*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J9859 - Other diseases of mediastinum, not elsewhere classified - as a primary diagnosis code | J9859 - Other diseases of mediastinum, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.4 | |
| Readmission Rate (%) | 24.37 | |
| Unplanned Readmission Rate (%) | 10.78 | |
| 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 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,057 | ||||
| Total Hospitalizations with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 125 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD J9859 - Other diseases of mediastinum, not elsewhere classified in DRG | 19.53 | ||||
| Avg LOS at DRG | 5.35 | ||||
| Avg LOS with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 3.16 | ||||
| Readmission Rate at DRG | 21.3 | ||||
| Readmission Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 26.42 | ||||
| Unplanned Readmission Rate at DRG | 15.67 | ||||
| Unplanned Readmission Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 17.92 | ||||
| Total Medicare payments at DRG | $920,227,801 | ||||
| Total Medicare payments with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $912,577 | ||||
| Total Medicare payment per Day at DRG | $1,576 | ||||
| Total Medicare payment per Day with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $2,310 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,438 | ||||
| Total Medicare payment per Hospitalization with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $7,301 | ||||
| Total Medicare Charges at DRG | $4,179,019,701 | ||||
| Total Medicare Charges with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $4,700,103 | ||||
| Avg Charges at DRG | $38,320 | ||||
| Avg Charges with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $37,601 | ||||
| Mortality Rate at DRG | 1.76 | ||||
| Mortality Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 27.6 | ||||
| SNF Discharge Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 33.88 | ||||
| Home Discharge Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 63.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,636 | |||
| Total Hospitalizations with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 37 | |||
| DRG Share of Total Hospitalizations | 0.11 | |||
| % of Total ICD J9859 - Other diseases of mediastinum, not elsewhere classified in DRG | 5.78 | |||
| Avg LOS at DRG | 5.73 | |||
| Avg LOS with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 3.65 | |||
| Readmission Rate at DRG | 21.72 | |||
| Readmission Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | NA | |||
| Unplanned Readmission Rate at DRG | 14.08 | |||
| Unplanned Readmission Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | NA | |||
| Total Medicare payments at DRG | $448,734,039 | |||
| Total Medicare payments with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $424,523 | |||
| Total Medicare payment per Day at DRG | $2,137 | |||
| Total Medicare payment per Day with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $3,145 | |||
| Total Medicare payment per Hospitalization at DRG | $12,248 | |||
| Total Medicare payment per Hospitalization with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $11,474 | |||
| Total Medicare Charges at DRG | $2,388,208,589 | |||
| Total Medicare Charges with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $2,202,301 | |||
| Avg Charges at DRG | $65,187 | |||
| Avg Charges with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $59,522 | |||
| Mortality Rate at DRG | 0.77 | |||
| Mortality Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | NA | |||
| SNF Discharge Rate at DRG | 10.73 | |||
| SNF Discharge Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | NA | |||
| Home Discharge Rate at DRG | 59.85 | |||
| Home Discharge Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 78.38 |
*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 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 332 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J9859 - Other diseases of mediastinum, not elsewhere classified in DRG | 6.75 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 7.2 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 24.71 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 17.65 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $4,284,224 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $1,791 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $12,904 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $26,478,736 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $79,755 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 17.17 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 23.19 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 21.99 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 140 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD J9859 - Other diseases of mediastinum, not elsewhere classified in DRG | 2.85 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 5.22 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 30.63 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 22.52 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $1,614,000 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $2,208 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $11,529 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $6,526,933 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $46,621 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 17.86 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 35.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,906 | ||||
| Total Hospitalizations with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 120 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD J9859 - Other diseases of mediastinum, not elsewhere classified in DRG | 2.44 | ||||
| Avg LOS at DRG | 12.58 | ||||
| Avg LOS with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 8.14 | ||||
| Readmission Rate at DRG | 30.9 | ||||
| Readmission Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 12.96 | ||||
| Unplanned Readmission Rate at DRG | 16.7 | ||||
| Unplanned Readmission Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $1,415,372,711 | ||||
| Total Medicare payments with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $4,575,277 | ||||
| Total Medicare payment per Day at DRG | $2,820 | ||||
| Total Medicare payment per Day with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $4,683 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,468 | ||||
| Total Medicare payment per Hospitalization with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $38,127 | ||||
| Total Medicare Charges at DRG | $6,367,247,472 | ||||
| Total Medicare Charges with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $17,550,259 | ||||
| Avg Charges at DRG | $159,556 | ||||
| Avg Charges with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $146,252 | ||||
| Mortality Rate at DRG | 9.11 | ||||
| Mortality Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 24.69 | ||||
| SNF Discharge Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 10.83 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 64.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 80 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD J9859 - Other diseases of mediastinum, not elsewhere classified in DRG | 1.63 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 3.77 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 20.0 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 16.92 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $649,910 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $2,152 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $8,124 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $3,230,038 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | $40,375 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD J9859 - Other diseases of mediastinum, not elsewhere classified | 55.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF WASHINGTON MEDICAL CENTER | 1959 NE PACIFIC ST | SEATTLE | WA | 98195 | 79 |
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 60 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 57 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN Y UM | 988102 NEBRASKA MEDICAL CENTER | OMAHA | NE | 68198 | 16 |
| Dr. MICHAEL S MULLIGAN | UNIVERSITY OF WASHINGTON MEDICAL CTR | SEATTLE | WA | 98195 | 15 |
| Dr. JASON WILLIAM SMITH | 300 PASTEUR DR | STANFORD | CA | 94305 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL S MULLIGAN | UNIVERSITY OF WASHINGTON MEDICAL CTR | SEATTLE | WA | 98195 | 16 |
| Dr. JOSEPH S. COSELLI | 6770 BERTNER ST | HOUSTON | TX | 77030 | 14 |
| Dr. ERIC JASON OKUM | 10506 MONTGOMERY RD | CINCINNATI | OH | 45242 | 11 |