*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R942 - Abnormal results of pulmonary function studies - as a primary diagnosis code | R942 - Abnormal results of pulmonary function studies - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.24 | |
| Readmission Rate (%) | 17.72 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 35,500 |
| Total Hospitalizations with ICD R942 - Abnormal results of pulmonary function studies | 15 |
| DRG Share of Total Hospitalizations | 0.11 |
| % of Total ICD R942 - Abnormal results of pulmonary function studies in DRG | 53.57 |
| Avg LOS at DRG | 2.98 |
| Avg LOS with ICD R942 - Abnormal results of pulmonary function studies | 2.0 |
| Readmission Rate at DRG | 18.12 |
| Readmission Rate with ICD R942 - Abnormal results of pulmonary function studies | NA |
| Unplanned Readmission Rate at DRG | 12.31 |
| Unplanned Readmission Rate with ICD R942 - Abnormal results of pulmonary function studies | NA |
| Total Medicare payments at DRG | $186,659,137 |
| Total Medicare payments with ICD R942 - Abnormal results of pulmonary function studies | $52,163 |
| Total Medicare payment per Day at DRG | $1,763 |
| Total Medicare payment per Day with ICD R942 - Abnormal results of pulmonary function studies | $1,739 |
| Total Medicare payment per Hospitalization at DRG | $5,258 |
| Total Medicare payment per Hospitalization with ICD R942 - Abnormal results of pulmonary function studies | $3,478 |
| Total Medicare Charges at DRG | $1,018,696,754 |
| Total Medicare Charges with ICD R942 - Abnormal results of pulmonary function studies | $287,314 |
| Avg Charges at DRG | $28,696 |
| Avg Charges with ICD R942 - Abnormal results of pulmonary function studies | $19,154 |
| Mortality Rate at DRG | 0.69 |
| Mortality Rate with ICD R942 - Abnormal results of pulmonary function studies | NA |
| SNF Discharge Rate at DRG | 17.76 |
| SNF Discharge Rate with ICD R942 - Abnormal results of pulmonary function studies | NA |
| Home Discharge Rate at DRG | 54.9 |
| Home Discharge Rate with ICD R942 - Abnormal results of pulmonary function studies | 80.0 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R942 - Abnormal results of pulmonary function studies | 57 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R942 - Abnormal results of pulmonary function studies in DRG | 3.94 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R942 - Abnormal results of pulmonary function studies | 6.0 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R942 - Abnormal results of pulmonary function studies | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R942 - Abnormal results of pulmonary function studies | $603,962 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R942 - Abnormal results of pulmonary function studies | $1,766 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R942 - Abnormal results of pulmonary function studies | $10,596 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R942 - Abnormal results of pulmonary function studies | $2,736,358 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R942 - Abnormal results of pulmonary function studies | $48,006 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R942 - Abnormal results of pulmonary function studies | 19.3 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R942 - Abnormal results of pulmonary function studies | 45.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD R942 - Abnormal results of pulmonary function studies | 39 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD R942 - Abnormal results of pulmonary function studies in DRG | 2.69 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD R942 - Abnormal results of pulmonary function studies | 3.05 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD R942 - Abnormal results of pulmonary function studies | $211,789 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD R942 - Abnormal results of pulmonary function studies | $1,780 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD R942 - Abnormal results of pulmonary function studies | $5,430 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD R942 - Abnormal results of pulmonary function studies | $1,086,432 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD R942 - Abnormal results of pulmonary function studies | $27,857 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD R942 - Abnormal results of pulmonary function studies | 61.54 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 147,017 | ||||
| Total Hospitalizations with ICD R942 - Abnormal results of pulmonary function studies | 21 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD R942 - Abnormal results of pulmonary function studies in DRG | 1.45 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD R942 - Abnormal results of pulmonary function studies | 3.05 | ||||
| Readmission Rate at DRG | 11.06 | ||||
| Readmission Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| Unplanned Readmission Rate at DRG | 7.05 | ||||
| Unplanned Readmission Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| Total Medicare payments at DRG | $662,922,575 | ||||
| Total Medicare payments with ICD R942 - Abnormal results of pulmonary function studies | $114,467 | ||||
| Total Medicare payment per Day at DRG | $1,445 | ||||
| Total Medicare payment per Day with ICD R942 - Abnormal results of pulmonary function studies | $1,789 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,509 | ||||
| Total Medicare payment per Hospitalization with ICD R942 - Abnormal results of pulmonary function studies | $5,451 | ||||
| Total Medicare Charges at DRG | $2,893,146,238 | ||||
| Total Medicare Charges with ICD R942 - Abnormal results of pulmonary function studies | $377,965 | ||||
| Avg Charges at DRG | $19,679 | ||||
| Avg Charges with ICD R942 - Abnormal results of pulmonary function studies | $17,998 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| SNF Discharge Rate at DRG | 13.03 | ||||
| SNF Discharge Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| Home Discharge Rate at DRG | 62.41 | ||||
| Home Discharge Rate with ICD R942 - Abnormal results of pulmonary function studies | 66.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD R942 - Abnormal results of pulmonary function studies | 19 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD R942 - Abnormal results of pulmonary function studies in DRG | 1.31 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD R942 - Abnormal results of pulmonary function studies | 7.21 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD R942 - Abnormal results of pulmonary function studies | $449,475 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD R942 - Abnormal results of pulmonary function studies | $3,281 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD R942 - Abnormal results of pulmonary function studies | $23,657 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD R942 - Abnormal results of pulmonary function studies | $1,425,032 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD R942 - Abnormal results of pulmonary function studies | $75,002 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD R942 - Abnormal results of pulmonary function studies | NA | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD R942 - Abnormal results of pulmonary function studies | 68.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTH REHABILITATION HOSPITAL OF ROUND ROCK | 1400 HESTERS CROSSING RD | ROUND ROCK | TX | 78681 | 69 |
| SANFORD HEALTH | 801 BROADWAY N | FARGO | ND | 58122 | 36 |
| ADVENTIST HEALTH HOWARD MEMORIAL | 1 MARCELA DRIVE | WILLITS | CA | 95490 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM W BOWEN | 84 MADRONE ST | WILLITS | CA | 95490 | 18 |
| Dr. ROXANNE V NEWMAN | 801 BROADWAY N | FARGO | ND | 58102 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANISA M GODINEZ | 1400 HESTERS CROSSING RD | ROUND ROCK | TX | 78681 | 40 |
| Dr. WILLIAM W BOWEN | 84 MADRONE ST | WILLITS | CA | 95490 | 18 |
| Dr. OCTAVIO VELA | 4502 MEDICAL DR | SAN ANTONIO | TX | 78229 | 16 |