*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J431 - Panlobular emphysema - as a primary diagnosis code | J431 - Panlobular emphysema - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.75 | |
| Readmission Rate (%) | 24.02 | |
| Unplanned Readmission Rate (%) | 17.18 | |
| 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 007: LUNG TRANSPLANT | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD J431 - Panlobular emphysema | 178 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD J431 - Panlobular emphysema in DRG | 45.52 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD J431 - Panlobular emphysema | 4.6 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD J431 - Panlobular emphysema | 27.16 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD J431 - Panlobular emphysema | 21.6 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD J431 - Panlobular emphysema | $1,281,797 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD J431 - Panlobular emphysema | $1,565 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD J431 - Panlobular emphysema | $7,201 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD J431 - Panlobular emphysema | $5,723,587 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD J431 - Panlobular emphysema | $32,155 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD J431 - Panlobular emphysema | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD J431 - Panlobular emphysema | 9.55 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD J431 - Panlobular emphysema | 50.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 49,331 |
| Total Hospitalizations with ICD J431 - Panlobular emphysema | 11 |
| DRG Share of Total Hospitalizations | 0.15 |
| % of Total ICD J431 - Panlobular emphysema in DRG | 2.81 |
| Avg LOS at DRG | 5.76 |
| Avg LOS with ICD J431 - Panlobular emphysema | 7.64 |
| Readmission Rate at DRG | 13.39 |
| Readmission Rate with ICD J431 - Panlobular emphysema | NA |
| Unplanned Readmission Rate at DRG | 8.11 |
| Unplanned Readmission Rate with ICD J431 - Panlobular emphysema | NA |
| Total Medicare payments at DRG | $830,506,314 |
| Total Medicare payments with ICD J431 - Panlobular emphysema | $221,942 |
| Total Medicare payment per Day at DRG | $2,922 |
| Total Medicare payment per Day with ICD J431 - Panlobular emphysema | $2,642 |
| Total Medicare payment per Hospitalization at DRG | $16,835 |
| Total Medicare payment per Hospitalization with ICD J431 - Panlobular emphysema | $20,177 |
| Total Medicare Charges at DRG | $4,394,247,481 |
| Total Medicare Charges with ICD J431 - Panlobular emphysema | $1,357,300 |
| Avg Charges at DRG | $89,077 |
| Avg Charges with ICD J431 - Panlobular emphysema | $123,391 |
| Mortality Rate at DRG | 0.32 |
| Mortality Rate with ICD J431 - Panlobular emphysema | NA |
| SNF Discharge Rate at DRG | 6.7 |
| SNF Discharge Rate with ICD J431 - Panlobular emphysema | NA |
| Home Discharge Rate at DRG | 62.23 |
| Home Discharge Rate with ICD J431 - Panlobular emphysema | 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 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J431 - Panlobular emphysema | 899 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J431 - Panlobular emphysema in DRG | 6.88 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J431 - Panlobular emphysema | 6.0 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J431 - Panlobular emphysema | 24.63 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J431 - Panlobular emphysema | 18.21 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J431 - Panlobular emphysema | $10,128,048 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J431 - Panlobular emphysema | $1,878 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J431 - Panlobular emphysema | $11,266 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J431 - Panlobular emphysema | $43,958,313 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J431 - Panlobular emphysema | $48,897 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J431 - Panlobular emphysema | 9.01 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J431 - Panlobular emphysema | 26.03 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J431 - Panlobular emphysema | 27.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD J431 - Panlobular emphysema | 288 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD J431 - Panlobular emphysema in DRG | 2.2 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD J431 - Panlobular emphysema | 3.0 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD J431 - Panlobular emphysema | 15.0 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD J431 - Panlobular emphysema | 6.07 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD J431 - Panlobular emphysema | $3,241,310 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD J431 - Panlobular emphysema | $3,747 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD J431 - Panlobular emphysema | $11,255 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD J431 - Panlobular emphysema | $16,407,305 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD J431 - Panlobular emphysema | $56,970 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD J431 - Panlobular emphysema | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD J431 - Panlobular emphysema | 35.07 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD J431 - Panlobular emphysema | 29.17 |
*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 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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD J431 - Panlobular emphysema | 156 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD J431 - Panlobular emphysema in DRG | 1.19 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD J431 - Panlobular emphysema | 3.43 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD J431 - Panlobular emphysema | 22.45 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD J431 - Panlobular emphysema | 16.33 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD J431 - Panlobular emphysema | $765,217 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD J431 - Panlobular emphysema | $1,430 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD J431 - Panlobular emphysema | $4,905 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD J431 - Panlobular emphysema | $3,642,970 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD J431 - Panlobular emphysema | $23,352 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD J431 - Panlobular emphysema | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD J431 - Panlobular emphysema | 9.62 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD J431 - Panlobular emphysema | 65.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD J431 - Panlobular emphysema | 128 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD J431 - Panlobular emphysema in DRG | 0.98 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD J431 - Panlobular emphysema | 12.27 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD J431 - Panlobular emphysema | 33.01 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD J431 - Panlobular emphysema | 18.45 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD J431 - Panlobular emphysema | $4,300,476 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD J431 - Panlobular emphysema | $2,739 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD J431 - Panlobular emphysema | $33,597 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD J431 - Panlobular emphysema | $17,109,726 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD J431 - Panlobular emphysema | $133,670 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD J431 - Panlobular emphysema | 14.06 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD J431 - Panlobular emphysema | 30.47 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD J431 - Panlobular emphysema | 14.06 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WACCAMAW REHAB CARE | 4070 HWY 17 BYPASS | MURELLS INLET | SC | 29576 | 247 |
| BAPTIST HEALTH FLOYD | 1850 STATE STREET | NEW ALBANY | IN | 47150 | 202 |
| SENTARA LEIGH HOSPITAL | 830 KEMPSVILLE RD | NORFOLK | VA | 23502 | 202 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LAKSHMAN RAO | 518 E H ST | ERWIN | NC | 28339 | 35 |
| Dr. JAMIE CHARLOTTE PINTO | 11001 EXECUTIVE CENTER DR | LITTLE ROCK | AR | 72211 | 27 |
| Dr. STEPHEN LEE MEYER | 113 S MAIN ST | JOPLIN | MO | 64801 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEFFREY C. WILKINS | 2376 CYPRESS CIR STE 300 | CONWAY | SC | 29526 | 247 |
| Dr. BRIAN T HEIMER | 1919 STATE ST | NEW ALBANY | IN | 47150 | 128 |
| Dr. LAKSHMAN RAO | 518 E H ST | ERWIN | NC | 28339 | 40 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z87891 | Personal history of nicotine dependence |