*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z941 - Heart transplant status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.96 | |
| 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY 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 Z941 - Heart transplant status | 1,533 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z941 - Heart transplant status in DRG | 5.9 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z941 - Heart transplant status | 6.5 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z941 - Heart transplant status | 28.37 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z941 - Heart transplant status | 15.56 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z941 - Heart transplant status | $19,246,011 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z941 - Heart transplant status | $1,930 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z941 - Heart transplant status | $12,554 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z941 - Heart transplant status | $113,196,348 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z941 - Heart transplant status | $73,840 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z941 - Heart transplant status | 7.37 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z941 - Heart transplant status | 12.33 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z941 - Heart transplant status | 38.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z941 - Heart transplant status | 549 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z941 - Heart transplant status in DRG | 2.11 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z941 - Heart transplant status | 4.42 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z941 - Heart transplant status | 17.72 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z941 - Heart transplant status | 9.98 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z941 - Heart transplant status | $3,781,069 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z941 - Heart transplant status | $1,557 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z941 - Heart transplant status | $6,887 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z941 - Heart transplant status | $23,762,537 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z941 - Heart transplant status | $43,283 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z941 - Heart transplant status | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z941 - Heart transplant status | 7.65 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z941 - Heart transplant status | 60.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD Z941 - Heart transplant status | 335 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z941 - Heart transplant status in DRG | 1.29 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD Z941 - Heart transplant status | 15.36 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD Z941 - Heart transplant status | 37.96 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD Z941 - Heart transplant status | 17.88 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD Z941 - Heart transplant status | $13,362,834 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD Z941 - Heart transplant status | $2,597 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD Z941 - Heart transplant status | $39,889 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD Z941 - Heart transplant status | $76,047,981 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD Z941 - Heart transplant status | $227,009 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD Z941 - Heart transplant status | 14.33 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD Z941 - Heart transplant status | 15.52 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD Z941 - Heart transplant status | 25.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 209,527 | ||||
| Total Hospitalizations with ICD Z941 - Heart transplant status | 277 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD Z941 - Heart transplant status in DRG | 1.07 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD Z941 - Heart transplant status | 3.93 | ||||
| Readmission Rate at DRG | 15.34 | ||||
| Readmission Rate with ICD Z941 - Heart transplant status | 17.18 | ||||
| Unplanned Readmission Rate at DRG | 8.56 | ||||
| Unplanned Readmission Rate with ICD Z941 - Heart transplant status | 7.63 | ||||
| Total Medicare payments at DRG | $1,394,352,541 | ||||
| Total Medicare payments with ICD Z941 - Heart transplant status | $2,401,642 | ||||
| Total Medicare payment per Day at DRG | $2,234 | ||||
| Total Medicare payment per Day with ICD Z941 - Heart transplant status | $2,205 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,655 | ||||
| Total Medicare payment per Hospitalization with ICD Z941 - Heart transplant status | $8,670 | ||||
| Total Medicare Charges at DRG | $9,726,714,225 | ||||
| Total Medicare Charges with ICD Z941 - Heart transplant status | $17,711,266 | ||||
| Avg Charges at DRG | $46,422 | ||||
| Avg Charges with ICD Z941 - Heart transplant status | $63,940 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD Z941 - Heart transplant status | NA | ||||
| SNF Discharge Rate at DRG | 3.41 | ||||
| SNF Discharge Rate with ICD Z941 - Heart transplant status | NA | ||||
| Home Discharge Rate at DRG | 79.22 | ||||
| Home Discharge Rate with ICD Z941 - Heart transplant status | 82.31 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 458 |
| TAMPA GENERAL HOSPITAL | 1 TAMPA GENERAL CIRCLE | TAMPA | FL | 33606 | 366 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 349 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALAN L GASS | 1900 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 23 |
| Dr. TODD D EDWARDS | 8060 WOLF RIVER BLVD | MEMPHIS | TN | 38138 | 22 |
| Dr. GABRIEL T SAYER | 180 HARVESTER DR | BURR RIDGE | IL | 60527 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TODD D EDWARDS | 8060 WOLF RIVER BLVD | MEMPHIS | TN | 38138 | 141 |
| Dr. DAVID P NELSON | 3400 NW EXPRESSWAY ST | OKLAHOMA CITY | OK | 73112 | 79 |
| Dr. ARSALAN T SHIRWANY | 6025 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 78 |