*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R071 - Chest pain on breathing - as a primary diagnosis code | R071 - Chest pain on breathing - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.59 | |
| Readmission Rate (%) | 21.31 | |
| Unplanned Readmission Rate (%) | 14.69 | |
| 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 R071 - Chest pain on breathing | 641 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD R071 - Chest pain on breathing in DRG | 98.46 |
| Avg LOS at DRG | 2.64 |
| Avg LOS with ICD R071 - Chest pain on breathing | 2.15 |
| Readmission Rate at DRG | 19.21 |
| Readmission Rate with ICD R071 - Chest pain on breathing | 18.39 |
| Unplanned Readmission Rate at DRG | 13.52 |
| Unplanned Readmission Rate with ICD R071 - Chest pain on breathing | 14.55 |
| Total Medicare payments at DRG | $155,156,045 |
| Total Medicare payments with ICD R071 - Chest pain on breathing | $2,623,454 |
| Total Medicare payment per Day at DRG | $1,743 |
| Total Medicare payment per Day with ICD R071 - Chest pain on breathing | $1,902 |
| Total Medicare payment per Hospitalization at DRG | $4,609 |
| Total Medicare payment per Hospitalization with ICD R071 - Chest pain on breathing | $4,093 |
| Total Medicare Charges at DRG | $846,379,800 |
| Total Medicare Charges with ICD R071 - Chest pain on breathing | $15,454,254 |
| Avg Charges at DRG | $25,144 |
| Avg Charges with ICD R071 - Chest pain on breathing | $24,110 |
| Mortality Rate at DRG | 1.53 |
| Mortality Rate with ICD R071 - Chest pain on breathing | NA |
| SNF Discharge Rate at DRG | 8.91 |
| SNF Discharge Rate with ICD R071 - Chest pain on breathing | 8.42 |
| Home Discharge Rate at DRG | 63.79 |
| Home Discharge Rate with ICD R071 - Chest pain on breathing | 74.1 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 33,661 | ||||
| Total Hospitalizations with ICD R071 - Chest pain on breathing | 687 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD R071 - Chest pain on breathing in DRG | 13.17 | ||||
| Avg LOS at DRG | 2.64 | ||||
| Avg LOS with ICD R071 - Chest pain on breathing | 2.19 | ||||
| Readmission Rate at DRG | 19.21 | ||||
| Readmission Rate with ICD R071 - Chest pain on breathing | 17.78 | ||||
| Unplanned Readmission Rate at DRG | 13.52 | ||||
| Unplanned Readmission Rate with ICD R071 - Chest pain on breathing | 13.88 | ||||
| Total Medicare payments at DRG | $155,156,045 | ||||
| Total Medicare payments with ICD R071 - Chest pain on breathing | $2,829,233 | ||||
| Total Medicare payment per Day at DRG | $1,743 | ||||
| Total Medicare payment per Day with ICD R071 - Chest pain on breathing | $1,882 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD R071 - Chest pain on breathing | $4,118 | ||||
| Total Medicare Charges at DRG | $846,379,800 | ||||
| Total Medicare Charges with ICD R071 - Chest pain on breathing | $16,599,728 | ||||
| Avg Charges at DRG | $25,144 | ||||
| Avg Charges with ICD R071 - Chest pain on breathing | $24,163 | ||||
| Mortality Rate at DRG | 1.53 | ||||
| Mortality Rate with ICD R071 - Chest pain on breathing | NA | ||||
| SNF Discharge Rate at DRG | 8.91 | ||||
| SNF Discharge Rate with ICD R071 - Chest pain on breathing | 7.86 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD R071 - Chest pain on breathing | 74.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD R071 - Chest pain on breathing | 137 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD R071 - Chest pain on breathing in DRG | 2.63 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD R071 - Chest pain on breathing | 5.09 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD R071 - Chest pain on breathing | 21.95 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD R071 - Chest pain on breathing | 15.45 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD R071 - Chest pain on breathing | $1,236,588 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD R071 - Chest pain on breathing | $1,772 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD R071 - Chest pain on breathing | $9,026 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD R071 - Chest pain on breathing | $4,873,080 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD R071 - Chest pain on breathing | $35,570 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD R071 - Chest pain on breathing | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD R071 - Chest pain on breathing | 14.6 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD R071 - Chest pain on breathing | 56.2 |
*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 313: CHEST PAIN | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,444 | ||||
| Total Hospitalizations with ICD R071 - Chest pain on breathing | 89 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD R071 - Chest pain on breathing in DRG | 1.71 | ||||
| Avg LOS at DRG | 2.99 | ||||
| Avg LOS with ICD R071 - Chest pain on breathing | 2.78 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD R071 - Chest pain on breathing | 16.47 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD R071 - Chest pain on breathing | NA | ||||
| Total Medicare payments at DRG | $639,377,802 | ||||
| Total Medicare payments with ICD R071 - Chest pain on breathing | $420,051 | ||||
| Total Medicare payment per Day at DRG | $1,479 | ||||
| Total Medicare payment per Day with ICD R071 - Chest pain on breathing | $1,701 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,426 | ||||
| Total Medicare payment per Hospitalization with ICD R071 - Chest pain on breathing | $4,720 | ||||
| Total Medicare Charges at DRG | $2,994,885,256 | ||||
| Total Medicare Charges with ICD R071 - Chest pain on breathing | $1,855,995 | ||||
| Avg Charges at DRG | $20,734 | ||||
| Avg Charges with ICD R071 - Chest pain on breathing | $20,854 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R071 - Chest pain on breathing | NA | ||||
| SNF Discharge Rate at DRG | 6.05 | ||||
| SNF Discharge Rate with ICD R071 - Chest pain on breathing | NA | ||||
| Home Discharge Rate at DRG | 72.34 | ||||
| Home Discharge Rate with ICD R071 - Chest pain on breathing | 78.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R071 - Chest pain on breathing | 59 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R071 - Chest pain on breathing in DRG | 1.13 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R071 - Chest pain on breathing | 3.66 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R071 - Chest pain on breathing | 22.41 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R071 - Chest pain on breathing | NA | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R071 - Chest pain on breathing | $262,160 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R071 - Chest pain on breathing | $1,214 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R071 - Chest pain on breathing | $4,443 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R071 - Chest pain on breathing | $1,686,747 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R071 - Chest pain on breathing | $28,589 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R071 - Chest pain on breathing | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R071 - Chest pain on breathing | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R071 - Chest pain on breathing | 66.1 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SAINT BARNABAS MEDICAL CENTER | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 48 |
| UPMC PASSAVANT | 9100 BABCOCK BLVD | PITTSBURGH | PA | 15237 | 31 |
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SUBROTO PAUL | 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SUBROTO PAUL | 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 29 |
| Dr. JAMES SCOTT CROCKETT | 307 LIVE OAK ST | MARLIN | TX | 76661 | 14 |
| Dr. DILEEP C BHATELEY | 307 LIVE OAK ST | MARLIN | TX | 76661 | 11 |