*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R0781 - Pleurodynia - as a primary diagnosis code | R0781 - Pleurodynia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.52 | |
| Readmission Rate (%) | 21.72 | |
| Unplanned Readmission Rate (%) | 15.11 | |
| 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 R0781 - Pleurodynia | 2,798 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD R0781 - Pleurodynia in DRG | 98.24 |
| Avg LOS at DRG | 2.64 |
| Avg LOS with ICD R0781 - Pleurodynia | 2.3 |
| Readmission Rate at DRG | 19.21 |
| Readmission Rate with ICD R0781 - Pleurodynia | 19.68 |
| Unplanned Readmission Rate at DRG | 13.52 |
| Unplanned Readmission Rate with ICD R0781 - Pleurodynia | 15.0 |
| Total Medicare payments at DRG | $155,156,045 |
| Total Medicare payments with ICD R0781 - Pleurodynia | $11,693,946 |
| Total Medicare payment per Day at DRG | $1,743 |
| Total Medicare payment per Day with ICD R0781 - Pleurodynia | $1,815 |
| Total Medicare payment per Hospitalization at DRG | $4,609 |
| Total Medicare payment per Hospitalization with ICD R0781 - Pleurodynia | $4,179 |
| Total Medicare Charges at DRG | $846,379,800 |
| Total Medicare Charges with ICD R0781 - Pleurodynia | $75,126,982 |
| Avg Charges at DRG | $25,144 |
| Avg Charges with ICD R0781 - Pleurodynia | $26,850 |
| Mortality Rate at DRG | 1.53 |
| Mortality Rate with ICD R0781 - Pleurodynia | NA |
| SNF Discharge Rate at DRG | 8.91 |
| SNF Discharge Rate with ICD R0781 - Pleurodynia | 10.97 |
| Home Discharge Rate at DRG | 63.79 |
| Home Discharge Rate with ICD R0781 - Pleurodynia | 69.8 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 14 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 13 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 13 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 33,661 | ||||
| Total Hospitalizations with ICD R0781 - Pleurodynia | 2,940 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD R0781 - Pleurodynia in DRG | 7.1 | ||||
| Avg LOS at DRG | 2.64 | ||||
| Avg LOS with ICD R0781 - Pleurodynia | 2.33 | ||||
| Readmission Rate at DRG | 19.21 | ||||
| Readmission Rate with ICD R0781 - Pleurodynia | 19.81 | ||||
| Unplanned Readmission Rate at DRG | 13.52 | ||||
| Unplanned Readmission Rate with ICD R0781 - Pleurodynia | 15.12 | ||||
| Total Medicare payments at DRG | $155,156,045 | ||||
| Total Medicare payments with ICD R0781 - Pleurodynia | $12,336,323 | ||||
| Total Medicare payment per Day at DRG | $1,743 | ||||
| Total Medicare payment per Day with ICD R0781 - Pleurodynia | $1,803 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD R0781 - Pleurodynia | $4,196 | ||||
| Total Medicare Charges at DRG | $846,379,800 | ||||
| Total Medicare Charges with ICD R0781 - Pleurodynia | $78,963,650 | ||||
| Avg Charges at DRG | $25,144 | ||||
| Avg Charges with ICD R0781 - Pleurodynia | $26,858 | ||||
| Mortality Rate at DRG | 1.53 | ||||
| Mortality Rate with ICD R0781 - Pleurodynia | NA | ||||
| SNF Discharge Rate at DRG | 8.91 | ||||
| SNF Discharge Rate with ICD R0781 - Pleurodynia | 10.75 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD R0781 - Pleurodynia | 69.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R0781 - Pleurodynia | 1,083 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R0781 - Pleurodynia in DRG | 2.62 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R0781 - Pleurodynia | 13.99 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R0781 - Pleurodynia | 26.85 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R0781 - Pleurodynia | 11.55 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R0781 - Pleurodynia | $10,987,206 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R0781 - Pleurodynia | $725 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R0781 - Pleurodynia | $10,145 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R0781 - Pleurodynia | $37,009,942 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R0781 - Pleurodynia | $34,174 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R0781 - Pleurodynia | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R0781 - Pleurodynia | 4.52 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R0781 - Pleurodynia | 77.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 195: SIMPLE PNEUMONIA AND PLEURISY 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) | DRG 312: SYNCOPE AND COLLAPSE | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 147,017 | ||||
| Total Hospitalizations with ICD R0781 - Pleurodynia | 645 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD R0781 - Pleurodynia in DRG | 1.56 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD R0781 - Pleurodynia | 2.82 | ||||
| Readmission Rate at DRG | 11.06 | ||||
| Readmission Rate with ICD R0781 - Pleurodynia | 10.16 | ||||
| Unplanned Readmission Rate at DRG | 7.05 | ||||
| Unplanned Readmission Rate with ICD R0781 - Pleurodynia | 7.1 | ||||
| Total Medicare payments at DRG | $662,922,575 | ||||
| Total Medicare payments with ICD R0781 - Pleurodynia | $2,657,579 | ||||
| Total Medicare payment per Day at DRG | $1,445 | ||||
| Total Medicare payment per Day with ICD R0781 - Pleurodynia | $1,459 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,509 | ||||
| Total Medicare payment per Hospitalization with ICD R0781 - Pleurodynia | $4,120 | ||||
| Total Medicare Charges at DRG | $2,893,146,238 | ||||
| Total Medicare Charges with ICD R0781 - Pleurodynia | $13,836,300 | ||||
| Avg Charges at DRG | $19,679 | ||||
| Avg Charges with ICD R0781 - Pleurodynia | $21,452 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD R0781 - Pleurodynia | NA | ||||
| SNF Discharge Rate at DRG | 13.03 | ||||
| SNF Discharge Rate with ICD R0781 - Pleurodynia | 7.29 | ||||
| Home Discharge Rate at DRG | 62.41 | ||||
| Home Discharge Rate with ICD R0781 - Pleurodynia | 77.21 |
*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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,444 | ||||
| Total Hospitalizations with ICD R0781 - Pleurodynia | 505 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD R0781 - Pleurodynia in DRG | 1.22 | ||||
| Avg LOS at DRG | 2.99 | ||||
| Avg LOS with ICD R0781 - Pleurodynia | 3.08 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD R0781 - Pleurodynia | 16.84 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD R0781 - Pleurodynia | 11.23 | ||||
| Total Medicare payments at DRG | $639,377,802 | ||||
| Total Medicare payments with ICD R0781 - Pleurodynia | $2,204,067 | ||||
| Total Medicare payment per Day at DRG | $1,479 | ||||
| Total Medicare payment per Day with ICD R0781 - Pleurodynia | $1,416 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,426 | ||||
| Total Medicare payment per Hospitalization with ICD R0781 - Pleurodynia | $4,364 | ||||
| Total Medicare Charges at DRG | $2,994,885,256 | ||||
| Total Medicare Charges with ICD R0781 - Pleurodynia | $11,754,334 | ||||
| Avg Charges at DRG | $20,734 | ||||
| Avg Charges with ICD R0781 - Pleurodynia | $23,276 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R0781 - Pleurodynia | NA | ||||
| SNF Discharge Rate at DRG | 6.05 | ||||
| SNF Discharge Rate with ICD R0781 - Pleurodynia | 3.96 | ||||
| Home Discharge Rate at DRG | 72.34 | ||||
| Home Discharge Rate with ICD R0781 - Pleurodynia | 78.02 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 157 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 107 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 105 |
| 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 | 39 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 19 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BHARAT K PATEL | 12 HOSPITAL DR | METROPOLIS | IL | 62960 | 75 |
| Dr. SUBROTO PAUL | 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 38 |
| Dr. HUGH D NEWMAN | 2005 VALLEY VIEW BLVD | ALTOONA | PA | 16602 | 26 |