*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I50810 - Right heart failure, unspecified - as a primary diagnosis code | I50810 - Right heart failure, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.15 | |
| Readmission Rate (%) | 27.78 | |
| Unplanned Readmission Rate (%) | 16.52 | |
| 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 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH 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 I50810 - Right heart failure, unspecified | 120 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD I50810 - Right heart failure, unspecified in DRG | 42.55 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD I50810 - Right heart failure, unspecified | 4.75 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD I50810 - Right heart failure, unspecified | 24.74 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD I50810 - Right heart failure, unspecified | 18.56 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD I50810 - Right heart failure, unspecified | $922,897 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD I50810 - Right heart failure, unspecified | $1,619 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD I50810 - Right heart failure, unspecified | $7,691 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD I50810 - Right heart failure, unspecified | $3,613,963 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD I50810 - Right heart failure, unspecified | $30,116 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD I50810 - Right heart failure, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD I50810 - Right heart failure, unspecified | 14.17 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD I50810 - Right heart failure, unspecified | 39.17 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I50810 - Right heart failure, unspecified | 1,553 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I50810 - Right heart failure, unspecified in DRG | 11.38 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I50810 - Right heart failure, unspecified | 6.31 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I50810 - Right heart failure, unspecified | 28.25 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I50810 - Right heart failure, unspecified | 21.59 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I50810 - Right heart failure, unspecified | $15,568,255 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I50810 - Right heart failure, unspecified | $1,590 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I50810 - Right heart failure, unspecified | $10,025 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I50810 - Right heart failure, unspecified | $77,658,560 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I50810 - Right heart failure, unspecified | $50,006 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I50810 - Right heart failure, unspecified | 7.02 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I50810 - Right heart failure, unspecified | 20.48 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I50810 - Right heart failure, unspecified | 32.58 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD I50810 - Right heart failure, unspecified | 366 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD I50810 - Right heart failure, unspecified in DRG | 2.68 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD I50810 - Right heart failure, unspecified | 10.77 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD I50810 - Right heart failure, unspecified | 26.09 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD I50810 - Right heart failure, unspecified | 15.38 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD I50810 - Right heart failure, unspecified | $7,234,501 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD I50810 - Right heart failure, unspecified | $1,835 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD I50810 - Right heart failure, unspecified | $19,766 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD I50810 - Right heart failure, unspecified | $45,840,773 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD I50810 - Right heart failure, unspecified | $125,248 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD I50810 - Right heart failure, unspecified | 5.46 | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD I50810 - Right heart failure, unspecified | 10.93 | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD I50810 - Right heart failure, unspecified | 44.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT 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 | 365,119 | ||||
| Total Hospitalizations with ICD I50810 - Right heart failure, unspecified | 176 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD I50810 - Right heart failure, unspecified in DRG | 1.29 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD I50810 - Right heart failure, unspecified | 7.93 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD I50810 - Right heart failure, unspecified | 28.24 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD I50810 - Right heart failure, unspecified | 22.14 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD I50810 - Right heart failure, unspecified | $2,092,056 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD I50810 - Right heart failure, unspecified | $1,500 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD I50810 - Right heart failure, unspecified | $11,887 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD I50810 - Right heart failure, unspecified | $11,947,709 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD I50810 - Right heart failure, unspecified | $67,885 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD I50810 - Right heart failure, unspecified | 14.2 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD I50810 - Right heart failure, unspecified | 30.68 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD I50810 - Right heart failure, unspecified | 20.45 |
*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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I50810 - Right heart failure, unspecified | 164 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I50810 - Right heart failure, unspecified in DRG | 1.2 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I50810 - Right heart failure, unspecified | 6.32 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I50810 - Right heart failure, unspecified | 19.58 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I50810 - Right heart failure, unspecified | 13.99 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I50810 - Right heart failure, unspecified | $1,919,425 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I50810 - Right heart failure, unspecified | $1,853 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I50810 - Right heart failure, unspecified | $11,704 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I50810 - Right heart failure, unspecified | $10,806,049 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I50810 - Right heart failure, unspecified | $65,891 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I50810 - Right heart failure, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I50810 - Right heart failure, unspecified | 17.07 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I50810 - Right heart failure, unspecified | 31.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 78 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 72 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 65 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SURAYIA T HASAN | 224 PROFESSIONAL PARK | BECKLEY | WV | 25801 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SURAYIA T HASAN | 224 PROFESSIONAL PARK | BECKLEY | WV | 25801 | 43 |
| Dr. IRENE M WASYLYK | 224 PROFESSIONAL PARK | BECKLEY | WV | 25801 | 18 |
| Dr. GEORGE EDWARD BURNETTE | 424 JETT DR | JACKSON | KY | 41339 | 11 |