*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I52 - Other heart disorders in diseases classified elsewhere - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.75 | |
| 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 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I52 - Other heart disorders in diseases classified elsewhere | 135 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I52 - Other heart disorders in diseases classified elsewhere in DRG | 8.1 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I52 - Other heart disorders in diseases classified elsewhere | 5.27 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | 19.08 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | 16.79 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I52 - Other heart disorders in diseases classified elsewhere | $1,515,289 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I52 - Other heart disorders in diseases classified elsewhere | $2,128 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I52 - Other heart disorders in diseases classified elsewhere | $11,224 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I52 - Other heart disorders in diseases classified elsewhere | $9,225,318 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I52 - Other heart disorders in diseases classified elsewhere | $68,336 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | 34.81 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | 36.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD I52 - Other heart disorders in diseases classified elsewhere | 33 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD I52 - Other heart disorders in diseases classified elsewhere in DRG | 1.98 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD I52 - Other heart disorders in diseases classified elsewhere | 4.27 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD I52 - Other heart disorders in diseases classified elsewhere | $155,602 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD I52 - Other heart disorders in diseases classified elsewhere | $1,104 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD I52 - Other heart disorders in diseases classified elsewhere | $4,715 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD I52 - Other heart disorders in diseases classified elsewhere | $1,089,007 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD I52 - Other heart disorders in diseases classified elsewhere | $33,000 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | 48.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD I52 - Other heart disorders in diseases classified elsewhere | 22 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD I52 - Other heart disorders in diseases classified elsewhere in DRG | 1.32 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD I52 - Other heart disorders in diseases classified elsewhere | 2.05 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD I52 - Other heart disorders in diseases classified elsewhere | $86,387 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD I52 - Other heart disorders in diseases classified elsewhere | $1,920 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD I52 - Other heart disorders in diseases classified elsewhere | $3,927 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD I52 - Other heart disorders in diseases classified elsewhere | $460,374 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD I52 - Other heart disorders in diseases classified elsewhere | $20,926 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | 81.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD I52 - Other heart disorders in diseases classified elsewhere | 20 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD I52 - Other heart disorders in diseases classified elsewhere in DRG | 1.2 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD I52 - Other heart disorders in diseases classified elsewhere | 3.4 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD I52 - Other heart disorders in diseases classified elsewhere | $125,614 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD I52 - Other heart disorders in diseases classified elsewhere | $1,847 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD I52 - Other heart disorders in diseases classified elsewhere | $6,281 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD I52 - Other heart disorders in diseases classified elsewhere | $981,749 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD I52 - Other heart disorders in diseases classified elsewhere | $49,087 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD I52 - Other heart disorders in diseases classified elsewhere | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. JUDE MEDICAL CENTER | 2767 E IMPERIAL HWY | BREA | CA | 92821 | 320 |
| PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE | 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 254 |
| PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER - SAN PEDRO | 1300 W 7TH ST | SAN PEDRO | CA | 90732 | 128 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID O KIM | 3440 LOMITA BLVD | TORRANCE | CA | 90505 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HEBERT CLAUDE | 2776 PACIFIC AVE | LONG BEACH | CA | 90806 | 35 |
| Dr. TUAN QUOC TRINH | 101 E VALENCIA MESA DR | FULLERTON | CA | 92835 | 25 |
| Dr. CLIFFORD LIU | 1801 W ROMNEYA DR | ANAHEIM | CA | 92801 | 22 |