*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I517 - Cardiomegaly - as a primary diagnosis code | I517 - Cardiomegaly - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.71 | |
| Readmission Rate (%) | 22.5 | |
| Unplanned Readmission Rate (%) | 10.45 | |
| 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 303: ATHEROSCLEROSIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 302: ATHEROSCLEROSIS 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 | 55,597 | ||
| Total Hospitalizations with ICD I517 - Cardiomegaly | 92 | ||
| DRG Share of Total Hospitalizations | 0.17 | ||
| % of Total ICD I517 - Cardiomegaly in DRG | 63.01 | ||
| Avg LOS at DRG | 2.64 | ||
| Avg LOS with ICD I517 - Cardiomegaly | 2.85 | ||
| Readmission Rate at DRG | 18.86 | ||
| Readmission Rate with ICD I517 - Cardiomegaly | 18.29 | ||
| Unplanned Readmission Rate at DRG | 13.07 | ||
| Unplanned Readmission Rate with ICD I517 - Cardiomegaly | 13.41 | ||
| Total Medicare payments at DRG | $242,992,572 | ||
| Total Medicare payments with ICD I517 - Cardiomegaly | $418,715 | ||
| Total Medicare payment per Day at DRG | $1,658 | ||
| Total Medicare payment per Day with ICD I517 - Cardiomegaly | $1,598 | ||
| Total Medicare payment per Hospitalization at DRG | $4,371 | ||
| Total Medicare payment per Hospitalization with ICD I517 - Cardiomegaly | $4,551 | ||
| Total Medicare Charges at DRG | $1,301,876,366 | ||
| Total Medicare Charges with ICD I517 - Cardiomegaly | $1,848,295 | ||
| Avg Charges at DRG | $23,416 | ||
| Avg Charges with ICD I517 - Cardiomegaly | $20,090 | ||
| Mortality Rate at DRG | 0.47 | ||
| Mortality Rate with ICD I517 - Cardiomegaly | NA | ||
| SNF Discharge Rate at DRG | 6.11 | ||
| SNF Discharge Rate with ICD I517 - Cardiomegaly | 13.04 | ||
| Home Discharge Rate at DRG | 64.46 | ||
| Home Discharge Rate with ICD I517 - Cardiomegaly | 57.61 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I517 - Cardiomegaly | 9,443 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I517 - Cardiomegaly in DRG | 5.61 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I517 - Cardiomegaly | 6.29 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I517 - Cardiomegaly | 23.04 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I517 - Cardiomegaly | 15.42 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I517 - Cardiomegaly | $109,554,690 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I517 - Cardiomegaly | $1,843 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I517 - Cardiomegaly | $11,602 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I517 - Cardiomegaly | $543,545,330 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I517 - Cardiomegaly | $57,561 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I517 - Cardiomegaly | 11.53 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I517 - Cardiomegaly | 27.12 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I517 - Cardiomegaly | 27.29 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD I517 - Cardiomegaly | 3,558 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD I517 - Cardiomegaly in DRG | 2.12 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD I517 - Cardiomegaly | 4.17 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD I517 - Cardiomegaly | 17.15 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD I517 - Cardiomegaly | 11.39 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD I517 - Cardiomegaly | $22,504,462 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD I517 - Cardiomegaly | $1,515 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD I517 - Cardiomegaly | $6,325 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD I517 - Cardiomegaly | $100,486,728 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD I517 - Cardiomegaly | $28,242 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD I517 - Cardiomegaly | 1.18 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD I517 - Cardiomegaly | 18.66 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD I517 - Cardiomegaly | 51.24 |
*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 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD I517 - Cardiomegaly | 2,528 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD I517 - Cardiomegaly in DRG | 1.5 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD I517 - Cardiomegaly | 5.38 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD I517 - Cardiomegaly | 29.94 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD I517 - Cardiomegaly | 23.1 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD I517 - Cardiomegaly | $24,395,968 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD I517 - Cardiomegaly | $1,794 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD I517 - Cardiomegaly | $9,650 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD I517 - Cardiomegaly | $110,043,968 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD I517 - Cardiomegaly | $43,530 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD I517 - Cardiomegaly | 4.39 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD I517 - Cardiomegaly | 22.03 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD I517 - Cardiomegaly | 42.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD I517 - Cardiomegaly | 2,093 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD I517 - Cardiomegaly in DRG | 1.24 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD I517 - Cardiomegaly | 4.18 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD I517 - Cardiomegaly | 22.37 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD I517 - Cardiomegaly | 16.24 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD I517 - Cardiomegaly | $12,138,192 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD I517 - Cardiomegaly | $1,387 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD I517 - Cardiomegaly | $5,799 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD I517 - Cardiomegaly | $65,414,337 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD I517 - Cardiomegaly | $31,254 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I517 - Cardiomegaly | 1.39 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD I517 - Cardiomegaly | 23.75 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD I517 - Cardiomegaly | 43.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ATLANTICARE REGIONAL MEDICAL CENTER - MAINLAND CAMPUS | 65 W JIMMIE LEEDS RD | POMONA | NJ | 08240 | 681 |
| CAPE FEAR VALLEY MEDICAL CENTER | 1638 OWEN DR | FAYETTEVILLE | NC | 28304 | 594 |
| PENINSULA REGIONAL MEDICAL CENTER | 100 E CARROLL ST | SALISBURY | MD | 21801 | 585 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 66 |
| Dr. ERIC J. ZANGHI | 1719 RUSSELLPKWY, BLDG 700 | WARNER ROBINS | GA | 31088 | 64 |
| Dr. PRADYUMNA CHARY MUMMADY | 11 W BAR LE DOC DR | CORPUS CHRISTI | TX | 78414 | 46 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CRAIG ALAN JOHNSON | 115 S MURPHY AVE | BRAZIL | IN | 47834 | 190 |
| Dr. BHARAT K PATEL | 12 HOSPITAL DR | METROPOLIS | IL | 62960 | 178 |
| Dr. JIMMY WAYNE LOCKHART | 1600 37TH STREET | VERO BEACH | FL | 32960 | 164 |