*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I5082 - Biventricular heart failure - as a primary diagnosis code | I5082 - Biventricular heart failure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.26 | |
| Readmission Rate (%) | 28.35 | |
| Unplanned Readmission Rate (%) | 14.85 | |
| 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) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | |||
| Total Hospitalizations with ICD I5082 - Biventricular heart failure | 90 | |||
| DRG Share of Total Hospitalizations | 3.08 | |||
| % of Total ICD I5082 - Biventricular heart failure in DRG | 35.16 | |||
| Avg LOS at DRG | 5.34 | |||
| Avg LOS with ICD I5082 - Biventricular heart failure | 6.14 | |||
| Readmission Rate at DRG | 28.25 | |||
| Readmission Rate with ICD I5082 - Biventricular heart failure | 23.53 | |||
| Unplanned Readmission Rate at DRG | 21.93 | |||
| Unplanned Readmission Rate with ICD I5082 - Biventricular heart failure | 17.65 | |||
| Total Medicare payments at DRG | $9,469,067,156 | |||
| Total Medicare payments with ICD I5082 - Biventricular heart failure | $996,189 | |||
| Total Medicare payment per Day at DRG | $1,751 | |||
| Total Medicare payment per Day with ICD I5082 - Biventricular heart failure | $1,801 | |||
| Total Medicare payment per Hospitalization at DRG | $9,340 | |||
| Total Medicare payment per Hospitalization with ICD I5082 - Biventricular heart failure | $11,069 | |||
| Total Medicare Charges at DRG | $43,343,716,813 | |||
| Total Medicare Charges with ICD I5082 - Biventricular heart failure | $4,291,733 | |||
| Avg Charges at DRG | $42,755 | |||
| Avg Charges with ICD I5082 - Biventricular heart failure | $47,686 | |||
| Mortality Rate at DRG | 3.72 | |||
| Mortality Rate with ICD I5082 - Biventricular heart failure | 12.22 | |||
| SNF Discharge Rate at DRG | 20.84 | |||
| SNF Discharge Rate with ICD I5082 - Biventricular heart failure | NA | |||
| Home Discharge Rate at DRG | 37.68 | |||
| Home Discharge Rate with ICD I5082 - Biventricular heart failure | 24.44 |
*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 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 I5082 - Biventricular heart failure | 4,359 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I5082 - Biventricular heart failure in DRG | 25.87 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I5082 - Biventricular heart failure | 7.02 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I5082 - Biventricular heart failure | 27.57 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I5082 - Biventricular heart failure | 20.98 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I5082 - Biventricular heart failure | $45,435,800 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I5082 - Biventricular heart failure | $1,485 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I5082 - Biventricular heart failure | $10,423 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I5082 - Biventricular heart failure | $229,664,202 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I5082 - Biventricular heart failure | $52,687 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I5082 - Biventricular heart failure | 6.88 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I5082 - Biventricular heart failure | 18.83 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I5082 - Biventricular heart failure | 31.68 |
*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 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD I5082 - Biventricular heart failure | 348 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD I5082 - Biventricular heart failure in DRG | 2.07 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD I5082 - Biventricular heart failure | 7.53 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD I5082 - Biventricular heart failure | 29.55 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD I5082 - Biventricular heart failure | 20.96 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD I5082 - Biventricular heart failure | $3,734,409 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD I5082 - Biventricular heart failure | $1,425 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD I5082 - Biventricular heart failure | $10,731 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD I5082 - Biventricular heart failure | $20,238,101 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD I5082 - Biventricular heart failure | $58,155 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD I5082 - Biventricular heart failure | 6.03 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD I5082 - Biventricular heart failure | 21.84 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD I5082 - Biventricular heart failure | 30.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD I5082 - Biventricular heart failure | 233 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I5082 - Biventricular heart failure in DRG | 1.38 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I5082 - Biventricular heart failure | 8.44 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I5082 - Biventricular heart failure | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I5082 - Biventricular heart failure | 19.05 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I5082 - Biventricular heart failure | $3,618,793 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I5082 - Biventricular heart failure | $1,840 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I5082 - Biventricular heart failure | $15,531 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I5082 - Biventricular heart failure | $18,604,428 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I5082 - Biventricular heart failure | $79,847 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I5082 - Biventricular heart failure | 14.59 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I5082 - Biventricular heart failure | 13.73 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I5082 - Biventricular heart failure | 27.9 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE 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 | 443,386 | ||||
| Total Hospitalizations with ICD I5082 - Biventricular heart failure | 159 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD I5082 - Biventricular heart failure in DRG | 0.94 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD I5082 - Biventricular heart failure | 5.96 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD I5082 - Biventricular heart failure | 25.55 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD I5082 - Biventricular heart failure | 18.25 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD I5082 - Biventricular heart failure | $1,461,882 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD I5082 - Biventricular heart failure | $1,544 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD I5082 - Biventricular heart failure | $9,194 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD I5082 - Biventricular heart failure | $7,388,304 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD I5082 - Biventricular heart failure | $46,467 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD I5082 - Biventricular heart failure | 8.18 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD I5082 - Biventricular heart failure | 27.67 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD I5082 - Biventricular heart failure | 33.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 630 |
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 172 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 153 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES A BURKE | 1250 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 15 |
| Dr. DERRICK E RIDLEY | 4000 COLISEUM DR | HAMPTON | VA | 23666 | 11 |
| Dr. SIMON MALTAIS | 200 1ST ST SW | ROCHESTER | MN | 55905 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES M MANGANIELLO | 1099 S TOWNSHIP BLVD | PITTSTON | PA | 18640 | 30 |
| Dr. GHIATH M ALMASRI | BRODY OUTPATIENT CENTER | GREENVILLE | NC | 27858 | 21 |
| Dr. WAYNE L MILLER | 200 1ST ST SW | ROCHESTER | MN | 55905 | 18 |