| 4280 - Congestive heart failure, unspecified - as a primary diagnosis code | 4280 - Congestive heart failure, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.36 | |
| Readmission Rate (%) | 27.54 | |
| Unplanned Readmission Rate (%) | 17.38 | |
| 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK 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 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD 4280 - Congestive heart failure, unspecified | 73,931 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 4280 - Congestive heart failure, unspecified in DRG | 37.25 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 4280 - Congestive heart failure, unspecified | 4.1 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 25.88 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 17.46 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 4280 - Congestive heart failure, unspecified | $471,248,362 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 4280 - Congestive heart failure, unspecified | $1,556 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 4280 - Congestive heart failure, unspecified | $6,374 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 4280 - Congestive heart failure, unspecified | $1,748,920,914 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 4280 - Congestive heart failure, unspecified | $23,656 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 4280 - Congestive heart failure, unspecified | 2.49 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 16.52 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 45.76 |
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 227: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 282: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 136,004 | ||||
| Total Hospitalizations with ICD 4280 - Congestive heart failure, unspecified | 1,592 | ||||
| DRG Share of Total Hospitalizations | 0.6 | ||||
| % of Total ICD 4280 - Congestive heart failure, unspecified in DRG | 0.8 | ||||
| Avg LOS at DRG | 5.84 | ||||
| Avg LOS with ICD 4280 - Congestive heart failure, unspecified | 5.99 | ||||
| Readmission Rate at DRG | 28.01 | ||||
| Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 26.08 | ||||
| Unplanned Readmission Rate at DRG | 19.71 | ||||
| Unplanned Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 18.33 | ||||
| Total Medicare payments at DRG | $1,493,796,897 | ||||
| Total Medicare payments with ICD 4280 - Congestive heart failure, unspecified | $17,673,563 | ||||
| Total Medicare payment per Day at DRG | $1,882 | ||||
| Total Medicare payment per Day with ICD 4280 - Congestive heart failure, unspecified | $1,852 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,983 | ||||
| Total Medicare payment per Hospitalization with ICD 4280 - Congestive heart failure, unspecified | $11,101 | ||||
| Total Medicare Charges at DRG | $6,680,411,091 | ||||
| Total Medicare Charges with ICD 4280 - Congestive heart failure, unspecified | $74,371,950 | ||||
| Avg Charges at DRG | $49,119 | ||||
| Avg Charges with ICD 4280 - Congestive heart failure, unspecified | $46,716 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 4280 - Congestive heart failure, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 24.26 | ||||
| SNF Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 22.86 | ||||
| Home Discharge Rate at DRG | 31.8 | ||||
| Home Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 26.38 |
| DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 223: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 21,477 | ||||
| Total Hospitalizations with ICD 4280 - Congestive heart failure, unspecified | 427 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD 4280 - Congestive heart failure, unspecified in DRG | 0.22 | ||||
| Avg LOS at DRG | 4.57 | ||||
| Avg LOS with ICD 4280 - Congestive heart failure, unspecified | 5.07 | ||||
| Readmission Rate at DRG | NA | ||||
| Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | NA | ||||
| Unplanned Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | NA | ||||
| Total Medicare payments at DRG | $251,812,595 | ||||
| Total Medicare payments with ICD 4280 - Congestive heart failure, unspecified | $5,015,533 | ||||
| Total Medicare payment per Day at DRG | $2,563 | ||||
| Total Medicare payment per Day with ICD 4280 - Congestive heart failure, unspecified | $2,315 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,725 | ||||
| Total Medicare payment per Hospitalization with ICD 4280 - Congestive heart failure, unspecified | $11,746 | ||||
| Total Medicare Charges at DRG | $1,135,457,999 | ||||
| Total Medicare Charges with ICD 4280 - Congestive heart failure, unspecified | $19,551,246 | ||||
| Avg Charges at DRG | $52,869 | ||||
| Avg Charges with ICD 4280 - Congestive heart failure, unspecified | $45,787 | ||||
| Mortality Rate at DRG | 100.0 | ||||
| Mortality Rate with ICD 4280 - Congestive heart failure, unspecified | 100.0 | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | NA | ||||
| Home Discharge Rate at DRG | NA | ||||
| Home Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | NA |
| DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 226: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 242: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 244: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 184,433 | ||||
| Total Hospitalizations with ICD 4280 - Congestive heart failure, unspecified | 302 | ||||
| DRG Share of Total Hospitalizations | 0.81 | ||||
| % of Total ICD 4280 - Congestive heart failure, unspecified in DRG | 0.15 | ||||
| Avg LOS at DRG | 2.59 | ||||
| Avg LOS with ICD 4280 - Congestive heart failure, unspecified | 5.18 | ||||
| Readmission Rate at DRG | 11.03 | ||||
| Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 22.87 | ||||
| Unplanned Readmission Rate at DRG | 7.9 | ||||
| Unplanned Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 18.77 | ||||
| Total Medicare payments at DRG | $2,247,327,916 | ||||
| Total Medicare payments with ICD 4280 - Congestive heart failure, unspecified | $3,991,970 | ||||
| Total Medicare payment per Day at DRG | $4,713 | ||||
| Total Medicare payment per Day with ICD 4280 - Congestive heart failure, unspecified | $2,551 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,185 | ||||
| Total Medicare payment per Hospitalization with ICD 4280 - Congestive heart failure, unspecified | $13,218 | ||||
| Total Medicare Charges at DRG | $13,858,459,134 | ||||
| Total Medicare Charges with ICD 4280 - Congestive heart failure, unspecified | $30,278,900 | ||||
| Avg Charges at DRG | $75,141 | ||||
| Avg Charges with ICD 4280 - Congestive heart failure, unspecified | $100,261 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD 4280 - Congestive heart failure, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 2.38 | ||||
| SNF Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 7.28 | ||||
| Home Discharge Rate at DRG | 89.67 | ||||
| Home Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 66.56 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,459 |
| HACKENSACK MERIDIAN HEALTH JFK MEDICAL CENTER | 65 JAMES ST | EDISON | NJ | 08820 | 657 |
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 614 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ALFRED C BURRIS | 1328 SOUTHERN AVE SE | WASHINGTON | DC | 20032 | 90 |
| Dr. RICARDO G CIGARROA | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 58 |
| Dr. FERNANDO J RIVERA DEL TORO | 5352 LINTON BLVD | DELRAY BEACH | FL | 33484 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RICHARD J HELTON | 108 W OHIO | COALGATE | OK | 74538 | 223 |
| Dr. RICARDO G CIGARROA | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 138 |
| Dr. ABDULKADER DAHHAN | 120 PROFESSIONAL LN | HARLAN | KY | 40831 | 110 |
| 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 293: HEART FAILURE AND SHOCK 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 | 417,322 | ||||
| Total Hospitalizations with ICD 4280 - Congestive heart failure, unspecified | 397,502 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 4280 - Congestive heart failure, unspecified in DRG | 7.95 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 4280 - Congestive heart failure, unspecified | 5.89 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 28.65 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 21.75 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 4280 - Congestive heart failure, unspecified | $3,824,169,800 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 4280 - Congestive heart failure, unspecified | $1,632 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 4280 - Congestive heart failure, unspecified | $9,621 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 4280 - Congestive heart failure, unspecified | $16,384,045,675 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 4280 - Congestive heart failure, unspecified | $41,218 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 4280 - Congestive heart failure, unspecified | 5.53 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 23.01 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 34.92 |
| 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 305,326 | ||||
| Total Hospitalizations with ICD 4280 - Congestive heart failure, unspecified | 112,960 | ||||
| DRG Share of Total Hospitalizations | 1.34 | ||||
| % of Total ICD 4280 - Congestive heart failure, unspecified in DRG | 2.26 | ||||
| Avg LOS at DRG | 5.11 | ||||
| Avg LOS with ICD 4280 - Congestive heart failure, unspecified | 5.39 | ||||
| Readmission Rate at DRG | 24.58 | ||||
| Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 28.86 | ||||
| Unplanned Readmission Rate at DRG | 18.98 | ||||
| Unplanned Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 22.74 | ||||
| Total Medicare payments at DRG | $2,231,748,038 | ||||
| Total Medicare payments with ICD 4280 - Congestive heart failure, unspecified | $851,200,612 | ||||
| Total Medicare payment per Day at DRG | $1,430 | ||||
| Total Medicare payment per Day with ICD 4280 - Congestive heart failure, unspecified | $1,398 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
| Total Medicare payment per Hospitalization with ICD 4280 - Congestive heart failure, unspecified | $7,535 | ||||
| Total Medicare Charges at DRG | $10,098,826,638 | ||||
| Total Medicare Charges with ICD 4280 - Congestive heart failure, unspecified | $4,053,296,922 | ||||
| Avg Charges at DRG | $33,076 | ||||
| Avg Charges with ICD 4280 - Congestive heart failure, unspecified | $35,883 | ||||
| Mortality Rate at DRG | 1.47 | ||||
| Mortality Rate with ICD 4280 - Congestive heart failure, unspecified | 1.74 | ||||
| SNF Discharge Rate at DRG | 14.55 | ||||
| SNF Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 17.56 | ||||
| Home Discharge Rate at DRG | 53.12 | ||||
| Home Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 45.79 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 235,369 | ||||
| Total Hospitalizations with ICD 4280 - Congestive heart failure, unspecified | 90,508 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD 4280 - Congestive heart failure, unspecified in DRG | 1.81 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD 4280 - Congestive heart failure, unspecified | 6.86 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 31.54 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 23.15 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD 4280 - Congestive heart failure, unspecified | $947,077,031 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD 4280 - Congestive heart failure, unspecified | $1,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD 4280 - Congestive heart failure, unspecified | $10,464 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD 4280 - Congestive heart failure, unspecified | $4,241,689,716 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD 4280 - Congestive heart failure, unspecified | $46,865 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD 4280 - Congestive heart failure, unspecified | 7.0 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 27.41 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 30.73 |
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 145,433 | ||||
| Total Hospitalizations with ICD 4280 - Congestive heart failure, unspecified | 60,771 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD 4280 - Congestive heart failure, unspecified in DRG | 1.21 | ||||
| Avg LOS at DRG | 7.16 | ||||
| Avg LOS with ICD 4280 - Congestive heart failure, unspecified | 7.58 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 34.76 | ||||
| Unplanned Readmission Rate at DRG | 19.81 | ||||
| Unplanned Readmission Rate with ICD 4280 - Congestive heart failure, unspecified | 22.39 | ||||
| Total Medicare payments at DRG | $2,251,747,382 | ||||
| Total Medicare payments with ICD 4280 - Congestive heart failure, unspecified | $939,562,453 | ||||
| Total Medicare payment per Day at DRG | $2,163 | ||||
| Total Medicare payment per Day with ICD 4280 - Congestive heart failure, unspecified | $2,041 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,483 | ||||
| Total Medicare payment per Hospitalization with ICD 4280 - Congestive heart failure, unspecified | $15,461 | ||||
| Total Medicare Charges at DRG | $10,278,831,383 | ||||
| Total Medicare Charges with ICD 4280 - Congestive heart failure, unspecified | $4,521,529,141 | ||||
| Avg Charges at DRG | $70,677 | ||||
| Avg Charges with ICD 4280 - Congestive heart failure, unspecified | $74,403 | ||||
| Mortality Rate at DRG | 26.04 | ||||
| Mortality Rate with ICD 4280 - Congestive heart failure, unspecified | 23.52 | ||||
| SNF Discharge Rate at DRG | 18.71 | ||||
| SNF Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 20.74 | ||||
| Home Discharge Rate at DRG | 21.5 | ||||
| Home Discharge Rate with ICD 4280 - Congestive heart failure, unspecified | 20.61 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 14,221 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 12,308 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 10,910 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. AILEEN GARCIAGAYOSO | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 623 |
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 614 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 564 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 1,309 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 1,242 |
| Dr. LEONARD EUGENE ELLISON | 17330 NORTHLAND PARK CT | SOUTHFIELD | MI | 48075 | 1,071 |