*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R011 - Cardiac murmur, unspecified - as a primary diagnosis code | R011 - Cardiac murmur, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.25 | |
| Readmission Rate (%) | 19.94 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 12,810 |
| Total Hospitalizations with ICD R011 - Cardiac murmur, unspecified | 49 |
| DRG Share of Total Hospitalizations | 0.04 |
| % of Total ICD R011 - Cardiac murmur, unspecified in DRG | 77.78 |
| Avg LOS at DRG | 3.55 |
| Avg LOS with ICD R011 - Cardiac murmur, unspecified | 2.1 |
| Readmission Rate at DRG | 29.53 |
| Readmission Rate with ICD R011 - Cardiac murmur, unspecified | NA |
| Unplanned Readmission Rate at DRG | 11.75 |
| Unplanned Readmission Rate with ICD R011 - Cardiac murmur, unspecified | NA |
| Total Medicare payments at DRG | $77,584,876 |
| Total Medicare payments with ICD R011 - Cardiac murmur, unspecified | $250,668 |
| Total Medicare payment per Day at DRG | $1,704 |
| Total Medicare payment per Day with ICD R011 - Cardiac murmur, unspecified | $2,434 |
| Total Medicare payment per Hospitalization at DRG | $6,057 |
| Total Medicare payment per Hospitalization with ICD R011 - Cardiac murmur, unspecified | $5,116 |
| Total Medicare Charges at DRG | $376,243,909 |
| Total Medicare Charges with ICD R011 - Cardiac murmur, unspecified | $909,258 |
| Avg Charges at DRG | $29,371 |
| Avg Charges with ICD R011 - Cardiac murmur, unspecified | $18,556 |
| Mortality Rate at DRG | 1.05 |
| Mortality Rate with ICD R011 - Cardiac murmur, unspecified | NA |
| SNF Discharge Rate at DRG | 12.61 |
| SNF Discharge Rate with ICD R011 - Cardiac murmur, unspecified | NA |
| Home Discharge Rate at DRG | 50.16 |
| Home Discharge Rate with ICD R011 - Cardiac murmur, unspecified | 75.51 |
*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 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD R011 - Cardiac murmur, unspecified | 10,538 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD R011 - Cardiac murmur, unspecified in DRG | 7.51 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD R011 - Cardiac murmur, unspecified | 2.65 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD R011 - Cardiac murmur, unspecified | 9.89 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD R011 - Cardiac murmur, unspecified | 3.48 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD R011 - Cardiac murmur, unspecified | $124,892,297 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD R011 - Cardiac murmur, unspecified | $4,475 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD R011 - Cardiac murmur, unspecified | $11,852 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD R011 - Cardiac murmur, unspecified | $613,606,170 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD R011 - Cardiac murmur, unspecified | $58,228 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD R011 - Cardiac murmur, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R011 - Cardiac murmur, unspecified | 26.8 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD R011 - Cardiac murmur, unspecified | 29.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R011 - Cardiac murmur, unspecified | 2,415 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R011 - Cardiac murmur, unspecified in DRG | 1.72 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R011 - Cardiac murmur, unspecified | 4.34 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R011 - Cardiac murmur, unspecified | 15.19 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R011 - Cardiac murmur, unspecified | 10.23 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R011 - Cardiac murmur, unspecified | $16,153,575 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R011 - Cardiac murmur, unspecified | $1,543 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R011 - Cardiac murmur, unspecified | $6,689 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R011 - Cardiac murmur, unspecified | $81,784,127 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R011 - Cardiac murmur, unspecified | $33,865 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R011 - Cardiac murmur, unspecified | 0.91 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R011 - Cardiac murmur, unspecified | 17.39 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R011 - Cardiac murmur, unspecified | 52.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD R011 - Cardiac murmur, unspecified | 1,804 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD R011 - Cardiac murmur, unspecified in DRG | 1.29 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD R011 - Cardiac murmur, unspecified | 5.23 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD R011 - Cardiac murmur, unspecified | 20.09 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD R011 - Cardiac murmur, unspecified | 14.67 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD R011 - Cardiac murmur, unspecified | $15,860,836 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD R011 - Cardiac murmur, unspecified | $1,682 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD R011 - Cardiac murmur, unspecified | $8,792 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD R011 - Cardiac murmur, unspecified | $67,179,671 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD R011 - Cardiac murmur, unspecified | $37,239 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD R011 - Cardiac murmur, unspecified | 3.6 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD R011 - Cardiac murmur, unspecified | 23.06 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD R011 - Cardiac murmur, unspecified | 43.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 312: SYNCOPE AND COLLAPSE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD R011 - Cardiac murmur, unspecified | 1,548 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD R011 - Cardiac murmur, unspecified in DRG | 1.1 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD R011 - Cardiac murmur, unspecified | 6.21 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD R011 - Cardiac murmur, unspecified | 25.22 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD R011 - Cardiac murmur, unspecified | 18.77 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD R011 - Cardiac murmur, unspecified | $15,901,918 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD R011 - Cardiac murmur, unspecified | $1,655 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD R011 - Cardiac murmur, unspecified | $10,273 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD R011 - Cardiac murmur, unspecified | $69,069,645 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD R011 - Cardiac murmur, unspecified | $44,619 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD R011 - Cardiac murmur, unspecified | 5.75 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD R011 - Cardiac murmur, unspecified | 18.99 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD R011 - Cardiac murmur, unspecified | 40.63 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CARTERET HEALTH CARE | 3500 ARENDELL ST | MOREHEAD CITY | NC | 28557 | 886 |
| UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON MEDICAL CENTER | 301 HOSPITAL DR | GLEN BURNIE | MD | 21061 | 726 |
| WILKES-BARRE GENERAL HOSPITAL | 575 N RIVER ST | WILKES BARRE | PA | 18764 | 670 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT GOLDMAN | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 100 |
| Dr. DENNIS MICHAEL BLANKENSHIP | 422 BEECH ST | TEXARKANA | AR | 71854 | 88 |
| Dr. WAMIQ SULTAN | 310 WOODSTOWN ROAD | SALEM | NJ | 08079 | 64 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. OMAR ALBERTO COLON GUTIERREZ | 2800 W 15TH ST | PLANO | TX | 75075 | 323 |
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 298 |
| Dr. WAMIQ SULTAN | 310 WOODSTOWN ROAD | SALEM | NJ | 08079 | 278 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 3 | Z87891 | Personal history of nicotine dependence |