*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R010 - Benign and innocent cardiac murmurs - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 8.07 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD R010 - Benign and innocent cardiac murmurs | 186 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD R010 - Benign and innocent cardiac murmurs in DRG | 19.85 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD R010 - Benign and innocent cardiac murmurs | 2.16 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD R010 - Benign and innocent cardiac murmurs | 7.73 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD R010 - Benign and innocent cardiac murmurs | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD R010 - Benign and innocent cardiac murmurs | $2,156,266 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD R010 - Benign and innocent cardiac murmurs | $5,377 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD R010 - Benign and innocent cardiac murmurs | $11,593 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD R010 - Benign and innocent cardiac murmurs | $11,454,774 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD R010 - Benign and innocent cardiac murmurs | $61,585 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD R010 - Benign and innocent cardiac murmurs | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R010 - Benign and innocent cardiac murmurs | 10.75 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD R010 - Benign and innocent cardiac murmurs | 45.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD R010 - Benign and innocent cardiac murmurs | 13 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD R010 - Benign and innocent cardiac murmurs in DRG | 1.39 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD R010 - Benign and innocent cardiac murmurs | 8.38 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD R010 - Benign and innocent cardiac murmurs | NA | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD R010 - Benign and innocent cardiac murmurs | NA | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD R010 - Benign and innocent cardiac murmurs | $69,446 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD R010 - Benign and innocent cardiac murmurs | $637 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD R010 - Benign and innocent cardiac murmurs | $5,342 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD R010 - Benign and innocent cardiac murmurs | $191,939 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD R010 - Benign and innocent cardiac murmurs | $14,765 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD R010 - Benign and innocent cardiac murmurs | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD R010 - Benign and innocent cardiac murmurs | NA | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD R010 - Benign and innocent cardiac murmurs | 84.62 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MIAMI HOSPITAL | 1400 NW 12TH AVE | MIAMI | FL | 33136 | 44 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF COLUMBIA | 2935 COLONIAL DR | COLUMBIA | SC | 29203 | 38 |
| QUAIL CREEK SURGICAL HOSPITAL | 6819 PLUM CREEK DR | AMARILLO | TX | 79124 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM D WESTERKAM | 2935 COLONIAL DR | COLUMBIA | SC | 29203 | 24 |
| Dr. DEVIN J TROYER | 2935 COLONIAL DR | COLUMBIA | SC | 29203 | 14 |