*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J9692 - Respiratory failure, unspecified with hypercapnia - as a primary diagnosis code | J9692 - Respiratory failure, unspecified with hypercapnia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.78 | |
| Readmission Rate (%) | 31.46 | |
| Unplanned Readmission Rate (%) | 20.11 | |
| 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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH 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 J9692 - Respiratory failure, unspecified with hypercapnia | 2,384 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD J9692 - Respiratory failure, unspecified with hypercapnia in DRG | 74.24 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 6.62 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 28.39 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 20.0 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $25,411,835 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $1,609 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $10,659 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $110,965,616 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $46,546 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 9.77 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 20.18 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 31.12 |
*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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|
| Total Hospitalizations at DRG | 45,478 | |
| Total Hospitalizations with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 27 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD J9692 - Respiratory failure, unspecified with hypercapnia in DRG | 0.84 | |
| Avg LOS at DRG | 25.29 | |
| Avg LOS with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 28.37 | |
| Readmission Rate at DRG | 74.5 | |
| Readmission Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 52.17 | |
| Unplanned Readmission Rate at DRG | 8.79 | |
| Unplanned Readmission Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | NA | |
| Total Medicare payments at DRG | $3,386,848,549 | |
| Total Medicare payments with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $1,972,228 | |
| Total Medicare payment per Day at DRG | $2,945 | |
| Total Medicare payment per Day with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $2,575 | |
| Total Medicare payment per Hospitalization at DRG | $74,472 | |
| Total Medicare payment per Hospitalization with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $73,045 | |
| Total Medicare Charges at DRG | $15,882,518,852 | |
| Total Medicare Charges with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $8,334,700 | |
| Avg Charges at DRG | $349,235 | |
| Avg Charges with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $308,693 | |
| Mortality Rate at DRG | 13.7 | |
| Mortality Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | NA | |
| SNF Discharge Rate at DRG | 17.77 | |
| SNF Discharge Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | NA | |
| Home Discharge Rate at DRG | 1.95 | |
| Home Discharge Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| JOHNS HOPKINS BAYVIEW MEDICAL CENTER | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 32 |
| SINAI HOSPITAL OF BALTIMORE | 2401 W BELVEDERE AVE | BALTIMORE | MD | 21215 | 30 |
| NORTHWEST HOSPITAL CENTER | 5401 OLD COURT RD | RANDALLSTOWN | MD | 21133 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GEORGE EDWARD BURNETTE | 424 JETT DR | JACKSON | KY | 41339 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GEORGE EDWARD BURNETTE | 424 JETT DR | JACKSON | KY | 41339 | 19 |
| Dr. ABDULLAH ARSHAD | 907 E REED ST | HAYTI | MO | 63851 | 16 |
| Dr. MUHAMMAD MUDASSAR AMIN | 409 WEST AUBERRY GROVE | JAMESPORT | MO | 64648 | 14 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 3,677 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J9692 - Respiratory failure, unspecified with hypercapnia in DRG | 11.97 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 7.05 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 27.91 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 18.16 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $50,651,796 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $1,953 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $13,775 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $297,923,973 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $81,024 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 30.3 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 23.66 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 13.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 1,192 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD J9692 - Respiratory failure, unspecified with hypercapnia in DRG | 3.88 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 6.66 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 28.89 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 18.98 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $20,042,083 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $2,523 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $16,814 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $97,490,352 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $81,787 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 27.43 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 18.04 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 20.64 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 512 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD J9692 - Respiratory failure, unspecified with hypercapnia in DRG | 1.67 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 22.41 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 37.41 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 19.73 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $25,386,334 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $2,213 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $49,583 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $114,522,365 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $223,676 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 33.79 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 25.59 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 5.27 |
*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 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES 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 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS 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 | 109,018 | ||||
| Total Hospitalizations with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 285 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD J9692 - Respiratory failure, unspecified with hypercapnia in DRG | 0.93 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 15.05 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 38.05 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 24.88 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $11,425,647 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $2,665 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $40,090 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $51,076,377 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD J9692 - Respiratory failure, unspecified with hypercapnia | $179,215 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 21.75 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 28.77 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD J9692 - Respiratory failure, unspecified with hypercapnia | 17.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 275 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 232 |
| JOHNS HOPKINS BAYVIEW MEDICAL CENTER | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 229 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GEORGE EDWARD BURNETTE | 424 JETT DR | JACKSON | KY | 41339 | 22 |
| Dr. JAIME AVECILLAS | 1611 NW 12TH AVE | MIAMI | FL | 33136 | 22 |
| Dr. TOM D. BYRD | 109 S PARK DR | BROWNWOOD | TX | 76801 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KINJAL SHETH | 5401 OLD COURT RD | RANDALLSTOWN | MD | 21133 | 35 |
| Dr. GEORGE EDWARD BURNETTE | 424 JETT DR | JACKSON | KY | 41339 | 29 |
| Dr. ENGILBERTO JAVIER RAMOS | 506 E SAN ANTONIO ST | VICTORIA | TX | 77901 | 28 |