*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems - as a primary diagnosis code | R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.99 | |
| Readmission Rate (%) | 21.31 | |
| Unplanned Readmission Rate (%) | 15.07 | |
| 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 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 65,802 | ||
| Total Hospitalizations with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 185 | ||
| DRG Share of Total Hospitalizations | 0.2 | ||
| % of Total ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems in DRG | 46.6 | ||
| Avg LOS at DRG | 3.64 | ||
| Avg LOS with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 2.94 | ||
| Readmission Rate at DRG | 22.8 | ||
| Readmission Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 22.99 | ||
| Unplanned Readmission Rate at DRG | 15.06 | ||
| Unplanned Readmission Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 16.67 | ||
| Total Medicare payments at DRG | $412,252,033 | ||
| Total Medicare payments with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $1,065,940 | ||
| Total Medicare payment per Day at DRG | $1,719 | ||
| Total Medicare payment per Day with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $1,963 | ||
| Total Medicare payment per Hospitalization at DRG | $6,265 | ||
| Total Medicare payment per Hospitalization with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $5,762 | ||
| Total Medicare Charges at DRG | $2,144,361,929 | ||
| Total Medicare Charges with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $5,088,583 | ||
| Avg Charges at DRG | $32,588 | ||
| Avg Charges with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $27,506 | ||
| Mortality Rate at DRG | 0.91 | ||
| Mortality Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | NA | ||
| SNF Discharge Rate at DRG | 12.49 | ||
| SNF Discharge Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 19.46 | ||
| Home Discharge Rate at DRG | 54.54 | ||
| Home Discharge Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 47.57 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 1,387 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems in DRG | 3.48 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 6.34 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 25.37 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 17.49 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $16,007,430 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $1,820 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $11,541 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $77,623,416 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $55,965 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 6.27 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 29.06 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 28.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 765 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems in DRG | 1.92 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 14.27 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 15.17 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 10.4 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $14,934,657 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $1,368 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $19,522 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $35,574,800 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $46,503 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 28.37 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 23.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 520 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems in DRG | 1.31 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 5.3 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 28.63 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 23.16 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $4,920,627 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $1,786 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $9,463 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $21,781,845 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $41,888 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 3.27 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 25.96 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 41.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 489 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems in DRG | 1.23 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 4.82 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 21.35 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 15.69 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $3,568,761 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $1,515 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $7,298 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $17,873,401 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | $36,551 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 13.91 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R0989 - Other specified symptoms and signs involving the circulatory and respiratory systems | 52.35 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH READING REHABILITATION HOSPITAL | 1623 MORGANTOWN RD | READING | PA | 19607 | 260 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 197 |
| UNION HOSPITAL | 1606 N 7TH ST | TERRE HAUTE | IN | 47804 | 159 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 96 |
| Dr. NABIL E MNAYARJI | 1530 N 7TH ST | TERRE HAUTE | IN | 47807 | 49 |
| Dr. JOSEPH CLARK FYANS | 9450 S 1300 E | SANDY | UT | 84094 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BARBARA ANN HOFFER | 1623 MORGANTOWN RD | READING | PA | 19607 | 257 |
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 96 |
| Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 52 |