*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T86810 - Lung transplant rejection - as a primary diagnosis code | T86810 - Lung transplant rejection - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.75 | |
| Readmission Rate (%) | 34.12 | |
| Unplanned Readmission Rate (%) | 13.22 | |
| 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) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,500 | ||||
| Total Hospitalizations with ICD T86810 - Lung transplant rejection | 677 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD T86810 - Lung transplant rejection in DRG | 32.69 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD T86810 - Lung transplant rejection | 5.02 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD T86810 - Lung transplant rejection | 21.68 | ||||
| Unplanned Readmission Rate at DRG | 12.31 | ||||
| Unplanned Readmission Rate with ICD T86810 - Lung transplant rejection | 9.77 | ||||
| Total Medicare payments at DRG | $186,659,137 | ||||
| Total Medicare payments with ICD T86810 - Lung transplant rejection | $5,433,581 | ||||
| Total Medicare payment per Day at DRG | $1,763 | ||||
| Total Medicare payment per Day with ICD T86810 - Lung transplant rejection | $1,600 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,258 | ||||
| Total Medicare payment per Hospitalization with ICD T86810 - Lung transplant rejection | $8,026 | ||||
| Total Medicare Charges at DRG | $1,018,696,754 | ||||
| Total Medicare Charges with ICD T86810 - Lung transplant rejection | $49,416,516 | ||||
| Avg Charges at DRG | $28,696 | ||||
| Avg Charges with ICD T86810 - Lung transplant rejection | $72,993 | ||||
| Mortality Rate at DRG | 0.69 | ||||
| Mortality Rate with ICD T86810 - Lung transplant rejection | NA | ||||
| SNF Discharge Rate at DRG | 17.76 | ||||
| SNF Discharge Rate with ICD T86810 - Lung transplant rejection | NA | ||||
| Home Discharge Rate at DRG | 54.9 | ||||
| Home Discharge Rate with ICD T86810 - Lung transplant rejection | 83.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD T86810 - Lung transplant rejection | 49 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD T86810 - Lung transplant rejection in DRG | 2.37 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD T86810 - Lung transplant rejection | 11.43 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD T86810 - Lung transplant rejection | 53.85 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD T86810 - Lung transplant rejection | NA | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD T86810 - Lung transplant rejection | $1,334,145 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD T86810 - Lung transplant rejection | $2,382 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD T86810 - Lung transplant rejection | $27,227 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD T86810 - Lung transplant rejection | $8,792,474 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD T86810 - Lung transplant rejection | $179,438 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD T86810 - Lung transplant rejection | 34.69 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD T86810 - Lung transplant rejection | NA | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD T86810 - Lung transplant rejection | 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 007: LUNG TRANSPLANT | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 1,737 | |
| Total Hospitalizations with ICD T86810 - Lung transplant rejection | 12 | |
| DRG Share of Total Hospitalizations | 0.01 | |
| % of Total ICD T86810 - Lung transplant rejection in DRG | 0.58 | |
| Avg LOS at DRG | 19.46 | |
| Avg LOS with ICD T86810 - Lung transplant rejection | 22.5 | |
| Readmission Rate at DRG | 41.59 | |
| Readmission Rate with ICD T86810 - Lung transplant rejection | NA | |
| Unplanned Readmission Rate at DRG | 14.24 | |
| Unplanned Readmission Rate with ICD T86810 - Lung transplant rejection | NA | |
| Total Medicare payments at DRG | $156,025,957 | |
| Total Medicare payments with ICD T86810 - Lung transplant rejection | $1,104,810 | |
| Total Medicare payment per Day at DRG | $4,616 | |
| Total Medicare payment per Day with ICD T86810 - Lung transplant rejection | $4,092 | |
| Total Medicare payment per Hospitalization at DRG | $89,825 | |
| Total Medicare payment per Hospitalization with ICD T86810 - Lung transplant rejection | $92,068 | |
| Total Medicare Charges at DRG | $1,052,278,268 | |
| Total Medicare Charges with ICD T86810 - Lung transplant rejection | $8,267,163 | |
| Avg Charges at DRG | $605,802 | |
| Avg Charges with ICD T86810 - Lung transplant rejection | $688,930 | |
| Mortality Rate at DRG | 0.81 | |
| Mortality Rate with ICD T86810 - Lung transplant rejection | NA | |
| SNF Discharge Rate at DRG | 1.32 | |
| SNF Discharge Rate with ICD T86810 - Lung transplant rejection | NA | |
| Home Discharge Rate at DRG | 46.98 | |
| Home Discharge Rate with ICD T86810 - Lung transplant rejection | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 163 |
| UT SOUTHWESTERN MEDICAL CENTER | 6201 HARRY HINES BLVD | DALLAS | TX | 75390 | 131 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 86 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MAHER A BAZ | 740 S LIMESTONE | LEXINGTON | KY | 40536 | 26 |
| Dr. MANISH R MOHANKA | 5323 HARRY HINES BOULEVARD | DALLAS | TX | 75390 | 25 |
| Dr. SRINIVAS BOLLINENI | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MAHER A BAZ | 740 S LIMESTONE | LEXINGTON | KY | 40536 | 40 |
| Dr. JOYLIN CHAN DELUNA | 550 W 1ST ST | OSWEGO | NY | 13126 | 37 |
| Dr. AMIR MOHAMMAD EMTIAZJOO | 155 N FRESNO ST | FRESNO | CA | 93701 | 29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 25,762 | ||||
| Total Hospitalizations with ICD T86810 - Lung transplant rejection | 820 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD T86810 - Lung transplant rejection in DRG | 18.99 | ||||
| Avg LOS at DRG | 5.4 | ||||
| Avg LOS with ICD T86810 - Lung transplant rejection | 8.68 | ||||
| Readmission Rate at DRG | 26.53 | ||||
| Readmission Rate with ICD T86810 - Lung transplant rejection | 36.0 | ||||
| Unplanned Readmission Rate at DRG | 17.68 | ||||
| Unplanned Readmission Rate with ICD T86810 - Lung transplant rejection | 17.79 | ||||
| Total Medicare payments at DRG | $258,625,689 | ||||
| Total Medicare payments with ICD T86810 - Lung transplant rejection | $12,280,480 | ||||
| Total Medicare payment per Day at DRG | $1,859 | ||||
| Total Medicare payment per Day with ICD T86810 - Lung transplant rejection | $1,726 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,039 | ||||
| Total Medicare payment per Hospitalization with ICD T86810 - Lung transplant rejection | $14,976 | ||||
| Total Medicare Charges at DRG | $1,285,891,031 | ||||
| Total Medicare Charges with ICD T86810 - Lung transplant rejection | $88,955,700 | ||||
| Avg Charges at DRG | $49,914 | ||||
| Avg Charges with ICD T86810 - Lung transplant rejection | $108,483 | ||||
| Mortality Rate at DRG | 3.49 | ||||
| Mortality Rate with ICD T86810 - Lung transplant rejection | 7.32 | ||||
| SNF Discharge Rate at DRG | 21.29 | ||||
| SNF Discharge Rate with ICD T86810 - Lung transplant rejection | 5.61 | ||||
| Home Discharge Rate at DRG | 40.23 | ||||
| Home Discharge Rate with ICD T86810 - Lung transplant rejection | 51.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 539,642 | ||||
| Total Hospitalizations with ICD T86810 - Lung transplant rejection | 101 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD T86810 - Lung transplant rejection in DRG | 2.34 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD T86810 - Lung transplant rejection | 9.34 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD T86810 - Lung transplant rejection | 35.62 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD T86810 - Lung transplant rejection | 19.18 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD T86810 - Lung transplant rejection | $1,205,319 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD T86810 - Lung transplant rejection | $1,278 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD T86810 - Lung transplant rejection | $11,934 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD T86810 - Lung transplant rejection | $8,714,303 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD T86810 - Lung transplant rejection | $86,280 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD T86810 - Lung transplant rejection | 14.85 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD T86810 - Lung transplant rejection | NA | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD T86810 - Lung transplant rejection | 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 007: LUNG TRANSPLANT | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,737 | ||||
| Total Hospitalizations with ICD T86810 - Lung transplant rejection | 65 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD T86810 - Lung transplant rejection in DRG | 1.51 | ||||
| Avg LOS at DRG | 19.46 | ||||
| Avg LOS with ICD T86810 - Lung transplant rejection | 29.86 | ||||
| Readmission Rate at DRG | 41.59 | ||||
| Readmission Rate with ICD T86810 - Lung transplant rejection | 40.63 | ||||
| Unplanned Readmission Rate at DRG | 14.24 | ||||
| Unplanned Readmission Rate with ICD T86810 - Lung transplant rejection | NA | ||||
| Total Medicare payments at DRG | $156,025,957 | ||||
| Total Medicare payments with ICD T86810 - Lung transplant rejection | $7,642,748 | ||||
| Total Medicare payment per Day at DRG | $4,616 | ||||
| Total Medicare payment per Day with ICD T86810 - Lung transplant rejection | $3,938 | ||||
| Total Medicare payment per Hospitalization at DRG | $89,825 | ||||
| Total Medicare payment per Hospitalization with ICD T86810 - Lung transplant rejection | $117,581 | ||||
| Total Medicare Charges at DRG | $1,052,278,268 | ||||
| Total Medicare Charges with ICD T86810 - Lung transplant rejection | $53,535,403 | ||||
| Avg Charges at DRG | $605,802 | ||||
| Avg Charges with ICD T86810 - Lung transplant rejection | $823,622 | ||||
| Mortality Rate at DRG | 0.81 | ||||
| Mortality Rate with ICD T86810 - Lung transplant rejection | NA | ||||
| SNF Discharge Rate at DRG | 1.32 | ||||
| SNF Discharge Rate with ICD T86810 - Lung transplant rejection | NA | ||||
| Home Discharge Rate at DRG | 46.98 | ||||
| Home Discharge Rate with ICD T86810 - Lung transplant rejection | 36.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD T86810 - Lung transplant rejection | 37 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD T86810 - Lung transplant rejection in DRG | 0.86 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD T86810 - Lung transplant rejection | 4.16 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD T86810 - Lung transplant rejection | NA | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD T86810 - Lung transplant rejection | NA | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD T86810 - Lung transplant rejection | $179,225 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD T86810 - Lung transplant rejection | $1,164 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD T86810 - Lung transplant rejection | $4,844 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD T86810 - Lung transplant rejection | $1,269,511 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD T86810 - Lung transplant rejection | $34,311 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD T86810 - Lung transplant rejection | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD T86810 - Lung transplant rejection | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD T86810 - Lung transplant rejection | 67.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 262 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 242 |
| UT SOUTHWESTERN MEDICAL CENTER | 6201 HARRY HINES BLVD | DALLAS | TX | 75390 | 184 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MAHER A BAZ | 740 S LIMESTONE | LEXINGTON | KY | 40536 | 33 |
| Dr. MANISH R MOHANKA | 5323 HARRY HINES BOULEVARD | DALLAS | TX | 75390 | 29 |
| Dr. SRINIVAS BOLLINENI | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MAHER A BAZ | 740 S LIMESTONE | LEXINGTON | KY | 40536 | 66 |
| Dr. CHAD A WITT | 4921 PARKVIEW PL | SAINT LOUIS | MO | 63110 | 53 |
| Dr. VINH D NGUYEN | 5116 BISSONNET ST | BELLAIRE | TX | 77401 | 50 |