*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J984 - Other disorders of lung - as a primary diagnosis code | J984 - Other disorders of lung - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.71 | |
| Readmission Rate (%) | 24.05 | |
| Unplanned Readmission Rate (%) | 11.95 | |
| 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 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,500 | ||||
| Total Hospitalizations with ICD J984 - Other disorders of lung | 1,193 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J984 - Other disorders of lung in DRG | 39.66 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD J984 - Other disorders of lung | 3.81 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD J984 - Other disorders of lung | 17.17 | ||||
| Unplanned Readmission Rate at DRG | 12.31 | ||||
| Unplanned Readmission Rate with ICD J984 - Other disorders of lung | 11.99 | ||||
| Total Medicare payments at DRG | $186,659,137 | ||||
| Total Medicare payments with ICD J984 - Other disorders of lung | $6,667,686 | ||||
| Total Medicare payment per Day at DRG | $1,763 | ||||
| Total Medicare payment per Day with ICD J984 - Other disorders of lung | $1,467 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,258 | ||||
| Total Medicare payment per Hospitalization with ICD J984 - Other disorders of lung | $5,589 | ||||
| Total Medicare Charges at DRG | $1,018,696,754 | ||||
| Total Medicare Charges with ICD J984 - Other disorders of lung | $36,551,041 | ||||
| Avg Charges at DRG | $28,696 | ||||
| Avg Charges with ICD J984 - Other disorders of lung | $30,638 | ||||
| Mortality Rate at DRG | 0.69 | ||||
| Mortality Rate with ICD J984 - Other disorders of lung | NA | ||||
| SNF Discharge Rate at DRG | 17.76 | ||||
| SNF Discharge Rate with ICD J984 - Other disorders of lung | 9.89 | ||||
| Home Discharge Rate at DRG | 54.9 | ||||
| Home Discharge Rate with ICD J984 - Other disorders of lung | 65.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,403 | |||
| Total Hospitalizations with ICD J984 - Other disorders of lung | 143 | |||
| DRG Share of Total Hospitalizations | 0.03 | |||
| % of Total ICD J984 - Other disorders of lung in DRG | 4.75 | |||
| Avg LOS at DRG | 3.0 | |||
| Avg LOS with ICD J984 - Other disorders of lung | 3.27 | |||
| Readmission Rate at DRG | 11.25 | |||
| Readmission Rate with ICD J984 - Other disorders of lung | 9.86 | |||
| Unplanned Readmission Rate at DRG | 6.64 | |||
| Unplanned Readmission Rate with ICD J984 - Other disorders of lung | 7.75 | |||
| Total Medicare payments at DRG | $81,324,379 | |||
| Total Medicare payments with ICD J984 - Other disorders of lung | $1,144,202 | |||
| Total Medicare payment per Day at DRG | $2,602 | |||
| Total Medicare payment per Day with ICD J984 - Other disorders of lung | $2,450 | |||
| Total Medicare payment per Hospitalization at DRG | $7,817 | |||
| Total Medicare payment per Hospitalization with ICD J984 - Other disorders of lung | $8,001 | |||
| Total Medicare Charges at DRG | $497,200,815 | |||
| Total Medicare Charges with ICD J984 - Other disorders of lung | $7,125,462 | |||
| Avg Charges at DRG | $47,794 | |||
| Avg Charges with ICD J984 - Other disorders of lung | $49,828 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD J984 - Other disorders of lung | NA | |||
| SNF Discharge Rate at DRG | 3.03 | |||
| SNF Discharge Rate with ICD J984 - Other disorders of lung | NA | |||
| Home Discharge Rate at DRG | 80.29 | |||
| Home Discharge Rate with ICD J984 - Other disorders of lung | 87.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NYU LANGONE'S TISCH HOSPITAL | 550 1ST AVE | NEW YORK | NY | 10016 | 40 |
| MEMORIAL HOSPITAL | 1401 W LOCUST ST | STILWELL | OK | 74960 | 27 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JONATHAN WHITESON | 550 1ST AVE | NEW YORK | NY | 10016 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH L. DULOWSKI | 1401 W LOCUST ST | STILWELL | OK | 74960 | 27 |
| Dr. JONATHAN WHITESON | 550 1ST AVE | NEW YORK | NY | 10016 | 23 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J984 - Other disorders of lung | 6,376 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J984 - Other disorders of lung in DRG | 6.26 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J984 - Other disorders of lung | 6.85 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J984 - Other disorders of lung | 26.1 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J984 - Other disorders of lung | 18.06 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J984 - Other disorders of lung | $76,608,148 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J984 - Other disorders of lung | $1,753 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J984 - Other disorders of lung | $12,015 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J984 - Other disorders of lung | $408,851,696 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J984 - Other disorders of lung | $64,124 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J984 - Other disorders of lung | 10.65 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J984 - Other disorders of lung | 23.23 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J984 - Other disorders of lung | 28.8 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J984 - Other disorders of lung | 2,584 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J984 - Other disorders of lung in DRG | 2.54 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J984 - Other disorders of lung | 6.0 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J984 - Other disorders of lung | 22.37 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J984 - Other disorders of lung | 15.68 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J984 - Other disorders of lung | $23,057,790 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J984 - Other disorders of lung | $1,486 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J984 - Other disorders of lung | $8,923 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J984 - Other disorders of lung | $121,409,471 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J984 - Other disorders of lung | $46,985 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J984 - Other disorders of lung | 4.41 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J984 - Other disorders of lung | 19.7 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J984 - Other disorders of lung | 41.87 |
*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 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD J984 - Other disorders of lung | 1,527 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD J984 - Other disorders of lung in DRG | 1.5 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD J984 - Other disorders of lung | 4.1 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD J984 - Other disorders of lung | 22.24 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD J984 - Other disorders of lung | 16.71 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD J984 - Other disorders of lung | $9,013,153 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD J984 - Other disorders of lung | $1,441 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD J984 - Other disorders of lung | $5,903 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD J984 - Other disorders of lung | $46,696,826 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD J984 - Other disorders of lung | $30,581 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD J984 - Other disorders of lung | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD J984 - Other disorders of lung | 10.48 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD J984 - Other disorders of lung | 59.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD J984 - Other disorders of lung | 1,240 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD J984 - Other disorders of lung in DRG | 1.22 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD J984 - Other disorders of lung | 7.65 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD J984 - Other disorders of lung | 36.32 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD J984 - Other disorders of lung | 23.09 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD J984 - Other disorders of lung | $20,620,442 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD J984 - Other disorders of lung | $2,172 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD J984 - Other disorders of lung | $16,629 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD J984 - Other disorders of lung | $103,448,405 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD J984 - Other disorders of lung | $83,426 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD J984 - Other disorders of lung | 20.97 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD J984 - Other disorders of lung | 20.89 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD J984 - Other disorders of lung | 22.9 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 756 |
| LANCASTER GENERAL HOSPITAL | 555 N DUKE ST | LANCASTER | PA | 17602 | 625 |
| ATRIUM HEALTH'S CAROLINAS MEDICAL CENTER | 1000 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 613 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK J BOTHAM | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 118 |
| Dr. ANTHONY RIZZO | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 99 |
| Dr. STEPHEN ANTHONY OLENCHOCK | 701 OSTRUM ST | FOUNTAIN HILL | PA | 18015 | 60 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH L. DULOWSKI | 1401 W LOCUST ST | STILWELL | OK | 74960 | 360 |
| Dr. MARK J BOTHAM | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 104 |
| Dr. JAMES PETER LITTLE | 1011 SPRING CREEK RD | CHATTANOOGA | TN | 37412 | 89 |