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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |