*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J40 - Bronchitis, not specified as acute or chronic - as a primary diagnosis code | J40 - Bronchitis, not specified as acute or chronic - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.36 | |
| Readmission Rate (%) | 21.76 | |
| Unplanned Readmission Rate (%) | 11.43 | |
| 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 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,026 | ||||
| Total Hospitalizations with ICD J40 - Bronchitis, not specified as acute or chronic | 9,146 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD J40 - Bronchitis, not specified as acute or chronic in DRG | 71.42 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD J40 - Bronchitis, not specified as acute or chronic | 3.32 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 16.97 | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 12.68 | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD J40 - Bronchitis, not specified as acute or chronic | $49,361,652 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD J40 - Bronchitis, not specified as acute or chronic | $1,626 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD J40 - Bronchitis, not specified as acute or chronic | $5,397 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD J40 - Bronchitis, not specified as acute or chronic | $249,310,612 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD J40 - Bronchitis, not specified as acute or chronic | $27,259 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 0.27 | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 15.84 | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 57.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | |||
| Total Hospitalizations with ICD J40 - Bronchitis, not specified as acute or chronic | 44 | |||
| DRG Share of Total Hospitalizations | 0.25 | |||
| % of Total ICD J40 - Bronchitis, not specified as acute or chronic in DRG | 0.34 | |||
| Avg LOS at DRG | 12.91 | |||
| Avg LOS with ICD J40 - Bronchitis, not specified as acute or chronic | 7.16 | |||
| Readmission Rate at DRG | 32.17 | |||
| Readmission Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 30.0 | |||
| Unplanned Readmission Rate at DRG | 19.76 | |||
| Unplanned Readmission Rate with ICD J40 - Bronchitis, not specified as acute or chronic | NA | |||
| Total Medicare payments at DRG | $2,324,349,241 | |||
| Total Medicare payments with ICD J40 - Bronchitis, not specified as acute or chronic | $928,878 | |||
| Total Medicare payment per Day at DRG | $2,187 | |||
| Total Medicare payment per Day with ICD J40 - Bronchitis, not specified as acute or chronic | $2,949 | |||
| Total Medicare payment per Hospitalization at DRG | $28,230 | |||
| Total Medicare payment per Hospitalization with ICD J40 - Bronchitis, not specified as acute or chronic | $21,111 | |||
| Total Medicare Charges at DRG | $11,401,334,817 | |||
| Total Medicare Charges with ICD J40 - Bronchitis, not specified as acute or chronic | $3,379,753 | |||
| Avg Charges at DRG | $138,475 | |||
| Avg Charges with ICD J40 - Bronchitis, not specified as acute or chronic | $76,813 | |||
| Mortality Rate at DRG | 10.6 | |||
| Mortality Rate with ICD J40 - Bronchitis, not specified as acute or chronic | NA | |||
| SNF Discharge Rate at DRG | 21.62 | |||
| SNF Discharge Rate with ICD J40 - Bronchitis, not specified as acute or chronic | NA | |||
| Home Discharge Rate at DRG | 30.12 | |||
| Home Discharge Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 59.09 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 80 |
| DCH REGIONAL MEDICAL CENTER | 809 UNIVERSITY BLVD E | TUSCALOOSA | AL | 35401 | 46 |
| BOCA RATON REGIONAL HOSPITAL | 800 MEADOWS ROAD | BOCA RATON | FL | 33486 | 45 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RANDALL JUDE FAULK | 802 N MONCEAUX AVE | KAPLAN | LA | 70548 | 15 |
| Dr. BRODIE WAYNE MCALPIN | 209 N HARPER RD | CORINTH | MS | 38834 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. L.J. PATRICK BELL | 626 POPLAR ST | HELENA | AR | 72342 | 39 |
| Dr. SURESH KRISHNAMOORTHY | 1054 M L KING DR | CENTRALIA | IL | 62801 | 34 |
| Dr. JOSEPH L PRATT | 121 PRATT DR | CORINTH | MS | 38834 | 33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,026 | ||||
| Total Hospitalizations with ICD J40 - Bronchitis, not specified as acute or chronic | 10,387 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD J40 - Bronchitis, not specified as acute or chronic in DRG | 6.64 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD J40 - Bronchitis, not specified as acute or chronic | 3.41 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 16.87 | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 12.7 | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD J40 - Bronchitis, not specified as acute or chronic | $56,154,264 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD J40 - Bronchitis, not specified as acute or chronic | $1,587 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD J40 - Bronchitis, not specified as acute or chronic | $5,406 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD J40 - Bronchitis, not specified as acute or chronic | $291,763,210 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD J40 - Bronchitis, not specified as acute or chronic | $28,089 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 0.27 | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 15.04 | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 58.87 |
*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 885: PSYCHOSES | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD J40 - Bronchitis, not specified as acute or chronic | 5,386 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD J40 - Bronchitis, not specified as acute or chronic in DRG | 3.44 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD J40 - Bronchitis, not specified as acute or chronic | 3.94 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 14.67 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 10.38 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD J40 - Bronchitis, not specified as acute or chronic | $30,849,772 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD J40 - Bronchitis, not specified as acute or chronic | $1,454 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD J40 - Bronchitis, not specified as acute or chronic | $5,728 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD J40 - Bronchitis, not specified as acute or chronic | $167,941,014 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD J40 - Bronchitis, not specified as acute or chronic | $31,181 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 0.3 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 15.17 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 56.55 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD J40 - Bronchitis, not specified as acute or chronic | 3,423 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD J40 - Bronchitis, not specified as acute or chronic in DRG | 2.19 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD J40 - Bronchitis, not specified as acute or chronic | 4.3 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 21.86 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 16.95 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD J40 - Bronchitis, not specified as acute or chronic | $20,548,782 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD J40 - Bronchitis, not specified as acute or chronic | $1,395 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD J40 - Bronchitis, not specified as acute or chronic | $6,003 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD J40 - Bronchitis, not specified as acute or chronic | $106,192,786 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD J40 - Bronchitis, not specified as acute or chronic | $31,023 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 0.38 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 15.83 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 49.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD J40 - Bronchitis, not specified as acute or chronic | 1,729 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD J40 - Bronchitis, not specified as acute or chronic in DRG | 1.1 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD J40 - Bronchitis, not specified as acute or chronic | 4.73 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 23.13 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 16.5 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD J40 - Bronchitis, not specified as acute or chronic | $12,640,761 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD J40 - Bronchitis, not specified as acute or chronic | $1,547 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD J40 - Bronchitis, not specified as acute or chronic | $7,311 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD J40 - Bronchitis, not specified as acute or chronic | $70,826,818 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD J40 - Bronchitis, not specified as acute or chronic | $40,964 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 1.74 | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 16.08 | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD J40 - Bronchitis, not specified as acute or chronic | 54.08 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 621 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 426 |
| FAWCETT MEMORIAL HOSPITAL | 21298 OLEAN BLVD | PORT CHARLOTTE | FL | 33952 | 372 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STANLEY R EASTERLING | 104 MCAULEY DR | VICKSBURG | MS | 39183 | 155 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 110 |
| Dr. DAVID G CHASE | 100 HOSPITAL ST | BOONEVILLE | MS | 38829 | 98 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STANLEY R EASTERLING | 104 MCAULEY DR | VICKSBURG | MS | 39183 | 188 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 145 |
| Dr. GEORGE EDWARD BURNETTE | 424 JETT DR | JACKSON | KY | 41339 | 131 |