*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I5031 - Acute diastolic (congestive) heart failure - as a primary diagnosis code | I5031 - Acute diastolic (congestive) heart failure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.63 | |
| Readmission Rate (%) | 24.65 | |
| Unplanned Readmission Rate (%) | 15.73 | |
| 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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I5031 - Acute diastolic (congestive) heart failure | 20,353 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I5031 - Acute diastolic (congestive) heart failure in DRG | 44.38 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I5031 - Acute diastolic (congestive) heart failure | 5.06 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 23.53 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 17.26 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I5031 - Acute diastolic (congestive) heart failure | $182,476,818 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I5031 - Acute diastolic (congestive) heart failure | $1,773 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I5031 - Acute diastolic (congestive) heart failure | $8,966 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $800,883,529 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $39,350 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 3.22 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 23.08 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 38.02 |
*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 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 282: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD I5031 - Acute diastolic (congestive) heart failure | 715 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD I5031 - Acute diastolic (congestive) heart failure in DRG | 1.56 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD I5031 - Acute diastolic (congestive) heart failure | 6.83 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 29.39 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 16.17 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD I5031 - Acute diastolic (congestive) heart failure | $9,558,813 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD I5031 - Acute diastolic (congestive) heart failure | $1,958 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD I5031 - Acute diastolic (congestive) heart failure | $13,369 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $53,705,275 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $75,112 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD I5031 - Acute diastolic (congestive) heart failure | NA | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 13.57 | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 47.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 242: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 55,775 | ||||
| Total Hospitalizations with ICD I5031 - Acute diastolic (congestive) heart failure | 110 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD I5031 - Acute diastolic (congestive) heart failure in DRG | 0.24 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD I5031 - Acute diastolic (congestive) heart failure | 8.33 | ||||
| Readmission Rate at DRG | 23.54 | ||||
| Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 22.33 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 14.56 | ||||
| Total Medicare payments at DRG | $1,347,495,990 | ||||
| Total Medicare payments with ICD I5031 - Acute diastolic (congestive) heart failure | $2,604,423 | ||||
| Total Medicare payment per Day at DRG | $3,498 | ||||
| Total Medicare payment per Day with ICD I5031 - Acute diastolic (congestive) heart failure | $2,843 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,159 | ||||
| Total Medicare payment per Hospitalization with ICD I5031 - Acute diastolic (congestive) heart failure | $23,677 | ||||
| Total Medicare Charges at DRG | $6,626,803,325 | ||||
| Total Medicare Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $12,252,069 | ||||
| Avg Charges at DRG | $118,813 | ||||
| Avg Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $111,382 | ||||
| Mortality Rate at DRG | 2.32 | ||||
| Mortality Rate with ICD I5031 - Acute diastolic (congestive) heart failure | NA | ||||
| SNF Discharge Rate at DRG | 27.28 | ||||
| SNF Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 25.45 | ||||
| Home Discharge Rate at DRG | 38.04 | ||||
| Home Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 27.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 259: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 77,210 | ||||
| Total Hospitalizations with ICD I5031 - Acute diastolic (congestive) heart failure | 69 | ||||
| DRG Share of Total Hospitalizations | 0.23 | ||||
| % of Total ICD I5031 - Acute diastolic (congestive) heart failure in DRG | 0.15 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD I5031 - Acute diastolic (congestive) heart failure | 6.48 | ||||
| Readmission Rate at DRG | 14.03 | ||||
| Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 31.88 | ||||
| Unplanned Readmission Rate at DRG | 9.24 | ||||
| Unplanned Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 26.09 | ||||
| Total Medicare payments at DRG | $1,267,898,136 | ||||
| Total Medicare payments with ICD I5031 - Acute diastolic (congestive) heart failure | $1,116,888 | ||||
| Total Medicare payment per Day at DRG | $4,144 | ||||
| Total Medicare payment per Day with ICD I5031 - Acute diastolic (congestive) heart failure | $2,499 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,421 | ||||
| Total Medicare payment per Hospitalization with ICD I5031 - Acute diastolic (congestive) heart failure | $16,187 | ||||
| Total Medicare Charges at DRG | $6,484,818,467 | ||||
| Total Medicare Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $6,397,096 | ||||
| Avg Charges at DRG | $83,989 | ||||
| Avg Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $92,712 | ||||
| Mortality Rate at DRG | 0.15 | ||||
| Mortality Rate with ICD I5031 - Acute diastolic (congestive) heart failure | NA | ||||
| SNF Discharge Rate at DRG | 15.92 | ||||
| SNF Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 31.88 | ||||
| Home Discharge Rate at DRG | 59.76 | ||||
| Home Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 39.13 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 160 |
| NANTICOKE MEMORIAL HOSPITAL | 801 MIDDLEFORD RD | SEAFORD | DE | 19973 | 128 |
| BEEBE HEALTHCARE | 424 SAVANNAH RD | LEWES | DE | 19958 | 122 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL A PEREZ-NAVARRO | 2605 FOREST HILLS RD SW | WILSON | NC | 27893 | 16 |
| Dr. SUNIL K PRAKASH CHAND | 2605 FOREST HILLS RD SW | WILSON | NC | 27893 | 14 |
| Dr. TIMOTHY NOBLE SPARTA | 100 E CARROLL ST | SALISBURY | MD | 21801 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK A ROBERTS | 106 EDWINA STREET | EVERGREEN | AL | 36401 | 45 |
| Dr. MIRATIQULLAH HESSAMI | 33425 E LAKE JOANNA DR | EUSTIS | FL | 32736 | 29 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 28 |
*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 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I5031 - Acute diastolic (congestive) heart failure | 58,874 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I5031 - Acute diastolic (congestive) heart failure in DRG | 20.37 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I5031 - Acute diastolic (congestive) heart failure | 4.79 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 23.47 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 17.82 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I5031 - Acute diastolic (congestive) heart failure | $521,126,880 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I5031 - Acute diastolic (congestive) heart failure | $1,847 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I5031 - Acute diastolic (congestive) heart failure | $8,852 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $2,370,770,578 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $40,269 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 2.34 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 21.34 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 41.18 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 149,454 | ||||
| Total Hospitalizations with ICD I5031 - Acute diastolic (congestive) heart failure | 11,032 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD I5031 - Acute diastolic (congestive) heart failure in DRG | 3.82 | ||||
| Avg LOS at DRG | 2.91 | ||||
| Avg LOS with ICD I5031 - Acute diastolic (congestive) heart failure | 2.69 | ||||
| Readmission Rate at DRG | 19.06 | ||||
| Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 14.71 | ||||
| Unplanned Readmission Rate at DRG | 13.94 | ||||
| Unplanned Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 10.83 | ||||
| Total Medicare payments at DRG | $634,267,172 | ||||
| Total Medicare payments with ICD I5031 - Acute diastolic (congestive) heart failure | $42,559,936 | ||||
| Total Medicare payment per Day at DRG | $1,460 | ||||
| Total Medicare payment per Day with ICD I5031 - Acute diastolic (congestive) heart failure | $1,433 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,244 | ||||
| Total Medicare payment per Hospitalization with ICD I5031 - Acute diastolic (congestive) heart failure | $3,858 | ||||
| Total Medicare Charges at DRG | $3,009,861,593 | ||||
| Total Medicare Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $234,167,681 | ||||
| Avg Charges at DRG | $20,139 | ||||
| Avg Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $21,226 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 0.14 | ||||
| SNF Discharge Rate at DRG | 10.57 | ||||
| SNF Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 10.96 | ||||
| Home Discharge Rate at DRG | 58.05 | ||||
| Home Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 60.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS 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 | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 242: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD I5031 - Acute diastolic (congestive) heart failure | 5,058 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD I5031 - Acute diastolic (congestive) heart failure in DRG | 1.75 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD I5031 - Acute diastolic (congestive) heart failure | 7.76 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 24.29 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 17.16 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD I5031 - Acute diastolic (congestive) heart failure | $59,830,687 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD I5031 - Acute diastolic (congestive) heart failure | $1,525 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD I5031 - Acute diastolic (congestive) heart failure | $11,829 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $320,076,385 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $63,281 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 7.1 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 37.13 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 17.79 |
*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 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD I5031 - Acute diastolic (congestive) heart failure | 3,516 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD I5031 - Acute diastolic (congestive) heart failure in DRG | 1.22 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD I5031 - Acute diastolic (congestive) heart failure | 8.36 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 34.04 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 20.03 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD I5031 - Acute diastolic (congestive) heart failure | $55,081,518 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD I5031 - Acute diastolic (congestive) heart failure | $1,874 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD I5031 - Acute diastolic (congestive) heart failure | $15,666 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $338,853,943 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD I5031 - Acute diastolic (congestive) heart failure | $96,375 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 17.29 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 23.01 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD I5031 - Acute diastolic (congestive) heart failure | 21.27 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,385 |
| BEEBE HEALTHCARE | 424 SAVANNAH RD | LEWES | DE | 19958 | 779 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 666 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 325 |
| Dr. TODD P CHAPMAN | 1470 MEDICAL PKWY | CARSON CITY | NV | 89703 | 86 |
| Dr. STEVEN J WEISS | 3624 MARKET ST | PHILADELPHIA | PA | 19104 | 78 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 479 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 180 |
| Dr. KATHY H LEE | 4200 SUN N LAKE BLVD | SEBRING | FL | 33872 | 158 |