*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J698 - Pneumonitis due to inhalation of other solids and liquids - as a primary diagnosis code | J698 - Pneumonitis due to inhalation of other solids and liquids - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.45 | |
| Readmission Rate (%) | 26.8 | |
| Unplanned Readmission Rate (%) | 12.92 | |
| 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 274 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD J698 - Pneumonitis due to inhalation of other solids and liquids in DRG | 47.57 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 6.07 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 20.9 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 13.52 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $3,132,292 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $1,885 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $11,432 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $13,343,728 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $48,700 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 7.66 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 25.55 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 28.47 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 292 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD J698 - Pneumonitis due to inhalation of other solids and liquids in DRG | 12.81 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 6.17 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 21.54 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 13.46 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $3,363,647 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $1,866 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $11,519 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $14,520,119 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $49,726 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 7.53 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 26.03 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 27.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,762 | ||||
| Total Hospitalizations with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 74 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD J698 - Pneumonitis due to inhalation of other solids and liquids in DRG | 3.25 | ||||
| Avg LOS at DRG | 5.4 | ||||
| Avg LOS with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 4.92 | ||||
| Readmission Rate at DRG | 26.53 | ||||
| Readmission Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | NA | ||||
| Unplanned Readmission Rate at DRG | 17.68 | ||||
| Unplanned Readmission Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | NA | ||||
| Total Medicare payments at DRG | $258,625,689 | ||||
| Total Medicare payments with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $650,362 | ||||
| Total Medicare payment per Day at DRG | $1,859 | ||||
| Total Medicare payment per Day with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $1,787 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,039 | ||||
| Total Medicare payment per Hospitalization with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $8,789 | ||||
| Total Medicare Charges at DRG | $1,285,891,031 | ||||
| Total Medicare Charges with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $3,343,639 | ||||
| Avg Charges at DRG | $49,914 | ||||
| Avg Charges with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $45,184 | ||||
| Mortality Rate at DRG | 3.49 | ||||
| Mortality Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | NA | ||||
| SNF Discharge Rate at DRG | 21.29 | ||||
| SNF Discharge Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | NA | ||||
| Home Discharge Rate at DRG | 40.23 | ||||
| Home Discharge Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 60.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 43 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD J698 - Pneumonitis due to inhalation of other solids and liquids in DRG | 1.89 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 19.67 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 37.93 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | NA | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $2,004,920 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $2,370 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $46,626 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $9,452,545 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $219,827 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 32.56 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 25.58 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 33 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD J698 - Pneumonitis due to inhalation of other solids and liquids in DRG | 1.45 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 14.24 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | NA | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | NA | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $1,265,724 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $2,693 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $38,355 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $5,885,584 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | $178,351 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | NA | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | 39.39 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD J698 - Pneumonitis due to inhalation of other solids and liquids | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 30 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 12 |
| HERITAGE VALLEY SEWICKLEY | 720 BLACKBURN RD | SEWICKLEY | PA | 15143 | 12 |