*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J42 - Unspecified chronic bronchitis - as a primary diagnosis code | J42 - Unspecified chronic bronchitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.7 | |
| Readmission Rate (%) | 22.27 | |
| Unplanned Readmission Rate (%) | 11.71 | |
| 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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD J42 - Unspecified chronic bronchitis | 265 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD J42 - Unspecified chronic bronchitis in DRG | 48.01 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD J42 - Unspecified chronic bronchitis | 3.35 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD J42 - Unspecified chronic bronchitis | 18.77 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD J42 - Unspecified chronic bronchitis | 13.41 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD J42 - Unspecified chronic bronchitis | $1,601,864 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD J42 - Unspecified chronic bronchitis | $1,802 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD J42 - Unspecified chronic bronchitis | $6,045 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD J42 - Unspecified chronic bronchitis | $6,679,272 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD J42 - Unspecified chronic bronchitis | $25,205 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD J42 - Unspecified chronic bronchitis | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD J42 - Unspecified chronic bronchitis | 11.32 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD J42 - Unspecified chronic bronchitis | 62.64 |
*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 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J42 - Unspecified chronic bronchitis | 2,779 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J42 - Unspecified chronic bronchitis in DRG | 5.0 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J42 - Unspecified chronic bronchitis | 6.22 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J42 - Unspecified chronic bronchitis | 22.67 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J42 - Unspecified chronic bronchitis | 15.44 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J42 - Unspecified chronic bronchitis | $32,109,489 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J42 - Unspecified chronic bronchitis | $1,859 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J42 - Unspecified chronic bronchitis | $11,554 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J42 - Unspecified chronic bronchitis | $161,706,655 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J42 - Unspecified chronic bronchitis | $58,189 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J42 - Unspecified chronic bronchitis | 7.52 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J42 - Unspecified chronic bronchitis | 21.45 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J42 - Unspecified chronic bronchitis | 35.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD J42 - Unspecified chronic bronchitis | 1,263 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD J42 - Unspecified chronic bronchitis in DRG | 2.27 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD J42 - Unspecified chronic bronchitis | 6.55 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD J42 - Unspecified chronic bronchitis | 25.11 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD J42 - Unspecified chronic bronchitis | 18.55 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD J42 - Unspecified chronic bronchitis | $12,897,387 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD J42 - Unspecified chronic bronchitis | $1,560 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD J42 - Unspecified chronic bronchitis | $10,212 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD J42 - Unspecified chronic bronchitis | $62,743,563 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD J42 - Unspecified chronic bronchitis | $49,678 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD J42 - Unspecified chronic bronchitis | 4.75 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD J42 - Unspecified chronic bronchitis | 16.47 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD J42 - Unspecified chronic bronchitis | 43.63 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD J42 - Unspecified chronic bronchitis | 820 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD J42 - Unspecified chronic bronchitis in DRG | 1.48 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD J42 - Unspecified chronic bronchitis | 3.95 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD J42 - Unspecified chronic bronchitis | 20.98 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD J42 - Unspecified chronic bronchitis | 15.2 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD J42 - Unspecified chronic bronchitis | $4,873,436 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD J42 - Unspecified chronic bronchitis | $1,506 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD J42 - Unspecified chronic bronchitis | $5,943 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD J42 - Unspecified chronic bronchitis | $26,261,909 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD J42 - Unspecified chronic bronchitis | $32,027 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD J42 - Unspecified chronic bronchitis | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD J42 - Unspecified chronic bronchitis | 10.49 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD J42 - Unspecified chronic bronchitis | 61.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD J42 - Unspecified chronic bronchitis | 580 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD J42 - Unspecified chronic bronchitis in DRG | 1.04 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD J42 - Unspecified chronic bronchitis | 3.57 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD J42 - Unspecified chronic bronchitis | 16.76 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD J42 - Unspecified chronic bronchitis | 10.81 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD J42 - Unspecified chronic bronchitis | $2,802,757 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD J42 - Unspecified chronic bronchitis | $1,352 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD J42 - Unspecified chronic bronchitis | $4,832 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD J42 - Unspecified chronic bronchitis | $15,165,950 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD J42 - Unspecified chronic bronchitis | $26,148 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD J42 - Unspecified chronic bronchitis | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD J42 - Unspecified chronic bronchitis | 21.9 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD J42 - Unspecified chronic bronchitis | 48.1 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WHITE MEMORIAL MEDICAL CENTER | 1720 E CESAR E CHAVEZ AVE | LOS ANGELES | CA | 90033 | 400 |
| MISSION COMMUNITY HOSPITAL | 14850 ROSCOE BLVD | PANORAMA CITY | CA | 91402 | 322 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 291 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL HERNANDEZ | 1720 E CESAR E CHAVEZ AVE | LOS ANGELES | CA | 90033 | 282 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 43 |
| Dr. SUNIL N LALLA | 14171 METROPOLIS AVE | FORT MYERS | FL | 33912 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL HERNANDEZ | 1720 E CESAR E CHAVEZ AVE | LOS ANGELES | CA | 90033 | 384 |
| Dr. ABUL H SHIRAZI | 9849 MELVIN AVE | NORTHRIDGE | CA | 91324 | 73 |
| Dr. HASSAN SALAH FARRAG | 17075 DEVONSHIRE ST | NORTHRIDGE | CA | 91325 | 59 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |