*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J61 - Pneumoconiosis due to asbestos and other mineral fibers - as a primary diagnosis code | J61 - Pneumoconiosis due to asbestos and other mineral fibers - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.58 | |
| Readmission Rate (%) | 23.41 | |
| Unplanned Readmission Rate (%) | 14.79 | |
| 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 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,541 | |||
| Total Hospitalizations with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 216 | |||
| DRG Share of Total Hospitalizations | 0.07 | |||
| % of Total ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers in DRG | 49.66 | |||
| Avg LOS at DRG | 6.23 | |||
| Avg LOS with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 5.78 | |||
| Readmission Rate at DRG | 26.09 | |||
| Readmission Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 27.27 | |||
| Unplanned Readmission Rate at DRG | 18.36 | |||
| Unplanned Readmission Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 17.17 | |||
| Total Medicare payments at DRG | $258,475,425 | |||
| Total Medicare payments with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $2,228,074 | |||
| Total Medicare payment per Day at DRG | $1,691 | |||
| Total Medicare payment per Day with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $1,784 | |||
| Total Medicare payment per Hospitalization at DRG | $10,532 | |||
| Total Medicare payment per Hospitalization with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $10,315 | |||
| Total Medicare Charges at DRG | $1,253,316,626 | |||
| Total Medicare Charges with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $9,838,718 | |||
| Avg Charges at DRG | $51,070 | |||
| Avg Charges with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $45,550 | |||
| Mortality Rate at DRG | 8.32 | |||
| Mortality Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 7.41 | |||
| SNF Discharge Rate at DRG | 14.24 | |||
| SNF Discharge Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 14.81 | |||
| Home Discharge Rate at DRG | 38.58 | |||
| Home Discharge Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 33.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 1,948 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers in DRG | 7.01 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 6.17 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 23.16 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 16.28 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $21,711,705 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $1,806 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $11,146 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $107,157,597 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $55,009 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 12.37 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 23.05 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 27.1 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 641 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers in DRG | 2.31 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 4.1 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 22.19 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 18.21 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $3,928,570 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $1,494 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $6,129 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $18,561,678 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $28,957 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 1.72 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 13.1 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 46.96 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 386 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers in DRG | 1.39 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 5.31 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 24.76 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 18.18 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $3,871,121 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $1,888 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $10,029 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $19,621,245 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $50,832 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 17.36 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 33.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 283 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers in DRG | 1.02 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 3.84 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 23.08 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 15.75 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $1,480,803 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $1,361 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $5,233 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $7,588,364 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | $26,814 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 21.55 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD J61 - Pneumoconiosis due to asbestos and other mineral fibers | 45.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEDSTAR FRANKLIN SQUARE MEDICAL CENTER | 9000 FRANKLIN SQUARE DR | BALTIMORE | MD | 21237 | 228 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 218 |
| VIRTUA VOORHEES HOSPITAL | 100 BOWMAN DR | VOORHEES | NJ | 08043 | 191 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NARINDER K DHILLON-ATHWAL | 3499 ROUTE 9 N | FREEHOLD | NJ | 07728 | 15 |
| Dr. GAMANI KYAW THU | 2201 LEXINGTON AVE | ASHLAND | KY | 41101 | 13 |
| Dr. ARSALAN MALIK | 731 CALDERONE CT | SOUTH PLAINFIELD | NJ | 07080 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHELLE LYNN BOLTZ | 214 E 3RD ST | LIBBY | MT | 59923 | 39 |
| Dr. MICHAEL LLOYD MCMAHON | 2501 JIMMY JOHNSON BLVD | PORT ARTHUR | TX | 77640 | 27 |
| Dr. KENNETH WAYNE DONOVAN | 365 MONTAUK AVE | NEW LONDON | CT | 06320 | 22 |