*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z954 - Presence of other heart-valve replacement - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.63 | |
| 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z954 - Presence of other heart-valve replacement | 2,545 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z954 - Presence of other heart-valve replacement in DRG | 7.39 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z954 - Presence of other heart-valve replacement | 5.67 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z954 - Presence of other heart-valve replacement | 28.69 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z954 - Presence of other heart-valve replacement | 21.43 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z954 - Presence of other heart-valve replacement | $25,067,005 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z954 - Presence of other heart-valve replacement | $1,737 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z954 - Presence of other heart-valve replacement | $9,850 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z954 - Presence of other heart-valve replacement | $114,193,103 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z954 - Presence of other heart-valve replacement | $44,870 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z954 - Presence of other heart-valve replacement | 4.36 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z954 - Presence of other heart-valve replacement | 19.72 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z954 - Presence of other heart-valve replacement | 35.01 |
*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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD Z954 - Presence of other heart-valve replacement | 604 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD Z954 - Presence of other heart-valve replacement in DRG | 1.75 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD Z954 - Presence of other heart-valve replacement | 3.01 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD Z954 - Presence of other heart-valve replacement | 20.36 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD Z954 - Presence of other heart-valve replacement | 14.11 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD Z954 - Presence of other heart-valve replacement | $2,984,702 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD Z954 - Presence of other heart-valve replacement | $1,644 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD Z954 - Presence of other heart-valve replacement | $4,942 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD Z954 - Presence of other heart-valve replacement | $14,702,723 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD Z954 - Presence of other heart-valve replacement | $24,342 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD Z954 - Presence of other heart-valve replacement | NA | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD Z954 - Presence of other heart-valve replacement | 9.44 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD Z954 - Presence of other heart-valve replacement | 65.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z954 - Presence of other heart-valve replacement | 457 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z954 - Presence of other heart-valve replacement in DRG | 1.33 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z954 - Presence of other heart-valve replacement | 3.91 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z954 - Presence of other heart-valve replacement | 16.63 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z954 - Presence of other heart-valve replacement | 11.24 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z954 - Presence of other heart-valve replacement | $2,773,544 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z954 - Presence of other heart-valve replacement | $1,553 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z954 - Presence of other heart-valve replacement | $6,069 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z954 - Presence of other heart-valve replacement | $14,068,784 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z954 - Presence of other heart-valve replacement | $30,785 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z954 - Presence of other heart-valve replacement | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z954 - Presence of other heart-valve replacement | 14.88 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z954 - Presence of other heart-valve replacement | 54.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD Z954 - Presence of other heart-valve replacement | 405 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD Z954 - Presence of other heart-valve replacement in DRG | 1.18 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD Z954 - Presence of other heart-valve replacement | 6.34 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD Z954 - Presence of other heart-valve replacement | 30.3 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD Z954 - Presence of other heart-valve replacement | 21.76 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD Z954 - Presence of other heart-valve replacement | $4,894,370 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD Z954 - Presence of other heart-valve replacement | $1,905 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD Z954 - Presence of other heart-valve replacement | $12,085 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD Z954 - Presence of other heart-valve replacement | $24,443,936 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD Z954 - Presence of other heart-valve replacement | $60,355 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD Z954 - Presence of other heart-valve replacement | 4.44 | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD Z954 - Presence of other heart-valve replacement | 17.28 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD Z954 - Presence of other heart-valve replacement | 45.68 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. FRANCIS HOSPITAL ROSLYN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 325 |
| HELEN HAYES HOSPITAL | ROUTE 9W | WEST HAVERSTRAW | NY | 10993 | 240 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 203 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VINCENT VARGHESE | 620 STANTON CHRISTIANA RD | NEWARK | DE | 19713 | 14 |
| Dr. RAFFAELE CORBISIERO | 200 TRENTON RD | BROWNS MILLS | NJ | 08015 | 13 |
| Dr. LAWRENCE DURBAN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREA GAIL ISAACS | 177 N DEAN ST | ENGLEWOOD | NJ | 07631 | 113 |
| Dr. JAMES FRANCIS GETTLER | 416 E 76TH ST | NEW YORK | NY | 10021 | 42 |
| Dr. RICHARD A SHLOFMITZ | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 39 |