*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J8409 - Other alveolar and parieto-alveolar conditions - as a primary diagnosis code | J8409 - Other alveolar and parieto-alveolar conditions - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.8 | |
| Readmission Rate (%) | 35.57 | |
| 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 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 24,541 | |
| Total Hospitalizations with ICD J8409 - Other alveolar and parieto-alveolar conditions | 29 | |
| DRG Share of Total Hospitalizations | 0.07 | |
| % of Total ICD J8409 - Other alveolar and parieto-alveolar conditions in DRG | 32.95 | |
| Avg LOS at DRG | 6.23 | |
| Avg LOS with ICD J8409 - Other alveolar and parieto-alveolar conditions | 8.28 | |
| Readmission Rate at DRG | 26.09 | |
| Readmission Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA | |
| Unplanned Readmission Rate at DRG | 18.36 | |
| Unplanned Readmission Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA | |
| Total Medicare payments at DRG | $258,475,425 | |
| Total Medicare payments with ICD J8409 - Other alveolar and parieto-alveolar conditions | $423,199 | |
| Total Medicare payment per Day at DRG | $1,691 | |
| Total Medicare payment per Day with ICD J8409 - Other alveolar and parieto-alveolar conditions | $1,763 | |
| Total Medicare payment per Hospitalization at DRG | $10,532 | |
| Total Medicare payment per Hospitalization with ICD J8409 - Other alveolar and parieto-alveolar conditions | $14,593 | |
| Total Medicare Charges at DRG | $1,253,316,626 | |
| Total Medicare Charges with ICD J8409 - Other alveolar and parieto-alveolar conditions | $1,871,413 | |
| Avg Charges at DRG | $51,070 | |
| Avg Charges with ICD J8409 - Other alveolar and parieto-alveolar conditions | $64,531 | |
| Mortality Rate at DRG | 8.32 | |
| Mortality Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA | |
| SNF Discharge Rate at DRG | 14.24 | |
| SNF Discharge Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA | |
| Home Discharge Rate at DRG | 38.58 | |
| Home Discharge Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | 48.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD J8409 - Other alveolar and parieto-alveolar conditions | 69 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD J8409 - Other alveolar and parieto-alveolar conditions in DRG | 10.65 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD J8409 - Other alveolar and parieto-alveolar conditions | 13.19 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | 41.3 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | 28.26 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD J8409 - Other alveolar and parieto-alveolar conditions | $1,954,469 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD J8409 - Other alveolar and parieto-alveolar conditions | $2,148 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD J8409 - Other alveolar and parieto-alveolar conditions | $28,326 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD J8409 - Other alveolar and parieto-alveolar conditions | $10,320,679 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD J8409 - Other alveolar and parieto-alveolar conditions | $149,575 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | 18.84 | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | 18.84 | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | 17.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD J8409 - Other alveolar and parieto-alveolar conditions | 23 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD J8409 - Other alveolar and parieto-alveolar conditions in DRG | 3.55 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD J8409 - Other alveolar and parieto-alveolar conditions | 8.61 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD J8409 - Other alveolar and parieto-alveolar conditions | $525,105 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD J8409 - Other alveolar and parieto-alveolar conditions | $2,652 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD J8409 - Other alveolar and parieto-alveolar conditions | $22,831 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD J8409 - Other alveolar and parieto-alveolar conditions | $3,048,998 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD J8409 - Other alveolar and parieto-alveolar conditions | $132,565 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | 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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 834: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD J8409 - Other alveolar and parieto-alveolar conditions | 18 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J8409 - Other alveolar and parieto-alveolar conditions in DRG | 2.78 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD J8409 - Other alveolar and parieto-alveolar conditions | 35.11 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD J8409 - Other alveolar and parieto-alveolar conditions | $2,584,041 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD J8409 - Other alveolar and parieto-alveolar conditions | $4,089 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD J8409 - Other alveolar and parieto-alveolar conditions | $143,558 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD J8409 - Other alveolar and parieto-alveolar conditions | $14,176,502 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD J8409 - Other alveolar and parieto-alveolar conditions | $787,583 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 109,018 |
| Total Hospitalizations with ICD J8409 - Other alveolar and parieto-alveolar conditions | 12 |
| DRG Share of Total Hospitalizations | 0.33 |
| % of Total ICD J8409 - Other alveolar and parieto-alveolar conditions in DRG | 1.85 |
| Avg LOS at DRG | 12.66 |
| Avg LOS with ICD J8409 - Other alveolar and parieto-alveolar conditions | 15.75 |
| Readmission Rate at DRG | 35.31 |
| Readmission Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA |
| Unplanned Readmission Rate at DRG | 20.73 |
| Unplanned Readmission Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA |
| Total Medicare payments at DRG | $3,554,922,428 |
| Total Medicare payments with ICD J8409 - Other alveolar and parieto-alveolar conditions | $492,255 |
| Total Medicare payment per Day at DRG | $2,575 |
| Total Medicare payment per Day with ICD J8409 - Other alveolar and parieto-alveolar conditions | $2,605 |
| Total Medicare payment per Hospitalization at DRG | $32,609 |
| Total Medicare payment per Hospitalization with ICD J8409 - Other alveolar and parieto-alveolar conditions | $41,021 |
| Total Medicare Charges at DRG | $15,445,232,132 |
| Total Medicare Charges with ICD J8409 - Other alveolar and parieto-alveolar conditions | $2,313,382 |
| Avg Charges at DRG | $141,676 |
| Avg Charges with ICD J8409 - Other alveolar and parieto-alveolar conditions | $192,782 |
| Mortality Rate at DRG | 8.99 |
| Mortality Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA |
| SNF Discharge Rate at DRG | 27.26 |
| SNF Discharge Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA |
| Home Discharge Rate at DRG | 27.78 |
| Home Discharge Rate with ICD J8409 - Other alveolar and parieto-alveolar conditions | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 41 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 16 |
| UNIVERSITY OF NORTH CAROLINA HOSPITAL | 101 MANNING DR | CHAPEL HILL | NC | 27514 | 16 |