*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R063 - Periodic breathing - as a primary diagnosis code | R063 - Periodic breathing - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.31 | |
| Readmission Rate (%) | 25.08 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 R063 - Periodic breathing | 13 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD R063 - Periodic breathing in DRG | 100.0 |
| Avg LOS at DRG | 2.64 |
| Avg LOS with ICD R063 - Periodic breathing | 2.31 |
| Readmission Rate at DRG | 19.21 |
| Readmission Rate with ICD R063 - Periodic breathing | NA |
| Unplanned Readmission Rate at DRG | 13.52 |
| Unplanned Readmission Rate with ICD R063 - Periodic breathing | NA |
| Total Medicare payments at DRG | $155,156,045 |
| Total Medicare payments with ICD R063 - Periodic breathing | $60,415 |
| Total Medicare payment per Day at DRG | $1,743 |
| Total Medicare payment per Day with ICD R063 - Periodic breathing | $2,014 |
| Total Medicare payment per Hospitalization at DRG | $4,609 |
| Total Medicare payment per Hospitalization with ICD R063 - Periodic breathing | $4,647 |
| Total Medicare Charges at DRG | $846,379,800 |
| Total Medicare Charges with ICD R063 - Periodic breathing | $249,193 |
| Avg Charges at DRG | $25,144 |
| Avg Charges with ICD R063 - Periodic breathing | $19,169 |
| Mortality Rate at DRG | 1.53 |
| Mortality Rate with ICD R063 - Periodic breathing | NA |
| SNF Discharge Rate at DRG | 8.91 |
| SNF Discharge Rate with ICD R063 - Periodic breathing | NA |
| Home Discharge Rate at DRG | 63.79 |
| Home Discharge Rate with ICD R063 - Periodic breathing | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD R063 - Periodic breathing | 343 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD R063 - Periodic breathing in DRG | 11.05 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD R063 - Periodic breathing | 8.51 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD R063 - Periodic breathing | 20.94 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD R063 - Periodic breathing | 8.38 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD R063 - Periodic breathing | $4,636,270 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD R063 - Periodic breathing | $1,588 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD R063 - Periodic breathing | $13,517 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD R063 - Periodic breathing | $22,590,879 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD R063 - Periodic breathing | $65,863 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD R063 - Periodic breathing | 42.27 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD R063 - Periodic breathing | 16.33 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD R063 - Periodic breathing | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD R063 - Periodic breathing | 71 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD R063 - Periodic breathing in DRG | 2.29 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD R063 - Periodic breathing | 7.72 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD R063 - Periodic breathing | 25.49 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD R063 - Periodic breathing | NA | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD R063 - Periodic breathing | $878,928 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD R063 - Periodic breathing | $1,604 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD R063 - Periodic breathing | $12,379 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD R063 - Periodic breathing | $4,165,498 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD R063 - Periodic breathing | $58,669 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD R063 - Periodic breathing | 23.94 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD R063 - Periodic breathing | 22.54 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD R063 - Periodic breathing | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 023: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,461 | ||||
| Total Hospitalizations with ICD R063 - Periodic breathing | 54 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD R063 - Periodic breathing in DRG | 1.74 | ||||
| Avg LOS at DRG | 10.08 | ||||
| Avg LOS with ICD R063 - Periodic breathing | 11.56 | ||||
| Readmission Rate at DRG | 51.13 | ||||
| Readmission Rate with ICD R063 - Periodic breathing | 53.85 | ||||
| Unplanned Readmission Rate at DRG | 8.51 | ||||
| Unplanned Readmission Rate with ICD R063 - Periodic breathing | NA | ||||
| Total Medicare payments at DRG | $1,065,644,894 | ||||
| Total Medicare payments with ICD R063 - Periodic breathing | $2,064,814 | ||||
| Total Medicare payment per Day at DRG | $3,715 | ||||
| Total Medicare payment per Day with ICD R063 - Periodic breathing | $3,309 | ||||
| Total Medicare payment per Hospitalization at DRG | $37,442 | ||||
| Total Medicare payment per Hospitalization with ICD R063 - Periodic breathing | $38,237 | ||||
| Total Medicare Charges at DRG | $5,534,780,189 | ||||
| Total Medicare Charges with ICD R063 - Periodic breathing | $11,258,044 | ||||
| Avg Charges at DRG | $194,469 | ||||
| Avg Charges with ICD R063 - Periodic breathing | $208,482 | ||||
| Mortality Rate at DRG | 28.59 | ||||
| Mortality Rate with ICD R063 - Periodic breathing | 25.93 | ||||
| SNF Discharge Rate at DRG | 19.38 | ||||
| SNF Discharge Rate with ICD R063 - Periodic breathing | 35.19 | ||||
| Home Discharge Rate at DRG | 5.45 | ||||
| Home Discharge Rate with ICD R063 - Periodic breathing | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD R063 - Periodic breathing | 33 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD R063 - Periodic breathing in DRG | 1.06 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD R063 - Periodic breathing | 7.55 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD R063 - Periodic breathing | NA | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD R063 - Periodic breathing | NA | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD R063 - Periodic breathing | $233,885 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD R063 - Periodic breathing | $939 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD R063 - Periodic breathing | $7,087 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD R063 - Periodic breathing | $1,655,632 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD R063 - Periodic breathing | $50,171 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD R063 - Periodic breathing | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD R063 - Periodic breathing | 33.33 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD R063 - Periodic breathing | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 32 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 32 |
| CALVARY HOSPITAL | 1740 EASTCHESTER RD | BRONX | NY | 10461 | 24 |