4242 - Tricuspid valve disorders, specified as nonrheumatic - as a primary diagnosis code | 4242 - Tricuspid valve disorders, specified as nonrheumatic - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.49 | |
Readmission Rate (%) | 25.52 | |
Unplanned Readmission Rate (%) | 17.07 | |
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 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|
Total Hospitalizations at DRG | 40,637 | |||
Total Hospitalizations with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 42 | |||
DRG Share of Total Hospitalizations | 0.18 | |||
% of Total ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic in DRG | 29.79 | |||
Avg LOS at DRG | 11.15 | |||
Avg LOS with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 11.81 | |||
Readmission Rate at DRG | 34.38 | |||
Readmission Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 36.11 | |||
Unplanned Readmission Rate at DRG | 13.56 | |||
Unplanned Readmission Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | NA | |||
Total Medicare payments at DRG | $2,284,710,986 | |||
Total Medicare payments with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $2,435,468 | |||
Total Medicare payment per Day at DRG | $5,043 | |||
Total Medicare payment per Day with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $4,910 | |||
Total Medicare payment per Hospitalization at DRG | $56,222 | |||
Total Medicare payment per Hospitalization with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $57,987 | |||
Total Medicare Charges at DRG | $9,612,625,571 | |||
Total Medicare Charges with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $9,516,382 | |||
Avg Charges at DRG | $236,549 | |||
Avg Charges with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $226,581 | |||
Mortality Rate at DRG | 7.5 | |||
Mortality Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | NA | |||
SNF Discharge Rate at DRG | 25.18 | |||
SNF Discharge Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | NA | |||
Home Discharge Rate at DRG | 20.25 | |||
Home Discharge Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 26.19 |
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 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 414,616 | ||||
Total Hospitalizations with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 3,156 | ||||
DRG Share of Total Hospitalizations | 1.81 | ||||
% of Total ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic in DRG | 8.9 | ||||
Avg LOS at DRG | 4.4 | ||||
Avg LOS with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 5.04 | ||||
Readmission Rate at DRG | 25.69 | ||||
Readmission Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 26.11 | ||||
Unplanned Readmission Rate at DRG | 19.35 | ||||
Unplanned Readmission Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 19.76 | ||||
Total Medicare payments at DRG | $2,579,957,747 | ||||
Total Medicare payments with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $20,212,016 | ||||
Total Medicare payment per Day at DRG | $1,415 | ||||
Total Medicare payment per Day with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $1,272 | ||||
Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
Total Medicare payment per Hospitalization with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $6,404 | ||||
Total Medicare Charges at DRG | $11,090,898,185 | ||||
Total Medicare Charges with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $93,658,368 | ||||
Avg Charges at DRG | $26,750 | ||||
Avg Charges with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $29,676 | ||||
Mortality Rate at DRG | 1.33 | ||||
Mortality Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 1.17 | ||||
SNF Discharge Rate at DRG | 17.4 | ||||
SNF Discharge Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 20.41 | ||||
Home Discharge Rate at DRG | 45.44 | ||||
Home Discharge Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 41.6 |
DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 204,070 | ||||
Total Hospitalizations with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 786 | ||||
DRG Share of Total Hospitalizations | 0.89 | ||||
% of Total ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic in DRG | 2.22 | ||||
Avg LOS at DRG | 3.24 | ||||
Avg LOS with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 3.71 | ||||
Readmission Rate at DRG | 20.27 | ||||
Readmission Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 20.45 | ||||
Unplanned Readmission Rate at DRG | 14.42 | ||||
Unplanned Readmission Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 15.14 | ||||
Total Medicare payments at DRG | $973,540,845 | ||||
Total Medicare payments with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $3,703,209 | ||||
Total Medicare payment per Day at DRG | $1,471 | ||||
Total Medicare payment per Day with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $1,271 | ||||
Total Medicare payment per Hospitalization at DRG | $4,771 | ||||
Total Medicare payment per Hospitalization with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $4,711 | ||||
Total Medicare Charges at DRG | $4,751,640,685 | ||||
Total Medicare Charges with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $20,128,373 | ||||
Avg Charges at DRG | $23,284 | ||||
Avg Charges with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $25,609 | ||||
Mortality Rate at DRG | 0.86 | ||||
Mortality Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | NA | ||||
SNF Discharge Rate at DRG | 13.34 | ||||
SNF Discharge Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 14.63 | ||||
Home Discharge Rate at DRG | 60.61 | ||||
Home Discharge Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 59.54 |
DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 40,637 | ||||
Total Hospitalizations with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 592 | ||||
DRG Share of Total Hospitalizations | 0.18 | ||||
% of Total ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic in DRG | 1.67 | ||||
Avg LOS at DRG | 11.15 | ||||
Avg LOS with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 12.08 | ||||
Readmission Rate at DRG | 34.38 | ||||
Readmission Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 33.64 | ||||
Unplanned Readmission Rate at DRG | 13.56 | ||||
Unplanned Readmission Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 13.49 | ||||
Total Medicare payments at DRG | $2,284,710,986 | ||||
Total Medicare payments with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $35,134,802 | ||||
Total Medicare payment per Day at DRG | $5,043 | ||||
Total Medicare payment per Day with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $4,912 | ||||
Total Medicare payment per Hospitalization at DRG | $56,222 | ||||
Total Medicare payment per Hospitalization with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $59,349 | ||||
Total Medicare Charges at DRG | $9,612,625,571 | ||||
Total Medicare Charges with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $146,384,633 | ||||
Avg Charges at DRG | $236,549 | ||||
Avg Charges with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $247,271 | ||||
Mortality Rate at DRG | 7.5 | ||||
Mortality Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 7.6 | ||||
SNF Discharge Rate at DRG | 25.18 | ||||
SNF Discharge Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 27.03 | ||||
Home Discharge Rate at DRG | 20.25 | ||||
Home Discharge Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 21.45 |
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) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 312: SYNCOPE AND COLLAPSE | |
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Total Hospitalizations at DRG | 368,552 | ||||
Total Hospitalizations with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 463 | ||||
DRG Share of Total Hospitalizations | 1.61 | ||||
% of Total ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic in DRG | 1.31 | ||||
Avg LOS at DRG | 4.42 | ||||
Avg LOS with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 5.2 | ||||
Readmission Rate at DRG | 18.07 | ||||
Readmission Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 19.38 | ||||
Unplanned Readmission Rate at DRG | 12.45 | ||||
Unplanned Readmission Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 14.7 | ||||
Total Medicare payments at DRG | $2,243,342,846 | ||||
Total Medicare payments with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $2,965,757 | ||||
Total Medicare payment per Day at DRG | $1,376 | ||||
Total Medicare payment per Day with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $1,233 | ||||
Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
Total Medicare payment per Hospitalization with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $6,406 | ||||
Total Medicare Charges at DRG | $9,706,587,516 | ||||
Total Medicare Charges with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $14,999,744 | ||||
Avg Charges at DRG | $26,337 | ||||
Avg Charges with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | $32,397 | ||||
Mortality Rate at DRG | 1.44 | ||||
Mortality Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | NA | ||||
SNF Discharge Rate at DRG | 19.19 | ||||
SNF Discharge Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 25.7 | ||||
Home Discharge Rate at DRG | 50.54 | ||||
Home Discharge Rate with ICD 4242 - Tricuspid valve disorders, specified as nonrheumatic | 41.68 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
JOHN T. MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON | 75 N COUNTRY RD | PORT JEFFERSON | NY | 11777 | 399 |
SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN | 620 E MONROE ST | MEXICO | MO | 65265 | 383 |
CHILTON MEDICAL CENTER | 97 WEST PARKWAY | POMPTON PLAINS | NJ | 07444 | 327 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. CHARLES H TILLMAN | 201 E MONROE ST | MEXICO | MO | 65265 | 166 |
Dr. LARRY R HANDLIN | 201 E MONROE ST | MEXICO | MO | 65265 | 142 |
Dr. ANDREW MARER ROSENBLUM | 9200 W WISCONSIN AVE | MILWAUKEE | WI | 53226 | 62 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. J D REEVES | 1400 E 2ND ST | DEFIANCE | OH | 43512 | 152 |
Dr. LARRY R HANDLIN | 201 E MONROE ST | MEXICO | MO | 65265 | 120 |
Dr. CHARLES H TILLMAN | 201 E MONROE ST | MEXICO | MO | 65265 | 78 |