*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I5022 - Chronic systolic (congestive) heart failure - as a primary diagnosis code | I5022 - Chronic systolic (congestive) heart failure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.87 | |
| Readmission Rate (%) | 27.44 | |
| Unplanned Readmission Rate (%) | 17.52 | |
| 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 227: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD I5022 - Chronic systolic (congestive) heart failure | 2,303 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD I5022 - Chronic systolic (congestive) heart failure in DRG | 38.99 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD I5022 - Chronic systolic (congestive) heart failure | 5.1 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 27.14 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 19.1 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD I5022 - Chronic systolic (congestive) heart failure | $18,713,762 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD I5022 - Chronic systolic (congestive) heart failure | $1,592 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD I5022 - Chronic systolic (congestive) heart failure | $8,126 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $65,651,107 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $28,507 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 3.21 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 13.5 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 42.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 223: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 226: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,277 | ||||
| Total Hospitalizations with ICD I5022 - Chronic systolic (congestive) heart failure | 146 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD I5022 - Chronic systolic (congestive) heart failure in DRG | 2.47 | ||||
| Avg LOS at DRG | 34.54 | ||||
| Avg LOS with ICD I5022 - Chronic systolic (congestive) heart failure | 25.76 | ||||
| Readmission Rate at DRG | 45.96 | ||||
| Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 41.61 | ||||
| Unplanned Readmission Rate at DRG | 8.81 | ||||
| Unplanned Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | NA | ||||
| Total Medicare payments at DRG | $1,394,438,033 | ||||
| Total Medicare payments with ICD I5022 - Chronic systolic (congestive) heart failure | $27,052,747 | ||||
| Total Medicare payment per Day at DRG | $6,431 | ||||
| Total Medicare payment per Day with ICD I5022 - Chronic systolic (congestive) heart failure | $7,193 | ||||
| Total Medicare payment per Hospitalization at DRG | $222,150 | ||||
| Total Medicare payment per Hospitalization with ICD I5022 - Chronic systolic (congestive) heart failure | $185,293 | ||||
| Total Medicare Charges at DRG | $6,283,395,142 | ||||
| Total Medicare Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $112,884,036 | ||||
| Avg Charges at DRG | $1,001,019 | ||||
| Avg Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $773,178 | ||||
| Mortality Rate at DRG | 11.95 | ||||
| Mortality Rate with ICD I5022 - Chronic systolic (congestive) heart failure | NA | ||||
| SNF Discharge Rate at DRG | 4.09 | ||||
| SNF Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | NA | ||||
| Home Discharge Rate at DRG | 22.56 | ||||
| Home Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 39.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 002: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 245: AICD GENERATOR PROCEDURES | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 265: AICD LEAD PROCEDURES | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 638 | ||||
| Total Hospitalizations with ICD I5022 - Chronic systolic (congestive) heart failure | 55 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD I5022 - Chronic systolic (congestive) heart failure in DRG | 0.93 | ||||
| Avg LOS at DRG | 19.16 | ||||
| Avg LOS with ICD I5022 - Chronic systolic (congestive) heart failure | 15.96 | ||||
| Readmission Rate at DRG | 29.29 | ||||
| Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 29.09 | ||||
| Unplanned Readmission Rate at DRG | 7.77 | ||||
| Unplanned Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | NA | ||||
| Total Medicare payments at DRG | $77,486,534 | ||||
| Total Medicare payments with ICD I5022 - Chronic systolic (congestive) heart failure | $6,233,157 | ||||
| Total Medicare payment per Day at DRG | $6,339 | ||||
| Total Medicare payment per Day with ICD I5022 - Chronic systolic (congestive) heart failure | $7,099 | ||||
| Total Medicare payment per Hospitalization at DRG | $121,452 | ||||
| Total Medicare payment per Hospitalization with ICD I5022 - Chronic systolic (congestive) heart failure | $113,330 | ||||
| Total Medicare Charges at DRG | $368,629,340 | ||||
| Total Medicare Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $31,947,021 | ||||
| Avg Charges at DRG | $577,789 | ||||
| Avg Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $580,855 | ||||
| Mortality Rate at DRG | 2.04 | ||||
| Mortality Rate with ICD I5022 - Chronic systolic (congestive) heart failure | NA | ||||
| SNF Discharge Rate at DRG | 2.19 | ||||
| SNF Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | NA | ||||
| Home Discharge Rate at DRG | 44.83 | ||||
| Home Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 61.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 222: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,449 | ||||
| Total Hospitalizations with ICD I5022 - Chronic systolic (congestive) heart failure | 26 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD I5022 - Chronic systolic (congestive) heart failure in DRG | 0.44 | ||||
| Avg LOS at DRG | 10.01 | ||||
| Avg LOS with ICD I5022 - Chronic systolic (congestive) heart failure | 12.5 | ||||
| Readmission Rate at DRG | 31.36 | ||||
| Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | NA | ||||
| Unplanned Readmission Rate at DRG | 20.04 | ||||
| Unplanned Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | NA | ||||
| Total Medicare payments at DRG | $793,793,345 | ||||
| Total Medicare payments with ICD I5022 - Chronic systolic (congestive) heart failure | $590,523 | ||||
| Total Medicare payment per Day at DRG | $2,118 | ||||
| Total Medicare payment per Day with ICD I5022 - Chronic systolic (congestive) heart failure | $1,817 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,197 | ||||
| Total Medicare payment per Hospitalization with ICD I5022 - Chronic systolic (congestive) heart failure | $22,712 | ||||
| Total Medicare Charges at DRG | $3,956,370,459 | ||||
| Total Medicare Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $2,359,751 | ||||
| Avg Charges at DRG | $105,647 | ||||
| Avg Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $90,760 | ||||
| Mortality Rate at DRG | 5.33 | ||||
| Mortality Rate with ICD I5022 - Chronic systolic (congestive) heart failure | NA | ||||
| SNF Discharge Rate at DRG | 23.77 | ||||
| SNF Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | NA | ||||
| Home Discharge Rate at DRG | 33.21 | ||||
| Home Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CALVARY HOSPITAL | 1740 EASTCHESTER RD | BRONX | NY | 10461 | 64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 40 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 40 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAY K BHAMA | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PADMAJA KONDAMURI | 8840 CALUMET AVE | MUNSTER | IN | 46321 | 30 |
| Dr. IRINA MAKAREVICH | 150 55TH ST | BROOKLYN | NY | 11220 | 11 |
| Dr. DONALD SULLIVAN | 4100 AUSTIN PEAY HWY | MEMPHIS | TN | 38128 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I5022 - Chronic systolic (congestive) heart failure | 59,882 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I5022 - Chronic systolic (congestive) heart failure in DRG | 6.69 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I5022 - Chronic systolic (congestive) heart failure | 6.56 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 27.9 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 19.83 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I5022 - Chronic systolic (congestive) heart failure | $719,028,913 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I5022 - Chronic systolic (congestive) heart failure | $1,830 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I5022 - Chronic systolic (congestive) heart failure | $12,007 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $3,645,611,869 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $60,880 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 13.94 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 27.88 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 22.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD I5022 - Chronic systolic (congestive) heart failure | 16,095 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD I5022 - Chronic systolic (congestive) heart failure in DRG | 1.8 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD I5022 - Chronic systolic (congestive) heart failure | 6.18 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 30.46 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 23.7 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD I5022 - Chronic systolic (congestive) heart failure | $154,110,803 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD I5022 - Chronic systolic (congestive) heart failure | $1,549 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD I5022 - Chronic systolic (congestive) heart failure | $9,575 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $742,220,600 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $46,115 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 5.15 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 19.58 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 39.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD I5022 - Chronic systolic (congestive) heart failure | 13,634 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD I5022 - Chronic systolic (congestive) heart failure in DRG | 1.52 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD I5022 - Chronic systolic (congestive) heart failure | 5.21 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 25.66 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 19.96 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD I5022 - Chronic systolic (congestive) heart failure | $118,225,640 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD I5022 - Chronic systolic (congestive) heart failure | $1,664 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD I5022 - Chronic systolic (congestive) heart failure | $8,671 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $558,491,118 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $40,963 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 3.98 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 23.4 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 39.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD I5022 - Chronic systolic (congestive) heart failure | 10,181 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD I5022 - Chronic systolic (congestive) heart failure in DRG | 1.14 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD I5022 - Chronic systolic (congestive) heart failure | 3.74 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 20.46 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 8.5 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD I5022 - Chronic systolic (congestive) heart failure | $126,757,881 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD I5022 - Chronic systolic (congestive) heart failure | $3,332 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD I5022 - Chronic systolic (congestive) heart failure | $12,450 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $681,636,886 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD I5022 - Chronic systolic (congestive) heart failure | $66,952 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 0.39 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 44.45 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD I5022 - Chronic systolic (congestive) heart failure | 17.59 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 3,205 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 2,596 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 2,411 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 955 |
| Dr. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 147 |
| Dr. THEODORE L SCHREIBER | 8545 COMMON ROAD | WARREN | MI | 48093 | 146 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 958 |
| Dr. KYME CLINTON | 501 ARVEN CT | ALTAMONTE SPRINGS | FL | 32701 | 239 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 235 |