*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter - as a primary diagnosis code | T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.64 | |
| Readmission Rate (%) | 23.14 | |
| Unplanned Readmission Rate (%) | 8.45 | |
| 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 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 921: COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,814 | ||||
| Total Hospitalizations with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 304 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter in DRG | 42.94 | ||||
| Avg LOS at DRG | 4.26 | ||||
| Avg LOS with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 4.19 | ||||
| Readmission Rate at DRG | 21.39 | ||||
| Readmission Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 16.32 | ||||
| Unplanned Readmission Rate at DRG | 12.66 | ||||
| Unplanned Readmission Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 8.68 | ||||
| Total Medicare payments at DRG | $306,035,736 | ||||
| Total Medicare payments with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $2,324,627 | ||||
| Total Medicare payment per Day at DRG | $1,677 | ||||
| Total Medicare payment per Day with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $1,823 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,148 | ||||
| Total Medicare payment per Hospitalization with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $7,647 | ||||
| Total Medicare Charges at DRG | $1,526,820,622 | ||||
| Total Medicare Charges with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $10,301,948 | ||||
| Avg Charges at DRG | $35,662 | ||||
| Avg Charges with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $33,888 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 13.54 | ||||
| SNF Discharge Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 3.95 | ||||
| Home Discharge Rate at DRG | 56.63 | ||||
| Home Discharge Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 68.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|
| Total Hospitalizations at DRG | 52,726 | |
| Total Hospitalizations with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 15 | |
| DRG Share of Total Hospitalizations | 0.16 | |
| % of Total ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter in DRG | 2.12 | |
| Avg LOS at DRG | 6.68 | |
| Avg LOS with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 6.2 | |
| Readmission Rate at DRG | 24.76 | |
| Readmission Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | NA | |
| Unplanned Readmission Rate at DRG | 14.45 | |
| Unplanned Readmission Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | NA | |
| Total Medicare payments at DRG | $902,862,104 | |
| Total Medicare payments with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $242,352 | |
| Total Medicare payment per Day at DRG | $2,565 | |
| Total Medicare payment per Day with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $2,606 | |
| Total Medicare payment per Hospitalization at DRG | $17,124 | |
| Total Medicare payment per Hospitalization with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $16,157 | |
| Total Medicare Charges at DRG | $4,216,562,728 | |
| Total Medicare Charges with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $1,053,002 | |
| Avg Charges at DRG | $79,971 | |
| Avg Charges with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $70,200 | |
| Mortality Rate at DRG | 0.83 | |
| Mortality Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | NA | |
| SNF Discharge Rate at DRG | 22.41 | |
| SNF Discharge Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | NA | |
| Home Discharge Rate at DRG | 43.51 | |
| Home Discharge Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 2,044 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter in DRG | 15.96 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 7.98 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 16.41 | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 10.45 | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $37,639,064 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $2,308 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $18,414 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $211,238,648 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $103,346 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 4.45 | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 57.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,906 | ||||
| Total Hospitalizations with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 318 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter in DRG | 2.48 | ||||
| Avg LOS at DRG | 12.58 | ||||
| Avg LOS with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 11.52 | ||||
| Readmission Rate at DRG | 30.9 | ||||
| Readmission Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 26.71 | ||||
| Unplanned Readmission Rate at DRG | 16.7 | ||||
| Unplanned Readmission Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 12.27 | ||||
| Total Medicare payments at DRG | $1,415,372,711 | ||||
| Total Medicare payments with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $11,965,093 | ||||
| Total Medicare payment per Day at DRG | $2,820 | ||||
| Total Medicare payment per Day with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $3,267 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,468 | ||||
| Total Medicare payment per Hospitalization with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $37,626 | ||||
| Total Medicare Charges at DRG | $6,367,247,472 | ||||
| Total Medicare Charges with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $60,184,479 | ||||
| Avg Charges at DRG | $159,556 | ||||
| Avg Charges with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $189,259 | ||||
| Mortality Rate at DRG | 9.11 | ||||
| Mortality Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 7.86 | ||||
| SNF Discharge Rate at DRG | 24.69 | ||||
| SNF Discharge Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 22.64 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 28.93 |
*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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 257 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter in DRG | 2.01 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 12.69 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 29.81 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 17.31 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $6,507,232 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $1,995 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $25,320 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $35,401,285 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $137,748 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 14.01 | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 12.06 | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 28.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | ||||
| Total Hospitalizations with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 177 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter in DRG | 1.38 | ||||
| Avg LOS at DRG | 25.29 | ||||
| Avg LOS with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 23.69 | ||||
| Readmission Rate at DRG | 74.5 | ||||
| Readmission Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 62.5 | ||||
| Unplanned Readmission Rate at DRG | 8.79 | ||||
| Unplanned Readmission Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 8.59 | ||||
| Total Medicare payments at DRG | $3,386,848,549 | ||||
| Total Medicare payments with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $12,927,991 | ||||
| Total Medicare payment per Day at DRG | $2,945 | ||||
| Total Medicare payment per Day with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $3,083 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
| Total Medicare payment per Hospitalization with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $73,039 | ||||
| Total Medicare Charges at DRG | $15,882,518,852 | ||||
| Total Medicare Charges with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $55,797,930 | ||||
| Avg Charges at DRG | $349,235 | ||||
| Avg Charges with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | $315,243 | ||||
| Mortality Rate at DRG | 13.7 | ||||
| Mortality Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 23.73 | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | 19.77 | ||||
| Home Discharge Rate at DRG | 1.95 | ||||
| Home Discharge Rate with ICD T8182XA - Emphysema (subcutaneous) resulting from a procedure, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 198 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 148 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 97 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES HUANG | 1275 YORK AVE | NEW YORK | NY | 10065 | 29 |
| Dr. ROBERT J CERFOLIO | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 28 |
| Dr. NASSER ALTORKI | 525 E 68TH ST # M-404 | NEW YORK | NY | 10065 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES HUANG | 1275 YORK AVE | NEW YORK | NY | 10065 | 29 |
| Dr. CHADRICK E DENLINGER | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 29 |
| Dr. ROBERT J CERFOLIO | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 28 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |
| 2 | E785 | Hyperlipidemia, unspecified |