*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure - as a primary diagnosis code | I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.01 | |
| Readmission Rate (%) | 28.6 | |
| Unplanned Readmission Rate (%) | 18.46 | |
| 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 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 227: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 938 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure in DRG | 42.08 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 5.18 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 27.66 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 19.43 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $7,623,504 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $1,569 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $8,127 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $27,033,505 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $28,820 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 1.81 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 15.46 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 40.94 |
*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 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM 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 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 36 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure in DRG | 1.62 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 6.33 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | NA | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | NA | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $530,479 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $2,327 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $14,736 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $2,576,587 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $71,572 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | NA | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | NA | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 55.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 245: AICD GENERATOR PROCEDURES | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 7,390 | ||
| Total Hospitalizations with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 15 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure in DRG | 0.67 | ||
| Avg LOS at DRG | 6.08 | ||
| Avg LOS with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 5.53 | ||
| Readmission Rate at DRG | 23.13 | ||
| Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | NA | ||
| Unplanned Readmission Rate at DRG | 15.85 | ||
| Unplanned Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | NA | ||
| Total Medicare payments at DRG | $245,482,210 | ||
| Total Medicare payments with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $463,870 | ||
| Total Medicare payment per Day at DRG | $5,463 | ||
| Total Medicare payment per Day with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $5,589 | ||
| Total Medicare payment per Hospitalization at DRG | $33,218 | ||
| Total Medicare payment per Hospitalization with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $30,925 | ||
| Total Medicare Charges at DRG | $1,254,676,815 | ||
| Total Medicare Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $3,100,282 | ||
| Avg Charges at DRG | $169,780 | ||
| Avg Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $206,685 | ||
| Mortality Rate at DRG | 0.83 | ||
| Mortality Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | NA | ||
| SNF Discharge Rate at DRG | 13.02 | ||
| SNF Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | NA | ||
| Home Discharge Rate at DRG | 62.29 | ||
| Home Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHI HEALTH NEBRASKA HEART | 7500 SO. 91ST ST. | LINCOLN | NE | 68526 | 12 |
| UNIVERSITY MEDICAL CENTER | 602 INDIANA AVE | LUBBOCK | TX | 79415 | 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 21,946 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure in DRG | 7.35 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 6.7 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 28.41 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 20.32 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $262,964,051 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $1,789 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $11,982 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $1,348,666,316 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $61,454 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 13.31 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 30.05 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 21.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 5,990 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure in DRG | 2.01 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 4.77 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 29.17 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 24.17 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $43,383,694 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $1,518 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $7,243 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $216,961,304 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $36,221 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 1.47 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 17.7 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 47.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | 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 291: HEART FAILURE AND SHOCK 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 | 150,404 | ||||
| Total Hospitalizations with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 4,577 | ||||
| DRG Share of Total Hospitalizations | 0.46 | ||||
| % of Total ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure in DRG | 1.53 | ||||
| Avg LOS at DRG | 3.31 | ||||
| Avg LOS with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 3.38 | ||||
| Readmission Rate at DRG | 20.72 | ||||
| Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 24.1 | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 18.15 | ||||
| Total Medicare payments at DRG | $938,855,823 | ||||
| Total Medicare payments with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $28,877,861 | ||||
| Total Medicare payment per Day at DRG | $1,886 | ||||
| Total Medicare payment per Day with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $1,865 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,242 | ||||
| Total Medicare payment per Hospitalization with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $6,309 | ||||
| Total Medicare Charges at DRG | $5,236,903,865 | ||||
| Total Medicare Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $153,379,680 | ||||
| Avg Charges at DRG | $34,819 | ||||
| Avg Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $33,511 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | NA | ||||
| SNF Discharge Rate at DRG | 13.12 | ||||
| SNF Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 14.35 | ||||
| Home Discharge Rate at DRG | 52.08 | ||||
| Home Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 53.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,685 | ||||
| Total Hospitalizations with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 3,697 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure in DRG | 1.24 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 2.85 | ||||
| Readmission Rate at DRG | 12.03 | ||||
| Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 12.35 | ||||
| Unplanned Readmission Rate at DRG | 8.33 | ||||
| Unplanned Readmission Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 8.56 | ||||
| Total Medicare payments at DRG | $2,520,642,710 | ||||
| Total Medicare payments with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $164,090,752 | ||||
| Total Medicare payment per Day at DRG | $15,685 | ||||
| Total Medicare payment per Day with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $15,596 | ||||
| Total Medicare payment per Hospitalization at DRG | $44,468 | ||||
| Total Medicare payment per Hospitalization with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $44,385 | ||||
| Total Medicare Charges at DRG | $10,767,214,002 | ||||
| Total Medicare Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $698,071,388 | ||||
| Avg Charges at DRG | $189,948 | ||||
| Avg Charges with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | $188,821 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | NA | ||||
| SNF Discharge Rate at DRG | 7.22 | ||||
| SNF Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 6.84 | ||||
| Home Discharge Rate at DRG | 67.96 | ||||
| Home Discharge Rate with ICD I5042 - Chronic combined systolic (congestive) and diastolic (congestive) heart failure | 68.6 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 2,536 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,523 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 1,429 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 145 |
| Dr. STEVEN F BOLLING | 1500 EAST MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 143 |
| Dr. FRANCIS L SHANNON | 3601 W. 13 MILE RD. | ROYAL OAK | MI | 48073 | 122 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 552 |
| Dr. MORAD L EL-RAHEB | 1145 S UTICA AVE | TULSA | OK | 74104 | 164 |
| Dr. CARMEN GNATENCO | 4938 W 95TH ST | OAK LAWN | IL | 60453 | 149 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris |
| 2 | Z87891 | Personal history of nicotine dependence |