*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R042 - Hemoptysis - as a primary diagnosis code | R042 - Hemoptysis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.03 | |
| Readmission Rate (%) | 26.22 | |
| Unplanned Readmission Rate (%) | 14.52 | |
| 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 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 33,661 | ||||
| Total Hospitalizations with ICD R042 - Hemoptysis | 4,796 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD R042 - Hemoptysis in DRG | 72.45 | ||||
| Avg LOS at DRG | 2.64 | ||||
| Avg LOS with ICD R042 - Hemoptysis | 2.75 | ||||
| Readmission Rate at DRG | 19.21 | ||||
| Readmission Rate with ICD R042 - Hemoptysis | 18.9 | ||||
| Unplanned Readmission Rate at DRG | 13.52 | ||||
| Unplanned Readmission Rate with ICD R042 - Hemoptysis | 14.42 | ||||
| Total Medicare payments at DRG | $155,156,045 | ||||
| Total Medicare payments with ICD R042 - Hemoptysis | $21,394,155 | ||||
| Total Medicare payment per Day at DRG | $1,743 | ||||
| Total Medicare payment per Day with ICD R042 - Hemoptysis | $1,625 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD R042 - Hemoptysis | $4,461 | ||||
| Total Medicare Charges at DRG | $846,379,800 | ||||
| Total Medicare Charges with ICD R042 - Hemoptysis | $127,636,080 | ||||
| Avg Charges at DRG | $25,144 | ||||
| Avg Charges with ICD R042 - Hemoptysis | $26,613 | ||||
| Mortality Rate at DRG | 1.53 | ||||
| Mortality Rate with ICD R042 - Hemoptysis | 0.98 | ||||
| SNF Discharge Rate at DRG | 8.91 | ||||
| SNF Discharge Rate with ICD R042 - Hemoptysis | 7.49 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD R042 - Hemoptysis | 66.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,403 | ||||
| Total Hospitalizations with ICD R042 - Hemoptysis | 134 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD R042 - Hemoptysis in DRG | 2.02 | ||||
| Avg LOS at DRG | 3.0 | ||||
| Avg LOS with ICD R042 - Hemoptysis | 2.9 | ||||
| Readmission Rate at DRG | 11.25 | ||||
| Readmission Rate with ICD R042 - Hemoptysis | 9.3 | ||||
| Unplanned Readmission Rate at DRG | 6.64 | ||||
| Unplanned Readmission Rate with ICD R042 - Hemoptysis | NA | ||||
| Total Medicare payments at DRG | $81,324,379 | ||||
| Total Medicare payments with ICD R042 - Hemoptysis | $1,016,285 | ||||
| Total Medicare payment per Day at DRG | $2,602 | ||||
| Total Medicare payment per Day with ICD R042 - Hemoptysis | $2,619 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,817 | ||||
| Total Medicare payment per Hospitalization with ICD R042 - Hemoptysis | $7,584 | ||||
| Total Medicare Charges at DRG | $497,200,815 | ||||
| Total Medicare Charges with ICD R042 - Hemoptysis | $5,138,277 | ||||
| Avg Charges at DRG | $47,794 | ||||
| Avg Charges with ICD R042 - Hemoptysis | $38,345 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD R042 - Hemoptysis | NA | ||||
| SNF Discharge Rate at DRG | 3.03 | ||||
| SNF Discharge Rate with ICD R042 - Hemoptysis | NA | ||||
| Home Discharge Rate at DRG | 80.29 | ||||
| Home Discharge Rate with ICD R042 - Hemoptysis | 91.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,277 | |||
| Total Hospitalizations with ICD R042 - Hemoptysis | 30 | |||
| DRG Share of Total Hospitalizations | 0.08 | |||
| % of Total ICD R042 - Hemoptysis in DRG | 0.45 | |||
| Avg LOS at DRG | 3.44 | |||
| Avg LOS with ICD R042 - Hemoptysis | 2.83 | |||
| Readmission Rate at DRG | 7.43 | |||
| Readmission Rate with ICD R042 - Hemoptysis | NA | |||
| Unplanned Readmission Rate at DRG | 4.65 | |||
| Unplanned Readmission Rate with ICD R042 - Hemoptysis | NA | |||
| Total Medicare payments at DRG | $307,145,903 | |||
| Total Medicare payments with ICD R042 - Hemoptysis | $325,690 | |||
| Total Medicare payment per Day at DRG | $3,395 | |||
| Total Medicare payment per Day with ICD R042 - Hemoptysis | $3,832 | |||
| Total Medicare payment per Hospitalization at DRG | $11,689 | |||
| Total Medicare payment per Hospitalization with ICD R042 - Hemoptysis | $10,856 | |||
| Total Medicare Charges at DRG | $1,771,264,244 | |||
| Total Medicare Charges with ICD R042 - Hemoptysis | $1,314,869 | |||
| Avg Charges at DRG | $67,407 | |||
| Avg Charges with ICD R042 - Hemoptysis | $43,829 | |||
| Mortality Rate at DRG | 0.04 | |||
| Mortality Rate with ICD R042 - Hemoptysis | NA | |||
| SNF Discharge Rate at DRG | 3.13 | |||
| SNF Discharge Rate with ICD R042 - Hemoptysis | NA | |||
| Home Discharge Rate at DRG | 76.41 | |||
| Home Discharge Rate with ICD R042 - Hemoptysis | 83.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HENRY FORD HOSPITAL | 2799 W GRAND BLVD | DETROIT | MI | 48202 | 26 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 26 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R042 - Hemoptysis | 15,493 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R042 - Hemoptysis in DRG | 9.97 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R042 - Hemoptysis | 7.24 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R042 - Hemoptysis | 23.86 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R042 - Hemoptysis | 16.56 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R042 - Hemoptysis | $185,659,028 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R042 - Hemoptysis | $1,655 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R042 - Hemoptysis | $11,983 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R042 - Hemoptysis | $1,059,853,549 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R042 - Hemoptysis | $68,409 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R042 - Hemoptysis | 11.64 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R042 - Hemoptysis | 17.16 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R042 - Hemoptysis | 37.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD R042 - Hemoptysis | 6,224 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD R042 - Hemoptysis in DRG | 4.01 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD R042 - Hemoptysis | 11.14 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD R042 - Hemoptysis | 29.75 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD R042 - Hemoptysis | 19.74 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD R042 - Hemoptysis | $159,940,228 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD R042 - Hemoptysis | $2,306 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD R042 - Hemoptysis | $25,697 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD R042 - Hemoptysis | $766,792,156 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD R042 - Hemoptysis | $123,199 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD R042 - Hemoptysis | 11.15 | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD R042 - Hemoptysis | 15.12 | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD R042 - Hemoptysis | 38.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD R042 - Hemoptysis | 3,419 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD R042 - Hemoptysis in DRG | 2.2 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD R042 - Hemoptysis | 14.49 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD R042 - Hemoptysis | 34.27 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD R042 - Hemoptysis | 17.82 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD R042 - Hemoptysis | $129,285,901 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD R042 - Hemoptysis | $2,609 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD R042 - Hemoptysis | $37,814 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD R042 - Hemoptysis | $661,053,493 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD R042 - Hemoptysis | $193,347 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD R042 - Hemoptysis | 19.89 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD R042 - Hemoptysis | 20.36 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD R042 - Hemoptysis | 23.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,484 | ||||
| Total Hospitalizations with ICD R042 - Hemoptysis | 2,417 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD R042 - Hemoptysis in DRG | 1.56 | ||||
| Avg LOS at DRG | 4.49 | ||||
| Avg LOS with ICD R042 - Hemoptysis | 3.85 | ||||
| Readmission Rate at DRG | 27.89 | ||||
| Readmission Rate with ICD R042 - Hemoptysis | 24.0 | ||||
| Unplanned Readmission Rate at DRG | 21.07 | ||||
| Unplanned Readmission Rate with ICD R042 - Hemoptysis | 17.8 | ||||
| Total Medicare payments at DRG | $287,773,529 | ||||
| Total Medicare payments with ICD R042 - Hemoptysis | $17,491,693 | ||||
| Total Medicare payment per Day at DRG | $1,709 | ||||
| Total Medicare payment per Day with ICD R042 - Hemoptysis | $1,880 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,677 | ||||
| Total Medicare payment per Hospitalization with ICD R042 - Hemoptysis | $7,237 | ||||
| Total Medicare Charges at DRG | $1,483,578,942 | ||||
| Total Medicare Charges with ICD R042 - Hemoptysis | $86,549,069 | ||||
| Avg Charges at DRG | $39,579 | ||||
| Avg Charges with ICD R042 - Hemoptysis | $35,808 | ||||
| Mortality Rate at DRG | 4.3 | ||||
| Mortality Rate with ICD R042 - Hemoptysis | 2.81 | ||||
| SNF Discharge Rate at DRG | 10.7 | ||||
| SNF Discharge Rate with ICD R042 - Hemoptysis | 6.79 | ||||
| Home Discharge Rate at DRG | 44.82 | ||||
| Home Discharge Rate with ICD R042 - Hemoptysis | 59.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 533 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 471 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 466 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAFIQUL ALAM | 200 MEDICAL CENTER DR | HAZARD | KY | 41701 | 53 |
| Dr. MALLAPPA NEELAPPA | 2275 S ELKS LANE | YUMA | AZ | 85364 | 40 |
| Dr. AHMAD K AGHA | 1367 N DIVISION ST | MORRIS | IL | 60450 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 79 |
| Dr. AMY FOWLER | 210 BLACK GOLD BLVD | HAZARD | KY | 41701 | 44 |
| Dr. KALYAN AKKINENI | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 41 |