*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J9509 - Other tracheostomy complication - as a primary diagnosis code | J9509 - Other tracheostomy complication - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 18.72 | |
| Readmission Rate (%) | 43.75 | |
| Unplanned Readmission Rate (%) | 22.24 | |
| 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 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,762 | ||||
| Total Hospitalizations with ICD J9509 - Other tracheostomy complication | 312 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD J9509 - Other tracheostomy complication in DRG | 24.59 | ||||
| Avg LOS at DRG | 5.4 | ||||
| Avg LOS with ICD J9509 - Other tracheostomy complication | 6.08 | ||||
| Readmission Rate at DRG | 26.53 | ||||
| Readmission Rate with ICD J9509 - Other tracheostomy complication | 34.39 | ||||
| Unplanned Readmission Rate at DRG | 17.68 | ||||
| Unplanned Readmission Rate with ICD J9509 - Other tracheostomy complication | 23.51 | ||||
| Total Medicare payments at DRG | $258,625,689 | ||||
| Total Medicare payments with ICD J9509 - Other tracheostomy complication | $2,943,645 | ||||
| Total Medicare payment per Day at DRG | $1,859 | ||||
| Total Medicare payment per Day with ICD J9509 - Other tracheostomy complication | $1,552 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,039 | ||||
| Total Medicare payment per Hospitalization with ICD J9509 - Other tracheostomy complication | $9,435 | ||||
| Total Medicare Charges at DRG | $1,285,891,031 | ||||
| Total Medicare Charges with ICD J9509 - Other tracheostomy complication | $15,649,156 | ||||
| Avg Charges at DRG | $49,914 | ||||
| Avg Charges with ICD J9509 - Other tracheostomy complication | $50,158 | ||||
| Mortality Rate at DRG | 3.49 | ||||
| Mortality Rate with ICD J9509 - Other tracheostomy complication | NA | ||||
| SNF Discharge Rate at DRG | 21.29 | ||||
| SNF Discharge Rate with ICD J9509 - Other tracheostomy complication | 33.01 | ||||
| Home Discharge Rate at DRG | 40.23 | ||||
| Home Discharge Rate with ICD J9509 - Other tracheostomy complication | 25.96 |
*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 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH 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 | 36,636 | ||||
| Total Hospitalizations with ICD J9509 - Other tracheostomy complication | 75 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J9509 - Other tracheostomy complication in DRG | 5.91 | ||||
| Avg LOS at DRG | 5.73 | ||||
| Avg LOS with ICD J9509 - Other tracheostomy complication | 4.79 | ||||
| Readmission Rate at DRG | 21.72 | ||||
| Readmission Rate with ICD J9509 - Other tracheostomy complication | 19.72 | ||||
| Unplanned Readmission Rate at DRG | 14.08 | ||||
| Unplanned Readmission Rate with ICD J9509 - Other tracheostomy complication | NA | ||||
| Total Medicare payments at DRG | $448,734,039 | ||||
| Total Medicare payments with ICD J9509 - Other tracheostomy complication | $1,086,786 | ||||
| Total Medicare payment per Day at DRG | $2,137 | ||||
| Total Medicare payment per Day with ICD J9509 - Other tracheostomy complication | $3,027 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,248 | ||||
| Total Medicare payment per Hospitalization with ICD J9509 - Other tracheostomy complication | $14,490 | ||||
| Total Medicare Charges at DRG | $2,388,208,589 | ||||
| Total Medicare Charges with ICD J9509 - Other tracheostomy complication | $4,040,061 | ||||
| Avg Charges at DRG | $65,187 | ||||
| Avg Charges with ICD J9509 - Other tracheostomy complication | $53,867 | ||||
| Mortality Rate at DRG | 0.77 | ||||
| Mortality Rate with ICD J9509 - Other tracheostomy complication | NA | ||||
| SNF Discharge Rate at DRG | 10.73 | ||||
| SNF Discharge Rate with ICD J9509 - Other tracheostomy complication | 28.0 | ||||
| Home Discharge Rate at DRG | 59.85 | ||||
| Home Discharge Rate with ICD J9509 - Other tracheostomy complication | 33.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 20 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 14 |
| VANDERBILT UNIVERSITY MEDICAL CENTER | 1211 MEDICAL CENTER DRIVE | NASHVILLE | TN | 37232 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL F CASTELLANOS | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL F CASTELLANOS | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | 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 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD J9509 - Other tracheostomy complication | 695 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD J9509 - Other tracheostomy complication in DRG | 13.52 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD J9509 - Other tracheostomy complication | 30.85 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD J9509 - Other tracheostomy complication | 44.01 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD J9509 - Other tracheostomy complication | 23.77 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD J9509 - Other tracheostomy complication | $39,090,781 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD J9509 - Other tracheostomy complication | $1,823 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD J9509 - Other tracheostomy complication | $56,246 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD J9509 - Other tracheostomy complication | $189,112,777 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD J9509 - Other tracheostomy complication | $272,105 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD J9509 - Other tracheostomy complication | 15.25 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD J9509 - Other tracheostomy complication | 34.96 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD J9509 - Other tracheostomy complication | 5.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | ||||
| Total Hospitalizations with ICD J9509 - Other tracheostomy complication | 313 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD J9509 - Other tracheostomy complication in DRG | 6.09 | ||||
| Avg LOS at DRG | 25.29 | ||||
| Avg LOS with ICD J9509 - Other tracheostomy complication | 29.67 | ||||
| Readmission Rate at DRG | 74.5 | ||||
| Readmission Rate with ICD J9509 - Other tracheostomy complication | 64.9 | ||||
| Unplanned Readmission Rate at DRG | 8.79 | ||||
| Unplanned Readmission Rate with ICD J9509 - Other tracheostomy complication | 13.88 | ||||
| Total Medicare payments at DRG | $3,386,848,549 | ||||
| Total Medicare payments with ICD J9509 - Other tracheostomy complication | $25,125,167 | ||||
| Total Medicare payment per Day at DRG | $2,945 | ||||
| Total Medicare payment per Day with ICD J9509 - Other tracheostomy complication | $2,705 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
| Total Medicare payment per Hospitalization with ICD J9509 - Other tracheostomy complication | $80,272 | ||||
| Total Medicare Charges at DRG | $15,882,518,852 | ||||
| Total Medicare Charges with ICD J9509 - Other tracheostomy complication | $124,184,664 | ||||
| Avg Charges at DRG | $349,235 | ||||
| Avg Charges with ICD J9509 - Other tracheostomy complication | $396,756 | ||||
| Mortality Rate at DRG | 13.7 | ||||
| Mortality Rate with ICD J9509 - Other tracheostomy complication | 15.65 | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD J9509 - Other tracheostomy complication | 25.24 | ||||
| Home Discharge Rate at DRG | 1.95 | ||||
| Home Discharge Rate with ICD J9509 - Other tracheostomy complication | 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 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 J9509 - Other tracheostomy complication | 124 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J9509 - Other tracheostomy complication in DRG | 2.41 | ||||
| Avg LOS at DRG | 5.73 | ||||
| Avg LOS with ICD J9509 - Other tracheostomy complication | 8.98 | ||||
| Readmission Rate at DRG | 21.72 | ||||
| Readmission Rate with ICD J9509 - Other tracheostomy complication | 25.83 | ||||
| Unplanned Readmission Rate at DRG | 14.08 | ||||
| Unplanned Readmission Rate with ICD J9509 - Other tracheostomy complication | 17.5 | ||||
| Total Medicare payments at DRG | $448,734,039 | ||||
| Total Medicare payments with ICD J9509 - Other tracheostomy complication | $1,877,908 | ||||
| Total Medicare payment per Day at DRG | $2,137 | ||||
| Total Medicare payment per Day with ICD J9509 - Other tracheostomy complication | $1,687 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,248 | ||||
| Total Medicare payment per Hospitalization with ICD J9509 - Other tracheostomy complication | $15,144 | ||||
| Total Medicare Charges at DRG | $2,388,208,589 | ||||
| Total Medicare Charges with ICD J9509 - Other tracheostomy complication | $10,682,884 | ||||
| Avg Charges at DRG | $65,187 | ||||
| Avg Charges with ICD J9509 - Other tracheostomy complication | $86,152 | ||||
| Mortality Rate at DRG | 0.77 | ||||
| Mortality Rate with ICD J9509 - Other tracheostomy complication | NA | ||||
| SNF Discharge Rate at DRG | 10.73 | ||||
| SNF Discharge Rate with ICD J9509 - Other tracheostomy complication | 26.61 | ||||
| Home Discharge Rate at DRG | 59.85 | ||||
| Home Discharge Rate with ICD J9509 - Other tracheostomy complication | 37.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 012: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,276 | ||||
| Total Hospitalizations with ICD J9509 - Other tracheostomy complication | 71 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J9509 - Other tracheostomy complication in DRG | 1.38 | ||||
| Avg LOS at DRG | 12.15 | ||||
| Avg LOS with ICD J9509 - Other tracheostomy complication | 17.86 | ||||
| Readmission Rate at DRG | 27.64 | ||||
| Readmission Rate with ICD J9509 - Other tracheostomy complication | 35.59 | ||||
| Unplanned Readmission Rate at DRG | 14.04 | ||||
| Unplanned Readmission Rate with ICD J9509 - Other tracheostomy complication | 20.34 | ||||
| Total Medicare payments at DRG | $1,238,611,931 | ||||
| Total Medicare payments with ICD J9509 - Other tracheostomy complication | $3,196,347 | ||||
| Total Medicare payment per Day at DRG | $2,735 | ||||
| Total Medicare payment per Day with ICD J9509 - Other tracheostomy complication | $2,521 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,228 | ||||
| Total Medicare payment per Hospitalization with ICD J9509 - Other tracheostomy complication | $45,019 | ||||
| Total Medicare Charges at DRG | $5,969,079,351 | ||||
| Total Medicare Charges with ICD J9509 - Other tracheostomy complication | $16,608,238 | ||||
| Avg Charges at DRG | $160,132 | ||||
| Avg Charges with ICD J9509 - Other tracheostomy complication | $233,919 | ||||
| Mortality Rate at DRG | 8.94 | ||||
| Mortality Rate with ICD J9509 - Other tracheostomy complication | NA | ||||
| SNF Discharge Rate at DRG | 17.97 | ||||
| SNF Discharge Rate with ICD J9509 - Other tracheostomy complication | 30.99 | ||||
| Home Discharge Rate at DRG | 31.66 | ||||
| Home Discharge Rate with ICD J9509 - Other tracheostomy complication | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 40 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 34 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL F CASTELLANOS | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 24 |
| Dr. DARREN JON SPLONSKOWSKI | 7500 MERCY RD | OMAHA | NE | 68124 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL F CASTELLANOS | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 22 |
| Dr. SOHAIL NOOR | 705 S FRY RD | KATY | TX | 77450 | 12 |
| Dr. DARREN JON SPLONSKOWSKI | 7500 MERCY RD | OMAHA | NE | 68124 | 12 |