*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R05 - Cough - as a primary diagnosis code | R05 - Cough - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.08 | |
| Readmission Rate (%) | 20.4 | |
| Unplanned Readmission Rate (%) | 10.98 | |
| 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 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 33,661 | ||
| Total Hospitalizations with ICD R05 - Cough | 1,330 | ||
| DRG Share of Total Hospitalizations | 0.1 | ||
| % of Total ICD R05 - Cough in DRG | 95.82 | ||
| Avg LOS at DRG | 2.64 | ||
| Avg LOS with ICD R05 - Cough | 2.5 | ||
| Readmission Rate at DRG | 19.21 | ||
| Readmission Rate with ICD R05 - Cough | 15.96 | ||
| Unplanned Readmission Rate at DRG | 13.52 | ||
| Unplanned Readmission Rate with ICD R05 - Cough | 10.91 | ||
| Total Medicare payments at DRG | $155,156,045 | ||
| Total Medicare payments with ICD R05 - Cough | $6,221,758 | ||
| Total Medicare payment per Day at DRG | $1,743 | ||
| Total Medicare payment per Day with ICD R05 - Cough | $1,874 | ||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||
| Total Medicare payment per Hospitalization with ICD R05 - Cough | $4,678 | ||
| Total Medicare Charges at DRG | $846,379,800 | ||
| Total Medicare Charges with ICD R05 - Cough | $27,321,522 | ||
| Avg Charges at DRG | $25,144 | ||
| Avg Charges with ICD R05 - Cough | $20,542 | ||
| Mortality Rate at DRG | 1.53 | ||
| Mortality Rate with ICD R05 - Cough | NA | ||
| SNF Discharge Rate at DRG | 8.91 | ||
| SNF Discharge Rate with ICD R05 - Cough | 9.17 | ||
| Home Discharge Rate at DRG | 63.79 | ||
| Home Discharge Rate with ICD R05 - Cough | 66.84 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WEST RIVER REGIONAL MEDICAL CENTER-CAH | 1000 HIGHWAY 12 | HETTINGER | ND | 58639 | 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 885: PSYCHOSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS 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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R05 - Cough | 7,276 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R05 - Cough in DRG | 4.88 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R05 - Cough | 15.38 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R05 - Cough | 27.98 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R05 - Cough | 12.21 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R05 - Cough | $79,236,524 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R05 - Cough | $708 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R05 - Cough | $10,890 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R05 - Cough | $259,275,614 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R05 - Cough | $35,634 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R05 - Cough | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R05 - Cough | 7.05 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R05 - Cough | 76.42 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R05 - Cough | 3,012 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R05 - Cough in DRG | 2.02 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R05 - Cough | 4.36 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R05 - Cough | 14.97 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R05 - Cough | 10.24 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R05 - Cough | $20,738,370 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R05 - Cough | $1,578 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R05 - Cough | $6,885 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R05 - Cough | $96,366,011 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R05 - Cough | $31,994 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R05 - Cough | 0.56 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R05 - Cough | 17.53 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R05 - Cough | 56.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD R05 - Cough | 2,351 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD R05 - Cough in DRG | 1.58 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD R05 - Cough | 3.28 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD R05 - Cough | 19.37 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD R05 - Cough | 12.17 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD R05 - Cough | $11,626,228 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD R05 - Cough | $1,508 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD R05 - Cough | $4,945 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD R05 - Cough | $51,470,384 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD R05 - Cough | $21,893 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD R05 - Cough | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD R05 - Cough | 16.8 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD R05 - Cough | 53.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R05 - Cough | 2,008 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R05 - Cough in DRG | 1.35 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R05 - Cough | 4.97 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R05 - Cough | 19.35 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R05 - Cough | 13.93 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R05 - Cough | $16,101,414 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R05 - Cough | $1,613 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R05 - Cough | $8,019 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R05 - Cough | $61,095,191 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R05 - Cough | $30,426 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R05 - Cough | 0.65 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R05 - Cough | 10.41 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R05 - Cough | 57.57 |
| 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 | 747 |
| WESLEY REHABILITATION HOSPITAL, AN AFFILIATE OF HEALTHSOUTH | 8338 W 13TH ST N | WICHITA | KS | 67212 | 537 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 440 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROY DENTON | 228 W TYLER AVE | WEST MEMPHIS | AR | 72301 | 69 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 67 |
| Dr. KURT E. JACOBSON | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 55 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TRAVIS W HIRD | 1501 RIVER POINTE DR | CONROE | TX | 77304 | 192 |
| Dr. THOMAS MILTON GANNON | 427 N WILLOW AVE | COOKEVILLE | TN | 38501 | 156 |
| Dr. VLADIMIR FABIAN | 335 GLESSNER AVE | MANSFIELD | OH | 44903 | 155 |