*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Q211 - Atrial septal defect - as a primary diagnosis code | Q211 - Atrial septal defect - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.14 | |
| Readmission Rate (%) | 26.04 | |
| Unplanned Readmission Rate (%) | 7.66 | |
| 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 274: PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 273: PERCUTANEOUS INTRACARDIAC PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 59,266 | ||||
| Total Hospitalizations with ICD Q211 - Atrial septal defect | 309 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD Q211 - Atrial septal defect in DRG | 25.52 | ||||
| Avg LOS at DRG | 2.51 | ||||
| Avg LOS with ICD Q211 - Atrial septal defect | 1.84 | ||||
| Readmission Rate at DRG | 12.28 | ||||
| Readmission Rate with ICD Q211 - Atrial septal defect | 8.78 | ||||
| Unplanned Readmission Rate at DRG | 9.05 | ||||
| Unplanned Readmission Rate with ICD Q211 - Atrial septal defect | 5.41 | ||||
| Total Medicare payments at DRG | $984,997,570 | ||||
| Total Medicare payments with ICD Q211 - Atrial septal defect | $3,854,198 | ||||
| Total Medicare payment per Day at DRG | $6,634 | ||||
| Total Medicare payment per Day with ICD Q211 - Atrial septal defect | $6,762 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,620 | ||||
| Total Medicare payment per Hospitalization with ICD Q211 - Atrial septal defect | $12,473 | ||||
| Total Medicare Charges at DRG | $6,831,387,042 | ||||
| Total Medicare Charges with ICD Q211 - Atrial septal defect | $27,972,483 | ||||
| Avg Charges at DRG | $115,267 | ||||
| Avg Charges with ICD Q211 - Atrial septal defect | $90,526 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Q211 - Atrial septal defect | NA | ||||
| SNF Discharge Rate at DRG | 3.2 | ||||
| SNF Discharge Rate with ICD Q211 - Atrial septal defect | NA | ||||
| Home Discharge Rate at DRG | 86.83 | ||||
| Home Discharge Rate with ICD Q211 - Atrial septal defect | 88.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 230: OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,800 | ||||
| Total Hospitalizations with ICD Q211 - Atrial septal defect | 58 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD Q211 - Atrial septal defect in DRG | 4.79 | ||||
| Avg LOS at DRG | 5.45 | ||||
| Avg LOS with ICD Q211 - Atrial septal defect | 5.86 | ||||
| Readmission Rate at DRG | 34.97 | ||||
| Readmission Rate with ICD Q211 - Atrial septal defect | NA | ||||
| Unplanned Readmission Rate at DRG | 17.75 | ||||
| Unplanned Readmission Rate with ICD Q211 - Atrial septal defect | NA | ||||
| Total Medicare payments at DRG | $119,131,393 | ||||
| Total Medicare payments with ICD Q211 - Atrial septal defect | $566,432 | ||||
| Total Medicare payment per Day at DRG | $1,852 | ||||
| Total Medicare payment per Day with ICD Q211 - Atrial septal defect | $1,666 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,096 | ||||
| Total Medicare payment per Hospitalization with ICD Q211 - Atrial septal defect | $9,766 | ||||
| Total Medicare Charges at DRG | $540,657,626 | ||||
| Total Medicare Charges with ICD Q211 - Atrial septal defect | $3,520,049 | ||||
| Avg Charges at DRG | $45,818 | ||||
| Avg Charges with ICD Q211 - Atrial septal defect | $60,691 | ||||
| Mortality Rate at DRG | 6.52 | ||||
| Mortality Rate with ICD Q211 - Atrial septal defect | NA | ||||
| SNF Discharge Rate at DRG | 16.02 | ||||
| SNF Discharge Rate with ICD Q211 - Atrial septal defect | NA | ||||
| Home Discharge Rate at DRG | 34.57 | ||||
| Home Discharge Rate with ICD Q211 - Atrial septal defect | 36.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 49,301 |
| Total Hospitalizations with ICD Q211 - Atrial septal defect | 16 |
| DRG Share of Total Hospitalizations | 0.15 |
| % of Total ICD Q211 - Atrial septal defect in DRG | 1.32 |
| Avg LOS at DRG | 10.92 |
| Avg LOS with ICD Q211 - Atrial septal defect | 9.5 |
| Readmission Rate at DRG | 32.06 |
| Readmission Rate with ICD Q211 - Atrial septal defect | NA |
| Unplanned Readmission Rate at DRG | 12.13 |
| Unplanned Readmission Rate with ICD Q211 - Atrial septal defect | NA |
| Total Medicare payments at DRG | $2,755,788,420 |
| Total Medicare payments with ICD Q211 - Atrial septal defect | $870,471 |
| Total Medicare payment per Day at DRG | $5,120 |
| Total Medicare payment per Day with ICD Q211 - Atrial septal defect | $5,727 |
| Total Medicare payment per Hospitalization at DRG | $55,897 |
| Total Medicare payment per Hospitalization with ICD Q211 - Atrial septal defect | $54,404 |
| Total Medicare Charges at DRG | $13,454,609,626 |
| Total Medicare Charges with ICD Q211 - Atrial septal defect | $3,837,776 |
| Avg Charges at DRG | $272,907 |
| Avg Charges with ICD Q211 - Atrial septal defect | $239,861 |
| Mortality Rate at DRG | 7.09 |
| Mortality Rate with ICD Q211 - Atrial septal defect | NA |
| SNF Discharge Rate at DRG | 21.99 |
| SNF Discharge Rate with ICD Q211 - Atrial septal defect | NA |
| Home Discharge Rate at DRG | 21.9 |
| Home Discharge Rate with ICD Q211 - Atrial septal defect | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 13 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 13 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Q211 - Atrial septal defect | 9,150 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Q211 - Atrial septal defect in DRG | 9.97 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Q211 - Atrial septal defect | 3.7 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Q211 - Atrial septal defect | 30.29 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Q211 - Atrial septal defect | 6.19 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Q211 - Atrial septal defect | $58,052,187 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Q211 - Atrial septal defect | $1,716 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Q211 - Atrial septal defect | $6,345 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Q211 - Atrial septal defect | $353,868,407 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Q211 - Atrial septal defect | $38,674 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Q211 - Atrial septal defect | 0.16 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Q211 - Atrial septal defect | 16.31 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Q211 - Atrial septal defect | 42.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 069: TRANSIENT ISCHEMIA | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,301 | ||||
| Total Hospitalizations with ICD Q211 - Atrial septal defect | 2,281 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD Q211 - Atrial septal defect in DRG | 2.49 | ||||
| Avg LOS at DRG | 10.92 | ||||
| Avg LOS with ICD Q211 - Atrial septal defect | 11.34 | ||||
| Readmission Rate at DRG | 32.06 | ||||
| Readmission Rate with ICD Q211 - Atrial septal defect | 31.06 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD Q211 - Atrial septal defect | 11.9 | ||||
| Total Medicare payments at DRG | $2,755,788,420 | ||||
| Total Medicare payments with ICD Q211 - Atrial septal defect | $131,842,173 | ||||
| Total Medicare payment per Day at DRG | $5,120 | ||||
| Total Medicare payment per Day with ICD Q211 - Atrial septal defect | $5,099 | ||||
| Total Medicare payment per Hospitalization at DRG | $55,897 | ||||
| Total Medicare payment per Hospitalization with ICD Q211 - Atrial septal defect | $57,800 | ||||
| Total Medicare Charges at DRG | $13,454,609,626 | ||||
| Total Medicare Charges with ICD Q211 - Atrial septal defect | $634,243,809 | ||||
| Avg Charges at DRG | $272,907 | ||||
| Avg Charges with ICD Q211 - Atrial septal defect | $278,055 | ||||
| Mortality Rate at DRG | 7.09 | ||||
| Mortality Rate with ICD Q211 - Atrial septal defect | 5.09 | ||||
| SNF Discharge Rate at DRG | 21.99 | ||||
| SNF Discharge Rate with ICD Q211 - Atrial septal defect | 21.74 | ||||
| Home Discharge Rate at DRG | 21.9 | ||||
| Home Discharge Rate with ICD Q211 - Atrial septal defect | 23.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 274: PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Q211 - Atrial septal defect | 1,540 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Q211 - Atrial septal defect in DRG | 1.68 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Q211 - Atrial septal defect | 2.74 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Q211 - Atrial septal defect | 10.61 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Q211 - Atrial septal defect | 4.07 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Q211 - Atrial septal defect | $19,007,158 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Q211 - Atrial septal defect | $4,510 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Q211 - Atrial septal defect | $12,342 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Q211 - Atrial septal defect | $88,708,196 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Q211 - Atrial septal defect | $57,603 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Q211 - Atrial septal defect | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Q211 - Atrial septal defect | 28.38 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Q211 - Atrial septal defect | 28.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 062: ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,787 | ||||
| Total Hospitalizations with ICD Q211 - Atrial septal defect | 1,016 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD Q211 - Atrial septal defect in DRG | 1.11 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD Q211 - Atrial septal defect | 5.57 | ||||
| Readmission Rate at DRG | 16.39 | ||||
| Readmission Rate with ICD Q211 - Atrial septal defect | 13.72 | ||||
| Unplanned Readmission Rate at DRG | 9.3 | ||||
| Unplanned Readmission Rate with ICD Q211 - Atrial septal defect | 6.61 | ||||
| Total Medicare payments at DRG | $479,470,734 | ||||
| Total Medicare payments with ICD Q211 - Atrial septal defect | $31,286,755 | ||||
| Total Medicare payment per Day at DRG | $6,431 | ||||
| Total Medicare payment per Day with ICD Q211 - Atrial septal defect | $5,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,371 | ||||
| Total Medicare payment per Hospitalization with ICD Q211 - Atrial septal defect | $30,794 | ||||
| Total Medicare Charges at DRG | $2,502,493,324 | ||||
| Total Medicare Charges with ICD Q211 - Atrial septal defect | $164,902,329 | ||||
| Avg Charges at DRG | $158,516 | ||||
| Avg Charges with ICD Q211 - Atrial septal defect | $162,305 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD Q211 - Atrial septal defect | NA | ||||
| SNF Discharge Rate at DRG | 9.74 | ||||
| SNF Discharge Rate with ICD Q211 - Atrial septal defect | 11.02 | ||||
| Home Discharge Rate at DRG | 61.15 | ||||
| Home Discharge Rate with ICD Q211 - Atrial septal defect | 54.23 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 1,073 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 926 |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER | 489 STATE ST | BANGOR | ME | 04401 | 508 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARCUS F. STODDARD | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | 55 |
| Dr. ASHISH PERSHAD | 1300 N 12TH ST | PHOENIX | AZ | 85006 | 48 |
| Dr. MICHAEL PETRACEK | 4230 HARDING RD | NASHVILLE | TN | 37205 | 40 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 85 |
| Dr. IMAD UDDIN | 1705 E 19TH ST | TULSA | OK | 74104 | 49 |
| Dr. JUSTIN THANKACHAN | 1705 E 19TH ST | TULSA | OK | 74104 | 40 |