*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J929 - Pleural plaque without asbestos - as a primary diagnosis code | J929 - Pleural plaque without asbestos - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.76 | |
| Readmission Rate (%) | 22.61 | |
| Unplanned Readmission Rate (%) | 10.45 | |
| 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD J929 - Pleural plaque without asbestos | 29 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J929 - Pleural plaque without asbestos in DRG | 20.28 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD J929 - Pleural plaque without asbestos | 3.24 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD J929 - Pleural plaque without asbestos | NA | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD J929 - Pleural plaque without asbestos | NA | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD J929 - Pleural plaque without asbestos | $476,649 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD J929 - Pleural plaque without asbestos | $5,071 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD J929 - Pleural plaque without asbestos | $16,436 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD J929 - Pleural plaque without asbestos | $1,527,724 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD J929 - Pleural plaque without asbestos | $52,680 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD J929 - Pleural plaque without asbestos | NA | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD J929 - Pleural plaque without asbestos | NA | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD J929 - Pleural plaque without asbestos | 82.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 147,017 |
| Total Hospitalizations with ICD J929 - Pleural plaque without asbestos | 14 |
| DRG Share of Total Hospitalizations | 0.45 |
| % of Total ICD J929 - Pleural plaque without asbestos in DRG | 9.79 |
| Avg LOS at DRG | 3.12 |
| Avg LOS with ICD J929 - Pleural plaque without asbestos | 2.29 |
| Readmission Rate at DRG | 11.06 |
| Readmission Rate with ICD J929 - Pleural plaque without asbestos | NA |
| Unplanned Readmission Rate at DRG | 7.05 |
| Unplanned Readmission Rate with ICD J929 - Pleural plaque without asbestos | NA |
| Total Medicare payments at DRG | $662,922,575 |
| Total Medicare payments with ICD J929 - Pleural plaque without asbestos | $73,167 |
| Total Medicare payment per Day at DRG | $1,445 |
| Total Medicare payment per Day with ICD J929 - Pleural plaque without asbestos | $2,286 |
| Total Medicare payment per Hospitalization at DRG | $4,509 |
| Total Medicare payment per Hospitalization with ICD J929 - Pleural plaque without asbestos | $5,226 |
| Total Medicare Charges at DRG | $2,893,146,238 |
| Total Medicare Charges with ICD J929 - Pleural plaque without asbestos | $529,335 |
| Avg Charges at DRG | $19,679 |
| Avg Charges with ICD J929 - Pleural plaque without asbestos | $37,810 |
| Mortality Rate at DRG | 0.67 |
| Mortality Rate with ICD J929 - Pleural plaque without asbestos | NA |
| SNF Discharge Rate at DRG | 13.03 |
| SNF Discharge Rate with ICD J929 - Pleural plaque without asbestos | NA |
| Home Discharge Rate at DRG | 62.41 |
| Home Discharge Rate with ICD J929 - Pleural plaque without asbestos | 78.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J929 - Pleural plaque without asbestos | 366 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J929 - Pleural plaque without asbestos in DRG | 6.56 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J929 - Pleural plaque without asbestos | 6.52 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J929 - Pleural plaque without asbestos | 23.66 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J929 - Pleural plaque without asbestos | 16.4 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J929 - Pleural plaque without asbestos | $4,384,359 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J929 - Pleural plaque without asbestos | $1,837 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J929 - Pleural plaque without asbestos | $11,979 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J929 - Pleural plaque without asbestos | $22,805,773 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J929 - Pleural plaque without asbestos | $62,311 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J929 - Pleural plaque without asbestos | 7.65 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J929 - Pleural plaque without asbestos | 27.6 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J929 - Pleural plaque without asbestos | 31.42 |
*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) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD J929 - Pleural plaque without asbestos | 157 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J929 - Pleural plaque without asbestos in DRG | 2.82 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD J929 - Pleural plaque without asbestos | 5.5 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD J929 - Pleural plaque without asbestos | 19.08 | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD J929 - Pleural plaque without asbestos | 11.18 | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD J929 - Pleural plaque without asbestos | $2,638,542 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD J929 - Pleural plaque without asbestos | $3,054 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD J929 - Pleural plaque without asbestos | $16,806 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD J929 - Pleural plaque without asbestos | $12,357,278 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD J929 - Pleural plaque without asbestos | $78,709 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD J929 - Pleural plaque without asbestos | NA | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD J929 - Pleural plaque without asbestos | NA | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD J929 - Pleural plaque without asbestos | 71.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD J929 - Pleural plaque without asbestos | 95 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD J929 - Pleural plaque without asbestos in DRG | 1.7 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD J929 - Pleural plaque without asbestos | 4.25 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD J929 - Pleural plaque without asbestos | 28.41 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD J929 - Pleural plaque without asbestos | 20.45 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD J929 - Pleural plaque without asbestos | $575,742 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD J929 - Pleural plaque without asbestos | $1,425 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD J929 - Pleural plaque without asbestos | $6,060 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD J929 - Pleural plaque without asbestos | $2,892,894 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD J929 - Pleural plaque without asbestos | $30,452 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD J929 - Pleural plaque without asbestos | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD J929 - Pleural plaque without asbestos | 17.89 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD J929 - Pleural plaque without asbestos | 35.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 186: PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,277 | ||||
| Total Hospitalizations with ICD J929 - Pleural plaque without asbestos | 66 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD J929 - Pleural plaque without asbestos in DRG | 1.18 | ||||
| Avg LOS at DRG | 3.44 | ||||
| Avg LOS with ICD J929 - Pleural plaque without asbestos | 3.33 | ||||
| Readmission Rate at DRG | 7.43 | ||||
| Readmission Rate with ICD J929 - Pleural plaque without asbestos | NA | ||||
| Unplanned Readmission Rate at DRG | 4.65 | ||||
| Unplanned Readmission Rate with ICD J929 - Pleural plaque without asbestos | NA | ||||
| Total Medicare payments at DRG | $307,145,903 | ||||
| Total Medicare payments with ICD J929 - Pleural plaque without asbestos | $756,038 | ||||
| Total Medicare payment per Day at DRG | $3,395 | ||||
| Total Medicare payment per Day with ICD J929 - Pleural plaque without asbestos | $3,437 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,689 | ||||
| Total Medicare payment per Hospitalization with ICD J929 - Pleural plaque without asbestos | $11,455 | ||||
| Total Medicare Charges at DRG | $1,771,264,244 | ||||
| Total Medicare Charges with ICD J929 - Pleural plaque without asbestos | $3,729,628 | ||||
| Avg Charges at DRG | $67,407 | ||||
| Avg Charges with ICD J929 - Pleural plaque without asbestos | $56,510 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD J929 - Pleural plaque without asbestos | NA | ||||
| SNF Discharge Rate at DRG | 3.13 | ||||
| SNF Discharge Rate with ICD J929 - Pleural plaque without asbestos | NA | ||||
| Home Discharge Rate at DRG | 76.41 | ||||
| Home Discharge Rate with ICD J929 - Pleural plaque without asbestos | 77.27 |
| 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 | 108 |
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 80 |
| ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER | 1414 KUHL AVE | ORLANDO | FL | 32806 | 72 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z87891 | Personal history of nicotine dependence |
| 2 | E785 | Hyperlipidemia, unspecified |
| 3 | I10 | Essential (primary) hypertension |
| 4 | K219 | Gastro-esophageal reflux disease without esophagitis |