*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R0600 - Dyspnea, unspecified - as a primary diagnosis code | R0600 - Dyspnea, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.19 | |
| Readmission Rate (%) | 21.75 | |
| Unplanned Readmission Rate (%) | 12.83 | |
| 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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 33,661 | ||||
| Total Hospitalizations with ICD R0600 - Dyspnea, unspecified | 6,372 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD R0600 - Dyspnea, unspecified in DRG | 97.09 | ||||
| Avg LOS at DRG | 2.64 | ||||
| Avg LOS with ICD R0600 - Dyspnea, unspecified | 2.34 | ||||
| Readmission Rate at DRG | 19.21 | ||||
| Readmission Rate with ICD R0600 - Dyspnea, unspecified | 17.34 | ||||
| Unplanned Readmission Rate at DRG | 13.52 | ||||
| Unplanned Readmission Rate with ICD R0600 - Dyspnea, unspecified | 12.35 | ||||
| Total Medicare payments at DRG | $155,156,045 | ||||
| Total Medicare payments with ICD R0600 - Dyspnea, unspecified | $27,732,716 | ||||
| Total Medicare payment per Day at DRG | $1,743 | ||||
| Total Medicare payment per Day with ICD R0600 - Dyspnea, unspecified | $1,860 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD R0600 - Dyspnea, unspecified | $4,352 | ||||
| Total Medicare Charges at DRG | $846,379,800 | ||||
| Total Medicare Charges with ICD R0600 - Dyspnea, unspecified | $150,099,715 | ||||
| Avg Charges at DRG | $25,144 | ||||
| Avg Charges with ICD R0600 - Dyspnea, unspecified | $23,556 | ||||
| Mortality Rate at DRG | 1.53 | ||||
| Mortality Rate with ICD R0600 - Dyspnea, unspecified | 1.51 | ||||
| SNF Discharge Rate at DRG | 8.91 | ||||
| SNF Discharge Rate with ICD R0600 - Dyspnea, unspecified | 7.82 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD R0600 - Dyspnea, unspecified | 65.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 | 28,142 | |||
| Total Hospitalizations with ICD R0600 - Dyspnea, unspecified | 16 | |||
| DRG Share of Total Hospitalizations | 0.09 | |||
| % of Total ICD R0600 - Dyspnea, unspecified in DRG | 0.24 | |||
| Avg LOS at DRG | 5.88 | |||
| Avg LOS with ICD R0600 - Dyspnea, unspecified | 6.56 | |||
| Readmission Rate at DRG | 23.6 | |||
| Readmission Rate with ICD R0600 - Dyspnea, unspecified | NA | |||
| Unplanned Readmission Rate at DRG | 15.33 | |||
| Unplanned Readmission Rate with ICD R0600 - Dyspnea, unspecified | NA | |||
| Total Medicare payments at DRG | $317,761,689 | |||
| Total Medicare payments with ICD R0600 - Dyspnea, unspecified | $179,416 | |||
| Total Medicare payment per Day at DRG | $1,919 | |||
| Total Medicare payment per Day with ICD R0600 - Dyspnea, unspecified | $1,709 | |||
| Total Medicare payment per Hospitalization at DRG | $11,291 | |||
| Total Medicare payment per Hospitalization with ICD R0600 - Dyspnea, unspecified | $11,214 | |||
| Total Medicare Charges at DRG | $1,612,718,515 | |||
| Total Medicare Charges with ICD R0600 - Dyspnea, unspecified | $1,002,202 | |||
| Avg Charges at DRG | $57,306 | |||
| Avg Charges with ICD R0600 - Dyspnea, unspecified | $62,638 | |||
| Mortality Rate at DRG | 0.56 | |||
| Mortality Rate with ICD R0600 - Dyspnea, unspecified | NA | |||
| SNF Discharge Rate at DRG | 18.42 | |||
| SNF Discharge Rate with ICD R0600 - Dyspnea, unspecified | NA | |||
| Home Discharge Rate at DRG | 50.45 | |||
| Home Discharge Rate with ICD R0600 - Dyspnea, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 39 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 36 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM DOUGLAS PERRY | 110 PARK STREET | WALNUT GROVE | MS | 39189 | 12 |
*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 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 33,661 | ||||
| Total Hospitalizations with ICD R0600 - Dyspnea, unspecified | 6,838 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD R0600 - Dyspnea, unspecified in DRG | 5.91 | ||||
| Avg LOS at DRG | 2.64 | ||||
| Avg LOS with ICD R0600 - Dyspnea, unspecified | 2.37 | ||||
| Readmission Rate at DRG | 19.21 | ||||
| Readmission Rate with ICD R0600 - Dyspnea, unspecified | 17.43 | ||||
| Unplanned Readmission Rate at DRG | 13.52 | ||||
| Unplanned Readmission Rate with ICD R0600 - Dyspnea, unspecified | 12.45 | ||||
| Total Medicare payments at DRG | $155,156,045 | ||||
| Total Medicare payments with ICD R0600 - Dyspnea, unspecified | $29,961,791 | ||||
| Total Medicare payment per Day at DRG | $1,743 | ||||
| Total Medicare payment per Day with ICD R0600 - Dyspnea, unspecified | $1,853 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD R0600 - Dyspnea, unspecified | $4,382 | ||||
| Total Medicare Charges at DRG | $846,379,800 | ||||
| Total Medicare Charges with ICD R0600 - Dyspnea, unspecified | $163,605,960 | ||||
| Avg Charges at DRG | $25,144 | ||||
| Avg Charges with ICD R0600 - Dyspnea, unspecified | $23,926 | ||||
| Mortality Rate at DRG | 1.53 | ||||
| Mortality Rate with ICD R0600 - Dyspnea, unspecified | 1.52 | ||||
| SNF Discharge Rate at DRG | 8.91 | ||||
| SNF Discharge Rate with ICD R0600 - Dyspnea, unspecified | 7.58 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD R0600 - Dyspnea, unspecified | 65.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 313: CHEST PAIN | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 180,138 | ||||
| Total Hospitalizations with ICD R0600 - Dyspnea, unspecified | 2,251 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD R0600 - Dyspnea, unspecified in DRG | 1.95 | ||||
| Avg LOS at DRG | 1.91 | ||||
| Avg LOS with ICD R0600 - Dyspnea, unspecified | 1.87 | ||||
| Readmission Rate at DRG | 16.98 | ||||
| Readmission Rate with ICD R0600 - Dyspnea, unspecified | 14.95 | ||||
| Unplanned Readmission Rate at DRG | 12.86 | ||||
| Unplanned Readmission Rate with ICD R0600 - Dyspnea, unspecified | 10.89 | ||||
| Total Medicare payments at DRG | $645,443,207 | ||||
| Total Medicare payments with ICD R0600 - Dyspnea, unspecified | $7,725,044 | ||||
| Total Medicare payment per Day at DRG | $1,876 | ||||
| Total Medicare payment per Day with ICD R0600 - Dyspnea, unspecified | $1,838 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,583 | ||||
| Total Medicare payment per Hospitalization with ICD R0600 - Dyspnea, unspecified | $3,432 | ||||
| Total Medicare Charges at DRG | $4,502,159,305 | ||||
| Total Medicare Charges with ICD R0600 - Dyspnea, unspecified | $54,942,674 | ||||
| Avg Charges at DRG | $24,993 | ||||
| Avg Charges with ICD R0600 - Dyspnea, unspecified | $24,408 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD R0600 - Dyspnea, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 7.73 | ||||
| SNF Discharge Rate with ICD R0600 - Dyspnea, unspecified | 5.24 | ||||
| Home Discharge Rate at DRG | 72.82 | ||||
| Home Discharge Rate with ICD R0600 - Dyspnea, unspecified | 76.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD R0600 - Dyspnea, unspecified | 1,710 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD R0600 - Dyspnea, unspecified in DRG | 1.48 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD R0600 - Dyspnea, unspecified | 3.98 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD R0600 - Dyspnea, unspecified | 21.03 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD R0600 - Dyspnea, unspecified | 14.21 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD R0600 - Dyspnea, unspecified | $10,032,880 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD R0600 - Dyspnea, unspecified | $1,475 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD R0600 - Dyspnea, unspecified | $5,867 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD R0600 - Dyspnea, unspecified | $51,664,480 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD R0600 - Dyspnea, unspecified | $30,213 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD R0600 - Dyspnea, unspecified | 2.4 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD R0600 - Dyspnea, unspecified | 15.44 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD R0600 - Dyspnea, unspecified | 50.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD R0600 - Dyspnea, unspecified | 1,445 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD R0600 - Dyspnea, unspecified in DRG | 1.25 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD R0600 - Dyspnea, unspecified | 3.25 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD R0600 - Dyspnea, unspecified | 12.16 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD R0600 - Dyspnea, unspecified | 4.08 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD R0600 - Dyspnea, unspecified | $17,147,383 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD R0600 - Dyspnea, unspecified | $3,648 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD R0600 - Dyspnea, unspecified | $11,867 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD R0600 - Dyspnea, unspecified | $86,473,061 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD R0600 - Dyspnea, unspecified | $59,843 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD R0600 - Dyspnea, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R0600 - Dyspnea, unspecified | 32.66 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD R0600 - Dyspnea, unspecified | 25.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 626 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 542 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 443 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VINCENT M SOMAIO | 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 56 |
| Dr. KENNETH L SHAPIRO | 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 51 |
| Dr. ROGER GREGORY GIORDANO | 5700 FITZHUGH AVE | RICHMOND | VA | 23226 | 50 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JASON GRUNES | 250 POND ST | BRAINTREE | MA | 02184 | 112 |
| Dr. PETER JOHN RAPPA | 2301 MARSH LN | PLANO | TX | 75093 | 108 |
| Dr. THOMAS MILTON GANNON | 427 N WILLOW AVE | COOKEVILLE | TN | 38501 | 99 |