*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
J4521 - Mild intermittent asthma with (acute) exacerbation - as a primary diagnosis code | J4521 - Mild intermittent asthma with (acute) exacerbation - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 4.82 | |
Readmission Rate (%) | 16.7 | |
Unplanned Readmission Rate (%) | 10.95 | |
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 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
---|---|---|---|---|
Total Hospitalizations at DRG | 120,026 | |||
Total Hospitalizations with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 2,003 | |||
DRG Share of Total Hospitalizations | 0.37 | |||
% of Total ICD J4521 - Mild intermittent asthma with (acute) exacerbation in DRG | 70.11 | |||
Avg LOS at DRG | 3.68 | |||
Avg LOS with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 3.58 | |||
Readmission Rate at DRG | 16.52 | |||
Readmission Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 14.48 | |||
Unplanned Readmission Rate at DRG | 13.07 | |||
Unplanned Readmission Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 12.6 | |||
Total Medicare payments at DRG | $659,875,657 | |||
Total Medicare payments with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $11,718,211 | |||
Total Medicare payment per Day at DRG | $1,493 | |||
Total Medicare payment per Day with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $1,634 | |||
Total Medicare payment per Hospitalization at DRG | $5,498 | |||
Total Medicare payment per Hospitalization with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $5,850 | |||
Total Medicare Charges at DRG | $3,598,009,636 | |||
Total Medicare Charges with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $57,018,869 | |||
Avg Charges at DRG | $29,977 | |||
Avg Charges with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $28,467 | |||
Mortality Rate at DRG | 0.22 | |||
Mortality Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | NA | |||
SNF Discharge Rate at DRG | 10.98 | |||
SNF Discharge Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 5.79 | |||
Home Discharge Rate at DRG | 64.98 | |||
Home Discharge Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 74.04 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 37 |
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 23 |
CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 20 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 120,026 | ||||
Total Hospitalizations with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 2,310 | ||||
DRG Share of Total Hospitalizations | 0.37 | ||||
% of Total ICD J4521 - Mild intermittent asthma with (acute) exacerbation in DRG | 20.42 | ||||
Avg LOS at DRG | 3.68 | ||||
Avg LOS with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 3.57 | ||||
Readmission Rate at DRG | 16.52 | ||||
Readmission Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 14.03 | ||||
Unplanned Readmission Rate at DRG | 13.07 | ||||
Unplanned Readmission Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 12.13 | ||||
Total Medicare payments at DRG | $659,875,657 | ||||
Total Medicare payments with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $13,339,795 | ||||
Total Medicare payment per Day at DRG | $1,493 | ||||
Total Medicare payment per Day with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $1,616 | ||||
Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
Total Medicare payment per Hospitalization with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $5,775 | ||||
Total Medicare Charges at DRG | $3,598,009,636 | ||||
Total Medicare Charges with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $65,957,386 | ||||
Avg Charges at DRG | $29,977 | ||||
Avg Charges with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $28,553 | ||||
Mortality Rate at DRG | 0.22 | ||||
Mortality Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | NA | ||||
SNF Discharge Rate at DRG | 10.98 | ||||
SNF Discharge Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 5.89 | ||||
Home Discharge Rate at DRG | 64.98 | ||||
Home Discharge Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 74.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 443,386 | ||||
Total Hospitalizations with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 595 | ||||
DRG Share of Total Hospitalizations | 1.35 | ||||
% of Total ICD J4521 - Mild intermittent asthma with (acute) exacerbation in DRG | 5.26 | ||||
Avg LOS at DRG | 5.27 | ||||
Avg LOS with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 5.15 | ||||
Readmission Rate at DRG | 21.6 | ||||
Readmission Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 16.49 | ||||
Unplanned Readmission Rate at DRG | 15.91 | ||||
Unplanned Readmission Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 12.54 | ||||
Total Medicare payments at DRG | $3,812,834,208 | ||||
Total Medicare payments with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $5,135,572 | ||||
Total Medicare payment per Day at DRG | $1,632 | ||||
Total Medicare payment per Day with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $1,677 | ||||
Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
Total Medicare payment per Hospitalization with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $8,631 | ||||
Total Medicare Charges at DRG | $18,110,468,211 | ||||
Total Medicare Charges with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $23,831,299 | ||||
Avg Charges at DRG | $40,846 | ||||
Avg Charges with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $40,053 | ||||
Mortality Rate at DRG | 3.59 | ||||
Mortality Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | NA | ||||
SNF Discharge Rate at DRG | 22.57 | ||||
SNF Discharge Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 13.11 | ||||
Home Discharge Rate at DRG | 40.95 | ||||
Home Discharge Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 56.81 |
*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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 499,133 | ||||
Total Hospitalizations with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 128 | ||||
DRG Share of Total Hospitalizations | 1.52 | ||||
% of Total ICD J4521 - Mild intermittent asthma with (acute) exacerbation in DRG | 1.13 | ||||
Avg LOS at DRG | 4.34 | ||||
Avg LOS with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 3.74 | ||||
Readmission Rate at DRG | 17.57 | ||||
Readmission Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 12.7 | ||||
Unplanned Readmission Rate at DRG | 12.56 | ||||
Unplanned Readmission Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 11.9 | ||||
Total Medicare payments at DRG | $3,254,711,780 | ||||
Total Medicare payments with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $849,484 | ||||
Total Medicare payment per Day at DRG | $1,504 | ||||
Total Medicare payment per Day with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $1,773 | ||||
Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
Total Medicare payment per Hospitalization with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $6,637 | ||||
Total Medicare Charges at DRG | $16,863,396,143 | ||||
Total Medicare Charges with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $4,417,488 | ||||
Avg Charges at DRG | $33,785 | ||||
Avg Charges with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $34,512 | ||||
Mortality Rate at DRG | 1.33 | ||||
Mortality Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | NA | ||||
SNF Discharge Rate at DRG | 19.89 | ||||
SNF Discharge Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | NA | ||||
Home Discharge Rate at DRG | 49.27 | ||||
Home Discharge Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 68.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 181,637 | ||||
Total Hospitalizations with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 93 | ||||
DRG Share of Total Hospitalizations | 0.55 | ||||
% of Total ICD J4521 - Mild intermittent asthma with (acute) exacerbation in DRG | 0.82 | ||||
Avg LOS at DRG | 7.0 | ||||
Avg LOS with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 7.74 | ||||
Readmission Rate at DRG | 32.53 | ||||
Readmission Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 28.17 | ||||
Unplanned Readmission Rate at DRG | 19.84 | ||||
Unplanned Readmission Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 16.9 | ||||
Total Medicare payments at DRG | $2,845,609,163 | ||||
Total Medicare payments with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $1,566,432 | ||||
Total Medicare payment per Day at DRG | $2,237 | ||||
Total Medicare payment per Day with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $2,176 | ||||
Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
Total Medicare payment per Hospitalization with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $16,843 | ||||
Total Medicare Charges at DRG | $14,794,146,746 | ||||
Total Medicare Charges with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $8,161,803 | ||||
Avg Charges at DRG | $81,449 | ||||
Avg Charges with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | $87,761 | ||||
Mortality Rate at DRG | 25.14 | ||||
Mortality Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 12.9 | ||||
SNF Discharge Rate at DRG | 19.06 | ||||
SNF Discharge Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | NA | ||||
Home Discharge Rate at DRG | 20.69 | ||||
Home Discharge Rate with ICD J4521 - Mild intermittent asthma with (acute) exacerbation | 33.33 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
AMITA HEALTH SAINTS MARY AND ELIZABETH MEDICAL CENTER | 1127 N OAKLEY BLVD | CHICAGO | IL | 60622 | 93 |
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 91 |
MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 91 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JAYESH R MEHTA | 55 OLD NYACK TPKE | NANUET | NY | 10954 | 13 |