*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z902 - Acquired absence of lung [part of] - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.76 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z902 - Acquired absence of lung [part of] | 8,519 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z902 - Acquired absence of lung [part of] in DRG | 7.16 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z902 - Acquired absence of lung [part of] | 5.51 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z902 - Acquired absence of lung [part of] | 22.59 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z902 - Acquired absence of lung [part of] | 16.47 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z902 - Acquired absence of lung [part of] | $97,358,819 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z902 - Acquired absence of lung [part of] | $2,073 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z902 - Acquired absence of lung [part of] | $11,428 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z902 - Acquired absence of lung [part of] | $426,005,656 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z902 - Acquired absence of lung [part of] | $50,007 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z902 - Acquired absence of lung [part of] | 10.25 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z902 - Acquired absence of lung [part of] | 16.76 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z902 - Acquired absence of lung [part of] | 37.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z902 - Acquired absence of lung [part of] | 3,488 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z902 - Acquired absence of lung [part of] in DRG | 2.93 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z902 - Acquired absence of lung [part of] | 5.28 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z902 - Acquired absence of lung [part of] | 23.92 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z902 - Acquired absence of lung [part of] | 17.75 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z902 - Acquired absence of lung [part of] | $30,234,096 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z902 - Acquired absence of lung [part of] | $1,640 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z902 - Acquired absence of lung [part of] | $8,668 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z902 - Acquired absence of lung [part of] | $142,074,495 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z902 - Acquired absence of lung [part of] | $40,732 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z902 - Acquired absence of lung [part of] | 3.87 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z902 - Acquired absence of lung [part of] | 14.39 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z902 - Acquired absence of lung [part of] | 46.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,444 | ||||
| Total Hospitalizations with ICD Z902 - Acquired absence of lung [part of] | 1,603 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD Z902 - Acquired absence of lung [part of] in DRG | 1.35 | ||||
| Avg LOS at DRG | 2.99 | ||||
| Avg LOS with ICD Z902 - Acquired absence of lung [part of] | 2.98 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD Z902 - Acquired absence of lung [part of] | 16.52 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD Z902 - Acquired absence of lung [part of] | 12.89 | ||||
| Total Medicare payments at DRG | $639,377,802 | ||||
| Total Medicare payments with ICD Z902 - Acquired absence of lung [part of] | $6,931,763 | ||||
| Total Medicare payment per Day at DRG | $1,479 | ||||
| Total Medicare payment per Day with ICD Z902 - Acquired absence of lung [part of] | $1,449 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,426 | ||||
| Total Medicare payment per Hospitalization with ICD Z902 - Acquired absence of lung [part of] | $4,324 | ||||
| Total Medicare Charges at DRG | $2,994,885,256 | ||||
| Total Medicare Charges with ICD Z902 - Acquired absence of lung [part of] | $34,993,322 | ||||
| Avg Charges at DRG | $20,734 | ||||
| Avg Charges with ICD Z902 - Acquired absence of lung [part of] | $21,830 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z902 - Acquired absence of lung [part of] | NA | ||||
| SNF Discharge Rate at DRG | 6.05 | ||||
| SNF Discharge Rate with ICD Z902 - Acquired absence of lung [part of] | 4.93 | ||||
| Home Discharge Rate at DRG | 72.34 | ||||
| Home Discharge Rate with ICD Z902 - Acquired absence of lung [part of] | 74.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD Z902 - Acquired absence of lung [part of] | 1,200 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD Z902 - Acquired absence of lung [part of] in DRG | 1.01 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD Z902 - Acquired absence of lung [part of] | 2.84 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD Z902 - Acquired absence of lung [part of] | 19.88 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD Z902 - Acquired absence of lung [part of] | 15.33 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD Z902 - Acquired absence of lung [part of] | $5,550,405 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD Z902 - Acquired absence of lung [part of] | $1,631 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD Z902 - Acquired absence of lung [part of] | $4,625 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD Z902 - Acquired absence of lung [part of] | $30,340,525 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD Z902 - Acquired absence of lung [part of] | $25,284 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD Z902 - Acquired absence of lung [part of] | NA | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD Z902 - Acquired absence of lung [part of] | 8.83 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD Z902 - Acquired absence of lung [part of] | 66.25 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 831 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 394 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 381 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VALERIE W RUSCH | 1275 YORK AVE | NEW YORK | NY | 10021 | 32 |
| Dr. ROBERT JOSEPH MCKENNA | 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 26 |
| Dr. NASSER ALTORKI | 525 E 68TH ST # M-404 | NEW YORK | NY | 10065 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VALERIE W RUSCH | 1275 YORK AVE | NEW YORK | NY | 10021 | 43 |
| Dr. HELEN H. CHUNG | 1275 YORK AVE | NEW YORK | NY | 10065 | 38 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 37 |