*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R0689 - Other abnormalities of breathing - as a primary diagnosis code | R0689 - Other abnormalities of breathing - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.09 | |
| Readmission Rate (%) | 24.94 | |
| Unplanned Readmission Rate (%) | 17.32 | |
| 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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|
| Total Hospitalizations at DRG | 33,661 | ||
| Total Hospitalizations with ICD R0689 - Other abnormalities of breathing | 635 | ||
| DRG Share of Total Hospitalizations | 0.1 | ||
| % of Total ICD R0689 - Other abnormalities of breathing in DRG | 89.56 | ||
| Avg LOS at DRG | 2.64 | ||
| Avg LOS with ICD R0689 - Other abnormalities of breathing | 4.17 | ||
| Readmission Rate at DRG | 19.21 | ||
| Readmission Rate with ICD R0689 - Other abnormalities of breathing | 25.04 | ||
| Unplanned Readmission Rate at DRG | 13.52 | ||
| Unplanned Readmission Rate with ICD R0689 - Other abnormalities of breathing | 17.86 | ||
| Total Medicare payments at DRG | $155,156,045 | ||
| Total Medicare payments with ICD R0689 - Other abnormalities of breathing | $3,975,072 | ||
| Total Medicare payment per Day at DRG | $1,743 | ||
| Total Medicare payment per Day with ICD R0689 - Other abnormalities of breathing | $1,503 | ||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||
| Total Medicare payment per Hospitalization with ICD R0689 - Other abnormalities of breathing | $6,260 | ||
| Total Medicare Charges at DRG | $846,379,800 | ||
| Total Medicare Charges with ICD R0689 - Other abnormalities of breathing | $19,453,350 | ||
| Avg Charges at DRG | $25,144 | ||
| Avg Charges with ICD R0689 - Other abnormalities of breathing | $30,635 | ||
| Mortality Rate at DRG | 1.53 | ||
| Mortality Rate with ICD R0689 - Other abnormalities of breathing | 2.68 | ||
| SNF Discharge Rate at DRG | 8.91 | ||
| SNF Discharge Rate with ICD R0689 - Other abnormalities of breathing | 19.37 | ||
| Home Discharge Rate at DRG | 63.79 | ||
| Home Discharge Rate with ICD R0689 - Other abnormalities of breathing | 42.2 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LEHIGH VALLEY HOSPITAL - MUHLENBERG | 2545 SCHOENERSVILLE RD | BETHLEHEM | PA | 18017 | 13 |
| WELLSTAR KENNESTONE HOSPITAL | 677 CHURCH ST NE | MARIETTA | GA | 30060 | 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 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R0689 - Other abnormalities of breathing | 4,779 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R0689 - Other abnormalities of breathing in DRG | 5.6 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R0689 - Other abnormalities of breathing | 6.98 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R0689 - Other abnormalities of breathing | 24.87 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R0689 - Other abnormalities of breathing | 17.09 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R0689 - Other abnormalities of breathing | $57,815,887 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R0689 - Other abnormalities of breathing | $1,733 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R0689 - Other abnormalities of breathing | $12,098 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R0689 - Other abnormalities of breathing | $319,568,998 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R0689 - Other abnormalities of breathing | $66,869 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R0689 - Other abnormalities of breathing | 9.12 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R0689 - Other abnormalities of breathing | 29.25 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R0689 - Other abnormalities of breathing | 27.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD R0689 - Other abnormalities of breathing | 2,188 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD R0689 - Other abnormalities of breathing in DRG | 2.57 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD R0689 - Other abnormalities of breathing | 4.73 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD R0689 - Other abnormalities of breathing | 24.29 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD R0689 - Other abnormalities of breathing | 18.46 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD R0689 - Other abnormalities of breathing | $14,405,427 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD R0689 - Other abnormalities of breathing | $1,392 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD R0689 - Other abnormalities of breathing | $6,584 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD R0689 - Other abnormalities of breathing | $81,515,659 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD R0689 - Other abnormalities of breathing | $37,256 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD R0689 - Other abnormalities of breathing | 1.23 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD R0689 - Other abnormalities of breathing | 18.1 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD R0689 - Other abnormalities of breathing | 41.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 234: CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,444 | ||||
| Total Hospitalizations with ICD R0689 - Other abnormalities of breathing | 1,359 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD R0689 - Other abnormalities of breathing in DRG | 1.59 | ||||
| Avg LOS at DRG | 2.99 | ||||
| Avg LOS with ICD R0689 - Other abnormalities of breathing | 3.37 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD R0689 - Other abnormalities of breathing | 17.31 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD R0689 - Other abnormalities of breathing | 12.6 | ||||
| Total Medicare payments at DRG | $639,377,802 | ||||
| Total Medicare payments with ICD R0689 - Other abnormalities of breathing | $6,152,094 | ||||
| Total Medicare payment per Day at DRG | $1,479 | ||||
| Total Medicare payment per Day with ICD R0689 - Other abnormalities of breathing | $1,342 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,426 | ||||
| Total Medicare payment per Hospitalization with ICD R0689 - Other abnormalities of breathing | $4,527 | ||||
| Total Medicare Charges at DRG | $2,994,885,256 | ||||
| Total Medicare Charges with ICD R0689 - Other abnormalities of breathing | $35,094,255 | ||||
| Avg Charges at DRG | $20,734 | ||||
| Avg Charges with ICD R0689 - Other abnormalities of breathing | $25,824 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R0689 - Other abnormalities of breathing | 0.88 | ||||
| SNF Discharge Rate at DRG | 6.05 | ||||
| SNF Discharge Rate with ICD R0689 - Other abnormalities of breathing | 7.73 | ||||
| Home Discharge Rate at DRG | 72.34 | ||||
| Home Discharge Rate with ICD R0689 - Other abnormalities of breathing | 67.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH 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 | 120,026 | ||||
| Total Hospitalizations with ICD R0689 - Other abnormalities of breathing | 857 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD R0689 - Other abnormalities of breathing in DRG | 1.0 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD R0689 - Other abnormalities of breathing | 4.13 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD R0689 - Other abnormalities of breathing | 16.14 | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD R0689 - Other abnormalities of breathing | 13.47 | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD R0689 - Other abnormalities of breathing | $4,632,522 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD R0689 - Other abnormalities of breathing | $1,309 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD R0689 - Other abnormalities of breathing | $5,406 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD R0689 - Other abnormalities of breathing | $31,812,693 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD R0689 - Other abnormalities of breathing | $37,121 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R0689 - Other abnormalities of breathing | NA | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD R0689 - Other abnormalities of breathing | 12.72 | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD R0689 - Other abnormalities of breathing | 62.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WELLSTAR KENNESTONE HOSPITAL | 677 CHURCH ST NE | MARIETTA | GA | 30060 | 2,248 |
| UCHEALTH UNIVERSITY OF COLORADO HOSPITAL | 12605 E 16TH AVE | AURORA | CO | 80045 | 737 |
| OSF SAINT FRANCIS MEDICAL CENTER | 530 NE GLEN OAK AVE | PEORIA | IL | 61637 | 681 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD J. MYUNG | 61 WHITCHER ST NE | MARIETTA | GA | 30060 | 186 |
| Dr. TIMOTHY J KROSHUS | 640 JACKSON ST - MC 11503K | ST. PAUL | MN | 55101 | 116 |
| Dr. MICHAEL E SEKELA | 1401 HARRODSBURG RD | LEXINGTON | KY | 40504 | 109 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TONYA C WASHBURN | 721 NW 6TH ST | OKLAHOMA CITY | OK | 73102 | 221 |
| Dr. SONIA EZRA CAMPHOR | 3723 TREBOURNE SQ SE | SMYRNA | GA | 30080 | 166 |
| Dr. JASBIR SINGH TIWANA | 1172 SWALLOW LN | SIMI VALLEY | CA | 93065 | 137 |