*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J9611 - Chronic respiratory failure with hypoxia - as a primary diagnosis code | J9611 - Chronic respiratory failure with hypoxia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.67 | |
| Readmission Rate (%) | 28.51 | |
| Unplanned Readmission Rate (%) | 21.15 | |
| 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD J9611 - Chronic respiratory failure with hypoxia | 3,045 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD J9611 - Chronic respiratory failure with hypoxia in DRG | 70.6 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD J9611 - Chronic respiratory failure with hypoxia | 10.51 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 26.36 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 19.7 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD J9611 - Chronic respiratory failure with hypoxia | $40,683,776 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD J9611 - Chronic respiratory failure with hypoxia | $1,272 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD J9611 - Chronic respiratory failure with hypoxia | $13,361 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD J9611 - Chronic respiratory failure with hypoxia | $173,724,151 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD J9611 - Chronic respiratory failure with hypoxia | $57,052 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 4.2 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 24.99 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 32.55 |
*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 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 007: LUNG TRANSPLANT | |
|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | ||
| Total Hospitalizations with ICD J9611 - Chronic respiratory failure with hypoxia | 52 | ||
| DRG Share of Total Hospitalizations | 0.14 | ||
| % of Total ICD J9611 - Chronic respiratory failure with hypoxia in DRG | 1.21 | ||
| Avg LOS at DRG | 25.29 | ||
| Avg LOS with ICD J9611 - Chronic respiratory failure with hypoxia | 21.65 | ||
| Readmission Rate at DRG | 74.5 | ||
| Readmission Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 46.67 | ||
| Unplanned Readmission Rate at DRG | 8.79 | ||
| Unplanned Readmission Rate with ICD J9611 - Chronic respiratory failure with hypoxia | NA | ||
| Total Medicare payments at DRG | $3,386,848,549 | ||
| Total Medicare payments with ICD J9611 - Chronic respiratory failure with hypoxia | $3,207,223 | ||
| Total Medicare payment per Day at DRG | $2,945 | ||
| Total Medicare payment per Day with ICD J9611 - Chronic respiratory failure with hypoxia | $2,848 | ||
| Total Medicare payment per Hospitalization at DRG | $74,472 | ||
| Total Medicare payment per Hospitalization with ICD J9611 - Chronic respiratory failure with hypoxia | $61,677 | ||
| Total Medicare Charges at DRG | $15,882,518,852 | ||
| Total Medicare Charges with ICD J9611 - Chronic respiratory failure with hypoxia | $11,102,354 | ||
| Avg Charges at DRG | $349,235 | ||
| Avg Charges with ICD J9611 - Chronic respiratory failure with hypoxia | $213,507 | ||
| Mortality Rate at DRG | 13.7 | ||
| Mortality Rate with ICD J9611 - Chronic respiratory failure with hypoxia | NA | ||
| SNF Discharge Rate at DRG | 17.77 | ||
| SNF Discharge Rate with ICD J9611 - Chronic respiratory failure with hypoxia | NA | ||
| Home Discharge Rate at DRG | 1.95 | ||
| Home Discharge Rate with ICD J9611 - Chronic respiratory failure with hypoxia | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VIRTUA WILLINGBORO HOSPITAL | 218A SUNSET RD | WILLINGBORO | NJ | 08046 | 166 |
| PRESENCE HOLY FAMILY MEDICAL CENTER | 100 N RIVER RD | DES PLAINES | IL | 60016 | 123 |
| FLORIDA HOSPITAL AT CONNERTON | 9441 HEALTH CENTER DR | LAND O LAKES | FL | 34637 | 43 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NANCY AWADALLAH | 100 N RIVER RD | DES PLAINES | IL | 60016 | 35 |
| Dr. RANIA H LOUTFI | 1 COOPER PLZ | CAMDEN | NJ | 08103 | 28 |
| Dr. NIMRA HANIF RANA | 1 COOPER PLZ | CAMDEN | NJ | 08103 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NANCY AWADALLAH | 100 N RIVER RD | DES PLAINES | IL | 60016 | 37 |
| Dr. WILLIAM F GRELLA | 224 HAMBURG TPKE | WAYNE | NJ | 07470 | 32 |
| Dr. RANIA H LOUTFI | 1 COOPER PLZ | CAMDEN | NJ | 08103 | 30 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD J9611 - Chronic respiratory failure with hypoxia | 40,718 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD J9611 - Chronic respiratory failure with hypoxia in DRG | 10.69 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD J9611 - Chronic respiratory failure with hypoxia | 3.84 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 25.69 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 21.66 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD J9611 - Chronic respiratory failure with hypoxia | $222,960,279 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD J9611 - Chronic respiratory failure with hypoxia | $1,428 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD J9611 - Chronic respiratory failure with hypoxia | $5,476 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD J9611 - Chronic respiratory failure with hypoxia | $1,103,227,852 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD J9611 - Chronic respiratory failure with hypoxia | $27,094 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 0.17 | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 11.37 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 55.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD J9611 - Chronic respiratory failure with hypoxia | 10,610 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD J9611 - Chronic respiratory failure with hypoxia in DRG | 2.79 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD J9611 - Chronic respiratory failure with hypoxia | 4.0 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 21.5 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 16.98 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD J9611 - Chronic respiratory failure with hypoxia | $60,757,194 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD J9611 - Chronic respiratory failure with hypoxia | $1,431 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD J9611 - Chronic respiratory failure with hypoxia | $5,726 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD J9611 - Chronic respiratory failure with hypoxia | $293,668,940 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD J9611 - Chronic respiratory failure with hypoxia | $27,679 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 0.57 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 16.51 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 49.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD J9611 - Chronic respiratory failure with hypoxia | 5,163 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD J9611 - Chronic respiratory failure with hypoxia in DRG | 1.36 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD J9611 - Chronic respiratory failure with hypoxia | 3.25 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 27.86 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 22.47 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD J9611 - Chronic respiratory failure with hypoxia | $24,182,401 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD J9611 - Chronic respiratory failure with hypoxia | $1,443 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD J9611 - Chronic respiratory failure with hypoxia | $4,684 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD J9611 - Chronic respiratory failure with hypoxia | $136,594,103 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD J9611 - Chronic respiratory failure with hypoxia | $26,456 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 0.64 | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 14.49 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 52.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD J9611 - Chronic respiratory failure with hypoxia | 4,080 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD J9611 - Chronic respiratory failure with hypoxia in DRG | 1.07 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD J9611 - Chronic respiratory failure with hypoxia | 3.7 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 24.57 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 20.33 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD J9611 - Chronic respiratory failure with hypoxia | $18,416,364 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD J9611 - Chronic respiratory failure with hypoxia | $1,221 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD J9611 - Chronic respiratory failure with hypoxia | $4,514 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD J9611 - Chronic respiratory failure with hypoxia | $123,458,273 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD J9611 - Chronic respiratory failure with hypoxia | $30,259 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 0.27 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 14.85 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD J9611 - Chronic respiratory failure with hypoxia | 52.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 2,009 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 1,396 |
| PRESBYTERIAN HOSPITAL | 1100 CENTRAL SE | ALBUQUERQUE | NM | 87106 | 1,386 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NECHEMIA B PELEG | 4955 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 172 |
| Dr. KEVIN J WILLIS | 2201 LEXINGTON AVE | ASHLAND | KY | 41101 | 70 |
| Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 68 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 212 |
| Dr. PADMAJA KONDAMURI | 8840 CALUMET AVE | MUNSTER | IN | 46321 | 150 |
| Dr. JOSEPH ZAKI EL-HOUJAIRY | 800 W 9TH ST | JASPER | IN | 47546 | 123 |