*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J60 - Coalworker's pneumoconiosis - as a primary diagnosis code | J60 - Coalworker's pneumoconiosis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.44 | |
| Readmission Rate (%) | 22.17 | |
| Unplanned Readmission Rate (%) | 11.3 | |
| 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 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 3,387 | ||
| Total Hospitalizations with ICD J60 - Coalworker's pneumoconiosis | 55 | ||
| DRG Share of Total Hospitalizations | 0.01 | ||
| % of Total ICD J60 - Coalworker's pneumoconiosis in DRG | 28.95 | ||
| Avg LOS at DRG | 3.05 | ||
| Avg LOS with ICD J60 - Coalworker's pneumoconiosis | 3.98 | ||
| Readmission Rate at DRG | 17.17 | ||
| Readmission Rate with ICD J60 - Coalworker's pneumoconiosis | NA | ||
| Unplanned Readmission Rate at DRG | 11.03 | ||
| Unplanned Readmission Rate with ICD J60 - Coalworker's pneumoconiosis | NA | ||
| Total Medicare payments at DRG | $16,543,973 | ||
| Total Medicare payments with ICD J60 - Coalworker's pneumoconiosis | $54,894 | ||
| Total Medicare payment per Day at DRG | $1,601 | ||
| Total Medicare payment per Day with ICD J60 - Coalworker's pneumoconiosis | $251 | ||
| Total Medicare payment per Hospitalization at DRG | $4,885 | ||
| Total Medicare payment per Hospitalization with ICD J60 - Coalworker's pneumoconiosis | $998 | ||
| Total Medicare Charges at DRG | $82,769,597 | ||
| Total Medicare Charges with ICD J60 - Coalworker's pneumoconiosis | $995,833 | ||
| Avg Charges at DRG | $24,437 | ||
| Avg Charges with ICD J60 - Coalworker's pneumoconiosis | $18,106 | ||
| Mortality Rate at DRG | 0.8 | ||
| Mortality Rate with ICD J60 - Coalworker's pneumoconiosis | NA | ||
| SNF Discharge Rate at DRG | 7.03 | ||
| SNF Discharge Rate with ICD J60 - Coalworker's pneumoconiosis | NA | ||
| Home Discharge Rate at DRG | 69.8 | ||
| Home Discharge Rate with ICD J60 - Coalworker's pneumoconiosis | 98.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BUCHANAN GENERAL HOSPITAL | 1535 SLATE CREEK RD | GRUNDY | VA | 24614 | 78 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JASHUBHAI G PATEL | 1520 SLATE CREEK RD | GRUNDY | VA | 24614 | 74 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J60 - Coalworker's pneumoconiosis | 757 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J60 - Coalworker's pneumoconiosis in DRG | 7.79 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J60 - Coalworker's pneumoconiosis | 5.45 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J60 - Coalworker's pneumoconiosis | 22.24 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J60 - Coalworker's pneumoconiosis | 16.07 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J60 - Coalworker's pneumoconiosis | $7,034,655 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J60 - Coalworker's pneumoconiosis | $1,705 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J60 - Coalworker's pneumoconiosis | $9,293 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J60 - Coalworker's pneumoconiosis | $34,519,275 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J60 - Coalworker's pneumoconiosis | $45,600 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J60 - Coalworker's pneumoconiosis | 9.91 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J60 - Coalworker's pneumoconiosis | 11.1 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J60 - Coalworker's pneumoconiosis | 41.74 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J60 - Coalworker's pneumoconiosis | 266 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J60 - Coalworker's pneumoconiosis in DRG | 2.74 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J60 - Coalworker's pneumoconiosis | 5.26 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J60 - Coalworker's pneumoconiosis | 20.49 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J60 - Coalworker's pneumoconiosis | 13.11 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J60 - Coalworker's pneumoconiosis | $1,760,887 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J60 - Coalworker's pneumoconiosis | $1,258 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J60 - Coalworker's pneumoconiosis | $6,620 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J60 - Coalworker's pneumoconiosis | $9,171,588 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J60 - Coalworker's pneumoconiosis | $34,480 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J60 - Coalworker's pneumoconiosis | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J60 - Coalworker's pneumoconiosis | 7.14 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J60 - Coalworker's pneumoconiosis | 56.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD J60 - Coalworker's pneumoconiosis | 141 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD J60 - Coalworker's pneumoconiosis in DRG | 1.45 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD J60 - Coalworker's pneumoconiosis | 4.95 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD J60 - Coalworker's pneumoconiosis | 16.53 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD J60 - Coalworker's pneumoconiosis | 10.74 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD J60 - Coalworker's pneumoconiosis | $1,178,227 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD J60 - Coalworker's pneumoconiosis | $1,688 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD J60 - Coalworker's pneumoconiosis | $8,356 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD J60 - Coalworker's pneumoconiosis | $5,598,934 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD J60 - Coalworker's pneumoconiosis | $39,709 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD J60 - Coalworker's pneumoconiosis | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD J60 - Coalworker's pneumoconiosis | 9.93 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD J60 - Coalworker's pneumoconiosis | 47.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | 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 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD J60 - Coalworker's pneumoconiosis | 120 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD J60 - Coalworker's pneumoconiosis in DRG | 1.23 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD J60 - Coalworker's pneumoconiosis | 3.77 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD J60 - Coalworker's pneumoconiosis | 27.62 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD J60 - Coalworker's pneumoconiosis | 17.14 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD J60 - Coalworker's pneumoconiosis | $602,073 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD J60 - Coalworker's pneumoconiosis | $1,329 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD J60 - Coalworker's pneumoconiosis | $5,017 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD J60 - Coalworker's pneumoconiosis | $3,150,865 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD J60 - Coalworker's pneumoconiosis | $26,257 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD J60 - Coalworker's pneumoconiosis | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD J60 - Coalworker's pneumoconiosis | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD J60 - Coalworker's pneumoconiosis | 55.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PIKEVILLE MEDICAL CENTER | 911 BYPASS RD | PIKEVILLE | KY | 41501 | 934 |
| CHARLESTON AREA MEDICAL CENTER | 501 MORRIS ST | CHARLESTON | WV | 25301 | 586 |
| RALEIGH GENERAL HOSPITAL | 1710 HARPER RD | BECKLEY | WV | 25801 | 540 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALBERT FRANCOIS OLIVIER | 122 GEORGE ST | BECKLEY | WV | 25801 | 38 |
| Dr. ABDRHMAN HAMO | 1717 HARPER RD | BECKLEY | WV | 25801 | 35 |
| Dr. MAHMOOD ALAM | 226 MEDICAL PLAZA LANE | WHITESBURG | KY | 41858 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VAN S BREEDING | 226 MEDICAL PLAZA LANE | WHITESBURG | KY | 41858 | 159 |
| Dr. JASHUBHAI G PATEL | 1520 SLATE CREEK RD | GRUNDY | VA | 24614 | 142 |
| Dr. SURAYIA T HASAN | 224 PROFESSIONAL PARK | BECKLEY | WV | 25801 | 86 |