*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I43 - Cardiomyopathy in diseases classified elsewhere - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.57 | |
| 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 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 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 3,519 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I43 - Cardiomyopathy in diseases classified elsewhere in DRG | 13.85 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 6.06 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 27.44 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 21.49 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $35,580,659 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $1,669 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $10,111 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $163,823,921 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $46,554 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 4.09 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 16.25 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 42.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 561 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I43 - Cardiomyopathy in diseases classified elsewhere in DRG | 2.21 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 6.03 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 27.71 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 20.28 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $6,561,700 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $1,941 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $11,696 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $34,481,326 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $61,464 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 17.47 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 41.71 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 415 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD I43 - Cardiomyopathy in diseases classified elsewhere in DRG | 1.63 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 4.11 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 27.53 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 21.82 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $2,491,080 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $1,459 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $6,003 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $13,179,405 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $31,758 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 16.87 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 50.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 150,404 | ||||
| Total Hospitalizations with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 266 | ||||
| DRG Share of Total Hospitalizations | 0.46 | ||||
| % of Total ICD I43 - Cardiomyopathy in diseases classified elsewhere in DRG | 1.05 | ||||
| Avg LOS at DRG | 3.31 | ||||
| Avg LOS with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 3.43 | ||||
| Readmission Rate at DRG | 20.72 | ||||
| Readmission Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 20.0 | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 15.74 | ||||
| Total Medicare payments at DRG | $938,855,823 | ||||
| Total Medicare payments with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $1,823,321 | ||||
| Total Medicare payment per Day at DRG | $1,886 | ||||
| Total Medicare payment per Day with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $1,997 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,242 | ||||
| Total Medicare payment per Hospitalization with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $6,855 | ||||
| Total Medicare Charges at DRG | $5,236,903,865 | ||||
| Total Medicare Charges with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $9,550,439 | ||||
| Avg Charges at DRG | $34,819 | ||||
| Avg Charges with ICD I43 - Cardiomyopathy in diseases classified elsewhere | $35,904 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 13.12 | ||||
| SNF Discharge Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 10.15 | ||||
| Home Discharge Rate at DRG | 52.08 | ||||
| Home Discharge Rate with ICD I43 - Cardiomyopathy in diseases classified elsewhere | 60.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| COMMUNITY REGIONAL MEDICAL CENTER | 2823 FRESNO ST | FRESNO | CA | 93721 | 322 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 268 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 263 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SCOTT JEFFREY DENARDO | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 48 |
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 18 |
| Dr. SOWMYA AMBUGA MURALIDHARA | 5555 GROSSMONT CENTER DR | LA MESA | CA | 91942 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SOWMYA AMBUGA MURALIDHARA | 5555 GROSSMONT CENTER DR | LA MESA | CA | 91942 | 153 |
| Dr. KIRK UOMOTO | 5901 W OLYMPIC BLVD | LOS ANGELES | CA | 90036 | 54 |
| Dr. STEVEN ALEX BALDWIN | 1898 E SOUTHERN AVE | TEMPE | AZ | 85282 | 45 |