*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Q245 - Malformation of coronary vessels - as a primary diagnosis code | Q245 - Malformation of coronary vessels - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.23 | |
| Readmission Rate (%) | 18.06 | |
| Unplanned Readmission Rate (%) | 7.27 | |
| 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 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 209,527 | ||||
| Total Hospitalizations with ICD Q245 - Malformation of coronary vessels | 93 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD Q245 - Malformation of coronary vessels in DRG | 30.79 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD Q245 - Malformation of coronary vessels | 2.08 | ||||
| Readmission Rate at DRG | 15.34 | ||||
| Readmission Rate with ICD Q245 - Malformation of coronary vessels | NA | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD Q245 - Malformation of coronary vessels | NA | ||||
| Total Medicare payments at DRG | $1,394,352,541 | ||||
| Total Medicare payments with ICD Q245 - Malformation of coronary vessels | $552,076 | ||||
| Total Medicare payment per Day at DRG | $2,234 | ||||
| Total Medicare payment per Day with ICD Q245 - Malformation of coronary vessels | $2,860 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,655 | ||||
| Total Medicare payment per Hospitalization with ICD Q245 - Malformation of coronary vessels | $5,936 | ||||
| Total Medicare Charges at DRG | $9,726,714,225 | ||||
| Total Medicare Charges with ICD Q245 - Malformation of coronary vessels | $4,329,369 | ||||
| Avg Charges at DRG | $46,422 | ||||
| Avg Charges with ICD Q245 - Malformation of coronary vessels | $46,552 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD Q245 - Malformation of coronary vessels | NA | ||||
| SNF Discharge Rate at DRG | 3.41 | ||||
| SNF Discharge Rate with ICD Q245 - Malformation of coronary vessels | NA | ||||
| Home Discharge Rate at DRG | 79.22 | ||||
| Home Discharge Rate with ICD Q245 - Malformation of coronary vessels | 86.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 88,795 | |
| Total Hospitalizations with ICD Q245 - Malformation of coronary vessels | 14 | |
| DRG Share of Total Hospitalizations | 0.27 | |
| % of Total ICD Q245 - Malformation of coronary vessels in DRG | 4.64 | |
| Avg LOS at DRG | 5.34 | |
| Avg LOS with ICD Q245 - Malformation of coronary vessels | 6.36 | |
| Readmission Rate at DRG | 25.16 | |
| Readmission Rate with ICD Q245 - Malformation of coronary vessels | NA | |
| Unplanned Readmission Rate at DRG | 13.58 | |
| Unplanned Readmission Rate with ICD Q245 - Malformation of coronary vessels | NA | |
| Total Medicare payments at DRG | $1,520,761,343 | |
| Total Medicare payments with ICD Q245 - Malformation of coronary vessels | $228,898 | |
| Total Medicare payment per Day at DRG | $3,209 | |
| Total Medicare payment per Day with ICD Q245 - Malformation of coronary vessels | $2,572 | |
| Total Medicare payment per Hospitalization at DRG | $17,127 | |
| Total Medicare payment per Hospitalization with ICD Q245 - Malformation of coronary vessels | $16,350 | |
| Total Medicare Charges at DRG | $8,019,705,683 | |
| Total Medicare Charges with ICD Q245 - Malformation of coronary vessels | $1,847,886 | |
| Avg Charges at DRG | $90,317 | |
| Avg Charges with ICD Q245 - Malformation of coronary vessels | $131,992 | |
| Mortality Rate at DRG | 0.47 | |
| Mortality Rate with ICD Q245 - Malformation of coronary vessels | NA | |
| SNF Discharge Rate at DRG | 20.42 | |
| SNF Discharge Rate with ICD Q245 - Malformation of coronary vessels | NA | |
| Home Discharge Rate at DRG | 47.78 | |
| Home Discharge Rate with ICD Q245 - Malformation of coronary vessels | 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 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 209,527 | ||||
| Total Hospitalizations with ICD Q245 - Malformation of coronary vessels | 1,199 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD Q245 - Malformation of coronary vessels in DRG | 14.92 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD Q245 - Malformation of coronary vessels | 2.53 | ||||
| Readmission Rate at DRG | 15.34 | ||||
| Readmission Rate with ICD Q245 - Malformation of coronary vessels | 13.22 | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD Q245 - Malformation of coronary vessels | 7.14 | ||||
| Total Medicare payments at DRG | $1,394,352,541 | ||||
| Total Medicare payments with ICD Q245 - Malformation of coronary vessels | $7,549,312 | ||||
| Total Medicare payment per Day at DRG | $2,234 | ||||
| Total Medicare payment per Day with ICD Q245 - Malformation of coronary vessels | $2,490 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,655 | ||||
| Total Medicare payment per Hospitalization with ICD Q245 - Malformation of coronary vessels | $6,296 | ||||
| Total Medicare Charges at DRG | $9,726,714,225 | ||||
| Total Medicare Charges with ICD Q245 - Malformation of coronary vessels | $55,125,691 | ||||
| Avg Charges at DRG | $46,422 | ||||
| Avg Charges with ICD Q245 - Malformation of coronary vessels | $45,976 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD Q245 - Malformation of coronary vessels | NA | ||||
| SNF Discharge Rate at DRG | 3.41 | ||||
| SNF Discharge Rate with ICD Q245 - Malformation of coronary vessels | 2.34 | ||||
| Home Discharge Rate at DRG | 79.22 | ||||
| Home Discharge Rate with ICD Q245 - Malformation of coronary vessels | 85.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 234: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD Q245 - Malformation of coronary vessels | 272 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD Q245 - Malformation of coronary vessels in DRG | 3.39 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD Q245 - Malformation of coronary vessels | 5.0 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD Q245 - Malformation of coronary vessels | 22.45 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD Q245 - Malformation of coronary vessels | 16.33 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD Q245 - Malformation of coronary vessels | $2,699,013 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD Q245 - Malformation of coronary vessels | $1,983 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD Q245 - Malformation of coronary vessels | $9,923 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD Q245 - Malformation of coronary vessels | $16,804,204 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD Q245 - Malformation of coronary vessels | $61,780 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Q245 - Malformation of coronary vessels | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD Q245 - Malformation of coronary vessels | 12.13 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD Q245 - Malformation of coronary vessels | 55.15 |
*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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Q245 - Malformation of coronary vessels | 119 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Q245 - Malformation of coronary vessels in DRG | 1.48 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Q245 - Malformation of coronary vessels | 5.76 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Q245 - Malformation of coronary vessels | 31.31 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Q245 - Malformation of coronary vessels | 27.27 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Q245 - Malformation of coronary vessels | $1,186,944 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Q245 - Malformation of coronary vessels | $1,733 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Q245 - Malformation of coronary vessels | $9,974 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Q245 - Malformation of coronary vessels | $5,122,911 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Q245 - Malformation of coronary vessels | $43,050 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Q245 - Malformation of coronary vessels | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Q245 - Malformation of coronary vessels | 11.76 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Q245 - Malformation of coronary vessels | 44.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,741 | ||||
| Total Hospitalizations with ICD Q245 - Malformation of coronary vessels | 98 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD Q245 - Malformation of coronary vessels in DRG | 1.22 | ||||
| Avg LOS at DRG | 9.93 | ||||
| Avg LOS with ICD Q245 - Malformation of coronary vessels | 9.04 | ||||
| Readmission Rate at DRG | 29.41 | ||||
| Readmission Rate with ICD Q245 - Malformation of coronary vessels | 26.6 | ||||
| Unplanned Readmission Rate at DRG | 10.75 | ||||
| Unplanned Readmission Rate with ICD Q245 - Malformation of coronary vessels | 14.89 | ||||
| Total Medicare payments at DRG | $1,189,879,422 | ||||
| Total Medicare payments with ICD Q245 - Malformation of coronary vessels | $3,600,958 | ||||
| Total Medicare payment per Day at DRG | $3,776 | ||||
| Total Medicare payment per Day with ICD Q245 - Malformation of coronary vessels | $4,064 | ||||
| Total Medicare payment per Hospitalization at DRG | $37,487 | ||||
| Total Medicare payment per Hospitalization with ICD Q245 - Malformation of coronary vessels | $36,744 | ||||
| Total Medicare Charges at DRG | $6,309,081,458 | ||||
| Total Medicare Charges with ICD Q245 - Malformation of coronary vessels | $18,225,199 | ||||
| Avg Charges at DRG | $198,768 | ||||
| Avg Charges with ICD Q245 - Malformation of coronary vessels | $185,971 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD Q245 - Malformation of coronary vessels | NA | ||||
| SNF Discharge Rate at DRG | 21.05 | ||||
| SNF Discharge Rate with ICD Q245 - Malformation of coronary vessels | 23.47 | ||||
| Home Discharge Rate at DRG | 24.23 | ||||
| Home Discharge Rate with ICD Q245 - Malformation of coronary vessels | 26.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 736 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 110 |
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 62 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM D KUEHL | 5 VANDERBILT PARK DR | ASHEVILLE | NC | 28803 | 173 |
| Dr. JOSHUA PATRICK LEITNER | 5 VANDERBILT PARK DR | ASHEVILLE | NC | 28803 | 140 |
| Dr. WILLIAM T MADDOX | 5 VANDERBILT PARK DR | ASHEVILLE | NC | 28803 | 107 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK A GROH | 257 MCDOWELL ST | ASHEVILLE | NC | 28803 | 37 |
| Dr. STEPHEN W ELY | 257 MCDOWELL ST | ASHEVILLE | NC | 28803 | 29 |
| Dr. ALAN M JOHNSON | 257 MCDOWELL ST | ASHEVILLE | NC | 28803 | 25 |