*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I509 - Heart failure, unspecified - as a primary diagnosis code | I509 - Heart failure, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.8 | |
| Readmission Rate (%) | 26.19 | |
| Unplanned Readmission Rate (%) | 15.07 | |
| 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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD I509 - Heart failure, unspecified | 28,705 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD I509 - Heart failure, unspecified in DRG | 39.55 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD I509 - Heart failure, unspecified | 3.86 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD I509 - Heart failure, unspecified | 24.5 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD I509 - Heart failure, unspecified | 14.78 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD I509 - Heart failure, unspecified | $194,071,650 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD I509 - Heart failure, unspecified | $1,753 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD I509 - Heart failure, unspecified | $6,761 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD I509 - Heart failure, unspecified | $623,330,456 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD I509 - Heart failure, unspecified | $21,715 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD I509 - Heart failure, unspecified | 2.29 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD I509 - Heart failure, unspecified | 14.06 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD I509 - Heart failure, unspecified | 45.97 |
*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 282: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 227: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD I509 - Heart failure, unspecified | 477 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD I509 - Heart failure, unspecified in DRG | 0.66 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD I509 - Heart failure, unspecified | 7.0 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD I509 - Heart failure, unspecified | 31.63 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD I509 - Heart failure, unspecified | 20.44 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD I509 - Heart failure, unspecified | $7,089,621 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD I509 - Heart failure, unspecified | $2,123 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD I509 - Heart failure, unspecified | $14,863 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD I509 - Heart failure, unspecified | $37,395,053 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD I509 - Heart failure, unspecified | $78,396 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD I509 - Heart failure, unspecified | 5.87 | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD I509 - Heart failure, unspecified | 11.32 | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD I509 - Heart failure, unspecified | 51.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,431 | ||||
| Total Hospitalizations with ICD I509 - Heart failure, unspecified | 146 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD I509 - Heart failure, unspecified in DRG | 0.2 | ||||
| Avg LOS at DRG | 4.53 | ||||
| Avg LOS with ICD I509 - Heart failure, unspecified | 3.45 | ||||
| Readmission Rate at DRG | NA | ||||
| Readmission Rate with ICD I509 - Heart failure, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | NA | ||||
| Unplanned Readmission Rate with ICD I509 - Heart failure, unspecified | NA | ||||
| Total Medicare payments at DRG | $375,682,488 | ||||
| Total Medicare payments with ICD I509 - Heart failure, unspecified | $1,545,742 | ||||
| Total Medicare payment per Day at DRG | $2,638 | ||||
| Total Medicare payment per Day with ICD I509 - Heart failure, unspecified | $3,073 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,953 | ||||
| Total Medicare payment per Hospitalization with ICD I509 - Heart failure, unspecified | $10,587 | ||||
| Total Medicare Charges at DRG | $1,972,247,066 | ||||
| Total Medicare Charges with ICD I509 - Heart failure, unspecified | $5,095,540 | ||||
| Avg Charges at DRG | $62,748 | ||||
| Avg Charges with ICD I509 - Heart failure, unspecified | $34,901 | ||||
| Mortality Rate at DRG | 100.0 | ||||
| Mortality Rate with ICD I509 - Heart failure, unspecified | 100.0 | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD I509 - Heart failure, unspecified | NA | ||||
| Home Discharge Rate at DRG | NA | ||||
| Home Discharge Rate with ICD I509 - Heart failure, unspecified | NA |
*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 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 284: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 77,210 | ||||
| Total Hospitalizations with ICD I509 - Heart failure, unspecified | 63 | ||||
| DRG Share of Total Hospitalizations | 0.23 | ||||
| % of Total ICD I509 - Heart failure, unspecified in DRG | 0.09 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD I509 - Heart failure, unspecified | 5.4 | ||||
| Readmission Rate at DRG | 14.03 | ||||
| Readmission Rate with ICD I509 - Heart failure, unspecified | 17.74 | ||||
| Unplanned Readmission Rate at DRG | 9.24 | ||||
| Unplanned Readmission Rate with ICD I509 - Heart failure, unspecified | NA | ||||
| Total Medicare payments at DRG | $1,267,898,136 | ||||
| Total Medicare payments with ICD I509 - Heart failure, unspecified | $1,014,589 | ||||
| Total Medicare payment per Day at DRG | $4,144 | ||||
| Total Medicare payment per Day with ICD I509 - Heart failure, unspecified | $2,984 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,421 | ||||
| Total Medicare payment per Hospitalization with ICD I509 - Heart failure, unspecified | $16,105 | ||||
| Total Medicare Charges at DRG | $6,484,818,467 | ||||
| Total Medicare Charges with ICD I509 - Heart failure, unspecified | $5,138,173 | ||||
| Avg Charges at DRG | $83,989 | ||||
| Avg Charges with ICD I509 - Heart failure, unspecified | $81,558 | ||||
| Mortality Rate at DRG | 0.15 | ||||
| Mortality Rate with ICD I509 - Heart failure, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.92 | ||||
| SNF Discharge Rate with ICD I509 - Heart failure, unspecified | NA | ||||
| Home Discharge Rate at DRG | 59.76 | ||||
| Home Discharge Rate with ICD I509 - Heart failure, unspecified | 50.79 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HACKENSACK MERIDIAN HEALTH JFK MEDICAL CENTER | 65 JAMES ST | EDISON | NJ | 08820 | 308 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 211 |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM EVANSTON HOSPITAL | 2650 RIDGE AVE | EVANSTON | IL | 60201 | 194 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICARDO G CIGARROA | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 34 |
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 31 |
| Dr. JOHN D. INGRAM | 2016 1ST AVE S | DENISON | IA | 51442 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD J HELTON | 108 W OHIO | COALGATE | OK | 74538 | 150 |
| Dr. RICARDO G CIGARROA | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 104 |
| Dr. ABDULKADER DAHHAN | 120 PROFESSIONAL LN | HARLAN | KY | 40831 | 83 |
*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 291: HEART FAILURE AND SHOCK 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I509 - Heart failure, unspecified | 147,771 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I509 - Heart failure, unspecified in DRG | 7.15 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I509 - Heart failure, unspecified | 6.24 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I509 - Heart failure, unspecified | 26.34 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I509 - Heart failure, unspecified | 17.93 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I509 - Heart failure, unspecified | $1,748,239,723 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I509 - Heart failure, unspecified | $1,896 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I509 - Heart failure, unspecified | $11,831 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I509 - Heart failure, unspecified | $9,106,661,564 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I509 - Heart failure, unspecified | $61,627 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I509 - Heart failure, unspecified | 17.88 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I509 - Heart failure, unspecified | 28.36 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I509 - Heart failure, unspecified | 18.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD I509 - Heart failure, unspecified | 41,341 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD I509 - Heart failure, unspecified in DRG | 2.0 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD I509 - Heart failure, unspecified | 4.29 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD I509 - Heart failure, unspecified | 19.78 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD I509 - Heart failure, unspecified | 12.65 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD I509 - Heart failure, unspecified | $270,735,558 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD I509 - Heart failure, unspecified | $1,527 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD I509 - Heart failure, unspecified | $6,549 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD I509 - Heart failure, unspecified | $1,145,348,943 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD I509 - Heart failure, unspecified | $27,705 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD I509 - Heart failure, unspecified | 1.94 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD I509 - Heart failure, unspecified | 20.33 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD I509 - Heart failure, unspecified | 42.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD I509 - Heart failure, unspecified | 30,146 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD I509 - Heart failure, unspecified in DRG | 1.46 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD I509 - Heart failure, unspecified | 3.89 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD I509 - Heart failure, unspecified | 25.98 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD I509 - Heart failure, unspecified | 20.05 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD I509 - Heart failure, unspecified | $180,450,984 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD I509 - Heart failure, unspecified | $1,539 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD I509 - Heart failure, unspecified | $5,986 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD I509 - Heart failure, unspecified | $873,225,307 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD I509 - Heart failure, unspecified | $28,967 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD I509 - Heart failure, unspecified | 0.51 | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD I509 - Heart failure, unspecified | 13.23 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD I509 - Heart failure, unspecified | 53.95 |
*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 885: PSYCHOSES | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 149,454 | ||||
| Total Hospitalizations with ICD I509 - Heart failure, unspecified | 27,102 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD I509 - Heart failure, unspecified in DRG | 1.31 | ||||
| Avg LOS at DRG | 2.91 | ||||
| Avg LOS with ICD I509 - Heart failure, unspecified | 2.83 | ||||
| Readmission Rate at DRG | 19.06 | ||||
| Readmission Rate with ICD I509 - Heart failure, unspecified | 19.95 | ||||
| Unplanned Readmission Rate at DRG | 13.94 | ||||
| Unplanned Readmission Rate with ICD I509 - Heart failure, unspecified | 11.83 | ||||
| Total Medicare payments at DRG | $634,267,172 | ||||
| Total Medicare payments with ICD I509 - Heart failure, unspecified | $127,349,094 | ||||
| Total Medicare payment per Day at DRG | $1,460 | ||||
| Total Medicare payment per Day with ICD I509 - Heart failure, unspecified | $1,659 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,244 | ||||
| Total Medicare payment per Hospitalization with ICD I509 - Heart failure, unspecified | $4,699 | ||||
| Total Medicare Charges at DRG | $3,009,861,593 | ||||
| Total Medicare Charges with ICD I509 - Heart failure, unspecified | $434,453,417 | ||||
| Avg Charges at DRG | $20,139 | ||||
| Avg Charges with ICD I509 - Heart failure, unspecified | $16,030 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD I509 - Heart failure, unspecified | 1.62 | ||||
| SNF Discharge Rate at DRG | 10.57 | ||||
| SNF Discharge Rate with ICD I509 - Heart failure, unspecified | 9.36 | ||||
| Home Discharge Rate at DRG | 58.05 | ||||
| Home Discharge Rate with ICD I509 - Heart failure, unspecified | 57.52 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 5,558 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 4,402 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 4,359 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 401 |
| Dr. LOUIS V EBERLE | 6263 POPLAR AVE | MEMPHIS | TN | 38119 | 282 |
| Dr. VIVEK KHETPAL | 2701 W. UNIVERSITY BLVD | DURANT | OK | 74701 | 279 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PADMAJA KONDAMURI | 8840 CALUMET AVE | MUNSTER | IN | 46321 | 587 |
| Dr. VIVEK KHETPAL | 2701 W. UNIVERSITY BLVD | DURANT | OK | 74701 | 572 |
| Dr. CODY FOSTER | 300 E 6TH ST | TEXARKANA | AR | 71854 | 540 |