*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J939 - Pneumothorax, unspecified - as a primary diagnosis code | J939 - Pneumothorax, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.3 | |
| Readmission Rate (%) | 29.2 | |
| Unplanned Readmission Rate (%) | 14.53 | |
| 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 J939 - Pneumothorax, unspecified | 2,070 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD J939 - Pneumothorax, unspecified in DRG | 36.75 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD J939 - Pneumothorax, unspecified | 6.26 | ||||
| Readmission Rate at DRG | 25.84 | ||||
| Readmission Rate with ICD J939 - Pneumothorax, unspecified | 27.84 | ||||
| Unplanned Readmission Rate at DRG | 15.59 | ||||
| Unplanned Readmission Rate with ICD J939 - Pneumothorax, unspecified | 17.63 | ||||
| Total Medicare payments at DRG | $206,434,298 | ||||
| Total Medicare payments with ICD J939 - Pneumothorax, unspecified | $23,812,684 | ||||
| Total Medicare payment per Day at DRG | $1,670 | ||||
| Total Medicare payment per Day with ICD J939 - Pneumothorax, unspecified | $1,837 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,538 | ||||
| Total Medicare payment per Hospitalization with ICD J939 - Pneumothorax, unspecified | $11,504 | ||||
| Total Medicare Charges at DRG | $1,018,104,213 | ||||
| Total Medicare Charges with ICD J939 - Pneumothorax, unspecified | $105,828,154 | ||||
| Avg Charges at DRG | $56,903 | ||||
| Avg Charges with ICD J939 - Pneumothorax, unspecified | $51,125 | ||||
| Mortality Rate at DRG | 5.31 | ||||
| Mortality Rate with ICD J939 - Pneumothorax, unspecified | 6.76 | ||||
| SNF Discharge Rate at DRG | 21.38 | ||||
| SNF Discharge Rate with ICD J939 - Pneumothorax, unspecified | 17.44 | ||||
| Home Discharge Rate at DRG | 36.41 | ||||
| Home Discharge Rate with ICD J939 - Pneumothorax, unspecified | 36.28 |
*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 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 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD J939 - Pneumothorax, unspecified | 136 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD J939 - Pneumothorax, unspecified in DRG | 2.41 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD J939 - Pneumothorax, unspecified | 5.1 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD J939 - Pneumothorax, unspecified | 26.98 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD J939 - Pneumothorax, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD J939 - Pneumothorax, unspecified | $2,008,000 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD J939 - Pneumothorax, unspecified | $2,893 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD J939 - Pneumothorax, unspecified | $14,765 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD J939 - Pneumothorax, unspecified | $10,035,691 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD J939 - Pneumothorax, unspecified | $73,792 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD J939 - Pneumothorax, unspecified | 47.06 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD J939 - Pneumothorax, unspecified | 10.29 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD J939 - Pneumothorax, unspecified | 13.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||
| Total Hospitalizations with ICD J939 - Pneumothorax, unspecified | 35 | ||
| DRG Share of Total Hospitalizations | 0.33 | ||
| % of Total ICD J939 - Pneumothorax, unspecified in DRG | 0.62 | ||
| Avg LOS at DRG | 12.66 | ||
| Avg LOS with ICD J939 - Pneumothorax, unspecified | 9.63 | ||
| Readmission Rate at DRG | 35.31 | ||
| Readmission Rate with ICD J939 - Pneumothorax, unspecified | NA | ||
| Unplanned Readmission Rate at DRG | 20.73 | ||
| Unplanned Readmission Rate with ICD J939 - Pneumothorax, unspecified | NA | ||
| Total Medicare payments at DRG | $3,554,922,428 | ||
| Total Medicare payments with ICD J939 - Pneumothorax, unspecified | $977,279 | ||
| Total Medicare payment per Day at DRG | $2,575 | ||
| Total Medicare payment per Day with ICD J939 - Pneumothorax, unspecified | $2,900 | ||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||
| Total Medicare payment per Hospitalization with ICD J939 - Pneumothorax, unspecified | $27,922 | ||
| Total Medicare Charges at DRG | $15,445,232,132 | ||
| Total Medicare Charges with ICD J939 - Pneumothorax, unspecified | $4,509,465 | ||
| Avg Charges at DRG | $141,676 | ||
| Avg Charges with ICD J939 - Pneumothorax, unspecified | $128,842 | ||
| Mortality Rate at DRG | 8.99 | ||
| Mortality Rate with ICD J939 - Pneumothorax, unspecified | NA | ||
| SNF Discharge Rate at DRG | 27.26 | ||
| SNF Discharge Rate with ICD J939 - Pneumothorax, unspecified | NA | ||
| Home Discharge Rate at DRG | 27.78 | ||
| Home Discharge Rate with ICD J939 - Pneumothorax, unspecified | 37.14 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PALOS HEALTH | 12251 S 80TH AVE | PALOS HEIGHTS | IL | 60463 | 30 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 18 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 18 |
*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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J939 - Pneumothorax, unspecified | 4,016 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J939 - Pneumothorax, unspecified in DRG | 6.53 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J939 - Pneumothorax, unspecified | 8.56 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J939 - Pneumothorax, unspecified | 30.88 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J939 - Pneumothorax, unspecified | 18.12 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J939 - Pneumothorax, unspecified | $54,893,092 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J939 - Pneumothorax, unspecified | $1,597 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J939 - Pneumothorax, unspecified | $13,669 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J939 - Pneumothorax, unspecified | $394,330,282 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J939 - Pneumothorax, unspecified | $98,190 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J939 - Pneumothorax, unspecified | 38.67 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J939 - Pneumothorax, unspecified | 18.9 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J939 - Pneumothorax, unspecified | 9.64 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD J939 - Pneumothorax, unspecified | 1,881 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD J939 - Pneumothorax, unspecified in DRG | 3.06 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD J939 - Pneumothorax, unspecified | 7.14 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD J939 - Pneumothorax, unspecified | 32.43 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD J939 - Pneumothorax, unspecified | 16.97 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD J939 - Pneumothorax, unspecified | $30,524,630 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD J939 - Pneumothorax, unspecified | $2,271 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD J939 - Pneumothorax, unspecified | $16,228 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD J939 - Pneumothorax, unspecified | $173,434,333 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD J939 - Pneumothorax, unspecified | $92,203 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD J939 - Pneumothorax, unspecified | 57.2 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD J939 - Pneumothorax, unspecified | 9.62 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD J939 - Pneumothorax, unspecified | 7.23 |
*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) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD J939 - Pneumothorax, unspecified | 1,389 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD J939 - Pneumothorax, unspecified in DRG | 2.26 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD J939 - Pneumothorax, unspecified | 15.96 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD J939 - Pneumothorax, unspecified | 33.37 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD J939 - Pneumothorax, unspecified | 16.63 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD J939 - Pneumothorax, unspecified | $44,597,129 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD J939 - Pneumothorax, unspecified | $2,011 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD J939 - Pneumothorax, unspecified | $32,107 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD J939 - Pneumothorax, unspecified | $254,382,147 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD J939 - Pneumothorax, unspecified | $183,140 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD J939 - Pneumothorax, unspecified | 22.68 | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD J939 - Pneumothorax, unspecified | 16.63 | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD J939 - Pneumothorax, unspecified | 19.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,643 | ||||
| Total Hospitalizations with ICD J939 - Pneumothorax, unspecified | 1,032 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD J939 - Pneumothorax, unspecified in DRG | 1.68 | ||||
| Avg LOS at DRG | 6.45 | ||||
| Avg LOS with ICD J939 - Pneumothorax, unspecified | 7.47 | ||||
| Readmission Rate at DRG | 15.68 | ||||
| Readmission Rate with ICD J939 - Pneumothorax, unspecified | 14.07 | ||||
| Unplanned Readmission Rate at DRG | 6.69 | ||||
| Unplanned Readmission Rate with ICD J939 - Pneumothorax, unspecified | 6.14 | ||||
| Total Medicare payments at DRG | $1,395,012,007 | ||||
| Total Medicare payments with ICD J939 - Pneumothorax, unspecified | $25,315,983 | ||||
| Total Medicare payment per Day at DRG | $3,687 | ||||
| Total Medicare payment per Day with ICD J939 - Pneumothorax, unspecified | $3,286 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,788 | ||||
| Total Medicare payment per Hospitalization with ICD J939 - Pneumothorax, unspecified | $24,531 | ||||
| Total Medicare Charges at DRG | $8,142,869,976 | ||||
| Total Medicare Charges with ICD J939 - Pneumothorax, unspecified | $156,722,556 | ||||
| Avg Charges at DRG | $138,855 | ||||
| Avg Charges with ICD J939 - Pneumothorax, unspecified | $151,863 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD J939 - Pneumothorax, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 13.48 | ||||
| SNF Discharge Rate with ICD J939 - Pneumothorax, unspecified | 13.28 | ||||
| Home Discharge Rate at DRG | 38.38 | ||||
| Home Discharge Rate with ICD J939 - Pneumothorax, unspecified | 33.72 |
| 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 | 269 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 260 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 259 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GARY KIMBLE JETT | 4716 ALLIANCE BLVD | PLANO | TX | 75093 | 52 |
| Dr. STEPHEN YANG | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 48 |
| Dr. JEFFREY V. GARRETT | 4050 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GARY KIMBLE JETT | 4716 ALLIANCE BLVD | PLANO | TX | 75093 | 51 |
| Dr. STEPHEN YANG | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 48 |
| Dr. CHADRICK E DENLINGER | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 38 |