*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R609 - Edema, unspecified - as a primary diagnosis code | R609 - Edema, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.31 | |
| Readmission Rate (%) | 22.52 | |
| Unplanned Readmission Rate (%) | 13.18 | |
| 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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 160,950 | |
| Total Hospitalizations with ICD R609 - Edema, unspecified | 1,114 | |
| DRG Share of Total Hospitalizations | 0.49 | |
| % of Total ICD R609 - Edema, unspecified in DRG | 87.1 | |
| Avg LOS at DRG | 4.98 | |
| Avg LOS with ICD R609 - Edema, unspecified | 3.12 | |
| Readmission Rate at DRG | 20.85 | |
| Readmission Rate with ICD R609 - Edema, unspecified | 21.0 | |
| Unplanned Readmission Rate at DRG | 13.4 | |
| Unplanned Readmission Rate with ICD R609 - Edema, unspecified | 12.05 | |
| Total Medicare payments at DRG | $1,184,949,733 | |
| Total Medicare payments with ICD R609 - Edema, unspecified | $5,263,261 | |
| Total Medicare payment per Day at DRG | $1,477 | |
| Total Medicare payment per Day with ICD R609 - Edema, unspecified | $1,516 | |
| Total Medicare payment per Hospitalization at DRG | $7,362 | |
| Total Medicare payment per Hospitalization with ICD R609 - Edema, unspecified | $4,725 | |
| Total Medicare Charges at DRG | $4,222,078,897 | |
| Total Medicare Charges with ICD R609 - Edema, unspecified | $21,400,858 | |
| Avg Charges at DRG | $26,232 | |
| Avg Charges with ICD R609 - Edema, unspecified | $19,211 | |
| Mortality Rate at DRG | 0.67 | |
| Mortality Rate with ICD R609 - Edema, unspecified | NA | |
| SNF Discharge Rate at DRG | 22.29 | |
| SNF Discharge Rate with ICD R609 - Edema, unspecified | 15.35 | |
| Home Discharge Rate at DRG | 35.46 | |
| Home Discharge Rate with ICD R609 - Edema, unspecified | 56.01 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 11 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R609 - Edema, unspecified | 9,386 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R609 - Edema, unspecified in DRG | 5.73 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R609 - Edema, unspecified | 16.27 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R609 - Edema, unspecified | 24.68 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R609 - Edema, unspecified | 11.69 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R609 - Edema, unspecified | $108,386,288 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R609 - Edema, unspecified | $710 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R609 - Edema, unspecified | $11,548 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R609 - Edema, unspecified | $325,960,821 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R609 - Edema, unspecified | $34,728 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R609 - Edema, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R609 - Edema, unspecified | 11.11 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R609 - Edema, unspecified | 71.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD R609 - Edema, unspecified | 4,015 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD R609 - Edema, unspecified in DRG | 2.45 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD R609 - Edema, unspecified | 2.92 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD R609 - Edema, unspecified | 10.73 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD R609 - Edema, unspecified | 3.98 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD R609 - Edema, unspecified | $47,397,994 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD R609 - Edema, unspecified | $4,037 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD R609 - Edema, unspecified | $11,805 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD R609 - Edema, unspecified | $240,128,458 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD R609 - Edema, unspecified | $59,808 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD R609 - Edema, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R609 - Edema, unspecified | 32.25 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD R609 - Edema, unspecified | 29.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD R609 - Edema, unspecified | 3,022 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD R609 - Edema, unspecified in DRG | 1.84 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD R609 - Edema, unspecified | 6.4 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD R609 - Edema, unspecified | 20.49 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD R609 - Edema, unspecified | 13.16 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD R609 - Edema, unspecified | $27,749,928 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD R609 - Edema, unspecified | $1,435 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD R609 - Edema, unspecified | $9,183 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD R609 - Edema, unspecified | $78,758,115 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD R609 - Edema, unspecified | $26,062 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD R609 - Edema, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD R609 - Edema, unspecified | 18.53 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD R609 - Edema, unspecified | 37.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD R609 - Edema, unspecified | 2,156 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD R609 - Edema, unspecified in DRG | 1.32 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD R609 - Edema, unspecified | 4.39 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD R609 - Edema, unspecified | 19.92 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD R609 - Edema, unspecified | 11.98 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD R609 - Edema, unspecified | $12,557,750 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD R609 - Edema, unspecified | $1,328 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD R609 - Edema, unspecified | $5,825 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD R609 - Edema, unspecified | $53,294,444 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD R609 - Edema, unspecified | $24,719 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R609 - Edema, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD R609 - Edema, unspecified | 32.88 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD R609 - Edema, unspecified | 32.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH REHABILITATION HOSPITAL OF NORTHERN VIRGINIA | 24430 MILLSTREAM DRIVE | ALDIE | VA | 20105 | 1,162 |
| COOKEVILLE REGIONAL MEDICAL CENTER | 1 MEDICAL CENTER BLVD | COOKEVILLE | TN | 38501 | 707 |
| HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL | 14851 YORBA ST | TUSTIN | CA | 92780 | 702 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TERRY L BAGLEY | 3700 N WINDSONG DR | PRESCOTT VALLEY | AZ | 86314 | 153 |
| Dr. AUSTON JEROD MYERS | 8700 BEVERLY BLVD | WEST HOLLYWOOD | CA | 90048 | 150 |
| Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 137 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS MILTON GANNON | 427 N WILLOW AVE | COOKEVILLE | TN | 38501 | 565 |
| Dr. TAHIR M AHMAD | 44045 RIVERSIDE PARKWAY | LEESBURG | VA | 20176 | 468 |
| Dr. SWAPNA GADDIPATI | 1850 TOWN CENTER PKWY | RESTON | VA | 20190 | 419 |