| 4168 - Other chronic pulmonary heart diseases - as a primary diagnosis code | 4168 - Other chronic pulmonary heart diseases - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.74 | |
| Readmission Rate (%) | 27.82 | |
| Unplanned Readmission Rate (%) | 17.09 | |
| 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 102,753 | ||||
| Total Hospitalizations with ICD 4168 - Other chronic pulmonary heart diseases | 3,770 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD 4168 - Other chronic pulmonary heart diseases in DRG | 34.07 | ||||
| Avg LOS at DRG | 7.33 | ||||
| Avg LOS with ICD 4168 - Other chronic pulmonary heart diseases | 6.46 | ||||
| Readmission Rate at DRG | 32.63 | ||||
| Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | 26.68 | ||||
| Unplanned Readmission Rate at DRG | 22.44 | ||||
| Unplanned Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | 19.6 | ||||
| Total Medicare payments at DRG | $1,376,213,228 | ||||
| Total Medicare payments with ICD 4168 - Other chronic pulmonary heart diseases | $48,686,196 | ||||
| Total Medicare payment per Day at DRG | $1,828 | ||||
| Total Medicare payment per Day with ICD 4168 - Other chronic pulmonary heart diseases | $2,000 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,393 | ||||
| Total Medicare payment per Hospitalization with ICD 4168 - Other chronic pulmonary heart diseases | $12,914 | ||||
| Total Medicare Charges at DRG | $5,899,767,418 | ||||
| Total Medicare Charges with ICD 4168 - Other chronic pulmonary heart diseases | $181,986,569 | ||||
| Avg Charges at DRG | $57,417 | ||||
| Avg Charges with ICD 4168 - Other chronic pulmonary heart diseases | $48,272 | ||||
| Mortality Rate at DRG | 5.59 | ||||
| Mortality Rate with ICD 4168 - Other chronic pulmonary heart diseases | 8.46 | ||||
| SNF Discharge Rate at DRG | 19.0 | ||||
| SNF Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | 14.91 | ||||
| Home Discharge Rate at DRG | 40.54 | ||||
| Home Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | 36.92 |
| DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 237: MAJOR CARDIOVASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,013 | ||||
| Total Hospitalizations with ICD 4168 - Other chronic pulmonary heart diseases | 49 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 4168 - Other chronic pulmonary heart diseases in DRG | 0.44 | ||||
| Avg LOS at DRG | 9.28 | ||||
| Avg LOS with ICD 4168 - Other chronic pulmonary heart diseases | 10.31 | ||||
| Readmission Rate at DRG | 30.62 | ||||
| Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | 34.88 | ||||
| Unplanned Readmission Rate at DRG | 19.87 | ||||
| Unplanned Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | 27.91 | ||||
| Total Medicare payments at DRG | $660,654,154 | ||||
| Total Medicare payments with ICD 4168 - Other chronic pulmonary heart diseases | $905,724 | ||||
| Total Medicare payment per Day at DRG | $2,094 | ||||
| Total Medicare payment per Day with ICD 4168 - Other chronic pulmonary heart diseases | $1,794 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,424 | ||||
| Total Medicare payment per Hospitalization with ICD 4168 - Other chronic pulmonary heart diseases | $18,484 | ||||
| Total Medicare Charges at DRG | $2,834,283,318 | ||||
| Total Medicare Charges with ICD 4168 - Other chronic pulmonary heart diseases | $3,957,113 | ||||
| Avg Charges at DRG | $83,329 | ||||
| Avg Charges with ICD 4168 - Other chronic pulmonary heart diseases | $80,757 | ||||
| Mortality Rate at DRG | 3.43 | ||||
| Mortality Rate with ICD 4168 - Other chronic pulmonary heart diseases | NA | ||||
| SNF Discharge Rate at DRG | 21.0 | ||||
| SNF Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | NA | ||||
| Home Discharge Rate at DRG | 41.99 | ||||
| Home Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | 42.86 |
| DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,241 | ||||
| Total Hospitalizations with ICD 4168 - Other chronic pulmonary heart diseases | 24 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 4168 - Other chronic pulmonary heart diseases in DRG | 0.22 | ||||
| Avg LOS at DRG | 12.87 | ||||
| Avg LOS with ICD 4168 - Other chronic pulmonary heart diseases | 20.79 | ||||
| Readmission Rate at DRG | 35.13 | ||||
| Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | NA | ||||
| Unplanned Readmission Rate at DRG | 14.21 | ||||
| Unplanned Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | NA | ||||
| Total Medicare payments at DRG | $163,120,210 | ||||
| Total Medicare payments with ICD 4168 - Other chronic pulmonary heart diseases | $2,033,005 | ||||
| Total Medicare payment per Day at DRG | $3,909 | ||||
| Total Medicare payment per Day with ICD 4168 - Other chronic pulmonary heart diseases | $4,074 | ||||
| Total Medicare payment per Hospitalization at DRG | $50,330 | ||||
| Total Medicare payment per Hospitalization with ICD 4168 - Other chronic pulmonary heart diseases | $84,709 | ||||
| Total Medicare Charges at DRG | $736,234,733 | ||||
| Total Medicare Charges with ICD 4168 - Other chronic pulmonary heart diseases | $7,759,937 | ||||
| Avg Charges at DRG | $227,163 | ||||
| Avg Charges with ICD 4168 - Other chronic pulmonary heart diseases | $323,331 | ||||
| Mortality Rate at DRG | 7.84 | ||||
| Mortality Rate with ICD 4168 - Other chronic pulmonary heart diseases | NA | ||||
| SNF Discharge Rate at DRG | 22.55 | ||||
| SNF Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | NA | ||||
| Home Discharge Rate at DRG | 25.33 | ||||
| Home Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | 87.5 |
| DRG 238: MAJOR CARDIOVASCULAR PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 242: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 251: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 70,756 | ||||
| Total Hospitalizations with ICD 4168 - Other chronic pulmonary heart diseases | 15 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD 4168 - Other chronic pulmonary heart diseases in DRG | 0.14 | ||||
| Avg LOS at DRG | 3.67 | ||||
| Avg LOS with ICD 4168 - Other chronic pulmonary heart diseases | 10.53 | ||||
| Readmission Rate at DRG | 14.94 | ||||
| Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | NA | ||||
| Unplanned Readmission Rate at DRG | 8.32 | ||||
| Unplanned Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | NA | ||||
| Total Medicare payments at DRG | $1,521,265,022 | ||||
| Total Medicare payments with ICD 4168 - Other chronic pulmonary heart diseases | $572,429 | ||||
| Total Medicare payment per Day at DRG | $5,857 | ||||
| Total Medicare payment per Day with ICD 4168 - Other chronic pulmonary heart diseases | $3,623 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,500 | ||||
| Total Medicare payment per Hospitalization with ICD 4168 - Other chronic pulmonary heart diseases | $38,162 | ||||
| Total Medicare Charges at DRG | $6,942,132,291 | ||||
| Total Medicare Charges with ICD 4168 - Other chronic pulmonary heart diseases | $2,855,116 | ||||
| Avg Charges at DRG | $98,114 | ||||
| Avg Charges with ICD 4168 - Other chronic pulmonary heart diseases | $190,341 | ||||
| Mortality Rate at DRG | 2.0 | ||||
| Mortality Rate with ICD 4168 - Other chronic pulmonary heart diseases | NA | ||||
| SNF Discharge Rate at DRG | 7.87 | ||||
| SNF Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | NA | ||||
| Home Discharge Rate at DRG | 70.72 | ||||
| Home Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | 86.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| UC SAN DIEGO HEALTH - HILLCREST MEDICAL CENTER | 200 WEST ARBOR DRIVE | SAN DIEGO | CA | 92103 | 109 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 89 |
| UNIVERSITY OF KANSAS HOSPITAL | 4000 Cambridge St. | KANSAS CITY | KS | 66160 | 89 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL M MADANI | 200 WEST ARBOR DR | SAN DIEGO | CA | 92103 | 38 |
| Dr. GERT DIEDERICK VICTOR PRETORIUS | 200 WEST ARBOR DR | SAN DIEGO | CA | 92103 | 32 |
| Dr. ROXANA SULICA | 16TH STREET AT 1ST AVENUE | NEW YORK | NY | 10003 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL M MADANI | 200 WEST ARBOR DR | SAN DIEGO | CA | 92103 | 22 |
| Dr. CHRISTODULOS STEFANATOS STAVENS | 100 MALLARD CREEK RD | LOUISVILLE | KY | 40207 | 22 |
| Dr. JEREMY P FELDMAN | 3330 N 2ND ST | PHOENIX | AZ | 85012 | 22 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 4168 - Other chronic pulmonary heart diseases | 89,470 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 4168 - Other chronic pulmonary heart diseases in DRG | 8.02 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 4168 - Other chronic pulmonary heart diseases | 6.63 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | 29.12 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | 22.01 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 4168 - Other chronic pulmonary heart diseases | $880,978,549 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 4168 - Other chronic pulmonary heart diseases | $1,484 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 4168 - Other chronic pulmonary heart diseases | $9,847 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 4168 - Other chronic pulmonary heart diseases | $4,083,218,268 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 4168 - Other chronic pulmonary heart diseases | $45,638 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 4168 - Other chronic pulmonary heart diseases | 6.09 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | 24.66 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | 29.9 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT 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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 296,720 | ||||
| Total Hospitalizations with ICD 4168 - Other chronic pulmonary heart diseases | 27,239 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD 4168 - Other chronic pulmonary heart diseases in DRG | 2.44 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD 4168 - Other chronic pulmonary heart diseases | 6.85 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | 26.8 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | 19.37 | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD 4168 - Other chronic pulmonary heart diseases | $254,038,134 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD 4168 - Other chronic pulmonary heart diseases | $1,361 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD 4168 - Other chronic pulmonary heart diseases | $9,326 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD 4168 - Other chronic pulmonary heart diseases | $1,286,373,443 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD 4168 - Other chronic pulmonary heart diseases | $47,225 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD 4168 - Other chronic pulmonary heart diseases | 5.59 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | 24.96 | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | 34.26 |
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 145,769 | ||||
| Total Hospitalizations with ICD 4168 - Other chronic pulmonary heart diseases | 18,706 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD 4168 - Other chronic pulmonary heart diseases in DRG | 1.68 | ||||
| Avg LOS at DRG | 4.85 | ||||
| Avg LOS with ICD 4168 - Other chronic pulmonary heart diseases | 5.31 | ||||
| Readmission Rate at DRG | 25.6 | ||||
| Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | 27.28 | ||||
| Unplanned Readmission Rate at DRG | 18.72 | ||||
| Unplanned Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | 20.81 | ||||
| Total Medicare payments at DRG | $1,120,486,081 | ||||
| Total Medicare payments with ICD 4168 - Other chronic pulmonary heart diseases | $145,422,540 | ||||
| Total Medicare payment per Day at DRG | $1,586 | ||||
| Total Medicare payment per Day with ICD 4168 - Other chronic pulmonary heart diseases | $1,465 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,687 | ||||
| Total Medicare payment per Hospitalization with ICD 4168 - Other chronic pulmonary heart diseases | $7,774 | ||||
| Total Medicare Charges at DRG | $5,110,715,516 | ||||
| Total Medicare Charges with ICD 4168 - Other chronic pulmonary heart diseases | $690,712,653 | ||||
| Avg Charges at DRG | $35,060 | ||||
| Avg Charges with ICD 4168 - Other chronic pulmonary heart diseases | $36,925 | ||||
| Mortality Rate at DRG | 4.85 | ||||
| Mortality Rate with ICD 4168 - Other chronic pulmonary heart diseases | 4.59 | ||||
| SNF Discharge Rate at DRG | 18.12 | ||||
| SNF Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | 19.43 | ||||
| Home Discharge Rate at DRG | 46.21 | ||||
| Home Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | 42.22 |
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 204,070 | ||||
| Total Hospitalizations with ICD 4168 - Other chronic pulmonary heart diseases | 15,825 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD 4168 - Other chronic pulmonary heart diseases in DRG | 1.42 | ||||
| Avg LOS at DRG | 3.24 | ||||
| Avg LOS with ICD 4168 - Other chronic pulmonary heart diseases | 3.7 | ||||
| Readmission Rate at DRG | 20.27 | ||||
| Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | 22.68 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD 4168 - Other chronic pulmonary heart diseases | 17.06 | ||||
| Total Medicare payments at DRG | $973,540,845 | ||||
| Total Medicare payments with ICD 4168 - Other chronic pulmonary heart diseases | $77,547,136 | ||||
| Total Medicare payment per Day at DRG | $1,471 | ||||
| Total Medicare payment per Day with ICD 4168 - Other chronic pulmonary heart diseases | $1,326 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,771 | ||||
| Total Medicare payment per Hospitalization with ICD 4168 - Other chronic pulmonary heart diseases | $4,900 | ||||
| Total Medicare Charges at DRG | $4,751,640,685 | ||||
| Total Medicare Charges with ICD 4168 - Other chronic pulmonary heart diseases | $391,588,653 | ||||
| Avg Charges at DRG | $23,284 | ||||
| Avg Charges with ICD 4168 - Other chronic pulmonary heart diseases | $24,745 | ||||
| Mortality Rate at DRG | 0.86 | ||||
| Mortality Rate with ICD 4168 - Other chronic pulmonary heart diseases | 0.91 | ||||
| SNF Discharge Rate at DRG | 13.34 | ||||
| SNF Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | 15.77 | ||||
| Home Discharge Rate at DRG | 60.61 | ||||
| Home Discharge Rate with ICD 4168 - Other chronic pulmonary heart diseases | 55.15 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 4,537 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 3,850 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 3,636 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 220 |
| Dr. AILEEN GARCIAGAYOSO | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 156 |
| Dr. TANVIR KHALID BAJWA | 960 N 12TH ST SUITE 400 | MILWAUKEE | WI | 53233 | 148 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. IVELISSE MICHEL | 700 6TH ST S | ST PETERSBURG | FL | 33701 | 318 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 289 |
| Dr. LEONARD EUGENE ELLISON | 17330 NORTHLAND PARK CT | SOUTHFIELD | MI | 48075 | 269 |