*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K761 - Chronic passive congestion of liver - as a primary diagnosis code | K761 - Chronic passive congestion of liver - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.7 | |
| Readmission Rate (%) | 30.91 | |
| Unplanned Readmission Rate (%) | 25.03 | |
| 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 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,884 | ||||
| Total Hospitalizations with ICD K761 - Chronic passive congestion of liver | 561 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K761 - Chronic passive congestion of liver in DRG | 65.01 | ||||
| Avg LOS at DRG | 6.43 | ||||
| Avg LOS with ICD K761 - Chronic passive congestion of liver | 6.28 | ||||
| Readmission Rate at DRG | 37.66 | ||||
| Readmission Rate with ICD K761 - Chronic passive congestion of liver | 32.67 | ||||
| Unplanned Readmission Rate at DRG | 28.76 | ||||
| Unplanned Readmission Rate with ICD K761 - Chronic passive congestion of liver | 26.45 | ||||
| Total Medicare payments at DRG | $726,233,427 | ||||
| Total Medicare payments with ICD K761 - Chronic passive congestion of liver | $7,049,015 | ||||
| Total Medicare payment per Day at DRG | $1,987 | ||||
| Total Medicare payment per Day with ICD K761 - Chronic passive congestion of liver | $2,000 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,767 | ||||
| Total Medicare payment per Hospitalization with ICD K761 - Chronic passive congestion of liver | $12,565 | ||||
| Total Medicare Charges at DRG | $3,363,541,067 | ||||
| Total Medicare Charges with ICD K761 - Chronic passive congestion of liver | $33,078,331 | ||||
| Avg Charges at DRG | $59,130 | ||||
| Avg Charges with ICD K761 - Chronic passive congestion of liver | $58,963 | ||||
| Mortality Rate at DRG | 9.48 | ||||
| Mortality Rate with ICD K761 - Chronic passive congestion of liver | 4.81 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD K761 - Chronic passive congestion of liver | 14.62 | ||||
| Home Discharge Rate at DRG | 33.97 | ||||
| Home Discharge Rate with ICD K761 - Chronic passive congestion of liver | 44.03 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 15 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD K761 - Chronic passive congestion of liver | 11,325 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD K761 - Chronic passive congestion of liver in DRG | 24.16 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD K761 - Chronic passive congestion of liver | 6.89 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD K761 - Chronic passive congestion of liver | 30.25 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD K761 - Chronic passive congestion of liver | 23.02 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD K761 - Chronic passive congestion of liver | $116,792,638 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD K761 - Chronic passive congestion of liver | $1,497 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD K761 - Chronic passive congestion of liver | $10,313 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD K761 - Chronic passive congestion of liver | $636,434,064 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD K761 - Chronic passive congestion of liver | $56,197 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD K761 - Chronic passive congestion of liver | 7.22 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD K761 - Chronic passive congestion of liver | 18.93 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD K761 - Chronic passive congestion of liver | 32.4 |
*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 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD K761 - Chronic passive congestion of liver | 1,266 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD K761 - Chronic passive congestion of liver in DRG | 2.7 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD K761 - Chronic passive congestion of liver | 5.57 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD K761 - Chronic passive congestion of liver | 25.16 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD K761 - Chronic passive congestion of liver | 18.47 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD K761 - Chronic passive congestion of liver | $10,031,852 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD K761 - Chronic passive congestion of liver | $1,423 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD K761 - Chronic passive congestion of liver | $7,924 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD K761 - Chronic passive congestion of liver | $57,709,757 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD K761 - Chronic passive congestion of liver | $45,584 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD K761 - Chronic passive congestion of liver | 3.32 | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD K761 - Chronic passive congestion of liver | 16.11 | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD K761 - Chronic passive congestion of liver | 46.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD K761 - Chronic passive congestion of liver | 665 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD K761 - Chronic passive congestion of liver in DRG | 1.42 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD K761 - Chronic passive congestion of liver | 8.23 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD K761 - Chronic passive congestion of liver | 32.76 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD K761 - Chronic passive congestion of liver | 20.57 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD K761 - Chronic passive congestion of liver | $10,692,904 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD K761 - Chronic passive congestion of liver | $1,953 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD K761 - Chronic passive congestion of liver | $16,080 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD K761 - Chronic passive congestion of liver | $57,957,084 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD K761 - Chronic passive congestion of liver | $87,154 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD K761 - Chronic passive congestion of liver | 10.53 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD K761 - Chronic passive congestion of liver | 11.13 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD K761 - Chronic passive congestion of liver | 33.98 |
*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 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD K761 - Chronic passive congestion of liver | 417 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD K761 - Chronic passive congestion of liver in DRG | 0.89 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD K761 - Chronic passive congestion of liver | 7.26 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD K761 - Chronic passive congestion of liver | 34.89 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD K761 - Chronic passive congestion of liver | 21.28 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD K761 - Chronic passive congestion of liver | $6,697,937 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD K761 - Chronic passive congestion of liver | $2,211 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD K761 - Chronic passive congestion of liver | $16,062 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD K761 - Chronic passive congestion of liver | $39,508,519 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD K761 - Chronic passive congestion of liver | $94,745 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD K761 - Chronic passive congestion of liver | 34.77 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD K761 - Chronic passive congestion of liver | 17.27 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD K761 - Chronic passive congestion of liver | 14.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 301 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 281 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 266 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 29 |
| Dr. KENT C SASSE | 75 PRINGLE WAY | RENO | NV | 89502 | 25 |
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NEHA N DOCTOR | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 27 |
| Dr. NURUDEEN SHEKONI | 5160 GALAXIE DR | JACKSON | MS | 39206 | 26 |
| Dr. KENT C SASSE | 75 PRINGLE WAY | RENO | NV | 89502 | 23 |