*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J952 - Acute pulmonary insufficiency following nonthoracic surgery - as a primary diagnosis code | J952 - Acute pulmonary insufficiency following nonthoracic surgery - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.4 | |
| Readmission Rate (%) | 29.88 | |
| Unplanned Readmission Rate (%) | 13.57 | |
| 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 | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 39 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery in DRG | 26.53 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 6.49 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | NA | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | NA | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $480,187 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $1,898 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $12,312 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $1,752,466 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $44,935 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | NA | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 51.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 1,228 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery in DRG | 10.09 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 12.83 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 31.02 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 15.42 | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $41,337,736 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $2,623 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $33,663 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $189,832,654 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $154,587 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 5.86 | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 30.21 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 21.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 268: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,007 | ||||
| Total Hospitalizations with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 473 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery in DRG | 3.89 | ||||
| Avg LOS at DRG | 7.38 | ||||
| Avg LOS with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 6.72 | ||||
| Readmission Rate at DRG | 29.95 | ||||
| Readmission Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 24.37 | ||||
| Unplanned Readmission Rate at DRG | 12.78 | ||||
| Unplanned Readmission Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 9.57 | ||||
| Total Medicare payments at DRG | $1,679,975,081 | ||||
| Total Medicare payments with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $8,725,760 | ||||
| Total Medicare payment per Day at DRG | $2,585 | ||||
| Total Medicare payment per Day with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $2,745 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,089 | ||||
| Total Medicare payment per Hospitalization with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $18,448 | ||||
| Total Medicare Charges at DRG | $8,209,996,060 | ||||
| Total Medicare Charges with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $36,420,805 | ||||
| Avg Charges at DRG | $93,288 | ||||
| Avg Charges with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $77,000 | ||||
| Mortality Rate at DRG | 5.86 | ||||
| Mortality Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 4.86 | ||||
| SNF Discharge Rate at DRG | 63.57 | ||||
| SNF Discharge Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 70.4 | ||||
| Home Discharge Rate at DRG | 2.5 | ||||
| Home Discharge Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic 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 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,032 | ||||
| Total Hospitalizations with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 255 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery in DRG | 2.1 | ||||
| Avg LOS at DRG | 12.83 | ||||
| Avg LOS with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 12.02 | ||||
| Readmission Rate at DRG | 32.87 | ||||
| Readmission Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 30.74 | ||||
| Unplanned Readmission Rate at DRG | 17.21 | ||||
| Unplanned Readmission Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 14.34 | ||||
| Total Medicare payments at DRG | $494,323,756 | ||||
| Total Medicare payments with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $10,285,760 | ||||
| Total Medicare payment per Day at DRG | $3,203 | ||||
| Total Medicare payment per Day with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $3,356 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,084 | ||||
| Total Medicare payment per Hospitalization with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $40,336 | ||||
| Total Medicare Charges at DRG | $2,312,237,801 | ||||
| Total Medicare Charges with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $43,829,153 | ||||
| Avg Charges at DRG | $192,174 | ||||
| Avg Charges with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $171,879 | ||||
| Mortality Rate at DRG | 6.86 | ||||
| Mortality Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | NA | ||||
| SNF Discharge Rate at DRG | 17.46 | ||||
| SNF Discharge Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 15.69 | ||||
| Home Discharge Rate at DRG | 36.29 | ||||
| Home Discharge Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 38.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 037: EXTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 353: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 41,575 | ||||
| Total Hospitalizations with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 229 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery in DRG | 1.88 | ||||
| Avg LOS at DRG | 6.1 | ||||
| Avg LOS with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 6.55 | ||||
| Readmission Rate at DRG | 21.03 | ||||
| Readmission Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 26.85 | ||||
| Unplanned Readmission Rate at DRG | 12.58 | ||||
| Unplanned Readmission Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 16.2 | ||||
| Total Medicare payments at DRG | $2,337,662,115 | ||||
| Total Medicare payments with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $12,990,525 | ||||
| Total Medicare payment per Day at DRG | $9,211 | ||||
| Total Medicare payment per Day with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $8,666 | ||||
| Total Medicare payment per Hospitalization at DRG | $56,228 | ||||
| Total Medicare payment per Hospitalization with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $56,727 | ||||
| Total Medicare Charges at DRG | $9,802,565,172 | ||||
| Total Medicare Charges with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $55,588,287 | ||||
| Avg Charges at DRG | $235,780 | ||||
| Avg Charges with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | $242,744 | ||||
| Mortality Rate at DRG | 2.62 | ||||
| Mortality Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | NA | ||||
| SNF Discharge Rate at DRG | 16.12 | ||||
| SNF Discharge Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 20.52 | ||||
| Home Discharge Rate at DRG | 50.75 | ||||
| Home Discharge Rate with ICD J952 - Acute pulmonary insufficiency following nonthoracic surgery | 34.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 392 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 359 |
| CHI ST. LUKE'S HEALTH - BAYLOR ST. LUKE'S MEDICAL CENTER | 6720 BERTNER ST | HOUSTON | TX | 77030 | 314 |
| 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 | 59 |
| Dr. FARID GHARAGOZLOO | 410 CELEBRATION PL STE 302B | CELEBRATION | FL | 34747 | 32 |
| Dr. ANTON SURATH NISETUS DIAS PERERA | 6029 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MIRELLE' JEANNE FOSTER | 551 HILL COUNTRY DR | KERRVILLE | TX | 78028 | 147 |
| Dr. HARVEY EDWARD GARRETT | 6029 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 56 |
| Dr. CHRISTINE A. O'MAHONY | 6620 MAIN ST | HOUSTON | TX | 77030 | 37 |