*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8679 - Personal history of other diseases of the circulatory system - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.63 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z8679 - Personal history of other diseases of the circulatory system | 6,424 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z8679 - Personal history of other diseases of the circulatory system in DRG | 4.39 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z8679 - Personal history of other diseases of the circulatory system | 4.61 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 27.2 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 20.95 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z8679 - Personal history of other diseases of the circulatory system | $58,695,925 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z8679 - Personal history of other diseases of the circulatory system | $1,981 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z8679 - Personal history of other diseases of the circulatory system | $9,137 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z8679 - Personal history of other diseases of the circulatory system | $234,877,653 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z8679 - Personal history of other diseases of the circulatory system | $36,563 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 2.91 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 15.97 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 43.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 885: PSYCHOSES | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD Z8679 - Personal history of other diseases of the circulatory system | 2,453 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z8679 - Personal history of other diseases of the circulatory system in DRG | 1.68 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z8679 - Personal history of other diseases of the circulatory system | 3.46 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 19.51 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 15.73 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z8679 - Personal history of other diseases of the circulatory system | $14,601,056 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z8679 - Personal history of other diseases of the circulatory system | $1,719 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z8679 - Personal history of other diseases of the circulatory system | $5,952 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z8679 - Personal history of other diseases of the circulatory system | $78,771,537 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z8679 - Personal history of other diseases of the circulatory system | $32,112 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 0.77 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 12.35 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 66.65 |
*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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z8679 - Personal history of other diseases of the circulatory system | 2,105 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z8679 - Personal history of other diseases of the circulatory system in DRG | 1.44 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z8679 - Personal history of other diseases of the circulatory system | 3.02 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 17.28 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 13.54 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z8679 - Personal history of other diseases of the circulatory system | $9,143,778 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z8679 - Personal history of other diseases of the circulatory system | $1,439 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z8679 - Personal history of other diseases of the circulatory system | $4,344 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z8679 - Personal history of other diseases of the circulatory system | $52,432,095 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z8679 - Personal history of other diseases of the circulatory system | $24,908 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 8.79 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 71.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z8679 - Personal history of other diseases of the circulatory system | 1,904 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z8679 - Personal history of other diseases of the circulatory system in DRG | 1.3 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z8679 - Personal history of other diseases of the circulatory system | 3.38 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 17.47 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 11.57 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z8679 - Personal history of other diseases of the circulatory system | $9,248,160 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z8679 - Personal history of other diseases of the circulatory system | $1,437 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z8679 - Personal history of other diseases of the circulatory system | $4,857 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z8679 - Personal history of other diseases of the circulatory system | $43,166,563 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z8679 - Personal history of other diseases of the circulatory system | $22,672 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 23.63 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z8679 - Personal history of other diseases of the circulatory system | 45.96 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 1,479 |
| ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER | 1414 KUHL AVE | ORLANDO | FL | 32806 | 1,467 |
| MOSAIC LIFE CARE AT ST. JOSEPH | 5325 FARAON ST | SAINT JOSEPH | MO | 64506 | 1,291 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KIRK A KINDSFATER | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 61 |
| Dr. MATTHEW L LUKENS | 802 N RIVERSIDE RD | SAINT JOSEPH | MO | 64507 | 56 |
| Dr. THOMAS D. MEADE | 2775 SCHOENERSVILLE RD | BETHLEHEM | PA | 18017 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 271 |
| Dr. JOHN A. KLINE | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 216 |
| Dr. SARMISTHA BHALLA | 321 W PROMENADE ST | MEXICO | MO | 65265 | 195 |