcoholic cardiomyopathy | $1,884,553 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD I426 - Alcoholic cardiomyopathy | $1,627 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD I426 - Alcoholic cardiomyopathy | $7,952 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD I426 - Alcoholic cardiomyopathy | $9,772,818 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD I426 - Alcoholic cardiomyopathy | $41,236 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD I426 - Alcoholic cardiomyopathy | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD I426 - Alcoholic cardiomyopathy | 13.92 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD I426 - Alcoholic cardiomyopathy | 56.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD I426 - Alcoholic cardiomyopathy | 195 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I426 - Alcoholic cardiomyopathy in DRG | 1.2 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I426 - Alcoholic cardiomyopathy | 6.88 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I426 - Alcoholic cardiomyopathy | 25.97 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I426 - Alcoholic cardiomyopathy | 19.48 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I426 - Alcoholic cardiomyopathy | $2,802,771 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I426 - Alcoholic cardiomyopathy | $2,089 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I426 - Alcoholic cardiomyopathy | $14,373 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I426 - Alcoholic cardiomyopathy | $12,902,774 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I426 - Alcoholic cardiomyopathy | $66,168 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I426 - Alcoholic cardiomyopathy | 9.74 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I426 - Alcoholic cardiomyopathy | 14.87 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I426 - Alcoholic cardiomyopathy | 41.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 90 |
| ALASKA NATIVE MEDICAL CENTER | 4315 DIPLOMACY DR | ANCHORAGE | AK | 99508 | 78 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 76 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAADI J ALBAGHDADI | 915 13TH AVE N | CLINTON | IA | 52732 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAMODER R. KESIREDDY | 442 W HIGH ST | BRYAN | OH | 43506 | 12 |
| Dr. JULIE ROTHLISBERGER-CASTILLO | 1010 N 96TH ST STE 200 | OMAHA | NE | 68114 | 11 |