*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J9612 - Chronic respiratory failure with hypercapnia - as a primary diagnosis code | J9612 - Chronic respiratory failure with hypercapnia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.96 | |
| Readmission Rate (%) | 31.13 | |
| Unplanned Readmission Rate (%) | 21.1 | |
| 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 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD J9612 - Chronic respiratory failure with hypercapnia | 1,128 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD J9612 - Chronic respiratory failure with hypercapnia in DRG | 73.92 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD J9612 - Chronic respiratory failure with hypercapnia | 11.23 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 28.51 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 19.7 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD J9612 - Chronic respiratory failure with hypercapnia | $16,520,117 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD J9612 - Chronic respiratory failure with hypercapnia | $1,304 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD J9612 - Chronic respiratory failure with hypercapnia | $14,645 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD J9612 - Chronic respiratory failure with hypercapnia | $70,765,618 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD J9612 - Chronic respiratory failure with hypercapnia | $62,735 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 4.52 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 31.03 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 24.02 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PRESENCE HOLY FAMILY MEDICAL CENTER | 100 N RIVER RD | DES PLAINES | IL | 60016 | 33 |
| TEXAS STAR RECOVERY | 1106 W DITTMAR RD | AUSTIN | TX | 78745 | 22 |
| VIRTUA WILLINGBORO HOSPITAL | 218A SUNSET RD | WILLINGBORO | NJ | 08046 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM F GRELLA | 224 HAMBURG TPKE | WAYNE | NJ | 07470 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES LEE BOYSEN | 1106 WEST. DITTMAR | AUSTIN | TX | 78745 | 18 |
| Dr. WILLIAM F GRELLA | 224 HAMBURG TPKE | WAYNE | NJ | 07470 | 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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD J9612 - Chronic respiratory failure with hypercapnia | 8,914 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD J9612 - Chronic respiratory failure with hypercapnia in DRG | 11.72 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD J9612 - Chronic respiratory failure with hypercapnia | 4.2 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 29.42 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 24.8 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD J9612 - Chronic respiratory failure with hypercapnia | $52,610,942 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD J9612 - Chronic respiratory failure with hypercapnia | $1,404 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD J9612 - Chronic respiratory failure with hypercapnia | $5,902 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD J9612 - Chronic respiratory failure with hypercapnia | $269,183,257 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD J9612 - Chronic respiratory failure with hypercapnia | $30,198 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 0.29 | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 13.9 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 49.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD J9612 - Chronic respiratory failure with hypercapnia | 2,914 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD J9612 - Chronic respiratory failure with hypercapnia in DRG | 3.83 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD J9612 - Chronic respiratory failure with hypercapnia | 5.21 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 28.47 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 22.93 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD J9612 - Chronic respiratory failure with hypercapnia | $18,830,931 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD J9612 - Chronic respiratory failure with hypercapnia | $1,241 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD J9612 - Chronic respiratory failure with hypercapnia | $6,462 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD J9612 - Chronic respiratory failure with hypercapnia | $105,358,141 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD J9612 - Chronic respiratory failure with hypercapnia | $36,156 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 0.75 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 23.71 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 34.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD J9612 - Chronic respiratory failure with hypercapnia | 935 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD J9612 - Chronic respiratory failure with hypercapnia in DRG | 1.23 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD J9612 - Chronic respiratory failure with hypercapnia | 6.9 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 34.95 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 25.38 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD J9612 - Chronic respiratory failure with hypercapnia | $9,744,629 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD J9612 - Chronic respiratory failure with hypercapnia | $1,511 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD J9612 - Chronic respiratory failure with hypercapnia | $10,422 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD J9612 - Chronic respiratory failure with hypercapnia | $53,335,235 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD J9612 - Chronic respiratory failure with hypercapnia | $57,043 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 4.81 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 39.47 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 17.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD J9612 - Chronic respiratory failure with hypercapnia | 786 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD J9612 - Chronic respiratory failure with hypercapnia in DRG | 1.03 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD J9612 - Chronic respiratory failure with hypercapnia | 7.48 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 37.03 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 24.14 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD J9612 - Chronic respiratory failure with hypercapnia | $12,674,472 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD J9612 - Chronic respiratory failure with hypercapnia | $2,157 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD J9612 - Chronic respiratory failure with hypercapnia | $16,125 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD J9612 - Chronic respiratory failure with hypercapnia | $61,527,722 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD J9612 - Chronic respiratory failure with hypercapnia | $78,280 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 13.99 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 23.16 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD J9612 - Chronic respiratory failure with hypercapnia | 18.83 |
| 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 | 517 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 363 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 316 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAFIQUL ALAM | 200 MEDICAL CENTER DR | HAZARD | KY | 41701 | 47 |
| Dr. NANCY AWADALLAH | 100 N RIVER RD | DES PLAINES | IL | 60016 | 30 |
| Dr. EITAN SOBEL | 160 ALLEN ST | RUTLAND | VT | 05701 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 72 |
| Dr. WILLIAM JEFFERSON LESTER | 2343 ALEXANDRIA DR | LEXINGTON | KY | 40504 | 41 |
| Dr. MOHAMMAD AFZAL | 110 HARDIN LN | SOMERSET | KY | 42503 | 39 |