*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R062 - Wheezing - as a primary diagnosis code | R062 - Wheezing - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.61 | |
| Readmission Rate (%) | 20.48 | |
| Unplanned Readmission Rate (%) | 15.79 | |
| 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 | |
|---|---|
| Total Hospitalizations at DRG | 33,661 |
| Total Hospitalizations with ICD R062 - Wheezing | 79 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD R062 - Wheezing in DRG | 94.05 |
| Avg LOS at DRG | 2.64 |
| Avg LOS with ICD R062 - Wheezing | 2.62 |
| Readmission Rate at DRG | 19.21 |
| Readmission Rate with ICD R062 - Wheezing | 23.94 |
| Unplanned Readmission Rate at DRG | 13.52 |
| Unplanned Readmission Rate with ICD R062 - Wheezing | 16.9 |
| Total Medicare payments at DRG | $155,156,045 |
| Total Medicare payments with ICD R062 - Wheezing | $402,249 |
| Total Medicare payment per Day at DRG | $1,743 |
| Total Medicare payment per Day with ICD R062 - Wheezing | $1,943 |
| Total Medicare payment per Hospitalization at DRG | $4,609 |
| Total Medicare payment per Hospitalization with ICD R062 - Wheezing | $5,092 |
| Total Medicare Charges at DRG | $846,379,800 |
| Total Medicare Charges with ICD R062 - Wheezing | $1,588,366 |
| Avg Charges at DRG | $25,144 |
| Avg Charges with ICD R062 - Wheezing | $20,106 |
| Mortality Rate at DRG | 1.53 |
| Mortality Rate with ICD R062 - Wheezing | NA |
| SNF Discharge Rate at DRG | 8.91 |
| SNF Discharge Rate with ICD R062 - Wheezing | NA |
| Home Discharge Rate at DRG | 63.79 |
| Home Discharge Rate with ICD R062 - Wheezing | 65.82 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R062 - Wheezing | 889 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R062 - Wheezing in DRG | 4.02 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R062 - Wheezing | 6.49 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R062 - Wheezing | 19.83 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R062 - Wheezing | 15.24 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R062 - Wheezing | $10,444,054 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R062 - Wheezing | $1,810 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R062 - Wheezing | $11,748 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R062 - Wheezing | $48,327,365 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R062 - Wheezing | $54,361 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R062 - Wheezing | 4.61 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R062 - Wheezing | 32.62 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R062 - Wheezing | 28.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD R062 - Wheezing | 542 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD R062 - Wheezing in DRG | 2.45 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD R062 - Wheezing | 15.93 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD R062 - Wheezing | 11.25 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD R062 - Wheezing | 7.43 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD R062 - Wheezing | $11,495,823 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD R062 - Wheezing | $1,332 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD R062 - Wheezing | $21,210 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD R062 - Wheezing | $26,984,591 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD R062 - Wheezing | $49,787 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD R062 - Wheezing | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD R062 - Wheezing | 30.44 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD R062 - Wheezing | 21.96 |
*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 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R062 - Wheezing | 354 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R062 - Wheezing in DRG | 1.6 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R062 - Wheezing | 4.44 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R062 - Wheezing | 23.01 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R062 - Wheezing | 15.34 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R062 - Wheezing | $2,655,488 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R062 - Wheezing | $1,689 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R062 - Wheezing | $7,501 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R062 - Wheezing | $9,737,318 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R062 - Wheezing | $27,507 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R062 - Wheezing | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R062 - Wheezing | 10.17 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R062 - Wheezing | 57.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD R062 - Wheezing | 318 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R062 - Wheezing in DRG | 1.44 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD R062 - Wheezing | 4.97 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD R062 - Wheezing | 16.61 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD R062 - Wheezing | 11.3 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD R062 - Wheezing | $1,887,823 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD R062 - Wheezing | $1,196 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD R062 - Wheezing | $5,937 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD R062 - Wheezing | $8,723,553 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD R062 - Wheezing | $27,433 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD R062 - Wheezing | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD R062 - Wheezing | 21.7 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD R062 - Wheezing | 43.08 |
| 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 | 227 |
| BRECKINRIDGE MEMORIAL HOSPITAL | 1011 OLD HIGHWAY 60 | HARDINSBURG | KY | 40143 | 99 |
| WILLOUGH AT NAPLES | 9001 TAMIAMI TRL E | NAPLES | FL | 34113 | 98 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KURT E. JACOBSON | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 20 |
| Dr. NICHOLAS SHANE KOUNS | 1107 W LEXINGTON AVE | WINCHESTER | KY | 40391 | 18 |
| Dr. ROBERT H ATKINS | 508 DICKSON ST | WELLINGTON | OH | 44090 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BENJAMIN S SMITH | 105 CHAMBLISS DR | HARDINSBURG | KY | 40143 | 83 |
| Dr. NORMA HENRIQUEZ | 9941 SAINT MORITZ DR | MIROMAR LAKES | FL | 33913 | 37 |
| Dr. STEVEN SCHNEIDER | 2725 ENTERPRISE DR | ANDERSON | IN | 46013 | 35 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |