*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Q230 - Congenital stenosis of aortic valve - as a primary diagnosis code | Q230 - Congenital stenosis of aortic valve - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.9 | |
| Readmission Rate (%) | 20.59 | |
| Unplanned Readmission Rate (%) | 9.24 | |
| 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 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION 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 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 53,232 | ||||
| Total Hospitalizations with ICD Q230 - Congenital stenosis of aortic valve | 207 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD Q230 - Congenital stenosis of aortic valve in DRG | 42.07 | ||||
| Avg LOS at DRG | 6.67 | ||||
| Avg LOS with ICD Q230 - Congenital stenosis of aortic valve | 5.86 | ||||
| Readmission Rate at DRG | 19.14 | ||||
| Readmission Rate with ICD Q230 - Congenital stenosis of aortic valve | 13.04 | ||||
| Unplanned Readmission Rate at DRG | 9.02 | ||||
| Unplanned Readmission Rate with ICD Q230 - Congenital stenosis of aortic valve | 8.21 | ||||
| Total Medicare payments at DRG | $1,849,514,487 | ||||
| Total Medicare payments with ICD Q230 - Congenital stenosis of aortic valve | $7,037,484 | ||||
| Total Medicare payment per Day at DRG | $5,212 | ||||
| Total Medicare payment per Day with ICD Q230 - Congenital stenosis of aortic valve | $5,797 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,744 | ||||
| Total Medicare payment per Hospitalization with ICD Q230 - Congenital stenosis of aortic valve | $33,998 | ||||
| Total Medicare Charges at DRG | $9,786,140,365 | ||||
| Total Medicare Charges with ICD Q230 - Congenital stenosis of aortic valve | $36,740,366 | ||||
| Avg Charges at DRG | $183,839 | ||||
| Avg Charges with ICD Q230 - Congenital stenosis of aortic valve | $177,490 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| SNF Discharge Rate at DRG | 15.26 | ||||
| SNF Discharge Rate with ICD Q230 - Congenital stenosis of aortic valve | 13.04 | ||||
| Home Discharge Rate at DRG | 35.21 | ||||
| Home Discharge Rate with ICD Q230 - Congenital stenosis of aortic valve | 44.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 41,575 | |
| Total Hospitalizations with ICD Q230 - Congenital stenosis of aortic valve | 21 | |
| DRG Share of Total Hospitalizations | 0.13 | |
| % of Total ICD Q230 - Congenital stenosis of aortic valve in DRG | 4.27 | |
| Avg LOS at DRG | 6.1 | |
| Avg LOS with ICD Q230 - Congenital stenosis of aortic valve | 5.62 | |
| Readmission Rate at DRG | 21.03 | |
| Readmission Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | |
| Unplanned Readmission Rate at DRG | 12.58 | |
| Unplanned Readmission Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | |
| Total Medicare payments at DRG | $2,337,662,115 | |
| Total Medicare payments with ICD Q230 - Congenital stenosis of aortic valve | $1,245,093 | |
| Total Medicare payment per Day at DRG | $9,211 | |
| Total Medicare payment per Day with ICD Q230 - Congenital stenosis of aortic valve | $10,552 | |
| Total Medicare payment per Hospitalization at DRG | $56,228 | |
| Total Medicare payment per Hospitalization with ICD Q230 - Congenital stenosis of aortic valve | $59,290 | |
| Total Medicare Charges at DRG | $9,802,565,172 | |
| Total Medicare Charges with ICD Q230 - Congenital stenosis of aortic valve | $5,279,520 | |
| Avg Charges at DRG | $235,780 | |
| Avg Charges with ICD Q230 - Congenital stenosis of aortic valve | $251,406 | |
| Mortality Rate at DRG | 2.62 | |
| Mortality Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | |
| SNF Discharge Rate at DRG | 16.12 | |
| SNF Discharge Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | |
| Home Discharge Rate at DRG | 50.75 | |
| Home Discharge Rate with ICD Q230 - Congenital stenosis of aortic valve | 66.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST.VINCENT HEART CENTER OF INDIANA | 10580 N MERIDIAN ST | INDIANAPOLIS | IN | 46290 | 19 |
| NORTHWESTERN MEMORIAL HOSPITAL | 251 E HURON ST | CHICAGO | IL | 60611 | 15 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION 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 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 53,232 | ||||
| Total Hospitalizations with ICD Q230 - Congenital stenosis of aortic valve | 320 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD Q230 - Congenital stenosis of aortic valve in DRG | 21.81 | ||||
| Avg LOS at DRG | 6.67 | ||||
| Avg LOS with ICD Q230 - Congenital stenosis of aortic valve | 5.88 | ||||
| Readmission Rate at DRG | 19.14 | ||||
| Readmission Rate with ICD Q230 - Congenital stenosis of aortic valve | 14.78 | ||||
| Unplanned Readmission Rate at DRG | 9.02 | ||||
| Unplanned Readmission Rate with ICD Q230 - Congenital stenosis of aortic valve | 9.43 | ||||
| Total Medicare payments at DRG | $1,849,514,487 | ||||
| Total Medicare payments with ICD Q230 - Congenital stenosis of aortic valve | $10,847,746 | ||||
| Total Medicare payment per Day at DRG | $5,212 | ||||
| Total Medicare payment per Day with ICD Q230 - Congenital stenosis of aortic valve | $5,764 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,744 | ||||
| Total Medicare payment per Hospitalization with ICD Q230 - Congenital stenosis of aortic valve | $33,899 | ||||
| Total Medicare Charges at DRG | $9,786,140,365 | ||||
| Total Medicare Charges with ICD Q230 - Congenital stenosis of aortic valve | $56,321,455 | ||||
| Avg Charges at DRG | $183,839 | ||||
| Avg Charges with ICD Q230 - Congenital stenosis of aortic valve | $176,005 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| SNF Discharge Rate at DRG | 15.26 | ||||
| SNF Discharge Rate with ICD Q230 - Congenital stenosis of aortic valve | 10.31 | ||||
| Home Discharge Rate at DRG | 35.21 | ||||
| Home Discharge Rate with ICD Q230 - Congenital stenosis of aortic valve | 45.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,685 | ||||
| Total Hospitalizations with ICD Q230 - Congenital stenosis of aortic valve | 43 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD Q230 - Congenital stenosis of aortic valve in DRG | 2.93 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD Q230 - Congenital stenosis of aortic valve | 3.53 | ||||
| Readmission Rate at DRG | 12.03 | ||||
| Readmission Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| Unplanned Readmission Rate at DRG | 8.33 | ||||
| Unplanned Readmission Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| Total Medicare payments at DRG | $2,520,642,710 | ||||
| Total Medicare payments with ICD Q230 - Congenital stenosis of aortic valve | $1,944,663 | ||||
| Total Medicare payment per Day at DRG | $15,685 | ||||
| Total Medicare payment per Day with ICD Q230 - Congenital stenosis of aortic valve | $12,794 | ||||
| Total Medicare payment per Hospitalization at DRG | $44,468 | ||||
| Total Medicare payment per Hospitalization with ICD Q230 - Congenital stenosis of aortic valve | $45,225 | ||||
| Total Medicare Charges at DRG | $10,767,214,002 | ||||
| Total Medicare Charges with ICD Q230 - Congenital stenosis of aortic valve | $8,464,553 | ||||
| Avg Charges at DRG | $189,948 | ||||
| Avg Charges with ICD Q230 - Congenital stenosis of aortic valve | $196,850 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| SNF Discharge Rate at DRG | 7.22 | ||||
| SNF Discharge Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| Home Discharge Rate at DRG | 67.96 | ||||
| Home Discharge Rate with ICD Q230 - Congenital stenosis of aortic valve | 72.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,553 | ||||
| Total Hospitalizations with ICD Q230 - Congenital stenosis of aortic valve | 25 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD Q230 - Congenital stenosis of aortic valve in DRG | 1.7 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD Q230 - Congenital stenosis of aortic valve | 5.36 | ||||
| Readmission Rate at DRG | 13.7 | ||||
| Readmission Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| Unplanned Readmission Rate at DRG | 7.06 | ||||
| Unplanned Readmission Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| Total Medicare payments at DRG | $283,442,253 | ||||
| Total Medicare payments with ICD Q230 - Congenital stenosis of aortic valve | $704,527 | ||||
| Total Medicare payment per Day at DRG | $6,168 | ||||
| Total Medicare payment per Day with ICD Q230 - Congenital stenosis of aortic valve | $5,258 | ||||
| Total Medicare payment per Hospitalization at DRG | $29,670 | ||||
| Total Medicare payment per Hospitalization with ICD Q230 - Congenital stenosis of aortic valve | $28,181 | ||||
| Total Medicare Charges at DRG | $1,472,209,042 | ||||
| Total Medicare Charges with ICD Q230 - Congenital stenosis of aortic valve | $3,373,671 | ||||
| Avg Charges at DRG | $154,110 | ||||
| Avg Charges with ICD Q230 - Congenital stenosis of aortic valve | $134,947 | ||||
| Mortality Rate at DRG | 0.62 | ||||
| Mortality Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| SNF Discharge Rate at DRG | 8.75 | ||||
| SNF Discharge Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| Home Discharge Rate at DRG | 50.74 | ||||
| Home Discharge Rate with ICD Q230 - Congenital stenosis of aortic valve | 52.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Q230 - Congenital stenosis of aortic valve | 13 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Q230 - Congenital stenosis of aortic valve in DRG | 0.89 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Q230 - Congenital stenosis of aortic valve | 3.62 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Q230 - Congenital stenosis of aortic valve | $139,676 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Q230 - Congenital stenosis of aortic valve | $2,972 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Q230 - Congenital stenosis of aortic valve | $10,744 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Q230 - Congenital stenosis of aortic valve | $477,421 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Q230 - Congenital stenosis of aortic valve | $36,725 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Q230 - Congenital stenosis of aortic valve | NA | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Q230 - Congenital stenosis of aortic valve | NA |
| 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 | 42 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 30 |
| ST.VINCENT HEART CENTER OF INDIANA | 10580 N MERIDIAN ST | INDIANAPOLIS | IN | 46290 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SUKIT C. MALAISRIE | 251 EAST HURON ST | CHICAGO | IL | 60611 | 12 |