*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J988 - Other specified respiratory disorders - as a primary diagnosis code | J988 - Other specified respiratory disorders - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.47 | |
| Readmission Rate (%) | 25.65 | |
| Unplanned Readmission Rate (%) | 15.77 | |
| 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 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | 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 | 35,500 | ||||
| Total Hospitalizations with ICD J988 - Other specified respiratory disorders | 531 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J988 - Other specified respiratory disorders in DRG | 57.72 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD J988 - Other specified respiratory disorders | 3.33 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD J988 - Other specified respiratory disorders | 18.53 | ||||
| Unplanned Readmission Rate at DRG | 12.31 | ||||
| Unplanned Readmission Rate with ICD J988 - Other specified respiratory disorders | 13.44 | ||||
| Total Medicare payments at DRG | $186,659,137 | ||||
| Total Medicare payments with ICD J988 - Other specified respiratory disorders | $2,948,778 | ||||
| Total Medicare payment per Day at DRG | $1,763 | ||||
| Total Medicare payment per Day with ICD J988 - Other specified respiratory disorders | $1,670 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,258 | ||||
| Total Medicare payment per Hospitalization with ICD J988 - Other specified respiratory disorders | $5,553 | ||||
| Total Medicare Charges at DRG | $1,018,696,754 | ||||
| Total Medicare Charges with ICD J988 - Other specified respiratory disorders | $14,000,127 | ||||
| Avg Charges at DRG | $28,696 | ||||
| Avg Charges with ICD J988 - Other specified respiratory disorders | $26,366 | ||||
| Mortality Rate at DRG | 0.69 | ||||
| Mortality Rate with ICD J988 - Other specified respiratory disorders | NA | ||||
| SNF Discharge Rate at DRG | 17.76 | ||||
| SNF Discharge Rate with ICD J988 - Other specified respiratory disorders | 13.18 | ||||
| Home Discharge Rate at DRG | 54.9 | ||||
| Home Discharge Rate with ICD J988 - Other specified respiratory disorders | 61.77 |
*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 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 36,636 | |
| Total Hospitalizations with ICD J988 - Other specified respiratory disorders | 11 | |
| DRG Share of Total Hospitalizations | 0.11 | |
| % of Total ICD J988 - Other specified respiratory disorders in DRG | 1.2 | |
| Avg LOS at DRG | 5.73 | |
| Avg LOS with ICD J988 - Other specified respiratory disorders | 6.82 | |
| Readmission Rate at DRG | 21.72 | |
| Readmission Rate with ICD J988 - Other specified respiratory disorders | NA | |
| Unplanned Readmission Rate at DRG | 14.08 | |
| Unplanned Readmission Rate with ICD J988 - Other specified respiratory disorders | NA | |
| Total Medicare payments at DRG | $448,734,039 | |
| Total Medicare payments with ICD J988 - Other specified respiratory disorders | $134,857 | |
| Total Medicare payment per Day at DRG | $2,137 | |
| Total Medicare payment per Day with ICD J988 - Other specified respiratory disorders | $1,798 | |
| Total Medicare payment per Hospitalization at DRG | $12,248 | |
| Total Medicare payment per Hospitalization with ICD J988 - Other specified respiratory disorders | $12,260 | |
| Total Medicare Charges at DRG | $2,388,208,589 | |
| Total Medicare Charges with ICD J988 - Other specified respiratory disorders | $823,835 | |
| Avg Charges at DRG | $65,187 | |
| Avg Charges with ICD J988 - Other specified respiratory disorders | $74,894 | |
| Mortality Rate at DRG | 0.77 | |
| Mortality Rate with ICD J988 - Other specified respiratory disorders | NA | |
| SNF Discharge Rate at DRG | 10.73 | |
| SNF Discharge Rate with ICD J988 - Other specified respiratory disorders | NA | |
| Home Discharge Rate at DRG | 59.85 | |
| Home Discharge Rate with ICD J988 - Other specified respiratory disorders | NA |
*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 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J988 - Other specified respiratory disorders | 653 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J988 - Other specified respiratory disorders in DRG | 4.97 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J988 - Other specified respiratory disorders | 6.38 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J988 - Other specified respiratory disorders | 23.57 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J988 - Other specified respiratory disorders | 16.02 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J988 - Other specified respiratory disorders | $8,134,866 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J988 - Other specified respiratory disorders | $1,952 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J988 - Other specified respiratory disorders | $12,458 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J988 - Other specified respiratory disorders | $39,120,907 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J988 - Other specified respiratory disorders | $59,910 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J988 - Other specified respiratory disorders | 11.03 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J988 - Other specified respiratory disorders | 20.67 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J988 - Other specified respiratory disorders | 33.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 012: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD J988 - Other specified respiratory disorders | 352 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD J988 - Other specified respiratory disorders in DRG | 2.68 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD J988 - Other specified respiratory disorders | 6.19 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD J988 - Other specified respiratory disorders | 28.84 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD J988 - Other specified respiratory disorders | 23.82 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD J988 - Other specified respiratory disorders | $3,689,476 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD J988 - Other specified respiratory disorders | $1,693 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD J988 - Other specified respiratory disorders | $10,481 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD J988 - Other specified respiratory disorders | $18,172,614 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD J988 - Other specified respiratory disorders | $51,627 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD J988 - Other specified respiratory disorders | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD J988 - Other specified respiratory disorders | 20.17 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD J988 - Other specified respiratory disorders | 37.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD J988 - Other specified respiratory disorders | 256 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J988 - Other specified respiratory disorders in DRG | 1.95 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD J988 - Other specified respiratory disorders | 19.14 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD J988 - Other specified respiratory disorders | 54.34 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD J988 - Other specified respiratory disorders | 10.05 | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD J988 - Other specified respiratory disorders | $24,373,071 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD J988 - Other specified respiratory disorders | $4,975 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD J988 - Other specified respiratory disorders | $95,207 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD J988 - Other specified respiratory disorders | $77,457,721 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD J988 - Other specified respiratory disorders | $302,569 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD J988 - Other specified respiratory disorders | 9.38 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD J988 - Other specified respiratory disorders | 17.19 | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD J988 - Other specified respiratory disorders | 9.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD J988 - Other specified respiratory disorders | 192 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD J988 - Other specified respiratory disorders in DRG | 1.46 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD J988 - Other specified respiratory disorders | 14.08 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD J988 - Other specified respiratory disorders | 33.95 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD J988 - Other specified respiratory disorders | 15.43 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD J988 - Other specified respiratory disorders | $5,585,382 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD J988 - Other specified respiratory disorders | $2,066 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD J988 - Other specified respiratory disorders | $29,091 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD J988 - Other specified respiratory disorders | $24,668,930 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD J988 - Other specified respiratory disorders | $128,484 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD J988 - Other specified respiratory disorders | 8.85 | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD J988 - Other specified respiratory disorders | 18.75 | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD J988 - Other specified respiratory disorders | 30.73 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PEMISCOT MEMORIAL HEALTH SYSTEMS | 946 E REED ST | HAYTI | MO | 63851 | 196 |
| VANDERBILT UNIVERSITY MEDICAL CENTER | 1211 MEDICAL CENTER DRIVE | NASHVILLE | TN | 37232 | 60 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 56 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL F CASTELLANOS | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 31 |
| Dr. ABDULLAH ARSHAD | 907 E REED ST | HAYTI | MO | 63851 | 22 |
| Dr. EMIL ABRAMIAN | 1331 E WYOMING AVE | PHILADELPHIA | PA | 19124 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ABDULLAH ARSHAD | 907 E REED ST | HAYTI | MO | 63851 | 193 |
| Dr. MOHAMMED G CHOUDHURY | 155 NW ENTERPRISE WAY | LAKE CITY | FL | 32055 | 30 |
| Dr. PAUL F CASTELLANOS | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 29 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | R1310 | Dysphagia, unspecified |
| 2 | I10 | Essential (primary) hypertension |
| 3 | E119 | Type 2 diabetes mellitus without complications |
| 4 | Z79899 | Other long term (current) drug therapy |