*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system - as a primary or secondary diagnosis code | ||
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OUTCOMES | ||
Avg. LOS | ||
Readmission Rate (%) | ||
Unplanned Readmission Rate (%) | 12.05 | |
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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | 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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,013,774 | ||||
Total Hospitalizations with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 746 | ||||
DRG Share of Total Hospitalizations | 3.08 | ||||
% of Total ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system in DRG | 5.04 | ||||
Avg LOS at DRG | 5.34 | ||||
Avg LOS with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 5.88 | ||||
Readmission Rate at DRG | 28.25 | ||||
Readmission Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 25.45 | ||||
Unplanned Readmission Rate at DRG | 21.93 | ||||
Unplanned Readmission Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 18.71 | ||||
Total Medicare payments at DRG | $9,469,067,156 | ||||
Total Medicare payments with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $7,665,720 | ||||
Total Medicare payment per Day at DRG | $1,751 | ||||
Total Medicare payment per Day with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $1,748 | ||||
Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
Total Medicare payment per Hospitalization with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $10,276 | ||||
Total Medicare Charges at DRG | $43,343,716,813 | ||||
Total Medicare Charges with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $36,300,544 | ||||
Avg Charges at DRG | $42,755 | ||||
Avg Charges with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $48,660 | ||||
Mortality Rate at DRG | 3.72 | ||||
Mortality Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 3.49 | ||||
SNF Discharge Rate at DRG | 20.84 | ||||
SNF Discharge Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 10.72 | ||||
Home Discharge Rate at DRG | 37.68 | ||||
Home Discharge Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 53.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 221,460 | ||||
Total Hospitalizations with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 329 | ||||
DRG Share of Total Hospitalizations | 0.67 | ||||
% of Total ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system in DRG | 2.22 | ||||
Avg LOS at DRG | 2.1 | ||||
Avg LOS with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 2.15 | ||||
Readmission Rate at DRG | 11.15 | ||||
Readmission Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 12.97 | ||||
Unplanned Readmission Rate at DRG | 7.88 | ||||
Unplanned Readmission Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 7.28 | ||||
Total Medicare payments at DRG | $635,922,710 | ||||
Total Medicare payments with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $1,091,280 | ||||
Total Medicare payment per Day at DRG | $1,367 | ||||
Total Medicare payment per Day with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $1,546 | ||||
Total Medicare payment per Hospitalization at DRG | $2,872 | ||||
Total Medicare payment per Hospitalization with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $3,317 | ||||
Total Medicare Charges at DRG | $4,179,979,444 | ||||
Total Medicare Charges with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $6,299,445 | ||||
Avg Charges at DRG | $18,875 | ||||
Avg Charges with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $19,147 | ||||
Mortality Rate at DRG | 0.21 | ||||
Mortality Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | NA | ||||
SNF Discharge Rate at DRG | 4.01 | ||||
SNF Discharge Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | NA | ||||
Home Discharge Rate at DRG | 82.23 | ||||
Home Discharge Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 91.19 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 408,103 | ||||
Total Hospitalizations with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 193 | ||||
DRG Share of Total Hospitalizations | 1.24 | ||||
% of Total ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system in DRG | 1.3 | ||||
Avg LOS at DRG | 3.52 | ||||
Avg LOS with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 4.07 | ||||
Readmission Rate at DRG | 17.83 | ||||
Readmission Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 18.58 | ||||
Unplanned Readmission Rate at DRG | 13.81 | ||||
Unplanned Readmission Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 13.66 | ||||
Total Medicare payments at DRG | $2,416,862,532 | ||||
Total Medicare payments with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $1,195,450 | ||||
Total Medicare payment per Day at DRG | $1,682 | ||||
Total Medicare payment per Day with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $1,521 | ||||
Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
Total Medicare payment per Hospitalization with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $6,194 | ||||
Total Medicare Charges at DRG | $13,267,744,847 | ||||
Total Medicare Charges with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $6,927,547 | ||||
Avg Charges at DRG | $32,511 | ||||
Avg Charges with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $35,894 | ||||
Mortality Rate at DRG | 0.72 | ||||
Mortality Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | NA | ||||
SNF Discharge Rate at DRG | 14.1 | ||||
SNF Discharge Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 9.84 | ||||
Home Discharge Rate at DRG | 62.97 | ||||
Home Discharge Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 72.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 193: SIMPLE PNEUMONIA AND PLEURISY 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 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 443,386 | ||||
Total Hospitalizations with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 164 | ||||
DRG Share of Total Hospitalizations | 1.35 | ||||
% of Total ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system in DRG | 1.11 | ||||
Avg LOS at DRG | 5.27 | ||||
Avg LOS with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 5.15 | ||||
Readmission Rate at DRG | 21.6 | ||||
Readmission Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 18.47 | ||||
Unplanned Readmission Rate at DRG | 15.91 | ||||
Unplanned Readmission Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 13.38 | ||||
Total Medicare payments at DRG | $3,812,834,208 | ||||
Total Medicare payments with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $1,449,168 | ||||
Total Medicare payment per Day at DRG | $1,632 | ||||
Total Medicare payment per Day with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $1,715 | ||||
Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
Total Medicare payment per Hospitalization with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $8,836 | ||||
Total Medicare Charges at DRG | $18,110,468,211 | ||||
Total Medicare Charges with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $6,613,556 | ||||
Avg Charges at DRG | $40,846 | ||||
Avg Charges with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | $40,327 | ||||
Mortality Rate at DRG | 3.59 | ||||
Mortality Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | NA | ||||
SNF Discharge Rate at DRG | 22.57 | ||||
SNF Discharge Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 10.98 | ||||
Home Discharge Rate at DRG | 40.95 | ||||
Home Discharge Rate with ICD Z8774 - Personal history of (corrected) congenital malformations of heart and circulatory system | 61.59 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 256 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 192 |
UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 184 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. GOSTA B PETTERSSON | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 13 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JONATHAN GINNS | 161 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 13 |
Dr. GOSTA B PETTERSSON | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 13 |