*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J986 - Disorders of diaphragm - as a primary diagnosis code | J986 - Disorders of diaphragm - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.36 | |
| Readmission Rate (%) | 24.69 | |
| Unplanned Readmission Rate (%) | 7.81 | |
| 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 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 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD J986 - Disorders of diaphragm | 311 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J986 - Disorders of diaphragm in DRG | 30.34 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD J986 - Disorders of diaphragm | 4.28 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD J986 - Disorders of diaphragm | 11.49 | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD J986 - Disorders of diaphragm | 7.09 | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD J986 - Disorders of diaphragm | $5,295,809 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD J986 - Disorders of diaphragm | $3,976 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD J986 - Disorders of diaphragm | $17,028 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD J986 - Disorders of diaphragm | $24,185,749 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD J986 - Disorders of diaphragm | $77,768 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD J986 - Disorders of diaphragm | NA | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD J986 - Disorders of diaphragm | 4.18 | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD J986 - Disorders of diaphragm | 75.56 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEWYORK PRESBYTERIAN - COLUMBIA UNIVERSITY MEDICAL CENTER | 622 W 168TH ST | NEW YORK | NY | 10032 | 16 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 14 |
| UH CLEVELAND MEDICAL CENTER | 11100 EUCLID AVE | CLEVELAND | OH | 44106 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK ELLIS GINSBURG | 70 HATFIELD LN | GOSHEN | NY | 10924 | 19 |
| Dr. RAYMOND P ONDERS | 11100 EUCLID AVE | CLEVELAND | OH | 44106 | 13 |
| Dr. SAEID KHANSARINIA | 95 COLLIER RD NW | ATLANTA | GA | 30309 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK ELLIS GINSBURG | 70 HATFIELD LN | GOSHEN | NY | 10924 | 17 |
| Dr. SAEID KHANSARINIA | 95 COLLIER RD NW | ATLANTA | GA | 30309 | 12 |
| Dr. RAYMOND P ONDERS | 11100 EUCLID AVE | CLEVELAND | OH | 44106 | 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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 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 | 539,642 | ||||
| Total Hospitalizations with ICD J986 - Disorders of diaphragm | 1,942 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD J986 - Disorders of diaphragm in DRG | 7.97 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD J986 - Disorders of diaphragm | 7.31 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD J986 - Disorders of diaphragm | 25.38 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD J986 - Disorders of diaphragm | 17.48 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD J986 - Disorders of diaphragm | $19,758,711 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD J986 - Disorders of diaphragm | $1,392 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD J986 - Disorders of diaphragm | $10,174 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD J986 - Disorders of diaphragm | $106,839,462 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD J986 - Disorders of diaphragm | $55,015 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD J986 - Disorders of diaphragm | 3.55 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD J986 - Disorders of diaphragm | 21.99 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD J986 - Disorders of diaphragm | 33.93 |
*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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD J986 - Disorders of diaphragm | 528 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD J986 - Disorders of diaphragm in DRG | 2.17 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD J986 - Disorders of diaphragm | 8.13 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD J986 - Disorders of diaphragm | 31.4 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD J986 - Disorders of diaphragm | 18.6 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD J986 - Disorders of diaphragm | $8,767,527 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD J986 - Disorders of diaphragm | $2,042 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD J986 - Disorders of diaphragm | $16,605 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD J986 - Disorders of diaphragm | $47,933,025 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD J986 - Disorders of diaphragm | $90,782 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD J986 - Disorders of diaphragm | 15.91 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD J986 - Disorders of diaphragm | 23.86 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD J986 - Disorders of diaphragm | 22.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD J986 - Disorders of diaphragm | 396 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD J986 - Disorders of diaphragm in DRG | 1.62 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD J986 - Disorders of diaphragm | 4.23 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD J986 - Disorders of diaphragm | 14.36 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD J986 - Disorders of diaphragm | 10.97 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD J986 - Disorders of diaphragm | $2,330,978 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD J986 - Disorders of diaphragm | $1,390 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD J986 - Disorders of diaphragm | $5,886 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD J986 - Disorders of diaphragm | $12,064,159 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD J986 - Disorders of diaphragm | $30,465 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD J986 - Disorders of diaphragm | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD J986 - Disorders of diaphragm | 11.11 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD J986 - Disorders of diaphragm | 63.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD J986 - Disorders of diaphragm | 286 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD J986 - Disorders of diaphragm in DRG | 1.17 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD J986 - Disorders of diaphragm | 14.03 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD J986 - Disorders of diaphragm | 30.74 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD J986 - Disorders of diaphragm | 16.39 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD J986 - Disorders of diaphragm | $9,125,820 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD J986 - Disorders of diaphragm | $2,273 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD J986 - Disorders of diaphragm | $31,908 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD J986 - Disorders of diaphragm | $44,778,751 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD J986 - Disorders of diaphragm | $156,569 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD J986 - Disorders of diaphragm | 9.44 | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD J986 - Disorders of diaphragm | 18.88 | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD J986 - Disorders of diaphragm | 36.01 |
| 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 | 284 |
| ST. FRANCIS HOSPITAL ROSLYN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 131 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 111 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK ELLIS GINSBURG | 70 HATFIELD LN | GOSHEN | NY | 10924 | 20 |
| Dr. CURTIS K. ROEBKEN | 1125 SIR FRANCIS DRAKE BLVD | KENTFIELD | CA | 94904 | 16 |
| Dr. RAYMOND P ONDERS | 11100 EUCLID AVE | CLEVELAND | OH | 44106 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FELIPE ORELLANA | 10 HOSPITAL DR | ST PETERS | MO | 63376 | 19 |
| Dr. MARK ELLIS GINSBURG | 70 HATFIELD LN | GOSHEN | NY | 10924 | 17 |
| Dr. CURTIS K. ROEBKEN | 1125 SIR FRANCIS DRAKE BLVD | KENTFIELD | CA | 94904 | 16 |