*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J810 - Acute pulmonary edema - as a primary diagnosis code | J810 - Acute pulmonary edema - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.06 | |
| Readmission Rate (%) | 30.83 | |
| Unplanned Readmission Rate (%) | 23.46 | |
| 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD J810 - Acute pulmonary edema | 10,295 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD J810 - Acute pulmonary edema in DRG | 90.2 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD J810 - Acute pulmonary edema | 3.19 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD J810 - Acute pulmonary edema | 29.0 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD J810 - Acute pulmonary edema | 23.45 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD J810 - Acute pulmonary edema | $75,967,369 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD J810 - Acute pulmonary edema | $2,313 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD J810 - Acute pulmonary edema | $7,379 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD J810 - Acute pulmonary edema | $304,585,336 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD J810 - Acute pulmonary edema | $29,586 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD J810 - Acute pulmonary edema | 1.2 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD J810 - Acute pulmonary edema | 10.41 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD J810 - Acute pulmonary edema | 62.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 33,583 | ||||
| Total Hospitalizations with ICD J810 - Acute pulmonary edema | 38 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD J810 - Acute pulmonary edema in DRG | 0.33 | ||||
| Avg LOS at DRG | 11.44 | ||||
| Avg LOS with ICD J810 - Acute pulmonary edema | 7.32 | ||||
| Readmission Rate at DRG | 33.65 | ||||
| Readmission Rate with ICD J810 - Acute pulmonary edema | NA | ||||
| Unplanned Readmission Rate at DRG | 21.15 | ||||
| Unplanned Readmission Rate with ICD J810 - Acute pulmonary edema | NA | ||||
| Total Medicare payments at DRG | $802,022,870 | ||||
| Total Medicare payments with ICD J810 - Acute pulmonary edema | $672,816 | ||||
| Total Medicare payment per Day at DRG | $2,088 | ||||
| Total Medicare payment per Day with ICD J810 - Acute pulmonary edema | $2,420 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,882 | ||||
| Total Medicare payment per Hospitalization with ICD J810 - Acute pulmonary edema | $17,706 | ||||
| Total Medicare Charges at DRG | $3,957,485,422 | ||||
| Total Medicare Charges with ICD J810 - Acute pulmonary edema | $2,780,645 | ||||
| Avg Charges at DRG | $117,842 | ||||
| Avg Charges with ICD J810 - Acute pulmonary edema | $73,175 | ||||
| Mortality Rate at DRG | 8.73 | ||||
| Mortality Rate with ICD J810 - Acute pulmonary edema | NA | ||||
| SNF Discharge Rate at DRG | 24.87 | ||||
| SNF Discharge Rate with ICD J810 - Acute pulmonary edema | NA | ||||
| Home Discharge Rate at DRG | 28.69 | ||||
| Home Discharge Rate with ICD J810 - Acute pulmonary edema | 57.89 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 101 |
| THIBODAUX REGIONAL MEDICAL CENTER | 602 N ACADIA RD | THIBODAUX | LA | 70301 | 86 |
| JACKSON HOSPITAL | 1725 PINE ST | MONTGOMERY | AL | 36106 | 53 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY CHUKWUEMEKA MAIDOH | 855 BELANGER ST | HOUMA | LA | 70360 | 19 |
| Dr. SAMUEL KOFI OSEI OKOH | 701 MEDICAL PARK DR | HARTSVILLE | SC | 29550 | 17 |
| Dr. JAMES KEVIN MODISETTE | 604 N. ACADIA RD. | THIBODAUX | LA | 70301 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAMUEL KOFI OSEI OKOH | 701 MEDICAL PARK DR | HARTSVILLE | SC | 29550 | 22 |
| Dr. RAJA S TALLURI | 22080 LA HWY 20 | VACHERIE | LA | 70090 | 21 |
| Dr. JOHN CAMERON PITTARD | 255 WARLEY ST | FLORENCE | SC | 29501 | 15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD J810 - Acute pulmonary edema | 15,850 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD J810 - Acute pulmonary edema in DRG | 14.38 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD J810 - Acute pulmonary edema | 3.83 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD J810 - Acute pulmonary edema | 29.09 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD J810 - Acute pulmonary edema | 23.01 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD J810 - Acute pulmonary edema | $122,816,595 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD J810 - Acute pulmonary edema | $2,021 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD J810 - Acute pulmonary edema | $7,749 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD J810 - Acute pulmonary edema | $555,073,889 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD J810 - Acute pulmonary edema | $35,020 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD J810 - Acute pulmonary edema | 2.56 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD J810 - Acute pulmonary edema | 12.42 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD J810 - Acute pulmonary edema | 57.04 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J810 - Acute pulmonary edema | 3,621 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J810 - Acute pulmonary edema in DRG | 3.28 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J810 - Acute pulmonary edema | 5.84 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J810 - Acute pulmonary edema | 23.66 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J810 - Acute pulmonary edema | 16.54 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J810 - Acute pulmonary edema | $31,661,053 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J810 - Acute pulmonary edema | $1,498 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J810 - Acute pulmonary edema | $8,744 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J810 - Acute pulmonary edema | $170,333,955 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J810 - Acute pulmonary edema | $47,041 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J810 - Acute pulmonary edema | 4.86 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J810 - Acute pulmonary edema | 20.74 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J810 - Acute pulmonary edema | 39.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD J810 - Acute pulmonary edema | 2,033 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD J810 - Acute pulmonary edema in DRG | 1.84 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD J810 - Acute pulmonary edema | 4.72 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD J810 - Acute pulmonary edema | 25.31 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD J810 - Acute pulmonary edema | 18.13 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD J810 - Acute pulmonary edema | $15,224,466 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD J810 - Acute pulmonary edema | $1,586 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD J810 - Acute pulmonary edema | $7,489 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD J810 - Acute pulmonary edema | $84,485,119 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD J810 - Acute pulmonary edema | $41,557 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD J810 - Acute pulmonary edema | 5.36 | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD J810 - Acute pulmonary edema | 14.56 | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD J810 - Acute pulmonary edema | 49.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 304: HYPERTENSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,588 | ||||
| Total Hospitalizations with ICD J810 - Acute pulmonary edema | 1,228 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J810 - Acute pulmonary edema in DRG | 1.11 | ||||
| Avg LOS at DRG | 3.81 | ||||
| Avg LOS with ICD J810 - Acute pulmonary edema | 3.48 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD J810 - Acute pulmonary edema | 28.29 | ||||
| Unplanned Readmission Rate at DRG | 22.61 | ||||
| Unplanned Readmission Rate with ICD J810 - Acute pulmonary edema | 24.98 | ||||
| Total Medicare payments at DRG | $244,668,708 | ||||
| Total Medicare payments with ICD J810 - Acute pulmonary edema | $8,688,769 | ||||
| Total Medicare payment per Day at DRG | $1,753 | ||||
| Total Medicare payment per Day with ICD J810 - Acute pulmonary edema | $2,035 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,687 | ||||
| Total Medicare payment per Hospitalization with ICD J810 - Acute pulmonary edema | $7,076 | ||||
| Total Medicare Charges at DRG | $1,303,960,629 | ||||
| Total Medicare Charges with ICD J810 - Acute pulmonary edema | $39,486,976 | ||||
| Avg Charges at DRG | $35,639 | ||||
| Avg Charges with ICD J810 - Acute pulmonary edema | $32,156 | ||||
| Mortality Rate at DRG | 0.74 | ||||
| Mortality Rate with ICD J810 - Acute pulmonary edema | NA | ||||
| SNF Discharge Rate at DRG | 12.63 | ||||
| SNF Discharge Rate with ICD J810 - Acute pulmonary edema | 7.9 | ||||
| Home Discharge Rate at DRG | 59.82 | ||||
| Home Discharge Rate with ICD J810 - Acute pulmonary edema | 67.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 731 |
| NORTHWESTERN MEMORIAL HOSPITAL | 251 E HURON ST | CHICAGO | IL | 60611 | 653 |
| ST. BERNARDS HEALTHCARE | 225 E JACKSON AVE | JONESBORO | AR | 72401 | 624 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PATRICK MCCARTHY | 680 N LAKE SHORE DR | CHICAGO | IL | 60611 | 62 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 48 |
| Dr. OLADAYO A SANUSI | 1901 PEASE ST | HARLINGEN | TX | 78550 | 45 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SCOTT PAUL SHISLER | 1100 S VAN DYKE | BAD AXE | MI | 48413 | 78 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 71 |
| Dr. PATRICK MCCARTHY | 680 N LAKE SHORE DR | CHICAGO | IL | 60611 | 63 |