*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z430 - Encounter for attention to tracheostomy - as a primary diagnosis code | Z430 - Encounter for attention to tracheostomy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 28.32 | |
| Readmission Rate (%) | 39.09 | |
| Unplanned Readmission Rate (%) | 19.06 | |
| 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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,500 | ||||
| Total Hospitalizations with ICD Z430 - Encounter for attention to tracheostomy | 317 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD Z430 - Encounter for attention to tracheostomy in DRG | 39.23 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD Z430 - Encounter for attention to tracheostomy | 4.34 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD Z430 - Encounter for attention to tracheostomy | 22.82 | ||||
| Unplanned Readmission Rate at DRG | 12.31 | ||||
| Unplanned Readmission Rate with ICD Z430 - Encounter for attention to tracheostomy | 15.77 | ||||
| Total Medicare payments at DRG | $186,659,137 | ||||
| Total Medicare payments with ICD Z430 - Encounter for attention to tracheostomy | $2,165,387 | ||||
| Total Medicare payment per Day at DRG | $1,763 | ||||
| Total Medicare payment per Day with ICD Z430 - Encounter for attention to tracheostomy | $1,574 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,258 | ||||
| Total Medicare payment per Hospitalization with ICD Z430 - Encounter for attention to tracheostomy | $6,831 | ||||
| Total Medicare Charges at DRG | $1,018,696,754 | ||||
| Total Medicare Charges with ICD Z430 - Encounter for attention to tracheostomy | $8,191,440 | ||||
| Avg Charges at DRG | $28,696 | ||||
| Avg Charges with ICD Z430 - Encounter for attention to tracheostomy | $25,841 | ||||
| Mortality Rate at DRG | 0.69 | ||||
| Mortality Rate with ICD Z430 - Encounter for attention to tracheostomy | NA | ||||
| SNF Discharge Rate at DRG | 17.76 | ||||
| SNF Discharge Rate with ICD Z430 - Encounter for attention to tracheostomy | 35.65 | ||||
| Home Discharge Rate at DRG | 54.9 | ||||
| Home Discharge Rate with ICD Z430 - Encounter for attention to tracheostomy | 30.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||
| Total Hospitalizations with ICD Z430 - Encounter for attention to tracheostomy | 28 | ||
| DRG Share of Total Hospitalizations | 0.3 | ||
| % of Total ICD Z430 - Encounter for attention to tracheostomy in DRG | 3.47 | ||
| Avg LOS at DRG | 22.0 | ||
| Avg LOS with ICD Z430 - Encounter for attention to tracheostomy | 18.14 | ||
| Readmission Rate at DRG | 40.67 | ||
| Readmission Rate with ICD Z430 - Encounter for attention to tracheostomy | 60.87 | ||
| Unplanned Readmission Rate at DRG | 20.54 | ||
| Unplanned Readmission Rate with ICD Z430 - Encounter for attention to tracheostomy | NA | ||
| Total Medicare payments at DRG | $4,616,563,352 | ||
| Total Medicare payments with ICD Z430 - Encounter for attention to tracheostomy | $1,145,349 | ||
| Total Medicare payment per Day at DRG | $2,116 | ||
| Total Medicare payment per Day with ICD Z430 - Encounter for attention to tracheostomy | $2,255 | ||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||
| Total Medicare payment per Hospitalization with ICD Z430 - Encounter for attention to tracheostomy | $40,905 | ||
| Total Medicare Charges at DRG | $21,375,486,291 | ||
| Total Medicare Charges with ICD Z430 - Encounter for attention to tracheostomy | $3,565,299 | ||
| Avg Charges at DRG | $215,618 | ||
| Avg Charges with ICD Z430 - Encounter for attention to tracheostomy | $127,332 | ||
| Mortality Rate at DRG | 28.16 | ||
| Mortality Rate with ICD Z430 - Encounter for attention to tracheostomy | NA | ||
| SNF Discharge Rate at DRG | 30.65 | ||
| SNF Discharge Rate with ICD Z430 - Encounter for attention to tracheostomy | 42.86 | ||
| Home Discharge Rate at DRG | 5.17 | ||
| Home Discharge Rate with ICD Z430 - Encounter for attention to tracheostomy | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RIVERSIDE REHABILITATION INSTITUTE | 245 CHESAPEAKE AVE | NEWPORT NEWS | VA | 23607 | 15 |
| INFIRMARY LTAC HOSPITAL | 5600 GIRBY RD | MOBILE | AL | 36693 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDWIN CRUZ | 1712 STONE CHURCH MEWS | VIRGINIA BEACH | VA | 23455 | 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD Z430 - Encounter for attention to tracheostomy | 22,105 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD Z430 - Encounter for attention to tracheostomy in DRG | 41.54 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD Z430 - Encounter for attention to tracheostomy | 33.25 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD Z430 - Encounter for attention to tracheostomy | 40.94 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD Z430 - Encounter for attention to tracheostomy | 25.33 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD Z430 - Encounter for attention to tracheostomy | $1,385,306,020 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD Z430 - Encounter for attention to tracheostomy | $1,885 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD Z430 - Encounter for attention to tracheostomy | $62,669 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD Z430 - Encounter for attention to tracheostomy | $5,816,870,577 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD Z430 - Encounter for attention to tracheostomy | $263,147 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD Z430 - Encounter for attention to tracheostomy | 17.22 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD Z430 - Encounter for attention to tracheostomy | 45.98 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD Z430 - Encounter for attention to tracheostomy | 2.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z430 - Encounter for attention to tracheostomy | 1,304 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z430 - Encounter for attention to tracheostomy in DRG | 2.45 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z430 - Encounter for attention to tracheostomy | 16.64 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z430 - Encounter for attention to tracheostomy | 39.54 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z430 - Encounter for attention to tracheostomy | 26.26 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z430 - Encounter for attention to tracheostomy | $24,164,084 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z430 - Encounter for attention to tracheostomy | $1,113 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z430 - Encounter for attention to tracheostomy | $18,531 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z430 - Encounter for attention to tracheostomy | $157,372,969 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z430 - Encounter for attention to tracheostomy | $120,685 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z430 - Encounter for attention to tracheostomy | 13.65 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z430 - Encounter for attention to tracheostomy | 41.79 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z430 - Encounter for attention to tracheostomy | 6.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD Z430 - Encounter for attention to tracheostomy | 542 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z430 - Encounter for attention to tracheostomy in DRG | 1.02 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD Z430 - Encounter for attention to tracheostomy | 32.19 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD Z430 - Encounter for attention to tracheostomy | 46.1 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD Z430 - Encounter for attention to tracheostomy | 27.07 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD Z430 - Encounter for attention to tracheostomy | $30,471,723 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD Z430 - Encounter for attention to tracheostomy | $1,747 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD Z430 - Encounter for attention to tracheostomy | $56,221 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD Z430 - Encounter for attention to tracheostomy | $181,286,698 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD Z430 - Encounter for attention to tracheostomy | $334,477 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD Z430 - Encounter for attention to tracheostomy | 18.08 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD Z430 - Encounter for attention to tracheostomy | 42.99 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD Z430 - Encounter for attention to tracheostomy | 3.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD Z430 - Encounter for attention to tracheostomy | 307 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z430 - Encounter for attention to tracheostomy in DRG | 0.58 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD Z430 - Encounter for attention to tracheostomy | 15.23 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD Z430 - Encounter for attention to tracheostomy | 21.88 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD Z430 - Encounter for attention to tracheostomy | 17.19 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD Z430 - Encounter for attention to tracheostomy | $7,766,060 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD Z430 - Encounter for attention to tracheostomy | $1,660 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD Z430 - Encounter for attention to tracheostomy | $25,297 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD Z430 - Encounter for attention to tracheostomy | $16,337,488 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD Z430 - Encounter for attention to tracheostomy | $53,217 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD Z430 - Encounter for attention to tracheostomy | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD Z430 - Encounter for attention to tracheostomy | 17.26 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD Z430 - Encounter for attention to tracheostomy | 10.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARLOW RESPIRATORY HOSPITAL | 2000 STADIUM WAY | LOS ANGELES | CA | 90026 | 555 |
| SELECT SPECIALTY HOSPITAL - NASHVILLE | 2000 HAYES STREET | NASHVILLE | TN | 37236 | 432 |
| OHIOHEALTH REHABILITATION HOSPITAL | 1087 DENNISON AVE | COLUMBUS | OH | 43201 | 412 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM F GRELLA | 224 HAMBURG TPKE | WAYNE | NJ | 07470 | 197 |
| Dr. EZINNE UGOCHI NWOTITE | 1925 PACIFIC AVE | ATLANTIC CITY | NJ | 08401 | 168 |
| Dr. KOJO DANQUAH ARKHURST | 7TH AND CLAYTON STREETS | WILMINGTON | DE | 19805 | 154 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KOJO DANQUAH ARKHURST | 7TH AND CLAYTON STREETS | WILMINGTON | DE | 19805 | 329 |
| Dr. ELIO VENTRESCA | 3650 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 275 |
| Dr. WILLIAM F GRELLA | 224 HAMBURG TPKE | WAYNE | NJ | 07470 | 251 |