*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R0602 - Shortness of breath - as a primary diagnosis code | R0602 - Shortness of breath - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.92 | |
| Readmission Rate (%) | 20.87 | |
| Unplanned Readmission Rate (%) | 13.56 | |
| 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 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 33,661 | ||||
| Total Hospitalizations with ICD R0602 - Shortness of breath | 8,717 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD R0602 - Shortness of breath in DRG | 97.36 | ||||
| Avg LOS at DRG | 2.64 | ||||
| Avg LOS with ICD R0602 - Shortness of breath | 2.34 | ||||
| Readmission Rate at DRG | 19.21 | ||||
| Readmission Rate with ICD R0602 - Shortness of breath | 19.01 | ||||
| Unplanned Readmission Rate at DRG | 13.52 | ||||
| Unplanned Readmission Rate with ICD R0602 - Shortness of breath | 13.36 | ||||
| Total Medicare payments at DRG | $155,156,045 | ||||
| Total Medicare payments with ICD R0602 - Shortness of breath | $40,262,577 | ||||
| Total Medicare payment per Day at DRG | $1,743 | ||||
| Total Medicare payment per Day with ICD R0602 - Shortness of breath | $1,974 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD R0602 - Shortness of breath | $4,619 | ||||
| Total Medicare Charges at DRG | $846,379,800 | ||||
| Total Medicare Charges with ICD R0602 - Shortness of breath | $205,439,641 | ||||
| Avg Charges at DRG | $25,144 | ||||
| Avg Charges with ICD R0602 - Shortness of breath | $23,568 | ||||
| Mortality Rate at DRG | 1.53 | ||||
| Mortality Rate with ICD R0602 - Shortness of breath | 0.7 | ||||
| SNF Discharge Rate at DRG | 8.91 | ||||
| SNF Discharge Rate with ICD R0602 - Shortness of breath | 7.94 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD R0602 - Shortness of breath | 64.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 982: EXTENSIVE O.R. PROCEDURE 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 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 52,726 | ||
| Total Hospitalizations with ICD R0602 - Shortness of breath | 23 | ||
| DRG Share of Total Hospitalizations | 0.16 | ||
| % of Total ICD R0602 - Shortness of breath in DRG | 0.26 | ||
| Avg LOS at DRG | 6.68 | ||
| Avg LOS with ICD R0602 - Shortness of breath | 3.39 | ||
| Readmission Rate at DRG | 24.76 | ||
| Readmission Rate with ICD R0602 - Shortness of breath | NA | ||
| Unplanned Readmission Rate at DRG | 14.45 | ||
| Unplanned Readmission Rate with ICD R0602 - Shortness of breath | NA | ||
| Total Medicare payments at DRG | $902,862,104 | ||
| Total Medicare payments with ICD R0602 - Shortness of breath | $370,973 | ||
| Total Medicare payment per Day at DRG | $2,565 | ||
| Total Medicare payment per Day with ICD R0602 - Shortness of breath | $4,756 | ||
| Total Medicare payment per Hospitalization at DRG | $17,124 | ||
| Total Medicare payment per Hospitalization with ICD R0602 - Shortness of breath | $16,129 | ||
| Total Medicare Charges at DRG | $4,216,562,728 | ||
| Total Medicare Charges with ICD R0602 - Shortness of breath | $1,255,091 | ||
| Avg Charges at DRG | $79,971 | ||
| Avg Charges with ICD R0602 - Shortness of breath | $54,569 | ||
| Mortality Rate at DRG | 0.83 | ||
| Mortality Rate with ICD R0602 - Shortness of breath | NA | ||
| SNF Discharge Rate at DRG | 22.41 | ||
| SNF Discharge Rate with ICD R0602 - Shortness of breath | NA | ||
| Home Discharge Rate at DRG | 43.51 | ||
| Home Discharge Rate with ICD R0602 - Shortness of breath | 65.22 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 69 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 67 |
| WEST RIVER REGIONAL MEDICAL CENTER-CAH | 1000 HIGHWAY 12 | HETTINGER | ND | 58639 | 62 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CATHERINE E SHIREK | 1000 HIGHWAY 12 | HETTINGER | ND | 58639 | 17 |
| Dr. BRIAN G WILLOUGHBY | 1000 HIGHWAY 12 | HETTINGER | ND | 58639 | 16 |
| Dr. RICHARD A SHLOFMITZ | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 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 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 313: CHEST PAIN | 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 R0602 - Shortness of breath | 9,481 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD R0602 - Shortness of breath in DRG | 6.59 | ||||
| Avg LOS at DRG | 2.64 | ||||
| Avg LOS with ICD R0602 - Shortness of breath | 2.35 | ||||
| Readmission Rate at DRG | 19.21 | ||||
| Readmission Rate with ICD R0602 - Shortness of breath | 18.85 | ||||
| Unplanned Readmission Rate at DRG | 13.52 | ||||
| Unplanned Readmission Rate with ICD R0602 - Shortness of breath | 13.09 | ||||
| Total Medicare payments at DRG | $155,156,045 | ||||
| Total Medicare payments with ICD R0602 - Shortness of breath | $44,008,000 | ||||
| Total Medicare payment per Day at DRG | $1,743 | ||||
| Total Medicare payment per Day with ICD R0602 - Shortness of breath | $1,978 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD R0602 - Shortness of breath | $4,642 | ||||
| Total Medicare Charges at DRG | $846,379,800 | ||||
| Total Medicare Charges with ICD R0602 - Shortness of breath | $222,638,380 | ||||
| Avg Charges at DRG | $25,144 | ||||
| Avg Charges with ICD R0602 - Shortness of breath | $23,483 | ||||
| Mortality Rate at DRG | 1.53 | ||||
| Mortality Rate with ICD R0602 - Shortness of breath | 0.72 | ||||
| SNF Discharge Rate at DRG | 8.91 | ||||
| SNF Discharge Rate with ICD R0602 - Shortness of breath | 7.96 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD R0602 - Shortness of breath | 64.71 |
*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 885: PSYCHOSES | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R0602 - Shortness of breath | 3,010 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R0602 - Shortness of breath in DRG | 2.09 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R0602 - Shortness of breath | 5.63 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R0602 - Shortness of breath | 22.59 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R0602 - Shortness of breath | 16.33 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R0602 - Shortness of breath | $34,455,938 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R0602 - Shortness of breath | $2,033 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R0602 - Shortness of breath | $11,447 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R0602 - Shortness of breath | $139,904,540 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R0602 - Shortness of breath | $46,480 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R0602 - Shortness of breath | 9.44 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R0602 - Shortness of breath | 19.93 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R0602 - Shortness of breath | 35.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 209,527 | ||||
| Total Hospitalizations with ICD R0602 - Shortness of breath | 2,339 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD R0602 - Shortness of breath in DRG | 1.63 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD R0602 - Shortness of breath | 2.58 | ||||
| Readmission Rate at DRG | 15.34 | ||||
| Readmission Rate with ICD R0602 - Shortness of breath | 11.93 | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD R0602 - Shortness of breath | 7.64 | ||||
| Total Medicare payments at DRG | $1,394,352,541 | ||||
| Total Medicare payments with ICD R0602 - Shortness of breath | $14,720,656 | ||||
| Total Medicare payment per Day at DRG | $2,234 | ||||
| Total Medicare payment per Day with ICD R0602 - Shortness of breath | $2,444 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,655 | ||||
| Total Medicare payment per Hospitalization with ICD R0602 - Shortness of breath | $6,294 | ||||
| Total Medicare Charges at DRG | $9,726,714,225 | ||||
| Total Medicare Charges with ICD R0602 - Shortness of breath | $98,790,352 | ||||
| Avg Charges at DRG | $46,422 | ||||
| Avg Charges with ICD R0602 - Shortness of breath | $42,236 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD R0602 - Shortness of breath | NA | ||||
| SNF Discharge Rate at DRG | 3.41 | ||||
| SNF Discharge Rate with ICD R0602 - Shortness of breath | 1.92 | ||||
| Home Discharge Rate at DRG | 79.22 | ||||
| Home Discharge Rate with ICD R0602 - Shortness of breath | 85.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 160,950 | ||||
| Total Hospitalizations with ICD R0602 - Shortness of breath | 2,059 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD R0602 - Shortness of breath in DRG | 1.43 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD R0602 - Shortness of breath | 4.9 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD R0602 - Shortness of breath | 20.49 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD R0602 - Shortness of breath | 12.64 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD R0602 - Shortness of breath | $15,562,219 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD R0602 - Shortness of breath | $1,541 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD R0602 - Shortness of breath | $7,558 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD R0602 - Shortness of breath | $52,596,063 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD R0602 - Shortness of breath | $25,544 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD R0602 - Shortness of breath | 0.87 | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD R0602 - Shortness of breath | 15.44 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD R0602 - Shortness of breath | 40.6 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| KING'S DAUGHTERS MEDICAL CENTER | 2201 LEXINGTON AVE | ASHLAND | KY | 41101 | 1,394 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 1,031 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 657 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NICHOLAS SHANE KOUNS | 1107 W LEXINGTON AVE | WINCHESTER | KY | 40391 | 97 |
| Dr. RICHARD B PERKINS | 310 E 9TH ST | LONDON | KY | 40741 | 89 |
| Dr. YONG S KWON | 1695 E RAINFOREST RD | FAYETTEVILLE | AR | 72703 | 84 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARRISON CLAY CARTER | 1126 W 12TH ST | ALMA | GA | 31510 | 310 |
| Dr. DEREK S SCOTT | 2727 S. PENNSYLVANIA AVE | LANSING | MI | 48910 | 270 |
| Dr. BHARAT K PATEL | 12 HOSPITAL DR | METROPOLIS | IL | 62960 | 207 |