*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J84116 - Cryptogenic organizing pneumonia - as a primary diagnosis code | J84116 - Cryptogenic organizing pneumonia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.07 | |
| Readmission Rate (%) | 30.77 | |
| Unplanned Readmission Rate (%) | 17.62 | |
| 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) | DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,541 | ||||
| Total Hospitalizations with ICD J84116 - Cryptogenic organizing pneumonia | 747 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD J84116 - Cryptogenic organizing pneumonia in DRG | 43.79 | ||||
| Avg LOS at DRG | 6.23 | ||||
| Avg LOS with ICD J84116 - Cryptogenic organizing pneumonia | 7.97 | ||||
| Readmission Rate at DRG | 26.09 | ||||
| Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | 28.66 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | 18.29 | ||||
| Total Medicare payments at DRG | $258,475,425 | ||||
| Total Medicare payments with ICD J84116 - Cryptogenic organizing pneumonia | $8,849,865 | ||||
| Total Medicare payment per Day at DRG | $1,691 | ||||
| Total Medicare payment per Day with ICD J84116 - Cryptogenic organizing pneumonia | $1,486 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,532 | ||||
| Total Medicare payment per Hospitalization with ICD J84116 - Cryptogenic organizing pneumonia | $11,847 | ||||
| Total Medicare Charges at DRG | $1,253,316,626 | ||||
| Total Medicare Charges with ICD J84116 - Cryptogenic organizing pneumonia | $48,819,289 | ||||
| Avg Charges at DRG | $51,070 | ||||
| Avg Charges with ICD J84116 - Cryptogenic organizing pneumonia | $65,354 | ||||
| Mortality Rate at DRG | 8.32 | ||||
| Mortality Rate with ICD J84116 - Cryptogenic organizing pneumonia | 6.43 | ||||
| SNF Discharge Rate at DRG | 14.24 | ||||
| SNF Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | 17.27 | ||||
| Home Discharge Rate at DRG | 38.58 | ||||
| Home Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | 37.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,276 | ||||
| Total Hospitalizations with ICD J84116 - Cryptogenic organizing pneumonia | 65 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J84116 - Cryptogenic organizing pneumonia in DRG | 3.81 | ||||
| Avg LOS at DRG | 12.15 | ||||
| Avg LOS with ICD J84116 - Cryptogenic organizing pneumonia | 16.68 | ||||
| Readmission Rate at DRG | 27.64 | ||||
| Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | 27.27 | ||||
| Unplanned Readmission Rate at DRG | 14.04 | ||||
| Unplanned Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | NA | ||||
| Total Medicare payments at DRG | $1,238,611,931 | ||||
| Total Medicare payments with ICD J84116 - Cryptogenic organizing pneumonia | $2,517,086 | ||||
| Total Medicare payment per Day at DRG | $2,735 | ||||
| Total Medicare payment per Day with ICD J84116 - Cryptogenic organizing pneumonia | $2,322 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,228 | ||||
| Total Medicare payment per Hospitalization with ICD J84116 - Cryptogenic organizing pneumonia | $38,724 | ||||
| Total Medicare Charges at DRG | $5,969,079,351 | ||||
| Total Medicare Charges with ICD J84116 - Cryptogenic organizing pneumonia | $13,108,973 | ||||
| Avg Charges at DRG | $160,132 | ||||
| Avg Charges with ICD J84116 - Cryptogenic organizing pneumonia | $201,677 | ||||
| Mortality Rate at DRG | 8.94 | ||||
| Mortality Rate with ICD J84116 - Cryptogenic organizing pneumonia | NA | ||||
| SNF Discharge Rate at DRG | 17.97 | ||||
| SNF Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | 18.46 | ||||
| Home Discharge Rate at DRG | 31.66 | ||||
| Home Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | 35.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 49,331 |
| Total Hospitalizations with ICD J84116 - Cryptogenic organizing pneumonia | 11 |
| DRG Share of Total Hospitalizations | 0.15 |
| % of Total ICD J84116 - Cryptogenic organizing pneumonia in DRG | 0.64 |
| Avg LOS at DRG | 5.76 |
| Avg LOS with ICD J84116 - Cryptogenic organizing pneumonia | 5.0 |
| Readmission Rate at DRG | 13.39 |
| Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | NA |
| Unplanned Readmission Rate at DRG | 8.11 |
| Unplanned Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | NA |
| Total Medicare payments at DRG | $830,506,314 |
| Total Medicare payments with ICD J84116 - Cryptogenic organizing pneumonia | $176,223 |
| Total Medicare payment per Day at DRG | $2,922 |
| Total Medicare payment per Day with ICD J84116 - Cryptogenic organizing pneumonia | $3,204 |
| Total Medicare payment per Hospitalization at DRG | $16,835 |
| Total Medicare payment per Hospitalization with ICD J84116 - Cryptogenic organizing pneumonia | $16,020 |
| Total Medicare Charges at DRG | $4,394,247,481 |
| Total Medicare Charges with ICD J84116 - Cryptogenic organizing pneumonia | $1,087,511 |
| Avg Charges at DRG | $89,077 |
| Avg Charges with ICD J84116 - Cryptogenic organizing pneumonia | $98,865 |
| Mortality Rate at DRG | 0.32 |
| Mortality Rate with ICD J84116 - Cryptogenic organizing pneumonia | NA |
| SNF Discharge Rate at DRG | 6.7 |
| SNF Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | NA |
| Home Discharge Rate at DRG | 62.23 |
| Home Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 13 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 13 |
*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) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,541 | ||||
| Total Hospitalizations with ICD J84116 - Cryptogenic organizing pneumonia | 801 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD J84116 - Cryptogenic organizing pneumonia in DRG | 15.49 | ||||
| Avg LOS at DRG | 6.23 | ||||
| Avg LOS with ICD J84116 - Cryptogenic organizing pneumonia | 7.98 | ||||
| Readmission Rate at DRG | 26.09 | ||||
| Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | 29.14 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | 18.86 | ||||
| Total Medicare payments at DRG | $258,475,425 | ||||
| Total Medicare payments with ICD J84116 - Cryptogenic organizing pneumonia | $9,466,749 | ||||
| Total Medicare payment per Day at DRG | $1,691 | ||||
| Total Medicare payment per Day with ICD J84116 - Cryptogenic organizing pneumonia | $1,480 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,532 | ||||
| Total Medicare payment per Hospitalization with ICD J84116 - Cryptogenic organizing pneumonia | $11,819 | ||||
| Total Medicare Charges at DRG | $1,253,316,626 | ||||
| Total Medicare Charges with ICD J84116 - Cryptogenic organizing pneumonia | $52,332,660 | ||||
| Avg Charges at DRG | $51,070 | ||||
| Avg Charges with ICD J84116 - Cryptogenic organizing pneumonia | $65,334 | ||||
| Mortality Rate at DRG | 8.32 | ||||
| Mortality Rate with ICD J84116 - Cryptogenic organizing pneumonia | 6.74 | ||||
| SNF Discharge Rate at DRG | 14.24 | ||||
| SNF Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | 17.23 | ||||
| Home Discharge Rate at DRG | 38.58 | ||||
| Home Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | 37.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD J84116 - Cryptogenic organizing pneumonia | 212 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD J84116 - Cryptogenic organizing pneumonia in DRG | 4.1 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD J84116 - Cryptogenic organizing pneumonia | 17.63 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | 38.55 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | 21.08 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD J84116 - Cryptogenic organizing pneumonia | $9,177,629 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD J84116 - Cryptogenic organizing pneumonia | $2,455 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD J84116 - Cryptogenic organizing pneumonia | $43,291 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD J84116 - Cryptogenic organizing pneumonia | $49,470,372 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD J84116 - Cryptogenic organizing pneumonia | $233,351 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD J84116 - Cryptogenic organizing pneumonia | 18.87 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | 18.87 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | 22.17 |
*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 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE 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 J84116 - Cryptogenic organizing pneumonia | 87 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD J84116 - Cryptogenic organizing pneumonia in DRG | 1.68 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD J84116 - Cryptogenic organizing pneumonia | 11.67 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | NA | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | NA | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD J84116 - Cryptogenic organizing pneumonia | $1,880,474 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD J84116 - Cryptogenic organizing pneumonia | $1,853 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD J84116 - Cryptogenic organizing pneumonia | $21,615 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD J84116 - Cryptogenic organizing pneumonia | $13,096,264 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD J84116 - Cryptogenic organizing pneumonia | $150,532 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD J84116 - Cryptogenic organizing pneumonia | 43.68 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | 20.69 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | 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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD J84116 - Cryptogenic organizing pneumonia | 59 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD J84116 - Cryptogenic organizing pneumonia in DRG | 1.14 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD J84116 - Cryptogenic organizing pneumonia | 4.68 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | 32.73 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD J84116 - Cryptogenic organizing pneumonia | 23.64 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD J84116 - Cryptogenic organizing pneumonia | $344,394 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD J84116 - Cryptogenic organizing pneumonia | $1,248 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD J84116 - Cryptogenic organizing pneumonia | $5,837 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD J84116 - Cryptogenic organizing pneumonia | $2,055,773 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD J84116 - Cryptogenic organizing pneumonia | $34,844 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD J84116 - Cryptogenic organizing pneumonia | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD J84116 - Cryptogenic organizing pneumonia | 66.1 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 43 |
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 37 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 35 |