Examples: ICD M32, ICD R6521, ICD 8210, ICD 1970

3970 - ICD 9 Diagnosis Code - Diseases of tricuspid valve - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to 3970 - Diseases of tricuspid valve

3970 - Diseases of tricuspid valve - as a primary diagnosis code 3970 - Diseases of tricuspid valve - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 6.25
Readmission Rate (%) 25.43
Unplanned Readmission Rate (%) 16.83
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

Top DRGs Associated With 3970 - Diseases of tricuspid valve - as a primary diagnosis code

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Top 1 to 5 DRGs - Jan 2013 to Dec 2014

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 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 40,637
Total Hospitalizations with ICD 3970 - Diseases of tricuspid valve 247
DRG Share of Total Hospitalizations 0.18
% of Total ICD 3970 - Diseases of tricuspid valve in DRG 24.58
Avg LOS at DRG 11.15
Avg LOS with ICD 3970 - Diseases of tricuspid valve 13.1
Readmission Rate at DRG 34.38
Readmission Rate with ICD 3970 - Diseases of tricuspid valve 39.11
Unplanned Readmission Rate at DRG 13.56
Unplanned Readmission Rate with ICD 3970 - Diseases of tricuspid valve 18.67
Total Medicare payments at DRG $2,284,710,986
Total Medicare payments with ICD 3970 - Diseases of tricuspid valve $14,594,147
Total Medicare payment per Day at DRG $5,043
Total Medicare payment per Day with ICD 3970 - Diseases of tricuspid valve $4,510
Total Medicare payment per Hospitalization at DRG $56,222
Total Medicare payment per Hospitalization with ICD 3970 - Diseases of tricuspid valve $59,086
Total Medicare Charges at DRG $9,612,625,571
Total Medicare Charges with ICD 3970 - Diseases of tricuspid valve $58,759,142
Avg Charges at DRG $236,549
Avg Charges with ICD 3970 - Diseases of tricuspid valve $237,891
Mortality Rate at DRG 7.5
Mortality Rate with ICD 3970 - Diseases of tricuspid valve 8.91
SNF Discharge Rate at DRG 25.18
SNF Discharge Rate with ICD 3970 - Diseases of tricuspid valve 21.86
Home Discharge Rate at DRG 20.25
Home Discharge Rate with ICD 3970 - Diseases of tricuspid valve 21.46

Top 5 to 10 DRGs - Jan 2013 to Dec 2014

DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE DRG 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 58,572
Total Hospitalizations with ICD 3970 - Diseases of tricuspid valve 42
DRG Share of Total Hospitalizations 0.26
% of Total ICD 3970 - Diseases of tricuspid valve in DRG 4.18
Avg LOS at DRG 6.83
Avg LOS with ICD 3970 - Diseases of tricuspid valve 10.0
Readmission Rate at DRG 28.1
Readmission Rate with ICD 3970 - Diseases of tricuspid valve NA
Unplanned Readmission Rate at DRG 17.13
Unplanned Readmission Rate with ICD 3970 - Diseases of tricuspid valve NA
Total Medicare payments at DRG $830,673,934
Total Medicare payments with ICD 3970 - Diseases of tricuspid valve $660,811
Total Medicare payment per Day at DRG $2,076
Total Medicare payment per Day with ICD 3970 - Diseases of tricuspid valve $1,573
Total Medicare payment per Hospitalization at DRG $14,182
Total Medicare payment per Hospitalization with ICD 3970 - Diseases of tricuspid valve $15,734
Total Medicare Charges at DRG $4,129,602,878
Total Medicare Charges with ICD 3970 - Diseases of tricuspid valve $3,143,381
Avg Charges at DRG $70,505
Avg Charges with ICD 3970 - Diseases of tricuspid valve $74,842
Mortality Rate at DRG 4.14
Mortality Rate with ICD 3970 - Diseases of tricuspid valve NA
SNF Discharge Rate at DRG 10.33
SNF Discharge Rate with ICD 3970 - Diseases of tricuspid valve NA
Home Discharge Rate at DRG 54.27
Home Discharge Rate with ICD 3970 - Diseases of tricuspid valve 52.38

Top Hospitals Associated With 3970 - Diseases of tricuspid valve - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 52
CLEVELAND CLINIC 9500 EUCLID AVE CLEVELAND OH 44195 21
DUKE UNIVERSITY HOSPITAL 2301 ERWIN ROAD DURHAM NC 27710 17

Top Operating Physicians Associated With 3970 - Diseases of tricuspid valve - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
Dr. LYLE D JOYCE 200 1ST ST SW ROCHESTER MN 55905 15

Top Attending Physicians Associated With 3970 - Diseases of tricuspid valve - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
Dr. LYLE D JOYCE 200 1ST ST SW ROCHESTER MN 55905 15

Top DRGs Associated With 3970 - Diseases of tricuspid valve - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Jan 2013 to Dec 2014

DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) 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 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 414,616
Total Hospitalizations with ICD 3970 - Diseases of tricuspid valve 39,329
DRG Share of Total Hospitalizations 1.81
% of Total ICD 3970 - Diseases of tricuspid valve in DRG 8.85
Avg LOS at DRG 4.4
Avg LOS with ICD 3970 - Diseases of tricuspid valve 4.88
Readmission Rate at DRG 25.69
Readmission Rate with ICD 3970 - Diseases of tricuspid valve 24.89
Unplanned Readmission Rate at DRG 19.35
Unplanned Readmission Rate with ICD 3970 - Diseases of tricuspid valve 18.72
Total Medicare payments at DRG $2,579,957,747
Total Medicare payments with ICD 3970 - Diseases of tricuspid valve $245,941,111
Total Medicare payment per Day at DRG $1,415
Total Medicare payment per Day with ICD 3970 - Diseases of tricuspid valve $1,282
Total Medicare payment per Hospitalization at DRG $6,223
Total Medicare payment per Hospitalization with ICD 3970 - Diseases of tricuspid valve $6,253
Total Medicare Charges at DRG $11,090,898,185
Total Medicare Charges with ICD 3970 - Diseases of tricuspid valve $1,097,172,008
Avg Charges at DRG $26,750
Avg Charges with ICD 3970 - Diseases of tricuspid valve $27,897
Mortality Rate at DRG 1.33
Mortality Rate with ICD 3970 - Diseases of tricuspid valve 1.25
SNF Discharge Rate at DRG 17.4
SNF Discharge Rate with ICD 3970 - Diseases of tricuspid valve 19.72
Home Discharge Rate at DRG 45.44
Home Discharge Rate with ICD 3970 - Diseases of tricuspid valve 41.16

Top 5 to 10 DRGs - Jan 2013 to Dec 2014

DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 204,070
Total Hospitalizations with ICD 3970 - Diseases of tricuspid valve 11,085
DRG Share of Total Hospitalizations 0.89
% of Total ICD 3970 - Diseases of tricuspid valve in DRG 2.49
Avg LOS at DRG 3.24
Avg LOS with ICD 3970 - Diseases of tricuspid valve 3.61
Readmission Rate at DRG 20.27
Readmission Rate with ICD 3970 - Diseases of tricuspid valve 20.24
Unplanned Readmission Rate at DRG 14.42
Unplanned Readmission Rate with ICD 3970 - Diseases of tricuspid valve 15.09
Total Medicare payments at DRG $973,540,845
Total Medicare payments with ICD 3970 - Diseases of tricuspid valve $52,582,236
Total Medicare payment per Day at DRG $1,471
Total Medicare payment per Day with ICD 3970 - Diseases of tricuspid valve $1,316
Total Medicare payment per Hospitalization at DRG $4,771
Total Medicare payment per Hospitalization with ICD 3970 - Diseases of tricuspid valve $4,744
Total Medicare Charges at DRG $4,751,640,685
Total Medicare Charges with ICD 3970 - Diseases of tricuspid valve $262,844,720
Avg Charges at DRG $23,284
Avg Charges with ICD 3970 - Diseases of tricuspid valve $23,712
Mortality Rate at DRG 0.86
Mortality Rate with ICD 3970 - Diseases of tricuspid valve 0.64
SNF Discharge Rate at DRG 13.34
SNF Discharge Rate with ICD 3970 - Diseases of tricuspid valve 14.08
Home Discharge Rate at DRG 60.61
Home Discharge Rate with ICD 3970 - Diseases of tricuspid valve 59.31

Top 10 to 15 DRGs - Jan 2013 to Dec 2014

DRG 682: RENAL FAILURE 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 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)
Total Hospitalizations at DRG 235,369
Total Hospitalizations with ICD 3970 - Diseases of tricuspid valve 6,373
DRG Share of Total Hospitalizations 1.03
% of Total ICD 3970 - Diseases of tricuspid valve in DRG 1.43
Avg LOS at DRG 6.39
Avg LOS with ICD 3970 - Diseases of tricuspid valve 7.17
Readmission Rate at DRG 29.0
Readmission Rate with ICD 3970 - Diseases of tricuspid valve 30.91
Unplanned Readmission Rate at DRG 21.04
Unplanned Readmission Rate with ICD 3970 - Diseases of tricuspid valve 22.66
Total Medicare payments at DRG $2,435,030,298
Total Medicare payments with ICD 3970 - Diseases of tricuspid valve $65,636,232
Total Medicare payment per Day at DRG $1,619
Total Medicare payment per Day with ICD 3970 - Diseases of tricuspid valve $1,437
Total Medicare payment per Hospitalization at DRG $10,346
Total Medicare payment per Hospitalization with ICD 3970 - Diseases of tricuspid valve $10,299
Total Medicare Charges at DRG $10,227,015,588
Total Medicare Charges with ICD 3970 - Diseases of tricuspid valve $300,857,404
Avg Charges at DRG $43,451
Avg Charges with ICD 3970 - Diseases of tricuspid valve $47,208
Mortality Rate at DRG 5.93
Mortality Rate with ICD 3970 - Diseases of tricuspid valve 7.36
SNF Discharge Rate at DRG 27.26
SNF Discharge Rate with ICD 3970 - Diseases of tricuspid valve 27.93
Home Discharge Rate at DRG 34.42
Home Discharge Rate with ICD 3970 - Diseases of tricuspid valve 28.61

Top 15 to 20 DRGs - Jan 2013 to Dec 2014

DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 312: SYNCOPE AND COLLAPSE
Total Hospitalizations at DRG 58,572
Total Hospitalizations with ICD 3970 - Diseases of tricuspid valve 5,602
DRG Share of Total Hospitalizations 0.26
% of Total ICD 3970 - Diseases of tricuspid valve in DRG 1.26
Avg LOS at DRG 6.83
Avg LOS with ICD 3970 - Diseases of tricuspid valve 8.42
Readmission Rate at DRG 28.1
Readmission Rate with ICD 3970 - Diseases of tricuspid valve 30.85
Unplanned Readmission Rate at DRG 17.13
Unplanned Readmission Rate with ICD 3970 - Diseases of tricuspid valve 16.89
Total Medicare payments at DRG $830,673,934
Total Medicare payments with ICD 3970 - Diseases of tricuspid valve $83,045,701
Total Medicare payment per Day at DRG $2,076
Total Medicare payment per Day with ICD 3970 - Diseases of tricuspid valve $1,760
Total Medicare payment per Hospitalization at DRG $14,182
Total Medicare payment per Hospitalization with ICD 3970 - Diseases of tricuspid valve $14,824
Total Medicare Charges at DRG $4,129,602,878
Total Medicare Charges with ICD 3970 - Diseases of tricuspid valve $429,758,497
Avg Charges at DRG $70,505
Avg Charges with ICD 3970 - Diseases of tricuspid valve $76,715
Mortality Rate at DRG 4.14
Mortality Rate with ICD 3970 - Diseases of tricuspid valve 4.02
SNF Discharge Rate at DRG 10.33
SNF Discharge Rate with ICD 3970 - Diseases of tricuspid valve 11.57
Home Discharge Rate at DRG 54.27
Home Discharge Rate with ICD 3970 - Diseases of tricuspid valve 46.38

Top Hospitals Associated With 3970 - Diseases of tricuspid valve - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
MEDSTAR FRANKLIN SQUARE MEDICAL CENTER 9000 FRANKLIN SQUARE DR BALTIMORE MD 21237 2,526
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 2,453
NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER 489 STATE ST BANGOR ME 04401 2,432

Top Operating Physicians Associated With 3970 - Diseases of tricuspid valve - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
Dr. KEVIN L. GREASON 200 1ST ST SW ROCHESTER MN 55905 199
Dr. JOHN L HERZOG 1257 HWY 61 S HOLLANDALE MS 38748 188
Dr. DAVID ADAMS 1190 5TH AVE NEW YORK NY 10029 182

Top Attending Physicians Associated With 3970 - Diseases of tricuspid valve - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
Dr. JOHN L HERZOG 1257 HWY 61 S HOLLANDALE MS 38748 495
Dr. IVELISSE MICHEL 700 6TH ST S ST PETERSBURG FL 33701 394
Dr. ZIAD SOUS 1145 S UTICA AVE TULSA OK 74104 249