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

4242 - ICD 9 Diagnosis Code - Tricuspid valve disorders, specified as nonrheumatic - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


Want to know more about Dexur's Capabilities? Get In Touch


Key Statistics Related to 4242 - Tricuspid valve disorders, specified as nonrheumatic

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

Top DRGs Associated With 4242 - Tricuspid valve disorders, specified as nonrheumatic - as a primary diagnosis code

  |  Back to Top

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 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

Top DRGs Associated With 4242 - Tricuspid valve disorders, specified as nonrheumatic - as a primary or secondary diagnosis code

  |  Back to Top

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 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

Top 5 to 10 DRGs - Jan 2013 to Dec 2014

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

Top 10 to 15 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 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

Top 15 to 20 DRGs - Jan 2013 to Dec 2014

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
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

Top Hospitals Associated With 4242 - Tricuspid valve disorders, specified as nonrheumatic - as a primary or secondary diagnosis code

  |  Back to Top

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

Top Operating Physicians Associated With 4242 - Tricuspid valve disorders, specified as nonrheumatic - as a primary or secondary diagnosis code

  |  Back to Top

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

Top Attending Physicians Associated With 4242 - Tricuspid valve disorders, specified as nonrheumatic - as a primary or secondary diagnosis code

  |  Back to Top

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