*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
J9383 - Other pneumothorax - as a primary diagnosis code | J9383 - Other pneumothorax - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 10.27 | |
Readmission Rate (%) | 28.58 | |
Unplanned Readmission Rate (%) | 16.25 | |
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 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH 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 J9383 - Other pneumothorax | 4,060 | ||||
DRG Share of Total Hospitalizations | 0.05 | ||||
% of Total ICD J9383 - Other pneumothorax in DRG | 34.12 | ||||
Avg LOS at DRG | 6.91 | ||||
Avg LOS with ICD J9383 - Other pneumothorax | 7.21 | ||||
Readmission Rate at DRG | 25.84 | ||||
Readmission Rate with ICD J9383 - Other pneumothorax | 29.19 | ||||
Unplanned Readmission Rate at DRG | 15.59 | ||||
Unplanned Readmission Rate with ICD J9383 - Other pneumothorax | 19.63 | ||||
Total Medicare payments at DRG | $206,434,298 | ||||
Total Medicare payments with ICD J9383 - Other pneumothorax | $46,243,678 | ||||
Total Medicare payment per Day at DRG | $1,670 | ||||
Total Medicare payment per Day with ICD J9383 - Other pneumothorax | $1,579 | ||||
Total Medicare payment per Hospitalization at DRG | $11,538 | ||||
Total Medicare payment per Hospitalization with ICD J9383 - Other pneumothorax | $11,390 | ||||
Total Medicare Charges at DRG | $1,018,104,213 | ||||
Total Medicare Charges with ICD J9383 - Other pneumothorax | $218,519,160 | ||||
Avg Charges at DRG | $56,903 | ||||
Avg Charges with ICD J9383 - Other pneumothorax | $53,822 | ||||
Mortality Rate at DRG | 5.31 | ||||
Mortality Rate with ICD J9383 - Other pneumothorax | 5.05 | ||||
SNF Discharge Rate at DRG | 21.38 | ||||
SNF Discharge Rate with ICD J9383 - Other pneumothorax | 15.94 | ||||
Home Discharge Rate at DRG | 36.41 | ||||
Home Discharge Rate with ICD J9383 - Other pneumothorax | 39.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES 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 | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 26,277 | ||||
Total Hospitalizations with ICD J9383 - Other pneumothorax | 321 | ||||
DRG Share of Total Hospitalizations | 0.08 | ||||
% of Total ICD J9383 - Other pneumothorax in DRG | 2.7 | ||||
Avg LOS at DRG | 3.44 | ||||
Avg LOS with ICD J9383 - Other pneumothorax | 7.08 | ||||
Readmission Rate at DRG | 7.43 | ||||
Readmission Rate with ICD J9383 - Other pneumothorax | 7.69 | ||||
Unplanned Readmission Rate at DRG | 4.65 | ||||
Unplanned Readmission Rate with ICD J9383 - Other pneumothorax | 5.45 | ||||
Total Medicare payments at DRG | $307,145,903 | ||||
Total Medicare payments with ICD J9383 - Other pneumothorax | $3,745,522 | ||||
Total Medicare payment per Day at DRG | $3,395 | ||||
Total Medicare payment per Day with ICD J9383 - Other pneumothorax | $1,647 | ||||
Total Medicare payment per Hospitalization at DRG | $11,689 | ||||
Total Medicare payment per Hospitalization with ICD J9383 - Other pneumothorax | $11,668 | ||||
Total Medicare Charges at DRG | $1,771,264,244 | ||||
Total Medicare Charges with ICD J9383 - Other pneumothorax | $23,509,317 | ||||
Avg Charges at DRG | $67,407 | ||||
Avg Charges with ICD J9383 - Other pneumothorax | $73,238 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD J9383 - Other pneumothorax | NA | ||||
SNF Discharge Rate at DRG | 3.13 | ||||
SNF Discharge Rate with ICD J9383 - Other pneumothorax | 5.3 | ||||
Home Discharge Rate at DRG | 76.41 | ||||
Home Discharge Rate with ICD J9383 - Other pneumothorax | 76.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH 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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 10,403 | ||||
Total Hospitalizations with ICD J9383 - Other pneumothorax | 72 | ||||
DRG Share of Total Hospitalizations | 0.03 | ||||
% of Total ICD J9383 - Other pneumothorax in DRG | 0.61 | ||||
Avg LOS at DRG | 3.0 | ||||
Avg LOS with ICD J9383 - Other pneumothorax | 4.85 | ||||
Readmission Rate at DRG | 11.25 | ||||
Readmission Rate with ICD J9383 - Other pneumothorax | NA | ||||
Unplanned Readmission Rate at DRG | 6.64 | ||||
Unplanned Readmission Rate with ICD J9383 - Other pneumothorax | NA | ||||
Total Medicare payments at DRG | $81,324,379 | ||||
Total Medicare payments with ICD J9383 - Other pneumothorax | $575,484 | ||||
Total Medicare payment per Day at DRG | $2,602 | ||||
Total Medicare payment per Day with ICD J9383 - Other pneumothorax | $1,649 | ||||
Total Medicare payment per Hospitalization at DRG | $7,817 | ||||
Total Medicare payment per Hospitalization with ICD J9383 - Other pneumothorax | $7,993 | ||||
Total Medicare Charges at DRG | $497,200,815 | ||||
Total Medicare Charges with ICD J9383 - Other pneumothorax | $3,716,276 | ||||
Avg Charges at DRG | $47,794 | ||||
Avg Charges with ICD J9383 - Other pneumothorax | $51,615 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD J9383 - Other pneumothorax | NA | ||||
SNF Discharge Rate at DRG | 3.03 | ||||
SNF Discharge Rate with ICD J9383 - Other pneumothorax | NA | ||||
Home Discharge Rate at DRG | 80.29 | ||||
Home Discharge Rate with ICD J9383 - Other pneumothorax | 75.0 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
JACKSON-MADISON COUNTY GENERAL HOSPITAL | 620 SKYLINE DR | JACKSON | TN | 38301 | 36 |
NEW HANOVER REGIONAL MEDICAL CENTER | 2131 S 17TH ST | WILMINGTON | NC | 28401 | 34 |
VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 32 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JAMES A. CACCITOLO | 703 S FLEISHEL AVE | TYLER | TX | 75701 | 18 |
Dr. BEHROOZ SHABAHANG | 250 CHERRY SE | GRAND RAPIDS | MI | 49503 | 11 |
Dr. CHRISTOPHER MARK EGER | 106 IRVING ST NW | WASHINGTON | DC | 20010 | 11 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. CHRISTOPHER MARK EGER | 106 IRVING ST NW | WASHINGTON | DC | 20010 | 11 |
*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 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH 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 J9383 - Other pneumothorax | 4,162 | ||||
DRG Share of Total Hospitalizations | 0.05 | ||||
% of Total ICD J9383 - Other pneumothorax in DRG | 14.52 | ||||
Avg LOS at DRG | 6.91 | ||||
Avg LOS with ICD J9383 - Other pneumothorax | 7.26 | ||||
Readmission Rate at DRG | 25.84 | ||||
Readmission Rate with ICD J9383 - Other pneumothorax | 29.33 | ||||
Unplanned Readmission Rate at DRG | 15.59 | ||||
Unplanned Readmission Rate with ICD J9383 - Other pneumothorax | 19.76 | ||||
Total Medicare payments at DRG | $206,434,298 | ||||
Total Medicare payments with ICD J9383 - Other pneumothorax | $47,617,631 | ||||
Total Medicare payment per Day at DRG | $1,670 | ||||
Total Medicare payment per Day with ICD J9383 - Other pneumothorax | $1,577 | ||||
Total Medicare payment per Hospitalization at DRG | $11,538 | ||||
Total Medicare payment per Hospitalization with ICD J9383 - Other pneumothorax | $11,441 | ||||
Total Medicare Charges at DRG | $1,018,104,213 | ||||
Total Medicare Charges with ICD J9383 - Other pneumothorax | $226,622,688 | ||||
Avg Charges at DRG | $56,903 | ||||
Avg Charges with ICD J9383 - Other pneumothorax | $54,450 | ||||
Mortality Rate at DRG | 5.31 | ||||
Mortality Rate with ICD J9383 - Other pneumothorax | 5.09 | ||||
SNF Discharge Rate at DRG | 21.38 | ||||
SNF Discharge Rate with ICD J9383 - Other pneumothorax | 15.93 | ||||
Home Discharge Rate at DRG | 36.41 | ||||
Home Discharge Rate with ICD J9383 - Other pneumothorax | 39.21 |
*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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD J9383 - Other pneumothorax | 1,376 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD J9383 - Other pneumothorax in DRG | 4.8 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD J9383 - Other pneumothorax | 9.0 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD J9383 - Other pneumothorax | 33.21 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD J9383 - Other pneumothorax | 18.33 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD J9383 - Other pneumothorax | $18,783,261 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD J9383 - Other pneumothorax | $1,516 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD J9383 - Other pneumothorax | $13,651 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD J9383 - Other pneumothorax | $132,832,940 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD J9383 - Other pneumothorax | $96,536 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD J9383 - Other pneumothorax | 32.41 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD J9383 - Other pneumothorax | 19.11 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD J9383 - Other pneumothorax | 10.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 539,642 | ||||
Total Hospitalizations with ICD J9383 - Other pneumothorax | 550 | ||||
DRG Share of Total Hospitalizations | 1.64 | ||||
% of Total ICD J9383 - Other pneumothorax in DRG | 1.92 | ||||
Avg LOS at DRG | 6.42 | ||||
Avg LOS with ICD J9383 - Other pneumothorax | 13.43 | ||||
Readmission Rate at DRG | 26.55 | ||||
Readmission Rate with ICD J9383 - Other pneumothorax | 34.92 | ||||
Unplanned Readmission Rate at DRG | 20.01 | ||||
Unplanned Readmission Rate with ICD J9383 - Other pneumothorax | 21.38 | ||||
Total Medicare payments at DRG | $5,267,842,463 | ||||
Total Medicare payments with ICD J9383 - Other pneumothorax | $8,805,281 | ||||
Total Medicare payment per Day at DRG | $1,520 | ||||
Total Medicare payment per Day with ICD J9383 - Other pneumothorax | $1,192 | ||||
Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
Total Medicare payment per Hospitalization with ICD J9383 - Other pneumothorax | $16,010 | ||||
Total Medicare Charges at DRG | $25,503,568,329 | ||||
Total Medicare Charges with ICD J9383 - Other pneumothorax | $48,466,883 | ||||
Avg Charges at DRG | $47,260 | ||||
Avg Charges with ICD J9383 - Other pneumothorax | $88,122 | ||||
Mortality Rate at DRG | 5.62 | ||||
Mortality Rate with ICD J9383 - Other pneumothorax | 15.64 | ||||
SNF Discharge Rate at DRG | 19.26 | ||||
SNF Discharge Rate with ICD J9383 - Other pneumothorax | 18.18 | ||||
Home Discharge Rate at DRG | 39.65 | ||||
Home Discharge Rate with ICD J9383 - Other pneumothorax | 20.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 36,636 | ||||
Total Hospitalizations with ICD J9383 - Other pneumothorax | 374 | ||||
DRG Share of Total Hospitalizations | 0.11 | ||||
% of Total ICD J9383 - Other pneumothorax in DRG | 1.3 | ||||
Avg LOS at DRG | 5.73 | ||||
Avg LOS with ICD J9383 - Other pneumothorax | 6.9 | ||||
Readmission Rate at DRG | 21.72 | ||||
Readmission Rate with ICD J9383 - Other pneumothorax | 22.35 | ||||
Unplanned Readmission Rate at DRG | 14.08 | ||||
Unplanned Readmission Rate with ICD J9383 - Other pneumothorax | 14.33 | ||||
Total Medicare payments at DRG | $448,734,039 | ||||
Total Medicare payments with ICD J9383 - Other pneumothorax | $4,803,219 | ||||
Total Medicare payment per Day at DRG | $2,137 | ||||
Total Medicare payment per Day with ICD J9383 - Other pneumothorax | $1,862 | ||||
Total Medicare payment per Hospitalization at DRG | $12,248 | ||||
Total Medicare payment per Hospitalization with ICD J9383 - Other pneumothorax | $12,843 | ||||
Total Medicare Charges at DRG | $2,388,208,589 | ||||
Total Medicare Charges with ICD J9383 - Other pneumothorax | $26,922,308 | ||||
Avg Charges at DRG | $65,187 | ||||
Avg Charges with ICD J9383 - Other pneumothorax | $71,985 | ||||
Mortality Rate at DRG | 0.77 | ||||
Mortality Rate with ICD J9383 - Other pneumothorax | NA | ||||
SNF Discharge Rate at DRG | 10.73 | ||||
SNF Discharge Rate with ICD J9383 - Other pneumothorax | 6.15 | ||||
Home Discharge Rate at DRG | 59.85 | ||||
Home Discharge Rate with ICD J9383 - Other pneumothorax | 61.5 |
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 | 203 |
UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 93 |
BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 93 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JAMES A. CACCITOLO | 703 S FLEISHEL AVE | TYLER | TX | 75701 | 24 |
Dr. MARK S ALLEN | 200 1ST ST SW | ROCHESTER | MN | 55905 | 20 |
Dr. GARY KIMBLE JETT | 4716 ALLIANCE BLVD | PLANO | TX | 75093 | 19 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MARK S ALLEN | 200 1ST ST SW | ROCHESTER | MN | 55905 | 19 |
Dr. DENNIS A WIGLE | 200 1ST ST SW | ROCHESTER | MN | 55905 | 19 |
Dr. GARY KIMBLE JETT | 4716 ALLIANCE BLVD | PLANO | TX | 75093 | 18 |