*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J64 - Unspecified pneumoconiosis - as a primary diagnosis code | J64 - Unspecified pneumoconiosis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.44 | |
| Readmission Rate (%) | 23.86 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J64 - Unspecified pneumoconiosis | 84 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J64 - Unspecified pneumoconiosis in DRG | 8.23 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J64 - Unspecified pneumoconiosis | 6.4 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J64 - Unspecified pneumoconiosis | 27.54 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J64 - Unspecified pneumoconiosis | 21.74 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J64 - Unspecified pneumoconiosis | $973,992 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J64 - Unspecified pneumoconiosis | $1,810 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J64 - Unspecified pneumoconiosis | $11,595 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J64 - Unspecified pneumoconiosis | $4,570,594 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J64 - Unspecified pneumoconiosis | $54,412 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J64 - Unspecified pneumoconiosis | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J64 - Unspecified pneumoconiosis | 14.29 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J64 - Unspecified pneumoconiosis | 34.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J64 - Unspecified pneumoconiosis | 39 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J64 - Unspecified pneumoconiosis in DRG | 3.82 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J64 - Unspecified pneumoconiosis | 5.05 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J64 - Unspecified pneumoconiosis | NA | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J64 - Unspecified pneumoconiosis | NA | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J64 - Unspecified pneumoconiosis | $295,922 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J64 - Unspecified pneumoconiosis | $1,502 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J64 - Unspecified pneumoconiosis | $7,588 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J64 - Unspecified pneumoconiosis | $1,388,863 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J64 - Unspecified pneumoconiosis | $35,612 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J64 - Unspecified pneumoconiosis | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J64 - Unspecified pneumoconiosis | NA | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J64 - Unspecified pneumoconiosis | 56.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD J64 - Unspecified pneumoconiosis | 13 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD J64 - Unspecified pneumoconiosis in DRG | 1.27 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD J64 - Unspecified pneumoconiosis | 4.08 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD J64 - Unspecified pneumoconiosis | NA | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD J64 - Unspecified pneumoconiosis | NA | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD J64 - Unspecified pneumoconiosis | $103,329 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD J64 - Unspecified pneumoconiosis | $1,950 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD J64 - Unspecified pneumoconiosis | $7,948 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD J64 - Unspecified pneumoconiosis | $289,821 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD J64 - Unspecified pneumoconiosis | $22,294 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD J64 - Unspecified pneumoconiosis | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD J64 - Unspecified pneumoconiosis | NA | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD J64 - Unspecified pneumoconiosis | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD J64 - Unspecified pneumoconiosis | 11 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD J64 - Unspecified pneumoconiosis in DRG | 1.08 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD J64 - Unspecified pneumoconiosis | 2.64 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD J64 - Unspecified pneumoconiosis | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD J64 - Unspecified pneumoconiosis | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD J64 - Unspecified pneumoconiosis | $128,794 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD J64 - Unspecified pneumoconiosis | $4,441 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD J64 - Unspecified pneumoconiosis | $11,709 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD J64 - Unspecified pneumoconiosis | $649,207 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD J64 - Unspecified pneumoconiosis | $59,019 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD J64 - Unspecified pneumoconiosis | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD J64 - Unspecified pneumoconiosis | NA | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD J64 - Unspecified pneumoconiosis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RALEIGH GENERAL HOSPITAL | 1710 HARPER RD | BECKLEY | WV | 25801 | 63 |
| BECKLEY ARH HOSPITAL | 306 STANAFORD RD | BECKLEY | WV | 25801 | 53 |
| LOGAN REGIONAL MEDICAL CENTER | 20 HOSPITAL DR | LOGAN | WV | 25601 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUSTAFA RAHIM | 250 STANAFORD RD | BECKLEY | WV | 25801 | 26 |
| Dr. RADHAKRISHNA KUKKILLAYA | 38 HOSPITAL DR | LOGAN | WV | 25601 | 26 |
| Dr. WADIH KABBARA | 250 STANAFORD RD | BECKLEY | WV | 25801 | 22 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E785 | Hyperlipidemia, unspecified |