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

4281 - ICD 9 Diagnosis Code - Left heart failure - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians

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Key Statistics Related to 4281 - Left heart failure

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4281 - Left heart failure - as a primary diagnosis code 4281 - Left heart failure - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 6.94
Readmission Rate (%) 26.38
Unplanned Readmission Rate (%) 15.34
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

Table of Contents

No Quality Metrics
Top DRGs Associated With 4281 - Left heart failure - as a primary diagnosis code
Top Hospitals Associated With 4281 - Left heart failure - as a primary diagnosis code
Top Attending Physicians Associated With 4281 - Left heart failure - as a primary diagnosis code
Top DRGs Associated With 4281 - Left heart failure - as a primary or secondary diagnosis code
Top Hospitals Associated With 4281 - Left heart failure - as a primary or secondary diagnosis code
Top Operating Physicians Associated With 4281 - Left heart failure - as a primary or secondary diagnosis code
Top Attending Physicians Associated With 4281 - Left heart failure - as a primary or secondary diagnosis code

Top DRGs Associated With 4281 - Left heart failure - as a primary diagnosis code

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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 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 4281 - Left heart failure 369
DRG Share of Total Hospitalizations 1.81
% of Total ICD 4281 - Left heart failure in DRG 36.21
Avg LOS at DRG 4.4
Avg LOS with ICD 4281 - Left heart failure 3.85
Readmission Rate at DRG 25.69
Readmission Rate with ICD 4281 - Left heart failure 25.9
Unplanned Readmission Rate at DRG 19.35
Unplanned Readmission Rate with ICD 4281 - Left heart failure 15.06
Total Medicare payments at DRG $2,579,957,747
Total Medicare payments with ICD 4281 - Left heart failure $2,302,377
Total Medicare payment per Day at DRG $1,415
Total Medicare payment per Day with ICD 4281 - Left heart failure $1,623
Total Medicare payment per Hospitalization at DRG $6,223
Total Medicare payment per Hospitalization with ICD 4281 - Left heart failure $6,240
Total Medicare Charges at DRG $11,090,898,185
Total Medicare Charges with ICD 4281 - Left heart failure $7,693,046
Avg Charges at DRG $26,750
Avg Charges with ICD 4281 - Left heart failure $20,848
Mortality Rate at DRG 1.33
Mortality Rate with ICD 4281 - Left heart failure NA
SNF Discharge Rate at DRG 17.4
SNF Discharge Rate with ICD 4281 - Left heart failure 16.53
Home Discharge Rate at DRG 45.44
Home Discharge Rate with ICD 4281 - Left heart failure 48.51

Top 5 to 10 DRGs - Jan 2013 to Dec 2014

DRG 227: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 22,174
Total Hospitalizations with ICD 4281 - Left heart failure 19
DRG Share of Total Hospitalizations 0.1
% of Total ICD 4281 - Left heart failure in DRG 1.86
Avg LOS at DRG 3.89
Avg LOS with ICD 4281 - Left heart failure 2.05
Readmission Rate at DRG 14.82
Readmission Rate with ICD 4281 - Left heart failure NA
Unplanned Readmission Rate at DRG 10.36
Unplanned Readmission Rate with ICD 4281 - Left heart failure NA
Total Medicare payments at DRG $793,456,289
Total Medicare payments with ICD 4281 - Left heart failure $570,385
Total Medicare payment per Day at DRG $9,191
Total Medicare payment per Day with ICD 4281 - Left heart failure $14,625
Total Medicare payment per Hospitalization at DRG $35,783
Total Medicare payment per Hospitalization with ICD 4281 - Left heart failure $30,020
Total Medicare Charges at DRG $3,363,174,538
Total Medicare Charges with ICD 4281 - Left heart failure $3,211,657
Avg Charges at DRG $151,672
Avg Charges with ICD 4281 - Left heart failure $169,035
Mortality Rate at DRG 0.15
Mortality Rate with ICD 4281 - Left heart failure NA
SNF Discharge Rate at DRG 6.39
SNF Discharge Rate with ICD 4281 - Left heart failure NA
Home Discharge Rate at DRG 76.28
Home Discharge Rate with ICD 4281 - Left heart failure 94.74

Top Hospitals Associated With 4281 - Left heart failure - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
MERCY KANSAS COMMUNITIES INC 800 W MYRTLE ST INDEPENDENCE KS 67301 27
UPMC PRESBYTERIAN SHADYSIDE 200 LOTHROP ST PITTSBURGH PA 15213 17
VAN DIEST MEDICAL CENTER 2350 HOSPITAL DRIVE WEBSTER CITY IA 50595 13

Top Attending Physicians Associated With 4281 - Left heart failure - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
Dr. GREGORY HOLT MEARS 200 ARCO PL INDEPENDENCE KS 67301 19
Dr. ISMAIL SULEMAN AHMED 1120 E BROAD ST ELYRIA OH 44035 12
Dr. SUBHASH C SAHAI 1610 COLLINS ST WEBSTER CITY IA 50595 11

Top DRGs Associated With 4281 - Left heart failure - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Jan 2013 to Dec 2014

DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 414,616
Total Hospitalizations with ICD 4281 - Left heart failure 769
DRG Share of Total Hospitalizations 1.81
% of Total ICD 4281 - Left heart failure in DRG 7.69
Avg LOS at DRG 4.4
Avg LOS with ICD 4281 - Left heart failure 4.2
Readmission Rate at DRG 25.69
Readmission Rate with ICD 4281 - Left heart failure 24.51
Unplanned Readmission Rate at DRG 19.35
Unplanned Readmission Rate with ICD 4281 - Left heart failure 15.92
Total Medicare payments at DRG $2,579,957,747
Total Medicare payments with ICD 4281 - Left heart failure $4,821,885
Total Medicare payment per Day at DRG $1,415
Total Medicare payment per Day with ICD 4281 - Left heart failure $1,495
Total Medicare payment per Hospitalization at DRG $6,223
Total Medicare payment per Hospitalization with ICD 4281 - Left heart failure $6,270
Total Medicare Charges at DRG $11,090,898,185
Total Medicare Charges with ICD 4281 - Left heart failure $18,286,520
Avg Charges at DRG $26,750
Avg Charges with ICD 4281 - Left heart failure $23,780
Mortality Rate at DRG 1.33
Mortality Rate with ICD 4281 - Left heart failure 1.56
SNF Discharge Rate at DRG 17.4
SNF Discharge Rate with ICD 4281 - Left heart failure 15.73
Home Discharge Rate at DRG 45.44
Home Discharge Rate with ICD 4281 - Left heart failure 47.59

Top 5 to 10 DRGs - Jan 2013 to Dec 2014

DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 204,070
Total Hospitalizations with ICD 4281 - Left heart failure 238
DRG Share of Total Hospitalizations 0.89
% of Total ICD 4281 - Left heart failure in DRG 2.38
Avg LOS at DRG 3.24
Avg LOS with ICD 4281 - Left heart failure 3.33
Readmission Rate at DRG 20.27
Readmission Rate with ICD 4281 - Left heart failure 19.35
Unplanned Readmission Rate at DRG 14.42
Unplanned Readmission Rate with ICD 4281 - Left heart failure 12.44
Total Medicare payments at DRG $973,540,845
Total Medicare payments with ICD 4281 - Left heart failure $1,069,967
Total Medicare payment per Day at DRG $1,471
Total Medicare payment per Day with ICD 4281 - Left heart failure $1,351
Total Medicare payment per Hospitalization at DRG $4,771
Total Medicare payment per Hospitalization with ICD 4281 - Left heart failure $4,496
Total Medicare Charges at DRG $4,751,640,685
Total Medicare Charges with ICD 4281 - Left heart failure $4,928,096
Avg Charges at DRG $23,284
Avg Charges with ICD 4281 - Left heart failure $20,706
Mortality Rate at DRG 0.86
Mortality Rate with ICD 4281 - Left heart failure NA
SNF Discharge Rate at DRG 13.34
SNF Discharge Rate with ICD 4281 - Left heart failure 7.98
Home Discharge Rate at DRG 60.61
Home Discharge Rate with ICD 4281 - Left heart failure 63.45

Top 10 to 15 DRGs - Jan 2013 to Dec 2014

DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 173,056
Total Hospitalizations with ICD 4281 - Left heart failure 156
DRG Share of Total Hospitalizations 0.76
% of Total ICD 4281 - Left heart failure in DRG 1.56
Avg LOS at DRG 3.22
Avg LOS with ICD 4281 - Left heart failure 4.61
Readmission Rate at DRG 16.06
Readmission Rate with ICD 4281 - Left heart failure 23.13
Unplanned Readmission Rate at DRG 9.18
Unplanned Readmission Rate with ICD 4281 - Left heart failure 10.2
Total Medicare payments at DRG $1,112,419,471
Total Medicare payments with ICD 4281 - Left heart failure $1,031,881
Total Medicare payment per Day at DRG $1,997
Total Medicare payment per Day with ICD 4281 - Left heart failure $1,435
Total Medicare payment per Hospitalization at DRG $6,428
Total Medicare payment per Hospitalization with ICD 4281 - Left heart failure $6,615
Total Medicare Charges at DRG $7,057,392,157
Total Medicare Charges with ICD 4281 - Left heart failure $7,795,475
Avg Charges at DRG $40,781
Avg Charges with ICD 4281 - Left heart failure $49,971
Mortality Rate at DRG 0.24
Mortality Rate with ICD 4281 - Left heart failure NA
SNF Discharge Rate at DRG 3.55
SNF Discharge Rate with ICD 4281 - Left heart failure NA
Home Discharge Rate at DRG 78.82
Home Discharge Rate with ICD 4281 - Left heart failure 73.08

Top 15 to 20 DRGs - Jan 2013 to Dec 2014

DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 145,433
Total Hospitalizations with ICD 4281 - Left heart failure 132
DRG Share of Total Hospitalizations 0.64
% of Total ICD 4281 - Left heart failure in DRG 1.32
Avg LOS at DRG 7.16
Avg LOS with ICD 4281 - Left heart failure 7.18
Readmission Rate at DRG 32.17
Readmission Rate with ICD 4281 - Left heart failure 38.55
Unplanned Readmission Rate at DRG 19.81
Unplanned Readmission Rate with ICD 4281 - Left heart failure 24.1
Total Medicare payments at DRG $2,251,747,382
Total Medicare payments with ICD 4281 - Left heart failure $2,169,050
Total Medicare payment per Day at DRG $2,163
Total Medicare payment per Day with ICD 4281 - Left heart failure $2,288
Total Medicare payment per Hospitalization at DRG $15,483
Total Medicare payment per Hospitalization with ICD 4281 - Left heart failure $16,432
Total Medicare Charges at DRG $10,278,831,383
Total Medicare Charges with ICD 4281 - Left heart failure $8,630,293
Avg Charges at DRG $70,677
Avg Charges with ICD 4281 - Left heart failure $65,381
Mortality Rate at DRG 26.04
Mortality Rate with ICD 4281 - Left heart failure 28.03
SNF Discharge Rate at DRG 18.71
SNF Discharge Rate with ICD 4281 - Left heart failure 13.64
Home Discharge Rate at DRG 21.5
Home Discharge Rate with ICD 4281 - Left heart failure 25.0

Top Hospitals Associated With 4281 - Left heart failure - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
UPMC PRESBYTERIAN SHADYSIDE 200 LOTHROP ST PITTSBURGH PA 15213 523
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 163
UPMC MERCY 1400 LOCUST ST PITTSBURGH PA 15219 151

Top Operating Physicians Associated With 4281 - Left heart failure - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
Dr. RAKESH M SURI 200 1ST ST SW ROCHESTER MN 55905 29
Dr. KEVIN L. GREASON 200 1ST ST SW ROCHESTER MN 55905 23
Dr. PETER KANE 1912 TRADD CT WILMINGTON NC 28401 19

Top Attending Physicians Associated With 4281 - Left heart failure - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
Dr. SAMUEL GRISSOM 1350 E WOODROW WILSON AVE JACKSON MS 39216 97
Dr. GREGORY HOLT MEARS 200 ARCO PL INDEPENDENCE KS 67301 53
Dr. MANDIP SINGH PARMAR 100 E CARROLL ST SALISBURY MD 21801 43