*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I462 - Cardiac arrest due to underlying cardiac condition - as a primary diagnosis code | I462 - Cardiac arrest due to underlying cardiac condition - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.71 | |
| Readmission Rate (%) | 30.07 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 296: CARDIAC ARREST, UNEXPLAINED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 297: CARDIAC ARREST, UNEXPLAINED WITH COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,554 | ||||
| Total Hospitalizations with ICD I462 - Cardiac arrest due to underlying cardiac condition | 172 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I462 - Cardiac arrest due to underlying cardiac condition in DRG | 44.1 | ||||
| Avg LOS at DRG | 2.88 | ||||
| Avg LOS with ICD I462 - Cardiac arrest due to underlying cardiac condition | 3.7 | ||||
| Readmission Rate at DRG | 22.97 | ||||
| Readmission Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 35.29 | ||||
| Unplanned Readmission Rate at DRG | 10.59 | ||||
| Unplanned Readmission Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | NA | ||||
| Total Medicare payments at DRG | $111,136,473 | ||||
| Total Medicare payments with ICD I462 - Cardiac arrest due to underlying cardiac condition | $1,717,677 | ||||
| Total Medicare payment per Day at DRG | $3,342 | ||||
| Total Medicare payment per Day with ICD I462 - Cardiac arrest due to underlying cardiac condition | $2,697 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,619 | ||||
| Total Medicare payment per Hospitalization with ICD I462 - Cardiac arrest due to underlying cardiac condition | $9,986 | ||||
| Total Medicare Charges at DRG | $647,438,563 | ||||
| Total Medicare Charges with ICD I462 - Cardiac arrest due to underlying cardiac condition | $9,536,835 | ||||
| Avg Charges at DRG | $56,036 | ||||
| Avg Charges with ICD I462 - Cardiac arrest due to underlying cardiac condition | $55,447 | ||||
| Mortality Rate at DRG | 82.19 | ||||
| Mortality Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 72.67 | ||||
| SNF Discharge Rate at DRG | 2.85 | ||||
| SNF Discharge Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | NA | ||||
| Home Discharge Rate at DRG | 2.73 | ||||
| Home Discharge Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 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 298: CARDIAC ARREST, UNEXPLAINED WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 224: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI/HF/SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 806 | |
| Total Hospitalizations with ICD I462 - Cardiac arrest due to underlying cardiac condition | 15 | |
| DRG Share of Total Hospitalizations | 0.0 | |
| % of Total ICD I462 - Cardiac arrest due to underlying cardiac condition in DRG | 3.85 | |
| Avg LOS at DRG | 0.75 | |
| Avg LOS with ICD I462 - Cardiac arrest due to underlying cardiac condition | 1.8 | |
| Readmission Rate at DRG | NA | |
| Readmission Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | NA | |
| Unplanned Readmission Rate at DRG | NA | |
| Unplanned Readmission Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | NA | |
| Total Medicare payments at DRG | $2,377,804 | |
| Total Medicare payments with ICD I462 - Cardiac arrest due to underlying cardiac condition | $64,750 | |
| Total Medicare payment per Day at DRG | $3,937 | |
| Total Medicare payment per Day with ICD I462 - Cardiac arrest due to underlying cardiac condition | $2,398 | |
| Total Medicare payment per Hospitalization at DRG | $2,950 | |
| Total Medicare payment per Hospitalization with ICD I462 - Cardiac arrest due to underlying cardiac condition | $4,317 | |
| Total Medicare Charges at DRG | $13,572,098 | |
| Total Medicare Charges with ICD I462 - Cardiac arrest due to underlying cardiac condition | $200,306 | |
| Avg Charges at DRG | $16,839 | |
| Avg Charges with ICD I462 - Cardiac arrest due to underlying cardiac condition | $13,354 | |
| Mortality Rate at DRG | 78.29 | |
| Mortality Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | NA | |
| SNF Discharge Rate at DRG | 1.86 | |
| SNF Discharge Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | NA | |
| Home Discharge Rate at DRG | 8.81 | |
| Home Discharge Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 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 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 242: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,001 | ||||
| Total Hospitalizations with ICD I462 - Cardiac arrest due to underlying cardiac condition | 2,556 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD I462 - Cardiac arrest due to underlying cardiac condition in DRG | 9.39 | ||||
| Avg LOS at DRG | 5.32 | ||||
| Avg LOS with ICD I462 - Cardiac arrest due to underlying cardiac condition | 6.27 | ||||
| Readmission Rate at DRG | 23.7 | ||||
| Readmission Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 22.26 | ||||
| Unplanned Readmission Rate at DRG | 16.43 | ||||
| Unplanned Readmission Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 10.97 | ||||
| Total Medicare payments at DRG | $2,854,117,533 | ||||
| Total Medicare payments with ICD I462 - Cardiac arrest due to underlying cardiac condition | $57,625,844 | ||||
| Total Medicare payment per Day at DRG | $4,006 | ||||
| Total Medicare payment per Day with ICD I462 - Cardiac arrest due to underlying cardiac condition | $3,595 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,299 | ||||
| Total Medicare payment per Hospitalization with ICD I462 - Cardiac arrest due to underlying cardiac condition | $22,545 | ||||
| Total Medicare Charges at DRG | $16,607,700,460 | ||||
| Total Medicare Charges with ICD I462 - Cardiac arrest due to underlying cardiac condition | $372,558,655 | ||||
| Avg Charges at DRG | $123,937 | ||||
| Avg Charges with ICD I462 - Cardiac arrest due to underlying cardiac condition | $145,758 | ||||
| Mortality Rate at DRG | 3.88 | ||||
| Mortality Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 19.56 | ||||
| SNF Discharge Rate at DRG | 10.96 | ||||
| SNF Discharge Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 10.84 | ||||
| Home Discharge Rate at DRG | 62.82 | ||||
| Home Discharge Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 45.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 224: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI/HF/SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,336 | ||||
| Total Hospitalizations with ICD I462 - Cardiac arrest due to underlying cardiac condition | 1,112 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD I462 - Cardiac arrest due to underlying cardiac condition in DRG | 4.08 | ||||
| Avg LOS at DRG | 9.25 | ||||
| Avg LOS with ICD I462 - Cardiac arrest due to underlying cardiac condition | 7.11 | ||||
| Readmission Rate at DRG | 34.8 | ||||
| Readmission Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 40.99 | ||||
| Unplanned Readmission Rate at DRG | 18.65 | ||||
| Unplanned Readmission Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 13.83 | ||||
| Total Medicare payments at DRG | $1,809,252,224 | ||||
| Total Medicare payments with ICD I462 - Cardiac arrest due to underlying cardiac condition | $38,177,717 | ||||
| Total Medicare payment per Day at DRG | $3,736 | ||||
| Total Medicare payment per Day with ICD I462 - Cardiac arrest due to underlying cardiac condition | $4,829 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,570 | ||||
| Total Medicare payment per Hospitalization with ICD I462 - Cardiac arrest due to underlying cardiac condition | $34,332 | ||||
| Total Medicare Charges at DRG | $9,023,705,730 | ||||
| Total Medicare Charges with ICD I462 - Cardiac arrest due to underlying cardiac condition | $201,079,160 | ||||
| Avg Charges at DRG | $172,419 | ||||
| Avg Charges with ICD I462 - Cardiac arrest due to underlying cardiac condition | $180,827 | ||||
| Mortality Rate at DRG | 16.82 | ||||
| Mortality Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 53.6 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 7.28 | ||||
| Home Discharge Rate at DRG | 28.81 | ||||
| Home Discharge Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 11.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 226: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 222: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD I462 - Cardiac arrest due to underlying cardiac condition | 747 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD I462 - Cardiac arrest due to underlying cardiac condition in DRG | 2.74 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD I462 - Cardiac arrest due to underlying cardiac condition | 7.82 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 36.14 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 15.36 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD I462 - Cardiac arrest due to underlying cardiac condition | $12,849,770 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD I462 - Cardiac arrest due to underlying cardiac condition | $2,201 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD I462 - Cardiac arrest due to underlying cardiac condition | $17,202 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD I462 - Cardiac arrest due to underlying cardiac condition | $89,870,087 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD I462 - Cardiac arrest due to underlying cardiac condition | $120,308 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 38.55 | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 10.04 | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 14.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 215: OTHER HEART ASSIST SYSTEM IMPLANT | DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 248: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD I462 - Cardiac arrest due to underlying cardiac condition | 404 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD I462 - Cardiac arrest due to underlying cardiac condition in DRG | 1.48 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD I462 - Cardiac arrest due to underlying cardiac condition | 13.5 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 37.01 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 13.64 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD I462 - Cardiac arrest due to underlying cardiac condition | $15,288,179 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD I462 - Cardiac arrest due to underlying cardiac condition | $2,803 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD I462 - Cardiac arrest due to underlying cardiac condition | $37,842 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD I462 - Cardiac arrest due to underlying cardiac condition | $73,778,119 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD I462 - Cardiac arrest due to underlying cardiac condition | $182,619 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 58.66 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | 13.37 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD I462 - Cardiac arrest due to underlying cardiac condition | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 149 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 122 |
| INOVA FAIRFAX HOSPITAL | 3300 GALLOWS RD | FALLS CHURCH | VA | 22042 | 118 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THERESE MARIE LANGO | 541 W COLLEGE ST | FLORENCE | AL | 35630 | 14 |
| Dr. JASON A. GOEBEL | 933 MEDICAL CIR | MYRTLE BEACH | SC | 29572 | 13 |
| Dr. CRAIG ANDREW THIELING | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 13 |
| Dr. KHALED A SOROUR | 680 CENTRE ST | BROCKTON | MA | 02302 | 13 |
| Dr. THEO E MEYER | 55 LAKE AVE N | WORCESTER | MA | 01655 | 13 |