*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J441 - Chronic obstructive pulmonary disease with (acute) exacerbation - as a primary diagnosis code | J441 - Chronic obstructive pulmonary disease with (acute) exacerbation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.89 | |
| Readmission Rate (%) | 26.49 | |
| Unplanned Readmission Rate (%) | 18.44 | |
| 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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 340,827 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation in DRG | 47.53 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 4.59 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 24.82 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 19.86 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $2,476,579,360 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $1,582 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $7,266 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $11,973,535,833 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $35,131 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 1.19 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 13.72 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 52.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 3,059 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation in DRG | 0.43 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 14.56 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 39.68 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 17.12 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $110,281,859 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $2,476 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $36,052 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $531,966,581 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $173,902 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 30.17 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 23.05 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 7.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 164: MAJOR CHEST PROCEDURES 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 | 37,276 | ||||
| Total Hospitalizations with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 682 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation in DRG | 0.1 | ||||
| Avg LOS at DRG | 12.15 | ||||
| Avg LOS with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 11.77 | ||||
| Readmission Rate at DRG | 27.64 | ||||
| Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 31.25 | ||||
| Unplanned Readmission Rate at DRG | 14.04 | ||||
| Unplanned Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 20.56 | ||||
| Total Medicare payments at DRG | $1,238,611,931 | ||||
| Total Medicare payments with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $20,838,446 | ||||
| Total Medicare payment per Day at DRG | $2,735 | ||||
| Total Medicare payment per Day with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $2,596 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,228 | ||||
| Total Medicare payment per Hospitalization with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $30,555 | ||||
| Total Medicare Charges at DRG | $5,969,079,351 | ||||
| Total Medicare Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $88,658,434 | ||||
| Avg Charges at DRG | $160,132 | ||||
| Avg Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $129,998 | ||||
| Mortality Rate at DRG | 8.94 | ||||
| Mortality Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 8.65 | ||||
| SNF Discharge Rate at DRG | 17.97 | ||||
| SNF Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 18.18 | ||||
| Home Discharge Rate at DRG | 31.66 | ||||
| Home Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 33.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 984: PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 174 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation in DRG | 0.02 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 30.01 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 78.95 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 9.77 | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $20,688,556 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $3,963 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $118,900 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $79,400,752 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $456,326 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 17.82 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 13.79 | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,672 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,616 |
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 1,341 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES F WITKO | 2210 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 142 |
| Dr. TERRANCE J TRUITT | 2210 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 137 |
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 127 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DINESH VERMA | 130 INDEPENDENCE CIR | CHICO | CA | 95973 | 529 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 374 |
| Dr. GEORGE EDWARD BURNETTE | 424 JETT DR | JACKSON | KY | 41339 | 338 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 459,322 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation in DRG | 18.79 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 4.66 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 24.06 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 19.11 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $3,298,292,324 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $7,181 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $16,473,039,595 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $35,864 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 1.16 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 14.04 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 52.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,444 | ||||
| Total Hospitalizations with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 132,087 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation in DRG | 5.4 | ||||
| Avg LOS at DRG | 2.99 | ||||
| Avg LOS with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 2.96 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 16.89 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 12.45 | ||||
| Total Medicare payments at DRG | $639,377,802 | ||||
| Total Medicare payments with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $579,418,774 | ||||
| Total Medicare payment per Day at DRG | $1,479 | ||||
| Total Medicare payment per Day with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $1,481 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,426 | ||||
| Total Medicare payment per Hospitalization with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $4,387 | ||||
| Total Medicare Charges at DRG | $2,994,885,256 | ||||
| Total Medicare Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $2,727,492,553 | ||||
| Avg Charges at DRG | $20,734 | ||||
| Avg Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $20,649 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 0.15 | ||||
| SNF Discharge Rate at DRG | 6.05 | ||||
| SNF Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 5.86 | ||||
| Home Discharge Rate at DRG | 72.34 | ||||
| Home Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 72.85 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 37,741 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation in DRG | 1.54 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 4.11 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 27.42 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 21.35 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $232,899,253 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $1,502 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $6,171 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $1,127,896,972 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $29,885 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 0.64 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 13.96 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 50.62 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 16,733 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation in DRG | 0.68 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 5.73 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 30.67 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 23.03 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $129,292,434 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $1,347 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $7,727 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $809,461,007 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | $48,375 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 3.74 | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 17.12 | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD J441 - Chronic obstructive pulmonary disease with (acute) exacerbation | 44.28 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 6,170 |
| COMMUNITY MEDICAL CENTER | 99 ROUTE 37 W | TOMS RIVER | NJ | 08755 | 4,453 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 4,002 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DON TUAN WYNN | 101 N US HIGHWAY 75 | DENISON | TX | 75020 | 379 |
| Dr. RAFIQUL ALAM | 200 MEDICAL CENTER DR | HAZARD | KY | 41701 | 349 |
| Dr. MALLAPPA NEELAPPA | 2275 S ELKS LANE | YUMA | AZ | 85364 | 349 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 1,316 |
| Dr. DINESH VERMA | 130 INDEPENDENCE CIR | CHICO | CA | 95973 | 1,231 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 1,134 |