*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J4520 - Mild intermittent asthma, uncomplicated - as a primary diagnosis code | J4520 - Mild intermittent asthma, uncomplicated - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.98 | |
| Readmission Rate (%) | 19.39 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 120,026 | |
| Total Hospitalizations with ICD J4520 - Mild intermittent asthma, uncomplicated | 59 | |
| DRG Share of Total Hospitalizations | 0.37 | |
| % of Total ICD J4520 - Mild intermittent asthma, uncomplicated in DRG | 55.66 | |
| Avg LOS at DRG | 3.68 | |
| Avg LOS with ICD J4520 - Mild intermittent asthma, uncomplicated | 3.58 | |
| Readmission Rate at DRG | 16.52 | |
| Readmission Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | NA | |
| Unplanned Readmission Rate at DRG | 13.07 | |
| Unplanned Readmission Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | NA | |
| Total Medicare payments at DRG | $659,875,657 | |
| Total Medicare payments with ICD J4520 - Mild intermittent asthma, uncomplicated | $291,239 | |
| Total Medicare payment per Day at DRG | $1,493 | |
| Total Medicare payment per Day with ICD J4520 - Mild intermittent asthma, uncomplicated | $1,380 | |
| Total Medicare payment per Hospitalization at DRG | $5,498 | |
| Total Medicare payment per Hospitalization with ICD J4520 - Mild intermittent asthma, uncomplicated | $4,936 | |
| Total Medicare Charges at DRG | $3,598,009,636 | |
| Total Medicare Charges with ICD J4520 - Mild intermittent asthma, uncomplicated | $1,551,540 | |
| Avg Charges at DRG | $29,977 | |
| Avg Charges with ICD J4520 - Mild intermittent asthma, uncomplicated | $26,297 | |
| Mortality Rate at DRG | 0.22 | |
| Mortality Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | NA | |
| SNF Discharge Rate at DRG | 10.98 | |
| SNF Discharge Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | NA | |
| Home Discharge Rate at DRG | 64.98 | |
| Home Discharge Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 67.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD J4520 - Mild intermittent asthma, uncomplicated | 8,439 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD J4520 - Mild intermittent asthma, uncomplicated in DRG | 11.02 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD J4520 - Mild intermittent asthma, uncomplicated | 2.42 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 6.92 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 2.91 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD J4520 - Mild intermittent asthma, uncomplicated | $100,140,485 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD J4520 - Mild intermittent asthma, uncomplicated | $4,910 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD J4520 - Mild intermittent asthma, uncomplicated | $11,866 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD J4520 - Mild intermittent asthma, uncomplicated | $487,819,615 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD J4520 - Mild intermittent asthma, uncomplicated | $57,805 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 23.24 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 32.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD J4520 - Mild intermittent asthma, uncomplicated | 1,239 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD J4520 - Mild intermittent asthma, uncomplicated in DRG | 1.62 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD J4520 - Mild intermittent asthma, uncomplicated | 4.16 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 14.85 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 10.88 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD J4520 - Mild intermittent asthma, uncomplicated | $8,061,595 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD J4520 - Mild intermittent asthma, uncomplicated | $1,562 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD J4520 - Mild intermittent asthma, uncomplicated | $6,507 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD J4520 - Mild intermittent asthma, uncomplicated | $40,701,753 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD J4520 - Mild intermittent asthma, uncomplicated | $32,850 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 12.75 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 63.52 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD J4520 - Mild intermittent asthma, uncomplicated | 854 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD J4520 - Mild intermittent asthma, uncomplicated in DRG | 1.12 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD J4520 - Mild intermittent asthma, uncomplicated | 3.29 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 17.33 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 13.47 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD J4520 - Mild intermittent asthma, uncomplicated | $5,180,623 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD J4520 - Mild intermittent asthma, uncomplicated | $1,844 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD J4520 - Mild intermittent asthma, uncomplicated | $6,066 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD J4520 - Mild intermittent asthma, uncomplicated | $26,659,766 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD J4520 - Mild intermittent asthma, uncomplicated | $31,218 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 9.02 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 72.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J4520 - Mild intermittent asthma, uncomplicated | 707 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J4520 - Mild intermittent asthma, uncomplicated in DRG | 0.92 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J4520 - Mild intermittent asthma, uncomplicated | 4.72 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 14.58 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 11.16 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J4520 - Mild intermittent asthma, uncomplicated | $6,157,451 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J4520 - Mild intermittent asthma, uncomplicated | $1,844 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J4520 - Mild intermittent asthma, uncomplicated | $8,709 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J4520 - Mild intermittent asthma, uncomplicated | $26,377,682 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J4520 - Mild intermittent asthma, uncomplicated | $37,309 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 1.56 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 17.96 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J4520 - Mild intermittent asthma, uncomplicated | 53.32 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 867 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 717 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 573 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LOUIS C JORDAN | 5716 CLEVELAND ST | VIRGINIA BEACH | VA | 23462 | 60 |
| Dr. JAMES E DOWD | 5716 CLEVELAND ST | VIRGINIA BEACH | VA | 23462 | 49 |
| Dr. JAMOKAY P TAYLOR | 135 S PROSPECT ST | YPSILANTI | MI | 48198 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMOKAY P TAYLOR | 135 S PROSPECT ST | YPSILANTI | MI | 48198 | 48 |
| Dr. THOMAS GREGORY CHAISSON | 142 RUE MARGUERITE | THIBODAUX | LA | 70301 | 47 |
| Dr. RAJA SINGH GILL | 1500 S CALIFORNIA AVE | CHICAGO | IL | 60608 | 46 |