*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J951 - Acute pulmonary insufficiency following thoracic surgery - as a primary diagnosis code | J951 - Acute pulmonary insufficiency following thoracic surgery - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.88 | |
| Readmission Rate (%) | 28.82 | |
| 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|
| Total Hospitalizations at DRG | 539,642 |
| Total Hospitalizations with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 19 |
| DRG Share of Total Hospitalizations | 1.64 |
| % of Total ICD J951 - Acute pulmonary insufficiency following thoracic surgery in DRG | 55.88 |
| Avg LOS at DRG | 6.42 |
| Avg LOS with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 7.0 |
| Readmission Rate at DRG | 26.55 |
| Readmission Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | NA |
| Unplanned Readmission Rate at DRG | 20.01 |
| Unplanned Readmission Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | NA |
| Total Medicare payments at DRG | $5,267,842,463 |
| Total Medicare payments with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $218,927 |
| Total Medicare payment per Day at DRG | $1,520 |
| Total Medicare payment per Day with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $1,646 |
| Total Medicare payment per Hospitalization at DRG | $9,762 |
| Total Medicare payment per Hospitalization with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $11,522 |
| Total Medicare Charges at DRG | $25,503,568,329 |
| Total Medicare Charges with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $1,094,092 |
| Avg Charges at DRG | $47,260 |
| Avg Charges with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $57,584 |
| Mortality Rate at DRG | 5.62 |
| Mortality Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | NA |
| SNF Discharge Rate at DRG | 19.26 |
| SNF Discharge Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | NA |
| Home Discharge Rate at DRG | 39.65 |
| Home Discharge Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 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 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,301 | ||||
| Total Hospitalizations with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 3,497 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J951 - Acute pulmonary insufficiency following thoracic surgery in DRG | 27.15 | ||||
| Avg LOS at DRG | 10.92 | ||||
| Avg LOS with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 10.01 | ||||
| Readmission Rate at DRG | 32.06 | ||||
| Readmission Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 29.04 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 11.96 | ||||
| Total Medicare payments at DRG | $2,755,788,420 | ||||
| Total Medicare payments with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $181,593,365 | ||||
| Total Medicare payment per Day at DRG | $5,120 | ||||
| Total Medicare payment per Day with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $5,187 | ||||
| Total Medicare payment per Hospitalization at DRG | $55,897 | ||||
| Total Medicare payment per Hospitalization with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $51,928 | ||||
| Total Medicare Charges at DRG | $13,454,609,626 | ||||
| Total Medicare Charges with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $811,526,570 | ||||
| Avg Charges at DRG | $272,907 | ||||
| Avg Charges with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $232,064 | ||||
| Mortality Rate at DRG | 7.09 | ||||
| Mortality Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 3.17 | ||||
| SNF Discharge Rate at DRG | 21.99 | ||||
| SNF Discharge Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 20.22 | ||||
| Home Discharge Rate at DRG | 21.9 | ||||
| Home Discharge Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 23.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM 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 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,183 | ||||
| Total Hospitalizations with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 491 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD J951 - Acute pulmonary insufficiency following thoracic surgery in DRG | 3.81 | ||||
| Avg LOS at DRG | 9.71 | ||||
| Avg LOS with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 10.35 | ||||
| Readmission Rate at DRG | 30.83 | ||||
| Readmission Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 25.05 | ||||
| Unplanned Readmission Rate at DRG | 15.01 | ||||
| Unplanned Readmission Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 9.07 | ||||
| Total Medicare payments at DRG | $676,123,364 | ||||
| Total Medicare payments with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $22,518,265 | ||||
| Total Medicare payment per Day at DRG | $4,909 | ||||
| Total Medicare payment per Day with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $4,430 | ||||
| Total Medicare payment per Hospitalization at DRG | $47,671 | ||||
| Total Medicare payment per Hospitalization with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $45,862 | ||||
| Total Medicare Charges at DRG | $3,193,795,581 | ||||
| Total Medicare Charges with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $103,294,603 | ||||
| Avg Charges at DRG | $225,185 | ||||
| Avg Charges with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $210,376 | ||||
| Mortality Rate at DRG | 6.32 | ||||
| Mortality Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 3.05 | ||||
| SNF Discharge Rate at DRG | 19.23 | ||||
| SNF Discharge Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 19.35 | ||||
| Home Discharge Rate at DRG | 37.04 | ||||
| Home Discharge Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 31.57 |
*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 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 231: CORONARY BYPASS WITH PTCA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 268: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 137 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD J951 - Acute pulmonary insufficiency following thoracic surgery in DRG | 1.06 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 6.83 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 21.05 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 13.53 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $2,942,407 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $3,144 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $21,477 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $10,700,379 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $78,105 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | NA | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | NA | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 55.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 007: LUNG TRANSPLANT | DRG 215: OTHER HEART ASSIST SYSTEM IMPLANT | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,737 | ||||
| Total Hospitalizations with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 49 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD J951 - Acute pulmonary insufficiency following thoracic surgery in DRG | 0.38 | ||||
| Avg LOS at DRG | 19.46 | ||||
| Avg LOS with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 18.65 | ||||
| Readmission Rate at DRG | 41.59 | ||||
| Readmission Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 52.08 | ||||
| Unplanned Readmission Rate at DRG | 14.24 | ||||
| Unplanned Readmission Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | NA | ||||
| Total Medicare payments at DRG | $156,025,957 | ||||
| Total Medicare payments with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $3,872,496 | ||||
| Total Medicare payment per Day at DRG | $4,616 | ||||
| Total Medicare payment per Day with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $4,237 | ||||
| Total Medicare payment per Hospitalization at DRG | $89,825 | ||||
| Total Medicare payment per Hospitalization with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $79,031 | ||||
| Total Medicare Charges at DRG | $1,052,278,268 | ||||
| Total Medicare Charges with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $24,980,635 | ||||
| Avg Charges at DRG | $605,802 | ||||
| Avg Charges with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | $509,809 | ||||
| Mortality Rate at DRG | 0.81 | ||||
| Mortality Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | NA | ||||
| SNF Discharge Rate at DRG | 1.32 | ||||
| SNF Discharge Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | NA | ||||
| Home Discharge Rate at DRG | 46.98 | ||||
| Home Discharge Rate with ICD J951 - Acute pulmonary insufficiency following thoracic surgery | 46.94 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHI ST. LUKE'S HEALTH - BAYLOR ST. LUKE'S MEDICAL CENTER | 6720 BERTNER ST | HOUSTON | TX | 77030 | 877 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 875 |
| BAPTIST MEMORIAL HOSPITAL | 6019 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 605 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARVEY EDWARD GARRETT | 6029 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 293 |
| Dr. DAVID A. OTT | 1101 BATES AVE | HOUSTON | TX | 77030 | 217 |
| Dr. KEVIN DONN ACCOLA | 217 HILLCREST ST | ORLANDO | FL | 32801 | 204 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARVEY EDWARD GARRETT | 6029 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 271 |
| Dr. ADRIANA OTTO | 1400 S ORLANDO AVE | WINTER PARK | FL | 32789 | 251 |
| Dr. KYME CLINTON | 501 ARVEN CT | ALTAMONTE SPRINGS | FL | 32701 | 184 |