*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J949 - Pleural condition, unspecified - as a primary diagnosis code | J949 - Pleural condition, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.01 | |
| Readmission Rate (%) | 27.88 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J949 - Pleural condition, unspecified | 32 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J949 - Pleural condition, unspecified in DRG | 5.62 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J949 - Pleural condition, unspecified | 5.78 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J949 - Pleural condition, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J949 - Pleural condition, unspecified | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J949 - Pleural condition, unspecified | $356,375 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J949 - Pleural condition, unspecified | $1,926 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J949 - Pleural condition, unspecified | $11,137 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J949 - Pleural condition, unspecified | $1,945,902 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J949 - Pleural condition, unspecified | $60,809 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J949 - Pleural condition, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J949 - Pleural condition, unspecified | 34.38 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J949 - Pleural condition, unspecified | 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||
| Total Hospitalizations with ICD J949 - Pleural condition, unspecified | 16 | ||
| DRG Share of Total Hospitalizations | 0.15 | ||
| % of Total ICD J949 - Pleural condition, unspecified in DRG | 2.81 | ||
| Avg LOS at DRG | 5.76 | ||
| Avg LOS with ICD J949 - Pleural condition, unspecified | 3.94 | ||
| Readmission Rate at DRG | 13.39 | ||
| Readmission Rate with ICD J949 - Pleural condition, unspecified | NA | ||
| Unplanned Readmission Rate at DRG | 8.11 | ||
| Unplanned Readmission Rate with ICD J949 - Pleural condition, unspecified | NA | ||
| Total Medicare payments at DRG | $830,506,314 | ||
| Total Medicare payments with ICD J949 - Pleural condition, unspecified | $300,713 | ||
| Total Medicare payment per Day at DRG | $2,922 | ||
| Total Medicare payment per Day with ICD J949 - Pleural condition, unspecified | $4,773 | ||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||
| Total Medicare payment per Hospitalization with ICD J949 - Pleural condition, unspecified | $18,795 | ||
| Total Medicare Charges at DRG | $4,394,247,481 | ||
| Total Medicare Charges with ICD J949 - Pleural condition, unspecified | $1,300,014 | ||
| Avg Charges at DRG | $89,077 | ||
| Avg Charges with ICD J949 - Pleural condition, unspecified | $81,251 | ||
| Mortality Rate at DRG | 0.32 | ||
| Mortality Rate with ICD J949 - Pleural condition, unspecified | NA | ||
| SNF Discharge Rate at DRG | 6.7 | ||
| SNF Discharge Rate with ICD J949 - Pleural condition, unspecified | NA | ||
| Home Discharge Rate at DRG | 62.23 | ||
| Home Discharge Rate with ICD J949 - Pleural condition, unspecified | 75.0 |