*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J9381 - Chronic pneumothorax - as a primary diagnosis code | J9381 - Chronic pneumothorax - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.75 | |
| Readmission Rate (%) | 27.96 | |
| Unplanned Readmission Rate (%) | 21.3 | |
| 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 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,892 | ||||
| Total Hospitalizations with ICD J9381 - Chronic pneumothorax | 59 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD J9381 - Chronic pneumothorax in DRG | 29.65 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD J9381 - Chronic pneumothorax | 8.78 | ||||
| Readmission Rate at DRG | 25.84 | ||||
| Readmission Rate with ICD J9381 - Chronic pneumothorax | 36.73 | ||||
| Unplanned Readmission Rate at DRG | 15.59 | ||||
| Unplanned Readmission Rate with ICD J9381 - Chronic pneumothorax | 28.57 | ||||
| Total Medicare payments at DRG | $206,434,298 | ||||
| Total Medicare payments with ICD J9381 - Chronic pneumothorax | $766,447 | ||||
| Total Medicare payment per Day at DRG | $1,670 | ||||
| Total Medicare payment per Day with ICD J9381 - Chronic pneumothorax | $1,480 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,538 | ||||
| Total Medicare payment per Hospitalization with ICD J9381 - Chronic pneumothorax | $12,991 | ||||
| Total Medicare Charges at DRG | $1,018,104,213 | ||||
| Total Medicare Charges with ICD J9381 - Chronic pneumothorax | $3,513,449 | ||||
| Avg Charges at DRG | $56,903 | ||||
| Avg Charges with ICD J9381 - Chronic pneumothorax | $59,550 | ||||
| Mortality Rate at DRG | 5.31 | ||||
| Mortality Rate with ICD J9381 - Chronic pneumothorax | NA | ||||
| SNF Discharge Rate at DRG | 21.38 | ||||
| SNF Discharge Rate with ICD J9381 - Chronic pneumothorax | 22.03 | ||||
| Home Discharge Rate at DRG | 36.41 | ||||
| Home Discharge Rate with ICD J9381 - Chronic pneumothorax | 33.9 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 82,335 |
| Total Hospitalizations with ICD J9381 - Chronic pneumothorax | 11 |
| DRG Share of Total Hospitalizations | 0.25 |
| % of Total ICD J9381 - Chronic pneumothorax in DRG | 5.53 |
| Avg LOS at DRG | 12.91 |
| Avg LOS with ICD J9381 - Chronic pneumothorax | 10.91 |
| Readmission Rate at DRG | 32.17 |
| Readmission Rate with ICD J9381 - Chronic pneumothorax | NA |
| Unplanned Readmission Rate at DRG | 19.76 |
| Unplanned Readmission Rate with ICD J9381 - Chronic pneumothorax | NA |
| Total Medicare payments at DRG | $2,324,349,241 |
| Total Medicare payments with ICD J9381 - Chronic pneumothorax | $287,181 |
| Total Medicare payment per Day at DRG | $2,187 |
| Total Medicare payment per Day with ICD J9381 - Chronic pneumothorax | $2,393 |
| Total Medicare payment per Hospitalization at DRG | $28,230 |
| Total Medicare payment per Hospitalization with ICD J9381 - Chronic pneumothorax | $26,107 |
| Total Medicare Charges at DRG | $11,401,334,817 |
| Total Medicare Charges with ICD J9381 - Chronic pneumothorax | $1,425,566 |
| Avg Charges at DRG | $138,475 |
| Avg Charges with ICD J9381 - Chronic pneumothorax | $129,597 |
| Mortality Rate at DRG | 10.6 |
| Mortality Rate with ICD J9381 - Chronic pneumothorax | NA |
| SNF Discharge Rate at DRG | 21.62 |
| SNF Discharge Rate with ICD J9381 - Chronic pneumothorax | NA |
| Home Discharge Rate at DRG | 30.12 |
| Home Discharge Rate with ICD J9381 - Chronic pneumothorax | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J9381 - Chronic pneumothorax | 108 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J9381 - Chronic pneumothorax in DRG | 7.64 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J9381 - Chronic pneumothorax | 6.33 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J9381 - Chronic pneumothorax | 26.39 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J9381 - Chronic pneumothorax | 16.67 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J9381 - Chronic pneumothorax | $1,408,012 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J9381 - Chronic pneumothorax | $2,058 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J9381 - Chronic pneumothorax | $13,037 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J9381 - Chronic pneumothorax | $7,489,551 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J9381 - Chronic pneumothorax | $69,348 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J9381 - Chronic pneumothorax | 20.37 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J9381 - Chronic pneumothorax | 25.93 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J9381 - Chronic pneumothorax | 19.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD J9381 - Chronic pneumothorax | 54 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD J9381 - Chronic pneumothorax in DRG | 3.82 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD J9381 - Chronic pneumothorax | 6.06 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD J9381 - Chronic pneumothorax | NA | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD J9381 - Chronic pneumothorax | NA | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD J9381 - Chronic pneumothorax | $421,504 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD J9381 - Chronic pneumothorax | $1,289 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD J9381 - Chronic pneumothorax | $7,806 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD J9381 - Chronic pneumothorax | $2,475,279 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD J9381 - Chronic pneumothorax | $45,839 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD J9381 - Chronic pneumothorax | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD J9381 - Chronic pneumothorax | 24.07 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD J9381 - Chronic pneumothorax | 35.19 |
*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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD J9381 - Chronic pneumothorax | 31 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD J9381 - Chronic pneumothorax in DRG | 2.19 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD J9381 - Chronic pneumothorax | 6.13 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD J9381 - Chronic pneumothorax | NA | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD J9381 - Chronic pneumothorax | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD J9381 - Chronic pneumothorax | $278,759 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD J9381 - Chronic pneumothorax | $1,467 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD J9381 - Chronic pneumothorax | $8,992 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD J9381 - Chronic pneumothorax | $1,251,536 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD J9381 - Chronic pneumothorax | $40,372 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD J9381 - Chronic pneumothorax | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD J9381 - Chronic pneumothorax | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD J9381 - Chronic pneumothorax | 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 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||||
| Total Hospitalizations with ICD J9381 - Chronic pneumothorax | 23 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD J9381 - Chronic pneumothorax in DRG | 1.63 | ||||
| Avg LOS at DRG | 6.45 | ||||
| Avg LOS with ICD J9381 - Chronic pneumothorax | 6.39 | ||||
| Readmission Rate at DRG | 26.69 | ||||
| Readmission Rate with ICD J9381 - Chronic pneumothorax | NA | ||||
| Unplanned Readmission Rate at DRG | 20.8 | ||||
| Unplanned Readmission Rate with ICD J9381 - Chronic pneumothorax | NA | ||||
| Total Medicare payments at DRG | $651,389,136 | ||||
| Total Medicare payments with ICD J9381 - Chronic pneumothorax | $283,484 | ||||
| Total Medicare payment per Day at DRG | $1,767 | ||||
| Total Medicare payment per Day with ICD J9381 - Chronic pneumothorax | $1,928 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,393 | ||||
| Total Medicare payment per Hospitalization with ICD J9381 - Chronic pneumothorax | $12,325 | ||||
| Total Medicare Charges at DRG | $3,285,887,644 | ||||
| Total Medicare Charges with ICD J9381 - Chronic pneumothorax | $1,025,026 | ||||
| Avg Charges at DRG | $57,471 | ||||
| Avg Charges with ICD J9381 - Chronic pneumothorax | $44,566 | ||||
| Mortality Rate at DRG | 12.27 | ||||
| Mortality Rate with ICD J9381 - Chronic pneumothorax | NA | ||||
| SNF Discharge Rate at DRG | 12.94 | ||||
| SNF Discharge Rate with ICD J9381 - Chronic pneumothorax | NA | ||||
| Home Discharge Rate at DRG | 28.03 | ||||
| Home Discharge Rate with ICD J9381 - Chronic pneumothorax | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 13 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z87891 | Personal history of nicotine dependence |