*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R0902 - Hypoxemia - as a primary diagnosis code | R0902 - Hypoxemia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.38 | |
| Readmission Rate (%) | 21.08 | |
| Unplanned Readmission Rate (%) | 12.2 | |
| 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 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,500 | ||||
| Total Hospitalizations with ICD R0902 - Hypoxemia | 6,394 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD R0902 - Hypoxemia in DRG | 72.61 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD R0902 - Hypoxemia | 2.49 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD R0902 - Hypoxemia | 17.5 | ||||
| Unplanned Readmission Rate at DRG | 12.31 | ||||
| Unplanned Readmission Rate with ICD R0902 - Hypoxemia | 11.42 | ||||
| Total Medicare payments at DRG | $186,659,137 | ||||
| Total Medicare payments with ICD R0902 - Hypoxemia | $31,710,477 | ||||
| Total Medicare payment per Day at DRG | $1,763 | ||||
| Total Medicare payment per Day with ICD R0902 - Hypoxemia | $1,988 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,258 | ||||
| Total Medicare payment per Hospitalization with ICD R0902 - Hypoxemia | $4,959 | ||||
| Total Medicare Charges at DRG | $1,018,696,754 | ||||
| Total Medicare Charges with ICD R0902 - Hypoxemia | $133,873,114 | ||||
| Avg Charges at DRG | $28,696 | ||||
| Avg Charges with ICD R0902 - Hypoxemia | $20,937 | ||||
| Mortality Rate at DRG | 0.69 | ||||
| Mortality Rate with ICD R0902 - Hypoxemia | 1.19 | ||||
| SNF Discharge Rate at DRG | 17.76 | ||||
| SNF Discharge Rate with ICD R0902 - Hypoxemia | 17.44 | ||||
| Home Discharge Rate at DRG | 54.9 | ||||
| Home Discharge Rate with ICD R0902 - Hypoxemia | 49.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD R0902 - Hypoxemia | 44 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD R0902 - Hypoxemia in DRG | 0.5 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD R0902 - Hypoxemia | 4.68 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD R0902 - Hypoxemia | NA | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD R0902 - Hypoxemia | NA | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD R0902 - Hypoxemia | $1,029,936 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD R0902 - Hypoxemia | $5,000 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD R0902 - Hypoxemia | $23,408 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD R0902 - Hypoxemia | $2,908,422 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD R0902 - Hypoxemia | $66,101 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD R0902 - Hypoxemia | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD R0902 - Hypoxemia | 27.27 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD R0902 - Hypoxemia | 45.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 10,403 | |
| Total Hospitalizations with ICD R0902 - Hypoxemia | 19 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD R0902 - Hypoxemia in DRG | 0.22 | |
| Avg LOS at DRG | 3.0 | |
| Avg LOS with ICD R0902 - Hypoxemia | 2.16 | |
| Readmission Rate at DRG | 11.25 | |
| Readmission Rate with ICD R0902 - Hypoxemia | NA | |
| Unplanned Readmission Rate at DRG | 6.64 | |
| Unplanned Readmission Rate with ICD R0902 - Hypoxemia | NA | |
| Total Medicare payments at DRG | $81,324,379 | |
| Total Medicare payments with ICD R0902 - Hypoxemia | $131,761 | |
| Total Medicare payment per Day at DRG | $2,602 | |
| Total Medicare payment per Day with ICD R0902 - Hypoxemia | $3,214 | |
| Total Medicare payment per Hospitalization at DRG | $7,817 | |
| Total Medicare payment per Hospitalization with ICD R0902 - Hypoxemia | $6,935 | |
| Total Medicare Charges at DRG | $497,200,815 | |
| Total Medicare Charges with ICD R0902 - Hypoxemia | $685,623 | |
| Avg Charges at DRG | $47,794 | |
| Avg Charges with ICD R0902 - Hypoxemia | $36,085 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD R0902 - Hypoxemia | NA | |
| SNF Discharge Rate at DRG | 3.03 | |
| SNF Discharge Rate with ICD R0902 - Hypoxemia | NA | |
| Home Discharge Rate at DRG | 80.29 | |
| Home Discharge Rate with ICD R0902 - Hypoxemia | 84.21 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 69 |
| STRONG MEMORIAL HOSPITAL | 601 ELMWOOD AVE | ROCHESTER | NY | 14642 | 53 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRIAN T ODONOGHUE | 124 WEST 3RD ST | HARDINSBURG | KY | 40143 | 17 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R0902 - Hypoxemia | 85,673 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R0902 - Hypoxemia in DRG | 8.29 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R0902 - Hypoxemia | 5.67 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R0902 - Hypoxemia | 19.91 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R0902 - Hypoxemia | 14.5 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R0902 - Hypoxemia | $988,410,826 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R0902 - Hypoxemia | $2,036 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R0902 - Hypoxemia | $11,537 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R0902 - Hypoxemia | $4,122,441,510 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R0902 - Hypoxemia | $48,118 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R0902 - Hypoxemia | 7.68 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R0902 - Hypoxemia | 27.89 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R0902 - Hypoxemia | 30.5 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD R0902 - Hypoxemia | 35,485 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD R0902 - Hypoxemia in DRG | 3.43 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD R0902 - Hypoxemia | 4.18 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD R0902 - Hypoxemia | 21.53 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD R0902 - Hypoxemia | 16.09 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD R0902 - Hypoxemia | $224,793,915 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD R0902 - Hypoxemia | $1,516 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD R0902 - Hypoxemia | $6,335 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD R0902 - Hypoxemia | $1,009,930,510 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD R0902 - Hypoxemia | $28,461 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD R0902 - Hypoxemia | 1.3 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD R0902 - Hypoxemia | 19.56 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD R0902 - Hypoxemia | 42.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R0902 - Hypoxemia | 16,466 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R0902 - Hypoxemia in DRG | 1.59 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R0902 - Hypoxemia | 4.43 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R0902 - Hypoxemia | 16.28 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R0902 - Hypoxemia | 11.68 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R0902 - Hypoxemia | $111,004,269 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R0902 - Hypoxemia | $1,521 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R0902 - Hypoxemia | $6,741 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R0902 - Hypoxemia | $576,041,157 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R0902 - Hypoxemia | $34,984 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R0902 - Hypoxemia | 2.73 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R0902 - Hypoxemia | 23.08 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R0902 - Hypoxemia | 43.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 103,915 | ||||
| Total Hospitalizations with ICD R0902 - Hypoxemia | 11,769 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD R0902 - Hypoxemia in DRG | 1.14 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD R0902 - Hypoxemia | 3.68 | ||||
| Readmission Rate at DRG | 13.92 | ||||
| Readmission Rate with ICD R0902 - Hypoxemia | 13.9 | ||||
| Unplanned Readmission Rate at DRG | 10.02 | ||||
| Unplanned Readmission Rate with ICD R0902 - Hypoxemia | 9.73 | ||||
| Total Medicare payments at DRG | $565,714,520 | ||||
| Total Medicare payments with ICD R0902 - Hypoxemia | $67,667,292 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD R0902 - Hypoxemia | $1,563 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,444 | ||||
| Total Medicare payment per Hospitalization with ICD R0902 - Hypoxemia | $5,750 | ||||
| Total Medicare Charges at DRG | $3,040,468,542 | ||||
| Total Medicare Charges with ICD R0902 - Hypoxemia | $371,088,031 | ||||
| Avg Charges at DRG | $29,259 | ||||
| Avg Charges with ICD R0902 - Hypoxemia | $31,531 | ||||
| Mortality Rate at DRG | 0.51 | ||||
| Mortality Rate with ICD R0902 - Hypoxemia | 1.01 | ||||
| SNF Discharge Rate at DRG | 10.78 | ||||
| SNF Discharge Rate with ICD R0902 - Hypoxemia | 15.54 | ||||
| Home Discharge Rate at DRG | 64.62 | ||||
| Home Discharge Rate with ICD R0902 - Hypoxemia | 55.27 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 4,965 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 4,146 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 3,162 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN SOTEROS XENOS | 10103 RIDGEGATE PKWY | LONETREE | CO | 80124 | 384 |
| Dr. ROBERT MENEGHINI | 200 W 103RD ST | INDIANAPOLIS | IN | 46290 | 364 |
| Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 296 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN SOTEROS XENOS | 10103 RIDGEGATE PKWY | LONETREE | CO | 80124 | 384 |
| Dr. ROBERT MENEGHINI | 200 W 103RD ST | INDIANAPOLIS | IN | 46290 | 363 |
| Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 347 |