*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J9819 - Other pulmonary collapse - as a primary diagnosis code | J9819 - Other pulmonary collapse - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.11 | |
| Readmission Rate (%) | 31.49 | |
| Unplanned Readmission Rate (%) | 17.37 | |
| 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 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,762 | ||||
| Total Hospitalizations with ICD J9819 - Other pulmonary collapse | 283 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD J9819 - Other pulmonary collapse in DRG | 45.65 | ||||
| Avg LOS at DRG | 5.4 | ||||
| Avg LOS with ICD J9819 - Other pulmonary collapse | 5.11 | ||||
| Readmission Rate at DRG | 26.53 | ||||
| Readmission Rate with ICD J9819 - Other pulmonary collapse | 20.91 | ||||
| Unplanned Readmission Rate at DRG | 17.68 | ||||
| Unplanned Readmission Rate with ICD J9819 - Other pulmonary collapse | 15.45 | ||||
| Total Medicare payments at DRG | $258,625,689 | ||||
| Total Medicare payments with ICD J9819 - Other pulmonary collapse | $2,604,887 | ||||
| Total Medicare payment per Day at DRG | $1,859 | ||||
| Total Medicare payment per Day with ICD J9819 - Other pulmonary collapse | $1,803 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,039 | ||||
| Total Medicare payment per Hospitalization with ICD J9819 - Other pulmonary collapse | $9,205 | ||||
| Total Medicare Charges at DRG | $1,285,891,031 | ||||
| Total Medicare Charges with ICD J9819 - Other pulmonary collapse | $12,745,883 | ||||
| Avg Charges at DRG | $49,914 | ||||
| Avg Charges with ICD J9819 - Other pulmonary collapse | $45,038 | ||||
| Mortality Rate at DRG | 3.49 | ||||
| Mortality Rate with ICD J9819 - Other pulmonary collapse | 7.42 | ||||
| SNF Discharge Rate at DRG | 21.29 | ||||
| SNF Discharge Rate with ICD J9819 - Other pulmonary collapse | 20.85 | ||||
| Home Discharge Rate at DRG | 40.23 | ||||
| Home Discharge Rate with ICD J9819 - Other pulmonary collapse | 31.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|
| Total Hospitalizations at DRG | 49,331 | |
| Total Hospitalizations with ICD J9819 - Other pulmonary collapse | 27 | |
| DRG Share of Total Hospitalizations | 0.15 | |
| % of Total ICD J9819 - Other pulmonary collapse in DRG | 4.35 | |
| Avg LOS at DRG | 5.76 | |
| Avg LOS with ICD J9819 - Other pulmonary collapse | 6.52 | |
| Readmission Rate at DRG | 13.39 | |
| Readmission Rate with ICD J9819 - Other pulmonary collapse | NA | |
| Unplanned Readmission Rate at DRG | 8.11 | |
| Unplanned Readmission Rate with ICD J9819 - Other pulmonary collapse | NA | |
| Total Medicare payments at DRG | $830,506,314 | |
| Total Medicare payments with ICD J9819 - Other pulmonary collapse | $397,101 | |
| Total Medicare payment per Day at DRG | $2,922 | |
| Total Medicare payment per Day with ICD J9819 - Other pulmonary collapse | $2,256 | |
| Total Medicare payment per Hospitalization at DRG | $16,835 | |
| Total Medicare payment per Hospitalization with ICD J9819 - Other pulmonary collapse | $14,707 | |
| Total Medicare Charges at DRG | $4,394,247,481 | |
| Total Medicare Charges with ICD J9819 - Other pulmonary collapse | $2,064,581 | |
| Avg Charges at DRG | $89,077 | |
| Avg Charges with ICD J9819 - Other pulmonary collapse | $76,466 | |
| Mortality Rate at DRG | 0.32 | |
| Mortality Rate with ICD J9819 - Other pulmonary collapse | NA | |
| SNF Discharge Rate at DRG | 6.7 | |
| SNF Discharge Rate with ICD J9819 - Other pulmonary collapse | NA | |
| Home Discharge Rate at DRG | 62.23 | |
| Home Discharge Rate with ICD J9819 - Other pulmonary collapse | 66.67 |
*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 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J9819 - Other pulmonary collapse | 2,256 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J9819 - Other pulmonary collapse in DRG | 9.93 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J9819 - Other pulmonary collapse | 8.36 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J9819 - Other pulmonary collapse | 26.47 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J9819 - Other pulmonary collapse | 17.49 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J9819 - Other pulmonary collapse | $31,504,430 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J9819 - Other pulmonary collapse | $1,670 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J9819 - Other pulmonary collapse | $13,965 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J9819 - Other pulmonary collapse | $208,754,534 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J9819 - Other pulmonary collapse | $92,533 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J9819 - Other pulmonary collapse | 27.26 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J9819 - Other pulmonary collapse | 21.1 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J9819 - Other pulmonary collapse | 13.03 |
*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) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,276 | ||||
| Total Hospitalizations with ICD J9819 - Other pulmonary collapse | 810 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J9819 - Other pulmonary collapse in DRG | 3.57 | ||||
| Avg LOS at DRG | 12.15 | ||||
| Avg LOS with ICD J9819 - Other pulmonary collapse | 14.01 | ||||
| Readmission Rate at DRG | 27.64 | ||||
| Readmission Rate with ICD J9819 - Other pulmonary collapse | 25.6 | ||||
| Unplanned Readmission Rate at DRG | 14.04 | ||||
| Unplanned Readmission Rate with ICD J9819 - Other pulmonary collapse | 14.52 | ||||
| Total Medicare payments at DRG | $1,238,611,931 | ||||
| Total Medicare payments with ICD J9819 - Other pulmonary collapse | $29,811,688 | ||||
| Total Medicare payment per Day at DRG | $2,735 | ||||
| Total Medicare payment per Day with ICD J9819 - Other pulmonary collapse | $2,626 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,228 | ||||
| Total Medicare payment per Hospitalization with ICD J9819 - Other pulmonary collapse | $36,805 | ||||
| Total Medicare Charges at DRG | $5,969,079,351 | ||||
| Total Medicare Charges with ICD J9819 - Other pulmonary collapse | $149,895,878 | ||||
| Avg Charges at DRG | $160,132 | ||||
| Avg Charges with ICD J9819 - Other pulmonary collapse | $185,057 | ||||
| Mortality Rate at DRG | 8.94 | ||||
| Mortality Rate with ICD J9819 - Other pulmonary collapse | 12.84 | ||||
| SNF Discharge Rate at DRG | 17.97 | ||||
| SNF Discharge Rate with ICD J9819 - Other pulmonary collapse | 19.75 | ||||
| Home Discharge Rate at DRG | 31.66 | ||||
| Home Discharge Rate with ICD J9819 - Other pulmonary collapse | 24.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK 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 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD J9819 - Other pulmonary collapse | 582 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD J9819 - Other pulmonary collapse in DRG | 2.56 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD J9819 - Other pulmonary collapse | 9.48 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD J9819 - Other pulmonary collapse | 29.22 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J9819 - Other pulmonary collapse | 18.18 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD J9819 - Other pulmonary collapse | $7,729,508 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD J9819 - Other pulmonary collapse | $1,401 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD J9819 - Other pulmonary collapse | $13,281 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD J9819 - Other pulmonary collapse | $44,660,716 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD J9819 - Other pulmonary collapse | $76,737 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD J9819 - Other pulmonary collapse | 14.78 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD J9819 - Other pulmonary collapse | 29.38 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD J9819 - Other pulmonary collapse | 13.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 186: PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,762 | ||||
| Total Hospitalizations with ICD J9819 - Other pulmonary collapse | 443 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD J9819 - Other pulmonary collapse in DRG | 1.95 | ||||
| Avg LOS at DRG | 5.4 | ||||
| Avg LOS with ICD J9819 - Other pulmonary collapse | 5.57 | ||||
| Readmission Rate at DRG | 26.53 | ||||
| Readmission Rate with ICD J9819 - Other pulmonary collapse | 23.88 | ||||
| Unplanned Readmission Rate at DRG | 17.68 | ||||
| Unplanned Readmission Rate with ICD J9819 - Other pulmonary collapse | 16.29 | ||||
| Total Medicare payments at DRG | $258,625,689 | ||||
| Total Medicare payments with ICD J9819 - Other pulmonary collapse | $4,248,402 | ||||
| Total Medicare payment per Day at DRG | $1,859 | ||||
| Total Medicare payment per Day with ICD J9819 - Other pulmonary collapse | $1,721 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,039 | ||||
| Total Medicare payment per Hospitalization with ICD J9819 - Other pulmonary collapse | $9,590 | ||||
| Total Medicare Charges at DRG | $1,285,891,031 | ||||
| Total Medicare Charges with ICD J9819 - Other pulmonary collapse | $21,921,513 | ||||
| Avg Charges at DRG | $49,914 | ||||
| Avg Charges with ICD J9819 - Other pulmonary collapse | $49,484 | ||||
| Mortality Rate at DRG | 3.49 | ||||
| Mortality Rate with ICD J9819 - Other pulmonary collapse | 7.45 | ||||
| SNF Discharge Rate at DRG | 21.29 | ||||
| SNF Discharge Rate with ICD J9819 - Other pulmonary collapse | 23.25 | ||||
| Home Discharge Rate at DRG | 40.23 | ||||
| Home Discharge Rate with ICD J9819 - Other pulmonary collapse | 30.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 155 |
| MEDICAL COLLEGE VIRGINIA HOSPITAL | 1250 E MARSHALL ST | RICHMOND | VA | 23298 | 137 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 127 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK DENNIS WIDMANN | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 19 |
| Dr. AZMI DRAW | 10214 WORTHINGTON LN | PROSPECT | KY | 40059 | 17 |
| Dr. RAYMOND D. PETIT | 159 PLEASANT ST | ATTLEBORO | MA | 02703 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAYMOND D. PETIT | 159 PLEASANT ST | ATTLEBORO | MA | 02703 | 13 |
| Dr. KALYAN AKKINENI | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 12 |
| Dr. CALEB WARREN HIRSCH | 23101 SHERMAN PL | WEST HILLS | CA | 91307 | 12 |