Examples: ICD M32, ICD R6521, ICD 8210, ICD 1970

J9620 - ICD 10 Diagnosis Code - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary diagnosis code J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 9.29
Readmission Rate (%) 32.46
Unplanned Readmission Rate (%) 23.1
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

Table of Contents


No Quality Metrics
Top DRGs Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary diagnosis code
Top Hospitals Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary diagnosis code
Top Operating Physicians Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary diagnosis code
Top Attending Physicians Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary diagnosis code
Top DRGs Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary or secondary diagnosis code
Top Hospitals Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary or secondary diagnosis code
Top Operating Physicians Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary or secondary diagnosis code
Top Attending Physicians Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary or secondary diagnosis code
Machine Learning Identified Top 50 Most Common Comorbid Conditions Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia

Top DRGs Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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 J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 29,101
DRG Share of Total Hospitalizations 1.64
% of Total ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia in DRG 70.27
Avg LOS at DRG 6.42
Avg LOS with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 8.45
Readmission Rate at DRG 26.55
Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 30.07
Unplanned Readmission Rate at DRG 20.01
Unplanned Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 22.5
Total Medicare payments at DRG $5,267,842,463
Total Medicare payments with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $340,529,578
Total Medicare payment per Day at DRG $1,520
Total Medicare payment per Day with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $1,384
Total Medicare payment per Hospitalization at DRG $9,762
Total Medicare payment per Hospitalization with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $11,702
Total Medicare Charges at DRG $25,503,568,329
Total Medicare Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $1,623,994,146
Avg Charges at DRG $47,260
Avg Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $55,805
Mortality Rate at DRG 5.62
Mortality Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 5.61
SNF Discharge Rate at DRG 19.26
SNF Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 19.68
Home Discharge Rate at DRG 39.65
Home Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 38.1

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 109,018
Total Hospitalizations with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 494
DRG Share of Total Hospitalizations 0.33
% of Total ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia in DRG 1.19
Avg LOS at DRG 12.66
Avg LOS with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 40.16
Readmission Rate at DRG 35.31
Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 41.62
Unplanned Readmission Rate at DRG 20.73
Unplanned Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 27.65
Total Medicare payments at DRG $3,554,922,428
Total Medicare payments with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $30,423,276
Total Medicare payment per Day at DRG $2,575
Total Medicare payment per Day with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $1,533
Total Medicare payment per Hospitalization at DRG $32,609
Total Medicare payment per Hospitalization with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $61,586
Total Medicare Charges at DRG $15,445,232,132
Total Medicare Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $157,564,210
Avg Charges at DRG $141,676
Avg Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $318,956
Mortality Rate at DRG 8.99
Mortality Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 18.02
SNF Discharge Rate at DRG 27.26
SNF Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 41.9
Home Discharge Rate at DRG 27.78
Home Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 6.48

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 52,726
Total Hospitalizations with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 36
DRG Share of Total Hospitalizations 0.16
% of Total ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia in DRG 0.09
Avg LOS at DRG 6.68
Avg LOS with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 11.72
Readmission Rate at DRG 24.76
Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia NA
Unplanned Readmission Rate at DRG 14.45
Unplanned Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia NA
Total Medicare payments at DRG $902,862,104
Total Medicare payments with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $1,001,664
Total Medicare payment per Day at DRG $2,565
Total Medicare payment per Day with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $2,374
Total Medicare payment per Hospitalization at DRG $17,124
Total Medicare payment per Hospitalization with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $27,824
Total Medicare Charges at DRG $4,216,562,728
Total Medicare Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $4,854,926
Avg Charges at DRG $79,971
Avg Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $134,859
Mortality Rate at DRG 0.83
Mortality Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia NA
SNF Discharge Rate at DRG 22.41
SNF Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 41.67
Home Discharge Rate at DRG 43.51
Home Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 33.33

Top Hospitals Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
RML SPECIALTY HOSPITAL 5601 SOUTH COUNTY LINE ROAD HINSDALE IL 60521 344
ST. FRANCIS HOSPITAL 5959 PARK AVE MEMPHIS TN 38119 333
METHODIST UNIVERSITY HOSPITAL 1265 UNION AVE MEMPHIS TN 38104 237

Top Operating Physicians Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. LOUIS V EBERLE 6263 POPLAR AVE MEMPHIS TN 38119 274
Dr. KEVIN J RAINSFORD 2801 EUREKA WAY REDDING CA 96001 93
Dr. THIRUVOIPATI NANDAKUMAR 2801 EUREKA WAY REDDING CA 96001 89

Top Attending Physicians Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. LOUIS V EBERLE 6263 POPLAR AVE MEMPHIS TN 38119 318
Dr. COLLINS FITZPATRICK 5601 S COUNTY LINE RD HINSDALE IL 60521 113
Dr. JANET PICKSTOCK 119 BOONE RIDGE DR JOHNSON CITY TN 37615 102

Top DRGs Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 539,642
Total Hospitalizations with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 29,488
DRG Share of Total Hospitalizations 1.64
% of Total ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia in DRG 16.48
Avg LOS at DRG 6.42
Avg LOS with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 8.44
Readmission Rate at DRG 26.55
Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 30.14
Unplanned Readmission Rate at DRG 20.01
Unplanned Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 22.56
Total Medicare payments at DRG $5,267,842,463
Total Medicare payments with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $344,509,684
Total Medicare payment per Day at DRG $1,520
Total Medicare payment per Day with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $1,384
Total Medicare payment per Hospitalization at DRG $9,762
Total Medicare payment per Hospitalization with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $11,683
Total Medicare Charges at DRG $25,503,568,329
Total Medicare Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $1,643,794,891
Avg Charges at DRG $47,260
Avg Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $55,745
Mortality Rate at DRG 5.62
Mortality Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 5.62
SNF Discharge Rate at DRG 19.26
SNF Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 19.65
Home Discharge Rate at DRG 39.65
Home Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 38.1

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 99,136
Total Hospitalizations with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 7,672
DRG Share of Total Hospitalizations 0.3
% of Total ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia in DRG 4.29
Avg LOS at DRG 22.0
Avg LOS with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 28.48
Readmission Rate at DRG 40.67
Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 42.04
Unplanned Readmission Rate at DRG 20.54
Unplanned Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 26.86
Total Medicare payments at DRG $4,616,563,352
Total Medicare payments with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $412,283,076
Total Medicare payment per Day at DRG $2,116
Total Medicare payment per Day with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $1,887
Total Medicare payment per Hospitalization at DRG $46,568
Total Medicare payment per Hospitalization with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $53,739
Total Medicare Charges at DRG $21,375,486,291
Total Medicare Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $1,837,775,604
Avg Charges at DRG $215,618
Avg Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $239,543
Mortality Rate at DRG 28.16
Mortality Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 20.92
SNF Discharge Rate at DRG 30.65
SNF Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 40.75
Home Discharge Rate at DRG 5.17
Home Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 4.2

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 682: RENAL FAILURE 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 DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 250,159
Total Hospitalizations with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 2,447
DRG Share of Total Hospitalizations 0.76
% of Total ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia in DRG 1.37
Avg LOS at DRG 5.47
Avg LOS with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 6.29
Readmission Rate at DRG 27.88
Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 30.91
Unplanned Readmission Rate at DRG 19.94
Unplanned Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 22.13
Total Medicare payments at DRG $2,661,443,545
Total Medicare payments with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $25,934,550
Total Medicare payment per Day at DRG $1,946
Total Medicare payment per Day with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $1,686
Total Medicare payment per Hospitalization at DRG $10,639
Total Medicare payment per Hospitalization with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $10,599
Total Medicare Charges at DRG $13,270,497,724
Total Medicare Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $146,343,307
Avg Charges at DRG $53,048
Avg Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $59,805
Mortality Rate at DRG NA
Mortality Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia NA
SNF Discharge Rate at DRG 21.63
SNF Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 22.89
Home Discharge Rate at DRG 34.87
Home Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 29.18

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 101,617
Total Hospitalizations with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 1,370
DRG Share of Total Hospitalizations 0.31
% of Total ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia in DRG 0.77
Avg LOS at DRG 9.5
Avg LOS with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 11.04
Readmission Rate at DRG 26.88
Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 30.19
Unplanned Readmission Rate at DRG 19.26
Unplanned Readmission Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 23.27
Total Medicare payments at DRG $1,599,186,807
Total Medicare payments with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $23,267,934
Total Medicare payment per Day at DRG $1,656
Total Medicare payment per Day with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $1,538
Total Medicare payment per Hospitalization at DRG $15,737
Total Medicare payment per Hospitalization with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $16,984
Total Medicare Charges at DRG $4,836,538,333
Total Medicare Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $71,702,644
Avg Charges at DRG $47,596
Avg Charges with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia $52,338
Mortality Rate at DRG 2.8
Mortality Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 2.55
SNF Discharge Rate at DRG 20.21
SNF Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 14.96
Home Discharge Rate at DRG 20.17
Home Discharge Rate with ICD J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia 14.89

Top Hospitals Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
METHODIST UNIVERSITY HOSPITAL 1265 UNION AVE MEMPHIS TN 38104 816
MOUNTAINVIEW HOSPITAL 3100 N TENAYA WAY LAS VEGAS NV 89128 645
ADVENTIST HEALTH AND RIDEOUT 726 4TH ST MARYSVILLE CA 95901 571

Top Operating Physicians Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. LOUIS V EBERLE 6263 POPLAR AVE MEMPHIS TN 38119 282
Dr. KEVIN J RAINSFORD 2801 EUREKA WAY REDDING CA 96001 112
Dr. VAISHALI KAWADUJI BHUSARI 3439 NORMANDY AVE DALLAS TX 75205 106

Top Attending Physicians Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. MUSTAFA RAHIM 250 STANAFORD RD BECKLEY WV 25801 382
Dr. LOUIS V EBERLE 6263 POPLAR AVE MEMPHIS TN 38119 336
Dr. KALYAN AKKINENI 1001 TOWSON AVE FORT SMITH AR 72901 242

AI Identified Top 50 Most Common Comorbid Conditions Associated With J9620 - Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia   |  Back to Top


No ICD Diagnosis Code Description
1 Z430 Encounter for attention to tracheostomy
2 Z431 Encounter for attention to gastrostomy
3 L89154 Pressure ulcer of sacral region, stage 4
4 Z930 Tracheostomy status
5 Z9911 Dependence on respirator [ventilator] status
6 J151 Pneumonia due to Pseudomonas
7 G7281 Critical illness myopathy
8 L89153 Pressure ulcer of sacral region, stage 3
9 B965 Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere
10 A047 Enterocolitis due to Clostridium difficile
11 Z8674 Personal history of sudden cardiac arrest
12 E46 Unspecified protein-calorie malnutrition
13 K567 Ileus, unspecified
14 R1310 Dysphagia, unspecified
15 J15212 Pneumonia due to Methicillin resistant Staphylococcus aureus
16 Z931 Gastrostomy status
17 R5381 Other malaise
18 L89152 Pressure ulcer of sacral region, stage 2
19 E43 Unspecified severe protein-calorie malnutrition
20 J40 Bronchitis, not specified as acute or chronic
21 R1312 Dysphagia, oropharyngeal phase
22 J156 Pneumonia due to other aerobic Gram-negative bacteria
23 D638 Anemia in other chronic diseases classified elsewhere
24 G40909 Epilepsy, unspecified, not intractable, without status epilepticus
25 Z720 Tobacco use
26 I509 Heart failure, unspecified
27 I5030 Unspecified diastolic (congestive) heart failure
28 A419 Sepsis, unspecified organism
29 B370 Candidal stomatitis
30 G931 Anoxic brain damage, not elsewhere classified
31 F418 Other specified anxiety disorders
32 J449 Chronic obstructive pulmonary disease, unspecified
33 N390 Urinary tract infection, site not specified
34 E119 Type 2 diabetes mellitus without complications
35 R531 Weakness
36 Z85118 Personal history of other malignant neoplasm of bronchus and lung
37 N189 Chronic kidney disease, unspecified
38 R197 Diarrhea, unspecified
39 I4891 Unspecified atrial fibrillation
40 D649 Anemia, unspecified
41 G9340 Encephalopathy, unspecified
42 G894 Chronic pain syndrome
43 J8410 Pulmonary fibrosis, unspecified
44 D72829 Elevated white blood cell count, unspecified
45 E440 Moderate protein-calorie malnutrition
46 I120 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
47 R627 Adult failure to thrive
48 F17200 Nicotine dependence, unspecified, uncomplicated
49 I429 Cardiomyopathy, unspecified
50 Z681 Body mass index (BMI) 19 or less, adult