*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia - as a primary diagnosis code | J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.7 | |
| Readmission Rate (%) | 32.87 | |
| Unplanned Readmission Rate (%) | 20.98 | |
| 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 J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 4,510 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia in DRG | 43.17 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 12.09 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 31.35 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 19.26 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $75,178,872 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $1,379 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $16,669 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $341,665,235 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $75,757 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 19.29 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 23.59 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 19.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 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) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 209 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia in DRG | 2.0 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 33.5 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 44.2 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 35.51 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $14,045,906 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $2,006 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $67,205 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $78,486,581 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $375,534 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 22.01 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 43.54 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 6.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 37,276 |
| Total Hospitalizations with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 16 |
| DRG Share of Total Hospitalizations | 0.11 |
| % of Total ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia in DRG | 0.15 |
| Avg LOS at DRG | 12.15 |
| Avg LOS with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 21.25 |
| Readmission Rate at DRG | 27.64 |
| Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | NA |
| Unplanned Readmission Rate at DRG | 14.04 |
| Unplanned Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | NA |
| Total Medicare payments at DRG | $1,238,611,931 |
| Total Medicare payments with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $862,968 |
| Total Medicare payment per Day at DRG | $2,735 |
| Total Medicare payment per Day with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $2,538 |
| Total Medicare payment per Hospitalization at DRG | $33,228 |
| Total Medicare payment per Hospitalization with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $53,936 |
| Total Medicare Charges at DRG | $5,969,079,351 |
| Total Medicare Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $3,891,641 |
| Avg Charges at DRG | $160,132 |
| Avg Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $243,228 |
| Mortality Rate at DRG | 8.94 |
| Mortality Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | NA |
| SNF Discharge Rate at DRG | 17.97 |
| SNF Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | NA |
| Home Discharge Rate at DRG | 31.66 |
| Home Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| COLUMBUS HOSPITAL LTACH | 495 NORTH 13TH STREET | NEWARK | NJ | 07107 | 209 |
| KINDRED HOSPITAL-FORT LAUDERDALE | 1516 E LAS OLAS BLVD | FT LAUDERDALE | FL | 33301 | 147 |
| SELECT SPECIALTY HOSPITAL - NASHVILLE | 2000 HAYES STREET | NASHVILLE | TN | 37236 | 138 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAFAEL LUPERCIO | 180 NORTHPOINT DR | REDDING | CA | 96003 | 68 |
| Dr. RICHMOND L ALEXANDER | 2024 15TH ST | MERIDIAN | MS | 39301 | 61 |
| Dr. DAVID A JARVIS | 330 23RD AVE N | NASHVILLE | TN | 37203 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAFAEL LUPERCIO | 180 NORTHPOINT DR | REDDING | CA | 96003 | 68 |
| Dr. RANJANA SAXENA | 1250 45TH ST | EMERYVILLE | CA | 94608 | 63 |
| Dr. RICHMOND L ALEXANDER | 2024 15TH ST | MERIDIAN | MS | 39301 | 54 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 16,104 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia in DRG | 14.35 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 6.57 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 28.27 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 17.36 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $210,745,189 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $1,993 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $13,087 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $1,249,421,184 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $77,585 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 43.0 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 19.15 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 9.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 3,914 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia in DRG | 3.49 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 6.08 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 22.67 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 15.07 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $37,641,470 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $1,582 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $9,617 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $191,142,164 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $48,836 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 16.1 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 19.06 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 29.94 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 1,900 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia in DRG | 1.69 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 8.39 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 31.38 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 20.92 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $23,105,095 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $1,450 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $12,161 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $146,125,289 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $76,908 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 34.95 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 18.58 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 16.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS 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 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED 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 | 101,548 | ||||
| Total Hospitalizations with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 1,498 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia in DRG | 1.34 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 5.23 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 42.33 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 10.56 | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $14,137,727 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $1,805 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $9,438 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $96,087,554 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | $64,144 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 9.08 | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 7.54 | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD J9690 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | 38.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 531 |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | 5841 S. MARYLAND AVE | CHICAGO | IL | 60637 | 405 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 320 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHMOND L ALEXANDER | 2024 15TH ST | MERIDIAN | MS | 39301 | 79 |
| Dr. RAFAEL LUPERCIO | 180 NORTHPOINT DR | REDDING | CA | 96003 | 78 |
| Dr. JOSEPH A RACANELLI | 9 MADISON ST | MORRISTOWN | NJ | 07960 | 73 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMEEL M HOURANI | 8631 W 3RD ST | LOS ANGELES | CA | 90048 | 118 |
| Dr. ENGILBERTO JAVIER RAMOS | 506 E SAN ANTONIO ST | VICTORIA | TX | 77901 | 84 |
| Dr. AKKIL ALI | 7710 NW 71ST COURT | TAMARAC | FL | 33321 | 82 |