*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J4541 - Moderate persistent asthma with (acute) exacerbation - as a primary diagnosis code | J4541 - Moderate persistent asthma with (acute) exacerbation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.82 | |
| Readmission Rate (%) | 18.43 | |
| Unplanned Readmission Rate (%) | 13.31 | |
| 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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,026 | ||||
| Total Hospitalizations with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 4,637 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD J4541 - Moderate persistent asthma with (acute) exacerbation in DRG | 70.48 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 3.9 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 16.82 | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 14.27 | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $27,235,464 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $5,874 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $142,873,853 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $30,812 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 4.98 | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 74.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 36,636 |
| Total Hospitalizations with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 11 |
| DRG Share of Total Hospitalizations | 0.11 |
| % of Total ICD J4541 - Moderate persistent asthma with (acute) exacerbation in DRG | 0.17 |
| Avg LOS at DRG | 5.73 |
| Avg LOS with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 7.09 |
| Readmission Rate at DRG | 21.72 |
| Readmission Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | NA |
| Unplanned Readmission Rate at DRG | 14.08 |
| Unplanned Readmission Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | NA |
| Total Medicare payments at DRG | $448,734,039 |
| Total Medicare payments with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $118,932 |
| Total Medicare payment per Day at DRG | $2,137 |
| Total Medicare payment per Day with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $1,525 |
| Total Medicare payment per Hospitalization at DRG | $12,248 |
| Total Medicare payment per Hospitalization with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $10,812 |
| Total Medicare Charges at DRG | $2,388,208,589 |
| Total Medicare Charges with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $744,626 |
| Avg Charges at DRG | $65,187 |
| Avg Charges with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $67,693 |
| Mortality Rate at DRG | 0.77 |
| Mortality Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | NA |
| SNF Discharge Rate at DRG | 10.73 |
| SNF Discharge Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | NA |
| Home Discharge Rate at DRG | 59.85 |
| Home Discharge Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 100.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 52 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 40 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 37 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,026 | ||||
| Total Hospitalizations with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 5,027 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD J4541 - Moderate persistent asthma with (acute) exacerbation in DRG | 26.14 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 3.91 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 16.56 | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 13.96 | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $29,343,102 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $1,494 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $5,837 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $154,941,589 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $30,822 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 5.03 | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 74.28 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 1,151 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD J4541 - Moderate persistent asthma with (acute) exacerbation in DRG | 5.99 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 5.01 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 20.04 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 16.61 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $8,566,637 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $1,485 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $7,443 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $44,543,800 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $38,700 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 10.51 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 62.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 193 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD J4541 - Moderate persistent asthma with (acute) exacerbation in DRG | 1.0 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 7.09 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 30.57 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 17.83 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $3,122,687 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $2,281 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $16,180 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $16,002,907 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $82,917 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 9.84 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 15.54 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 36.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 110 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD J4541 - Moderate persistent asthma with (acute) exacerbation in DRG | 0.57 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 3.52 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 24.51 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 18.63 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $527,237 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $1,362 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $4,793 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $3,357,428 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | $30,522 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | NA | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD J4541 - Moderate persistent asthma with (acute) exacerbation | 71.82 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 132 |
| AMITA HEALTH SAINTS MARY AND ELIZABETH MEDICAL CENTER | 1127 N OAKLEY BLVD | CHICAGO | IL | 60622 | 119 |
| ST. JOSEPH'S UNIVERSITY MEDICAL CENTER | 703 MAIN ST | PATERSON | NJ | 07503 | 116 |
| 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 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PHILIP J. BENYO | 144 S OLD TURNPIKE RD | DRUMS | PA | 18222 | 19 |
| Dr. NAGWA ISMAIL HAFEZ | 27 ALMADERA DR | WAYNE | NJ | 07470 | 18 |
| Dr. GHASSAN AMIR ATTO | 14825 SOUTHFIELD RD | ALLEN PARK | MI | 48101 | 17 |