*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I427 - Cardiomyopathy due to drug and external agent - as a primary diagnosis code | I427 - Cardiomyopathy due to drug and external agent - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.08 | |
| Readmission Rate (%) | 29.82 | |
| Unplanned Readmission Rate (%) | 13.83 | |
| 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 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD I427 - Cardiomyopathy due to drug and external agent | 133 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I427 - Cardiomyopathy due to drug and external agent in DRG | 37.46 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I427 - Cardiomyopathy due to drug and external agent | 6.83 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 28.07 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 14.04 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I427 - Cardiomyopathy due to drug and external agent | $2,100,229 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I427 - Cardiomyopathy due to drug and external agent | $2,313 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I427 - Cardiomyopathy due to drug and external agent | $15,791 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I427 - Cardiomyopathy due to drug and external agent | $7,795,814 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I427 - Cardiomyopathy due to drug and external agent | $58,615 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 10.53 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 8.27 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 49.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 14,517 |
| Total Hospitalizations with ICD I427 - Cardiomyopathy due to drug and external agent | 12 |
| DRG Share of Total Hospitalizations | 0.04 |
| % of Total ICD I427 - Cardiomyopathy due to drug and external agent in DRG | 3.38 |
| Avg LOS at DRG | 2.3 |
| Avg LOS with ICD I427 - Cardiomyopathy due to drug and external agent | 2.92 |
| Readmission Rate at DRG | 17.06 |
| Readmission Rate with ICD I427 - Cardiomyopathy due to drug and external agent | NA |
| Unplanned Readmission Rate at DRG | 9.87 |
| Unplanned Readmission Rate with ICD I427 - Cardiomyopathy due to drug and external agent | NA |
| Total Medicare payments at DRG | $58,515,897 |
| Total Medicare payments with ICD I427 - Cardiomyopathy due to drug and external agent | $55,427 |
| Total Medicare payment per Day at DRG | $1,751 |
| Total Medicare payment per Day with ICD I427 - Cardiomyopathy due to drug and external agent | $1,584 |
| Total Medicare payment per Hospitalization at DRG | $4,031 |
| Total Medicare payment per Hospitalization with ICD I427 - Cardiomyopathy due to drug and external agent | $4,619 |
| Total Medicare Charges at DRG | $362,947,536 |
| Total Medicare Charges with ICD I427 - Cardiomyopathy due to drug and external agent | $277,848 |
| Avg Charges at DRG | $25,002 |
| Avg Charges with ICD I427 - Cardiomyopathy due to drug and external agent | $23,154 |
| Mortality Rate at DRG | 0.79 |
| Mortality Rate with ICD I427 - Cardiomyopathy due to drug and external agent | NA |
| SNF Discharge Rate at DRG | 7.01 |
| SNF Discharge Rate with ICD I427 - Cardiomyopathy due to drug and external agent | NA |
| Home Discharge Rate at DRG | 69.48 |
| Home Discharge Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 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 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I427 - Cardiomyopathy due to drug and external agent | 1,328 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I427 - Cardiomyopathy due to drug and external agent in DRG | 11.33 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I427 - Cardiomyopathy due to drug and external agent | 6.04 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 32.08 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 24.63 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I427 - Cardiomyopathy due to drug and external agent | $14,540,029 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I427 - Cardiomyopathy due to drug and external agent | $1,814 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I427 - Cardiomyopathy due to drug and external agent | $10,949 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I427 - Cardiomyopathy due to drug and external agent | $75,010,935 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I427 - Cardiomyopathy due to drug and external agent | $56,484 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 3.99 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 9.64 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 47.74 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD I427 - Cardiomyopathy due to drug and external agent | 229 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I427 - Cardiomyopathy due to drug and external agent in DRG | 1.95 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I427 - Cardiomyopathy due to drug and external agent | 7.54 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 29.23 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 14.87 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I427 - Cardiomyopathy due to drug and external agent | $3,728,345 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I427 - Cardiomyopathy due to drug and external agent | $2,159 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I427 - Cardiomyopathy due to drug and external agent | $16,281 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I427 - Cardiomyopathy due to drug and external agent | $15,721,358 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I427 - Cardiomyopathy due to drug and external agent | $68,652 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 9.17 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 10.48 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 41.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD I427 - Cardiomyopathy due to drug and external agent | 140 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD I427 - Cardiomyopathy due to drug and external agent in DRG | 1.19 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD I427 - Cardiomyopathy due to drug and external agent | 6.58 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 33.63 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 21.24 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD I427 - Cardiomyopathy due to drug and external agent | $1,583,268 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD I427 - Cardiomyopathy due to drug and external agent | $1,719 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD I427 - Cardiomyopathy due to drug and external agent | $11,309 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD I427 - Cardiomyopathy due to drug and external agent | $8,913,336 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD I427 - Cardiomyopathy due to drug and external agent | $63,667 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 13.57 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 16.43 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 33.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 149,454 | ||||
| Total Hospitalizations with ICD I427 - Cardiomyopathy due to drug and external agent | 129 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD I427 - Cardiomyopathy due to drug and external agent in DRG | 1.1 | ||||
| Avg LOS at DRG | 2.91 | ||||
| Avg LOS with ICD I427 - Cardiomyopathy due to drug and external agent | 2.51 | ||||
| Readmission Rate at DRG | 19.06 | ||||
| Readmission Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 16.07 | ||||
| Unplanned Readmission Rate at DRG | 13.94 | ||||
| Unplanned Readmission Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 13.39 | ||||
| Total Medicare payments at DRG | $634,267,172 | ||||
| Total Medicare payments with ICD I427 - Cardiomyopathy due to drug and external agent | $597,797 | ||||
| Total Medicare payment per Day at DRG | $1,460 | ||||
| Total Medicare payment per Day with ICD I427 - Cardiomyopathy due to drug and external agent | $1,845 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,244 | ||||
| Total Medicare payment per Hospitalization with ICD I427 - Cardiomyopathy due to drug and external agent | $4,634 | ||||
| Total Medicare Charges at DRG | $3,009,861,593 | ||||
| Total Medicare Charges with ICD I427 - Cardiomyopathy due to drug and external agent | $3,321,963 | ||||
| Avg Charges at DRG | $20,139 | ||||
| Avg Charges with ICD I427 - Cardiomyopathy due to drug and external agent | $25,752 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD I427 - Cardiomyopathy due to drug and external agent | NA | ||||
| SNF Discharge Rate at DRG | 10.57 | ||||
| SNF Discharge Rate with ICD I427 - Cardiomyopathy due to drug and external agent | NA | ||||
| Home Discharge Rate at DRG | 58.05 | ||||
| Home Discharge Rate with ICD I427 - Cardiomyopathy due to drug and external agent | 75.97 |
| 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 | 112 |
| THE QUEEN'S MEDICAL CENTER | 1301 PUNCHBOWL ST | HONOLULU | HI | 96813 | 93 |
| STANFORD HEALTHCARE | 300 PASTEUR DR | STANFORD | CA | 94305 | 89 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VALLUVAN JEEVANANDAM | 5841 S MARYLAND AVE | CHICAGO | IL | 60637 | 16 |