| 4149 - Chronic ischemic heart disease, unspecified - as a primary diagnosis code | 4149 - Chronic ischemic heart disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.4 | |
| Readmission Rate (%) | 22.11 | |
| Unplanned Readmission Rate (%) | 11.34 | |
| 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 303: ATHEROSCLEROSIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 302: ATHEROSCLEROSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,756 | ||||
| Total Hospitalizations with ICD 4149 - Chronic ischemic heart disease, unspecified | 419 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD 4149 - Chronic ischemic heart disease, unspecified in DRG | 63.87 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD 4149 - Chronic ischemic heart disease, unspecified | 2.18 | ||||
| Readmission Rate at DRG | 19.56 | ||||
| Readmission Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 20.83 | ||||
| Unplanned Readmission Rate at DRG | 13.83 | ||||
| Unplanned Readmission Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 12.5 | ||||
| Total Medicare payments at DRG | $172,068,623 | ||||
| Total Medicare payments with ICD 4149 - Chronic ischemic heart disease, unspecified | $1,577,881 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD 4149 - Chronic ischemic heart disease, unspecified | $1,724 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,845 | ||||
| Total Medicare payment per Hospitalization with ICD 4149 - Chronic ischemic heart disease, unspecified | $3,766 | ||||
| Total Medicare Charges at DRG | $891,334,481 | ||||
| Total Medicare Charges with ICD 4149 - Chronic ischemic heart disease, unspecified | $9,504,114 | ||||
| Avg Charges at DRG | $19,915 | ||||
| Avg Charges with ICD 4149 - Chronic ischemic heart disease, unspecified | $22,683 | ||||
| Mortality Rate at DRG | 0.69 | ||||
| Mortality Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 6.3 | ||||
| SNF Discharge Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 5.49 | ||||
| Home Discharge Rate at DRG | 63.39 | ||||
| Home Discharge Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 50.12 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD 4149 - Chronic ischemic heart disease, unspecified | 1,376 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 4149 - Chronic ischemic heart disease, unspecified in DRG | 3.69 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 4149 - Chronic ischemic heart disease, unspecified | 4.25 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 25.65 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 16.5 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 4149 - Chronic ischemic heart disease, unspecified | $8,241,376 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 4149 - Chronic ischemic heart disease, unspecified | $1,411 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 4149 - Chronic ischemic heart disease, unspecified | $5,989 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 4149 - Chronic ischemic heart disease, unspecified | $32,995,558 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 4149 - Chronic ischemic heart disease, unspecified | $23,979 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 1.82 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 13.44 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 46.51 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 303: ATHEROSCLEROSIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD 4149 - Chronic ischemic heart disease, unspecified | 742 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 4149 - Chronic ischemic heart disease, unspecified in DRG | 1.99 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 4149 - Chronic ischemic heart disease, unspecified | 12.8 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 16.04 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 13.77 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 4149 - Chronic ischemic heart disease, unspecified | $13,209,409 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 4149 - Chronic ischemic heart disease, unspecified | $1,390 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 4149 - Chronic ischemic heart disease, unspecified | $17,802 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 4149 - Chronic ischemic heart disease, unspecified | $27,877,678 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 4149 - Chronic ischemic heart disease, unspecified | $37,571 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 14.56 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 18.87 |
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD 4149 - Chronic ischemic heart disease, unspecified | 597 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 4149 - Chronic ischemic heart disease, unspecified in DRG | 1.6 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD 4149 - Chronic ischemic heart disease, unspecified | 3.82 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 15.78 | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 10.29 | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD 4149 - Chronic ischemic heart disease, unspecified | $2,760,043 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD 4149 - Chronic ischemic heart disease, unspecified | $1,212 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD 4149 - Chronic ischemic heart disease, unspecified | $4,623 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD 4149 - Chronic ischemic heart disease, unspecified | $11,263,280 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD 4149 - Chronic ischemic heart disease, unspecified | $18,866 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 27.81 | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 37.52 |
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 293,121 | ||||
| Total Hospitalizations with ICD 4149 - Chronic ischemic heart disease, unspecified | 519 | ||||
| DRG Share of Total Hospitalizations | 1.28 | ||||
| % of Total ICD 4149 - Chronic ischemic heart disease, unspecified in DRG | 1.39 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD 4149 - Chronic ischemic heart disease, unspecified | 3.82 | ||||
| Readmission Rate at DRG | 17.73 | ||||
| Readmission Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 15.37 | ||||
| Unplanned Readmission Rate at DRG | 13.44 | ||||
| Unplanned Readmission Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 10.66 | ||||
| Total Medicare payments at DRG | $1,776,508,891 | ||||
| Total Medicare payments with ICD 4149 - Chronic ischemic heart disease, unspecified | $3,023,643 | ||||
| Total Medicare payment per Day at DRG | $1,604 | ||||
| Total Medicare payment per Day with ICD 4149 - Chronic ischemic heart disease, unspecified | $1,525 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
| Total Medicare payment per Hospitalization with ICD 4149 - Chronic ischemic heart disease, unspecified | $5,826 | ||||
| Total Medicare Charges at DRG | $8,470,312,778 | ||||
| Total Medicare Charges with ICD 4149 - Chronic ischemic heart disease, unspecified | $14,526,593 | ||||
| Avg Charges at DRG | $28,897 | ||||
| Avg Charges with ICD 4149 - Chronic ischemic heart disease, unspecified | $27,990 | ||||
| Mortality Rate at DRG | 0.95 | ||||
| Mortality Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.94 | ||||
| SNF Discharge Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 16.76 | ||||
| Home Discharge Rate at DRG | 62.44 | ||||
| Home Discharge Rate with ICD 4149 - Chronic ischemic heart disease, unspecified | 56.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| PARK NICOLLET METHODIST HOSPITAL | 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 488 |
| LEE MEMORIAL HOSPITAL | 2776 CLEVELAND AVE | FT MYERS | FL | 33901 | 397 |
| BRYN MAWR REHAB HOSPITAL | 414 PAOLI PIKE | MALVERN | PA | 19355 | 383 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ANTHONY J SPAEDY | 1605 E BROADWAY | COLUMBIA | MO | 65201 | 59 |
| Dr. SHANTILAL S PATEL | 1429 N 6TH ST | TERRE HAUTE | IN | 47807 | 43 |
| Dr. KARL KONRAD WOLF | 1262 E NORTH ST | MANTECA | CA | 95336 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. KARL KONRAD WOLF | 1262 E NORTH ST | MANTECA | CA | 95336 | 174 |
| Dr. JOE H WHARTON | 1012 E CHURCH ST | WARREN | AR | 71671 | 118 |
| Dr. JOHN L HERZOG | 1257 HWY 61 S | HOLLANDALE | MS | 38748 | 110 |