*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I5021 - Acute systolic (congestive) heart failure - as a primary diagnosis code | I5021 - Acute systolic (congestive) heart failure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.93 | |
| Readmission Rate (%) | 25.4 | |
| Unplanned Readmission Rate (%) | 15.28 | |
| 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 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 1,013,774 | ||||
| Total Hospitalizations with ICD I5021 - Acute systolic (congestive) heart failure | 11,668 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I5021 - Acute systolic (congestive) heart failure in DRG | 31.59 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I5021 - Acute systolic (congestive) heart failure | 5.1 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | 24.38 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | 17.75 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I5021 - Acute systolic (congestive) heart failure | $105,633,401 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I5021 - Acute systolic (congestive) heart failure | $1,775 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I5021 - Acute systolic (congestive) heart failure | $9,053 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I5021 - Acute systolic (congestive) heart failure | $468,844,103 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I5021 - Acute systolic (congestive) heart failure | $40,182 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I5021 - Acute systolic (congestive) heart failure | 5.25 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 19.52 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 38.46 |
*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 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 282: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I5021 - Acute systolic (congestive) heart failure | 1,282 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I5021 - Acute systolic (congestive) heart failure in DRG | 3.47 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I5021 - Acute systolic (congestive) heart failure | 5.8 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | 24.07 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | 16.17 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I5021 - Acute systolic (congestive) heart failure | $13,338,134 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I5021 - Acute systolic (congestive) heart failure | $1,794 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I5021 - Acute systolic (congestive) heart failure | $10,404 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I5021 - Acute systolic (congestive) heart failure | $65,831,612 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I5021 - Acute systolic (congestive) heart failure | $51,351 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I5021 - Acute systolic (congestive) heart failure | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 21.53 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 31.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,431 | ||||
| Total Hospitalizations with ICD I5021 - Acute systolic (congestive) heart failure | 146 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD I5021 - Acute systolic (congestive) heart failure in DRG | 0.4 | ||||
| Avg LOS at DRG | 4.53 | ||||
| Avg LOS with ICD I5021 - Acute systolic (congestive) heart failure | 5.13 | ||||
| Readmission Rate at DRG | NA | ||||
| Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | NA | ||||
| Unplanned Readmission Rate at DRG | NA | ||||
| Unplanned Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | NA | ||||
| Total Medicare payments at DRG | $375,682,488 | ||||
| Total Medicare payments with ICD I5021 - Acute systolic (congestive) heart failure | $1,755,451 | ||||
| Total Medicare payment per Day at DRG | $2,638 | ||||
| Total Medicare payment per Day with ICD I5021 - Acute systolic (congestive) heart failure | $2,344 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,953 | ||||
| Total Medicare payment per Hospitalization with ICD I5021 - Acute systolic (congestive) heart failure | $12,024 | ||||
| Total Medicare Charges at DRG | $1,972,247,066 | ||||
| Total Medicare Charges with ICD I5021 - Acute systolic (congestive) heart failure | $7,947,459 | ||||
| Avg Charges at DRG | $62,748 | ||||
| Avg Charges with ICD I5021 - Acute systolic (congestive) heart failure | $54,435 | ||||
| Mortality Rate at DRG | 100.0 | ||||
| Mortality Rate with ICD I5021 - Acute systolic (congestive) heart failure | 100.0 | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | NA | ||||
| Home Discharge Rate at DRG | NA | ||||
| Home Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 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 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 222: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK 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 | DRG 223: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 227: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,786 | ||||
| Total Hospitalizations with ICD I5021 - Acute systolic (congestive) heart failure | 75 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD I5021 - Acute systolic (congestive) heart failure in DRG | 0.2 | ||||
| Avg LOS at DRG | 12.78 | ||||
| Avg LOS with ICD I5021 - Acute systolic (congestive) heart failure | 17.71 | ||||
| Readmission Rate at DRG | 33.96 | ||||
| Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | 28.77 | ||||
| Unplanned Readmission Rate at DRG | 11.51 | ||||
| Unplanned Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | NA | ||||
| Total Medicare payments at DRG | $1,756,263,094 | ||||
| Total Medicare payments with ICD I5021 - Acute systolic (congestive) heart failure | $3,532,853 | ||||
| Total Medicare payment per Day at DRG | $3,636 | ||||
| Total Medicare payment per Day with ICD I5021 - Acute systolic (congestive) heart failure | $2,660 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,479 | ||||
| Total Medicare payment per Hospitalization with ICD I5021 - Acute systolic (congestive) heart failure | $47,105 | ||||
| Total Medicare Charges at DRG | $9,653,959,492 | ||||
| Total Medicare Charges with ICD I5021 - Acute systolic (congestive) heart failure | $22,207,261 | ||||
| Avg Charges at DRG | $255,490 | ||||
| Avg Charges with ICD I5021 - Acute systolic (congestive) heart failure | $296,097 | ||||
| Mortality Rate at DRG | 4.14 | ||||
| Mortality Rate with ICD I5021 - Acute systolic (congestive) heart failure | NA | ||||
| SNF Discharge Rate at DRG | 23.92 | ||||
| SNF Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 24.0 | ||||
| Home Discharge Rate at DRG | 19.79 | ||||
| Home Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 21.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 104 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 93 |
| BRYAN MEDICAL CENTER | 1600 S 48TH ST | LINCOLN | NE | 68506 | 81 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HOUSAM I HADDAD | 187 WOLFORD AVE | LIBERTY | KY | 42539 | 54 |
| Dr. DAVID L HARRISON | 1203 JEFFERSON ST | LAUREL | MS | 39440 | 33 |
| Dr. LOUIS SANG-SOO PARK | 500 S VIRGIL AVE # 502 | LOS ANGELES | CA | 90020 | 23 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE 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 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I5021 - Acute systolic (congestive) heart failure | 31,301 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I5021 - Acute systolic (congestive) heart failure in DRG | 13.45 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I5021 - Acute systolic (congestive) heart failure | 4.9 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | 24.8 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | 18.49 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I5021 - Acute systolic (congestive) heart failure | $281,329,145 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I5021 - Acute systolic (congestive) heart failure | $1,833 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I5021 - Acute systolic (congestive) heart failure | $8,988 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I5021 - Acute systolic (congestive) heart failure | $1,292,701,725 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I5021 - Acute systolic (congestive) heart failure | $41,299 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I5021 - Acute systolic (congestive) heart failure | 4.02 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 18.21 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 41.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD I5021 - Acute systolic (congestive) heart failure | 12,554 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD I5021 - Acute systolic (congestive) heart failure in DRG | 5.4 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD I5021 - Acute systolic (congestive) heart failure | 4.3 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | 18.92 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | 13.48 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD I5021 - Acute systolic (congestive) heart failure | $90,388,609 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD I5021 - Acute systolic (congestive) heart failure | $1,674 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD I5021 - Acute systolic (congestive) heart failure | $7,200 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD I5021 - Acute systolic (congestive) heart failure | $444,359,394 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD I5021 - Acute systolic (congestive) heart failure | $35,396 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD I5021 - Acute systolic (congestive) heart failure | 2.05 | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 11.62 | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 59.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,786 | ||||
| Total Hospitalizations with ICD I5021 - Acute systolic (congestive) heart failure | 3,979 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD I5021 - Acute systolic (congestive) heart failure in DRG | 1.71 | ||||
| Avg LOS at DRG | 12.78 | ||||
| Avg LOS with ICD I5021 - Acute systolic (congestive) heart failure | 12.89 | ||||
| Readmission Rate at DRG | 33.96 | ||||
| Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | 31.62 | ||||
| Unplanned Readmission Rate at DRG | 11.51 | ||||
| Unplanned Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | 11.55 | ||||
| Total Medicare payments at DRG | $1,756,263,094 | ||||
| Total Medicare payments with ICD I5021 - Acute systolic (congestive) heart failure | $186,466,261 | ||||
| Total Medicare payment per Day at DRG | $3,636 | ||||
| Total Medicare payment per Day with ICD I5021 - Acute systolic (congestive) heart failure | $3,636 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,479 | ||||
| Total Medicare payment per Hospitalization with ICD I5021 - Acute systolic (congestive) heart failure | $46,863 | ||||
| Total Medicare Charges at DRG | $9,653,959,492 | ||||
| Total Medicare Charges with ICD I5021 - Acute systolic (congestive) heart failure | $1,011,770,037 | ||||
| Avg Charges at DRG | $255,490 | ||||
| Avg Charges with ICD I5021 - Acute systolic (congestive) heart failure | $254,277 | ||||
| Mortality Rate at DRG | 4.14 | ||||
| Mortality Rate with ICD I5021 - Acute systolic (congestive) heart failure | 4.5 | ||||
| SNF Discharge Rate at DRG | 23.92 | ||||
| SNF Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 24.91 | ||||
| Home Discharge Rate at DRG | 19.79 | ||||
| Home Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 20.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD I5021 - Acute systolic (congestive) heart failure | 3,356 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD I5021 - Acute systolic (congestive) heart failure in DRG | 1.44 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD I5021 - Acute systolic (congestive) heart failure | 7.39 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | 29.57 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD I5021 - Acute systolic (congestive) heart failure | 16.84 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD I5021 - Acute systolic (congestive) heart failure | $51,266,296 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD I5021 - Acute systolic (congestive) heart failure | $2,068 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD I5021 - Acute systolic (congestive) heart failure | $15,276 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD I5021 - Acute systolic (congestive) heart failure | $307,161,631 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD I5021 - Acute systolic (congestive) heart failure | $91,526 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD I5021 - Acute systolic (congestive) heart failure | 23.21 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 17.73 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD I5021 - Acute systolic (congestive) heart failure | 22.77 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 748 |
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 614 |
| BRYAN MEDICAL CENTER | 1600 S 48TH ST | LINCOLN | NE | 68506 | 576 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 73 |
| Dr. LEONARD GIRARDI | 525 E 68TH ST # M404 | NEW YORK | NY | 10065 | 58 |
| Dr. RAYMOND LEE | 1824 KING ST | JACKSONVILLE | FL | 32204 | 58 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 101 |
| Dr. MILAN PATEL | 2660 CRIMSON CANYON DR | LAS VEGAS | NV | 89128 | 99 |
| Dr. MIRATIQULLAH HESSAMI | 33425 E LAKE JOANNA DR | EUSTIS | FL | 32736 | 84 |