*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J95812 - Postprocedural air leak - as a primary diagnosis code | J95812 - Postprocedural air leak - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.07 | |
| Readmission Rate (%) | 21.31 | |
| Unplanned Readmission Rate (%) | 12.89 | |
| 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 200: PNEUMOTHORAX 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,696 | ||||
| Total Hospitalizations with ICD J95812 - Postprocedural air leak | 79 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD J95812 - Postprocedural air leak in DRG | 26.96 | ||||
| Avg LOS at DRG | 4.09 | ||||
| Avg LOS with ICD J95812 - Postprocedural air leak | 5.7 | ||||
| Readmission Rate at DRG | 17.76 | ||||
| Readmission Rate with ICD J95812 - Postprocedural air leak | 16.67 | ||||
| Unplanned Readmission Rate at DRG | 9.94 | ||||
| Unplanned Readmission Rate with ICD J95812 - Postprocedural air leak | NA | ||||
| Total Medicare payments at DRG | $185,027,607 | ||||
| Total Medicare payments with ICD J95812 - Postprocedural air leak | $660,831 | ||||
| Total Medicare payment per Day at DRG | $1,575 | ||||
| Total Medicare payment per Day with ICD J95812 - Postprocedural air leak | $1,469 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,448 | ||||
| Total Medicare payment per Hospitalization with ICD J95812 - Postprocedural air leak | $8,365 | ||||
| Total Medicare Charges at DRG | $1,002,898,282 | ||||
| Total Medicare Charges with ICD J95812 - Postprocedural air leak | $3,327,887 | ||||
| Avg Charges at DRG | $34,949 | ||||
| Avg Charges with ICD J95812 - Postprocedural air leak | $42,125 | ||||
| Mortality Rate at DRG | 0.51 | ||||
| Mortality Rate with ICD J95812 - Postprocedural air leak | NA | ||||
| SNF Discharge Rate at DRG | 15.23 | ||||
| SNF Discharge Rate with ICD J95812 - Postprocedural air leak | NA | ||||
| Home Discharge Rate at DRG | 58.97 | ||||
| Home Discharge Rate with ICD J95812 - Postprocedural air leak | 37.97 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 36,636 |
| Total Hospitalizations with ICD J95812 - Postprocedural air leak | 18 |
| DRG Share of Total Hospitalizations | 0.11 |
| % of Total ICD J95812 - Postprocedural air leak in DRG | 6.14 |
| Avg LOS at DRG | 5.73 |
| Avg LOS with ICD J95812 - Postprocedural air leak | 5.78 |
| Readmission Rate at DRG | 21.72 |
| Readmission Rate with ICD J95812 - Postprocedural air leak | NA |
| Unplanned Readmission Rate at DRG | 14.08 |
| Unplanned Readmission Rate with ICD J95812 - Postprocedural air leak | NA |
| Total Medicare payments at DRG | $448,734,039 |
| Total Medicare payments with ICD J95812 - Postprocedural air leak | $221,419 |
| Total Medicare payment per Day at DRG | $2,137 |
| Total Medicare payment per Day with ICD J95812 - Postprocedural air leak | $2,129 |
| Total Medicare payment per Hospitalization at DRG | $12,248 |
| Total Medicare payment per Hospitalization with ICD J95812 - Postprocedural air leak | $12,301 |
| Total Medicare Charges at DRG | $2,388,208,589 |
| Total Medicare Charges with ICD J95812 - Postprocedural air leak | $1,090,676 |
| Avg Charges at DRG | $65,187 |
| Avg Charges with ICD J95812 - Postprocedural air leak | $60,593 |
| Mortality Rate at DRG | 0.77 |
| Mortality Rate with ICD J95812 - Postprocedural air leak | NA |
| SNF Discharge Rate at DRG | 10.73 |
| SNF Discharge Rate with ICD J95812 - Postprocedural air leak | NA |
| Home Discharge Rate at DRG | 59.85 |
| Home Discharge Rate with ICD J95812 - Postprocedural air leak | 83.33 |
*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 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD J95812 - Postprocedural air leak | 5,648 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J95812 - Postprocedural air leak in DRG | 41.1 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD J95812 - Postprocedural air leak | 7.33 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD J95812 - Postprocedural air leak | 13.68 | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD J95812 - Postprocedural air leak | 8.16 | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD J95812 - Postprocedural air leak | $100,079,927 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD J95812 - Postprocedural air leak | $2,418 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD J95812 - Postprocedural air leak | $17,720 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD J95812 - Postprocedural air leak | $566,455,324 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD J95812 - Postprocedural air leak | $100,293 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD J95812 - Postprocedural air leak | NA | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD J95812 - Postprocedural air leak | 5.19 | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD J95812 - Postprocedural air leak | 60.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT 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 | 48,449 | ||||
| Total Hospitalizations with ICD J95812 - Postprocedural air leak | 336 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J95812 - Postprocedural air leak in DRG | 2.44 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD J95812 - Postprocedural air leak | 33.2 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD J95812 - Postprocedural air leak | 78.24 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD J95812 - Postprocedural air leak | 5.56 | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD J95812 - Postprocedural air leak | $45,935,166 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD J95812 - Postprocedural air leak | $4,118 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD J95812 - Postprocedural air leak | $136,712 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD J95812 - Postprocedural air leak | $210,817,174 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD J95812 - Postprocedural air leak | $627,432 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD J95812 - Postprocedural air leak | 28.27 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD J95812 - Postprocedural air leak | 8.33 | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD J95812 - Postprocedural air leak | 3.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 234: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,301 | ||||
| Total Hospitalizations with ICD J95812 - Postprocedural air leak | 157 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J95812 - Postprocedural air leak in DRG | 1.14 | ||||
| Avg LOS at DRG | 10.92 | ||||
| Avg LOS with ICD J95812 - Postprocedural air leak | 11.56 | ||||
| Readmission Rate at DRG | 32.06 | ||||
| Readmission Rate with ICD J95812 - Postprocedural air leak | 23.74 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD J95812 - Postprocedural air leak | 10.07 | ||||
| Total Medicare payments at DRG | $2,755,788,420 | ||||
| Total Medicare payments with ICD J95812 - Postprocedural air leak | $8,729,774 | ||||
| Total Medicare payment per Day at DRG | $5,120 | ||||
| Total Medicare payment per Day with ICD J95812 - Postprocedural air leak | $4,810 | ||||
| Total Medicare payment per Hospitalization at DRG | $55,897 | ||||
| Total Medicare payment per Hospitalization with ICD J95812 - Postprocedural air leak | $55,604 | ||||
| Total Medicare Charges at DRG | $13,454,609,626 | ||||
| Total Medicare Charges with ICD J95812 - Postprocedural air leak | $44,784,687 | ||||
| Avg Charges at DRG | $272,907 | ||||
| Avg Charges with ICD J95812 - Postprocedural air leak | $285,253 | ||||
| Mortality Rate at DRG | 7.09 | ||||
| Mortality Rate with ICD J95812 - Postprocedural air leak | 9.55 | ||||
| SNF Discharge Rate at DRG | 21.99 | ||||
| SNF Discharge Rate with ICD J95812 - Postprocedural air leak | 20.38 | ||||
| Home Discharge Rate at DRG | 21.9 | ||||
| Home Discharge Rate with ICD J95812 - Postprocedural air leak | 21.02 |
*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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 1,808,415 | ||||
| Total Hospitalizations with ICD J95812 - Postprocedural air leak | 120 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J95812 - Postprocedural air leak in DRG | 0.87 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J95812 - Postprocedural air leak | 13.38 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J95812 - Postprocedural air leak | 30.59 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J95812 - Postprocedural air leak | 16.47 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J95812 - Postprocedural air leak | $1,748,915 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J95812 - Postprocedural air leak | $1,089 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J95812 - Postprocedural air leak | $14,574 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J95812 - Postprocedural air leak | $14,213,140 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J95812 - Postprocedural air leak | $118,443 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J95812 - Postprocedural air leak | 24.17 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J95812 - Postprocedural air leak | 25.0 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J95812 - Postprocedural air leak | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MORRISTOWN MEDICAL CENTER | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 176 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 144 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 141 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK DENNIS WIDMANN | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 103 |
| Dr. ERIC TOLOZA | 12902 USF MAGNOLIA DR | TAMPA | FL | 33612 | 49 |
| Dr. FEDERICO A STEINER | 100 MADISON AVE FL 4 | MORRISTOWN | NJ | 07960 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK DENNIS WIDMANN | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 100 |
| Dr. ERIC TOLOZA | 12902 USF MAGNOLIA DR | TAMPA | FL | 33612 | 49 |
| Dr. FEDERICO A STEINER | 100 MADISON AVE FL 4 | MORRISTOWN | NJ | 07960 | 42 |