*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J918 - Pleural effusion in other conditions classified elsewhere - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 20.19 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD J918 - Pleural effusion in other conditions classified elsewhere | 16,121 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD J918 - Pleural effusion in other conditions classified elsewhere in DRG | 15.21 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD J918 - Pleural effusion in other conditions classified elsewhere | 7.27 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 31.23 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 23.8 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD J918 - Pleural effusion in other conditions classified elsewhere | $162,188,464 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD J918 - Pleural effusion in other conditions classified elsewhere | $1,383 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD J918 - Pleural effusion in other conditions classified elsewhere | $10,061 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD J918 - Pleural effusion in other conditions classified elsewhere | $971,427,026 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD J918 - Pleural effusion in other conditions classified elsewhere | $60,258 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 5.0 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 26.66 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 26.69 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY 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 | 231,410 | ||||
| Total Hospitalizations with ICD J918 - Pleural effusion in other conditions classified elsewhere | 3,753 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD J918 - Pleural effusion in other conditions classified elsewhere in DRG | 3.54 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD J918 - Pleural effusion in other conditions classified elsewhere | 9.43 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 29.18 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 18.82 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD J918 - Pleural effusion in other conditions classified elsewhere | $49,179,554 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD J918 - Pleural effusion in other conditions classified elsewhere | $1,390 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD J918 - Pleural effusion in other conditions classified elsewhere | $13,104 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD J918 - Pleural effusion in other conditions classified elsewhere | $292,333,448 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD J918 - Pleural effusion in other conditions classified elsewhere | $77,893 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 8.61 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 30.51 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 18.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD J918 - Pleural effusion in other conditions classified elsewhere | 1,469 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD J918 - Pleural effusion in other conditions classified elsewhere in DRG | 1.39 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD J918 - Pleural effusion in other conditions classified elsewhere | 18.13 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 43.29 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 18.06 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD J918 - Pleural effusion in other conditions classified elsewhere | $66,478,638 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD J918 - Pleural effusion in other conditions classified elsewhere | $2,496 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD J918 - Pleural effusion in other conditions classified elsewhere | $45,254 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD J918 - Pleural effusion in other conditions classified elsewhere | $352,831,570 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD J918 - Pleural effusion in other conditions classified elsewhere | $240,185 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 36.15 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 24.37 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 3.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD J918 - Pleural effusion in other conditions classified elsewhere | 1,298 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD J918 - Pleural effusion in other conditions classified elsewhere in DRG | 1.22 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD J918 - Pleural effusion in other conditions classified elsewhere | 9.3 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 33.6 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 24.36 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD J918 - Pleural effusion in other conditions classified elsewhere | $15,685,695 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD J918 - Pleural effusion in other conditions classified elsewhere | $1,299 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD J918 - Pleural effusion in other conditions classified elsewhere | $12,085 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD J918 - Pleural effusion in other conditions classified elsewhere | $96,064,726 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD J918 - Pleural effusion in other conditions classified elsewhere | $74,010 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 9.32 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 26.35 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD J918 - Pleural effusion in other conditions classified elsewhere | 26.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 676 |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST | 1102 W 32ND ST | JOPLIN | MO | 64804 | 374 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 350 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 109 |
| Dr. ALAN BENNIE | 4200 SUN N LAKE BLVD | SEBRING | FL | 33872 | 99 |
| Dr. JOSHUA MICHAEL BALL | 1102 W 32ND ST | JOPLIN | MO | 64804 | 88 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 120 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 70 |
| Dr. RICHARD J HELTON | 108 W OHIO | COALGATE | OK | 74538 | 51 |