*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J4551 - Severe persistent asthma with (acute) exacerbation - as a primary diagnosis code | J4551 - Severe persistent asthma with (acute) exacerbation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.34 | |
| Readmission Rate (%) | 23.6 | |
| Unplanned Readmission Rate (%) | 17.85 | |
| 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 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,026 | ||||
| Total Hospitalizations with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 4,391 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD J4551 - Severe persistent asthma with (acute) exacerbation in DRG | 69.83 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 4.45 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 22.64 | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 19.25 | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $26,705,842 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $1,367 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $6,082 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $153,068,175 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $34,860 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 3.8 | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 76.77 |
*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) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 24 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J4551 - Severe persistent asthma with (acute) exacerbation in DRG | 0.38 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 4.71 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | NA | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | NA | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $371,059 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $3,284 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $15,461 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $1,154,166 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $48,090 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | NA | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 100.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL HOSPITAL WEST | 703 N FLAMINGO RD | PEMBROKE PINES | FL | 33028 | 65 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 62 |
| SPARTANBURG MEDICAL CENTER | 101 E WOOD ST | SPARTANBURG | SC | 29303 | 54 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY J FELDMAN | 151 HAROLD FLEMING COURT | SPARTANBURG | SC | 29303 | 43 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY J FELDMAN | 151 HAROLD FLEMING COURT | SPARTANBURG | SC | 29303 | 47 |
| Dr. BRIGITTE A SEMEXANT | 10041 PINES BLVD | PEMBROKE PINES | FL | 33024 | 16 |
| Dr. RAFAEL SEGUNDO BRICENO | 3363 SHERIDAN ST | HOLLYWOOD | FL | 33021 | 14 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,026 | ||||
| Total Hospitalizations with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 4,590 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD J4551 - Severe persistent asthma with (acute) exacerbation in DRG | 31.13 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 4.49 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 22.5 | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 19.13 | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $27,875,193 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $1,352 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $6,073 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $160,711,841 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $35,013 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 3.77 | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 76.91 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 722 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J4551 - Severe persistent asthma with (acute) exacerbation in DRG | 4.9 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 6.41 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 23.74 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 19.18 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $8,750,359 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $1,890 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $12,120 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $48,763,182 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $67,539 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 2.91 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 12.33 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 54.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 139 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD J4551 - Severe persistent asthma with (acute) exacerbation in DRG | 0.94 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 8.47 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 31.3 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 27.48 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $1,645,601 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $1,398 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $11,839 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $9,800,479 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $70,507 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 17.99 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 45.32 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 781: OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 74 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD J4551 - Severe persistent asthma with (acute) exacerbation in DRG | 0.5 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 4.7 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 24.29 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 21.43 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $553,529 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $1,591 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $7,480 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $3,015,069 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD J4551 - Severe persistent asthma with (acute) exacerbation | $40,744 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | NA | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD J4551 - Severe persistent asthma with (acute) exacerbation | 56.76 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL HOSPITAL WEST | 703 N FLAMINGO RD | PEMBROKE PINES | FL | 33028 | 129 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 113 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 108 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY J FELDMAN | 151 HAROLD FLEMING COURT | SPARTANBURG | SC | 29303 | 62 |
| Dr. GHULAM RABBANI AZIZ | 16218 SAINT CLAIR AVE | EAST LIVERPOOL | OH | 43920 | 18 |
| Dr. ASHOK MITTAL | 6185 54TH AVE N | ST PETERSBURG | FL | 33709 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY J FELDMAN | 151 HAROLD FLEMING COURT | SPARTANBURG | SC | 29303 | 72 |
| Dr. RAFAEL SEGUNDO BRICENO | 3363 SHERIDAN ST | HOLLYWOOD | FL | 33021 | 38 |
| Dr. TARIQ HASAN ABDELKARIM | 3271 W CARLETON RD | HILLSDALE | MI | 49242 | 29 |