*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T8203XA - Leakage of heart valve prosthesis, initial encounter - as a primary diagnosis code | T8203XA - Leakage of heart valve prosthesis, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.59 | |
| Readmission Rate (%) | 28.81 | |
| Unplanned Readmission Rate (%) | 13.65 | |
| 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 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,301 | ||||
| Total Hospitalizations with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 193 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD T8203XA - Leakage of heart valve prosthesis, initial encounter in DRG | 13.8 | ||||
| Avg LOS at DRG | 10.92 | ||||
| Avg LOS with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 11.1 | ||||
| Readmission Rate at DRG | 32.06 | ||||
| Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 25.97 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 14.36 | ||||
| Total Medicare payments at DRG | $2,755,788,420 | ||||
| Total Medicare payments with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $10,925,064 | ||||
| Total Medicare payment per Day at DRG | $5,120 | ||||
| Total Medicare payment per Day with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $5,100 | ||||
| Total Medicare payment per Hospitalization at DRG | $55,897 | ||||
| Total Medicare payment per Hospitalization with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $56,607 | ||||
| Total Medicare Charges at DRG | $13,454,609,626 | ||||
| Total Medicare Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $51,592,704 | ||||
| Avg Charges at DRG | $272,907 | ||||
| Avg Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $267,320 | ||||
| Mortality Rate at DRG | 7.09 | ||||
| Mortality Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 21.99 | ||||
| SNF Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 21.76 | ||||
| Home Discharge Rate at DRG | 21.9 | ||||
| Home Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 31.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,143 | ||||
| Total Hospitalizations with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 101 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD T8203XA - Leakage of heart valve prosthesis, initial encounter in DRG | 7.22 | ||||
| Avg LOS at DRG | 14.92 | ||||
| Avg LOS with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 17.67 | ||||
| Readmission Rate at DRG | 36.41 | ||||
| Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 33.7 | ||||
| Unplanned Readmission Rate at DRG | 14.15 | ||||
| Unplanned Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 13.04 | ||||
| Total Medicare payments at DRG | $1,600,887,734 | ||||
| Total Medicare payments with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $7,405,524 | ||||
| Total Medicare payment per Day at DRG | $4,638 | ||||
| Total Medicare payment per Day with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $4,149 | ||||
| Total Medicare payment per Hospitalization at DRG | $69,174 | ||||
| Total Medicare payment per Hospitalization with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $73,322 | ||||
| Total Medicare Charges at DRG | $7,841,128,809 | ||||
| Total Medicare Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $35,862,861 | ||||
| Avg Charges at DRG | $338,812 | ||||
| Avg Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $355,078 | ||||
| Mortality Rate at DRG | 11.09 | ||||
| Mortality Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 24.56 | ||||
| SNF Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 14.85 | ||||
| Home Discharge Rate at DRG | 18.17 | ||||
| Home Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 33.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION 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 274: PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 273: PERCUTANEOUS INTRACARDIAC PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 209,527 | ||||
| Total Hospitalizations with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 48 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD T8203XA - Leakage of heart valve prosthesis, initial encounter in DRG | 3.43 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 4.0 | ||||
| Readmission Rate at DRG | 15.34 | ||||
| Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 43.48 | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA | ||||
| Total Medicare payments at DRG | $1,394,352,541 | ||||
| Total Medicare payments with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $384,010 | ||||
| Total Medicare payment per Day at DRG | $2,234 | ||||
| Total Medicare payment per Day with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $2,000 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,655 | ||||
| Total Medicare payment per Hospitalization with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $8,000 | ||||
| Total Medicare Charges at DRG | $9,726,714,225 | ||||
| Total Medicare Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $2,741,166 | ||||
| Avg Charges at DRG | $46,422 | ||||
| Avg Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $57,108 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 3.41 | ||||
| SNF Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 79.22 | ||||
| Home Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 81.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 230: OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 869 | |
| Total Hospitalizations with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 21 | |
| DRG Share of Total Hospitalizations | 0.0 | |
| % of Total ICD T8203XA - Leakage of heart valve prosthesis, initial encounter in DRG | 1.5 | |
| Avg LOS at DRG | 3.66 | |
| Avg LOS with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 2.05 | |
| Readmission Rate at DRG | 10.93 | |
| Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA | |
| Unplanned Readmission Rate at DRG | 7.33 | |
| Unplanned Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA | |
| Total Medicare payments at DRG | $22,545,753 | |
| Total Medicare payments with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $659,011 | |
| Total Medicare payment per Day at DRG | $7,085 | |
| Total Medicare payment per Day with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $15,326 | |
| Total Medicare payment per Hospitalization at DRG | $25,944 | |
| Total Medicare payment per Hospitalization with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $31,381 | |
| Total Medicare Charges at DRG | $107,179,373 | |
| Total Medicare Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $1,616,622 | |
| Avg Charges at DRG | $123,336 | |
| Avg Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $76,982 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA | |
| SNF Discharge Rate at DRG | 5.29 | |
| SNF Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA | |
| Home Discharge Rate at DRG | 75.03 | |
| Home Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 90.48 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 86 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 36 |
| NEWYORK PRESBYTERIAN - COLUMBIA UNIVERSITY MEDICAL CENTER | 622 W 168TH ST | NEW YORK | NY | 10032 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MACKRAM F ELEID | 200 1ST ST SW | ROCHESTER | MN | 55905 | 21 |
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 18 |
| Dr. KEVIN L. GREASON | 200 1ST ST SW | ROCHESTER | MN | 55905 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MATHEW R WILLIAMS | 530 1ST AVE | NEW YORK | NY | 10016 | 18 |
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 14 |
| Dr. MUSTAFA ILTIMAS AHMED | 801 PRINCETON AVE SW | BIRMINGHAM | AL | 35211 | 13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,685 | ||||
| Total Hospitalizations with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 344 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD T8203XA - Leakage of heart valve prosthesis, initial encounter in DRG | 9.95 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 2.96 | ||||
| Readmission Rate at DRG | 12.03 | ||||
| Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 14.63 | ||||
| Unplanned Readmission Rate at DRG | 8.33 | ||||
| Unplanned Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 8.06 | ||||
| Total Medicare payments at DRG | $2,520,642,710 | ||||
| Total Medicare payments with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $16,861,376 | ||||
| Total Medicare payment per Day at DRG | $15,685 | ||||
| Total Medicare payment per Day with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $16,547 | ||||
| Total Medicare payment per Hospitalization at DRG | $44,468 | ||||
| Total Medicare payment per Hospitalization with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $49,016 | ||||
| Total Medicare Charges at DRG | $10,767,214,002 | ||||
| Total Medicare Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $57,566,303 | ||||
| Avg Charges at DRG | $189,948 | ||||
| Avg Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $167,344 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 7.22 | ||||
| SNF Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 7.27 | ||||
| Home Discharge Rate at DRG | 67.96 | ||||
| Home Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 67.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 53,232 | ||||
| Total Hospitalizations with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 174 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD T8203XA - Leakage of heart valve prosthesis, initial encounter in DRG | 5.03 | ||||
| Avg LOS at DRG | 6.67 | ||||
| Avg LOS with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 6.36 | ||||
| Readmission Rate at DRG | 19.14 | ||||
| Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 18.56 | ||||
| Unplanned Readmission Rate at DRG | 9.02 | ||||
| Unplanned Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 8.98 | ||||
| Total Medicare payments at DRG | $1,849,514,487 | ||||
| Total Medicare payments with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $5,968,596 | ||||
| Total Medicare payment per Day at DRG | $5,212 | ||||
| Total Medicare payment per Day with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $5,392 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,744 | ||||
| Total Medicare payment per Hospitalization with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $34,302 | ||||
| Total Medicare Charges at DRG | $9,786,140,365 | ||||
| Total Medicare Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $29,922,121 | ||||
| Avg Charges at DRG | $183,839 | ||||
| Avg Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $171,966 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 15.26 | ||||
| SNF Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 8.62 | ||||
| Home Discharge Rate at DRG | 35.21 | ||||
| Home Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 54.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 110 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD T8203XA - Leakage of heart valve prosthesis, initial encounter in DRG | 3.18 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 8.82 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 45.35 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 16.28 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $1,779,209 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $1,834 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $16,175 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $10,938,555 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $99,441 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 12.73 | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 41.82 |
*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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 274: PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 273: PERCUTANEOUS INTRACARDIAC PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 62 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD T8203XA - Leakage of heart valve prosthesis, initial encounter in DRG | 1.79 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 8.6 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 36.96 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $884,981 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $1,660 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $14,274 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $5,803,018 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | $93,597 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 19.35 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | 29.03 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD T8203XA - Leakage of heart valve prosthesis, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 305 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 51 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 40 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MACKRAM F ELEID | 200 1ST ST SW | ROCHESTER | MN | 55905 | 45 |
| Dr. KEVIN L. GREASON | 200 1ST ST SW | ROCHESTER | MN | 55905 | 43 |
| Dr. CHARANJIT S RIHAL | 200 1ST ST SW | ROCHESTER | MN | 55905 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN L. GREASON | 200 1ST ST SW | ROCHESTER | MN | 55905 | 30 |
| Dr. MATHEW R WILLIAMS | 530 1ST AVE | NEW YORK | NY | 10016 | 22 |
| Dr. MUSTAFA ILTIMAS AHMED | 801 PRINCETON AVE SW | BIRMINGHAM | AL | 35211 | 16 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris |