| 42823 - Acute on chronic systolic heart failure - as a primary diagnosis code | 42823 - Acute on chronic systolic heart failure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.91 | |
| Readmission Rate (%) | 29.29 | |
| Unplanned Readmission Rate (%) | 20.49 | |
| 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 42823 - Acute on chronic systolic heart failure | 118,987 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 42823 - Acute on chronic systolic heart failure in DRG | 41.54 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 42823 - Acute on chronic systolic heart failure | 4.47 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 27.26 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 21.0 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 42823 - Acute on chronic systolic heart failure | $739,613,672 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 42823 - Acute on chronic systolic heart failure | $1,392 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 42823 - Acute on chronic systolic heart failure | $6,216 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 42823 - Acute on chronic systolic heart failure | $3,229,237,748 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 42823 - Acute on chronic systolic heart failure | $27,139 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 42823 - Acute on chronic systolic heart failure | 1.24 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 15.08 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 47.94 |
| 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 226: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 136,004 | ||||
| Total Hospitalizations with ICD 42823 - Acute on chronic systolic heart failure | 4,221 | ||||
| DRG Share of Total Hospitalizations | 0.6 | ||||
| % of Total ICD 42823 - Acute on chronic systolic heart failure in DRG | 1.47 | ||||
| Avg LOS at DRG | 5.84 | ||||
| Avg LOS with ICD 42823 - Acute on chronic systolic heart failure | 6.83 | ||||
| Readmission Rate at DRG | 28.01 | ||||
| Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 29.34 | ||||
| Unplanned Readmission Rate at DRG | 19.71 | ||||
| Unplanned Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 21.08 | ||||
| Total Medicare payments at DRG | $1,493,796,897 | ||||
| Total Medicare payments with ICD 42823 - Acute on chronic systolic heart failure | $47,769,940 | ||||
| Total Medicare payment per Day at DRG | $1,882 | ||||
| Total Medicare payment per Day with ICD 42823 - Acute on chronic systolic heart failure | $1,657 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,983 | ||||
| Total Medicare payment per Hospitalization with ICD 42823 - Acute on chronic systolic heart failure | $11,317 | ||||
| Total Medicare Charges at DRG | $6,680,411,091 | ||||
| Total Medicare Charges with ICD 42823 - Acute on chronic systolic heart failure | $227,547,647 | ||||
| Avg Charges at DRG | $49,119 | ||||
| Avg Charges with ICD 42823 - Acute on chronic systolic heart failure | $53,908 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 42823 - Acute on chronic systolic heart failure | NA | ||||
| SNF Discharge Rate at DRG | 24.26 | ||||
| SNF Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 25.49 | ||||
| Home Discharge Rate at DRG | 31.8 | ||||
| Home Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 26.7 |
| DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 223: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK 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 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,613 | ||||
| Total Hospitalizations with ICD 42823 - Acute on chronic systolic heart failure | 1,110 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 42823 - Acute on chronic systolic heart failure in DRG | 0.39 | ||||
| Avg LOS at DRG | 37.98 | ||||
| Avg LOS with ICD 42823 - Acute on chronic systolic heart failure | 43.03 | ||||
| Readmission Rate at DRG | 44.19 | ||||
| Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 46.77 | ||||
| Unplanned Readmission Rate at DRG | 7.72 | ||||
| Unplanned Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 7.86 | ||||
| Total Medicare payments at DRG | $793,406,263 | ||||
| Total Medicare payments with ICD 42823 - Acute on chronic systolic heart failure | $248,928,672 | ||||
| Total Medicare payment per Day at DRG | $5,782 | ||||
| Total Medicare payment per Day with ICD 42823 - Acute on chronic systolic heart failure | $5,211 | ||||
| Total Medicare payment per Hospitalization at DRG | $219,598 | ||||
| Total Medicare payment per Hospitalization with ICD 42823 - Acute on chronic systolic heart failure | $224,260 | ||||
| Total Medicare Charges at DRG | $3,293,077,038 | ||||
| Total Medicare Charges with ICD 42823 - Acute on chronic systolic heart failure | $1,057,245,771 | ||||
| Avg Charges at DRG | $911,452 | ||||
| Avg Charges with ICD 42823 - Acute on chronic systolic heart failure | $952,474 | ||||
| Mortality Rate at DRG | 12.65 | ||||
| Mortality Rate with ICD 42823 - Acute on chronic systolic heart failure | 10.45 | ||||
| SNF Discharge Rate at DRG | 3.57 | ||||
| SNF Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 3.42 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 25.05 |
| DRG 222: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 251: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 237: MAJOR CARDIOVASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,135 | ||||
| Total Hospitalizations with ICD 42823 - Acute on chronic systolic heart failure | 698 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 42823 - Acute on chronic systolic heart failure in DRG | 0.24 | ||||
| Avg LOS at DRG | 12.12 | ||||
| Avg LOS with ICD 42823 - Acute on chronic systolic heart failure | 12.33 | ||||
| Readmission Rate at DRG | 29.59 | ||||
| Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 29.4 | ||||
| Unplanned Readmission Rate at DRG | 16.51 | ||||
| Unplanned Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 16.72 | ||||
| Total Medicare payments at DRG | $188,043,297 | ||||
| Total Medicare payments with ICD 42823 - Acute on chronic systolic heart failure | $40,641,408 | ||||
| Total Medicare payment per Day at DRG | $4,951 | ||||
| Total Medicare payment per Day with ICD 42823 - Acute on chronic systolic heart failure | $4,721 | ||||
| Total Medicare payment per Hospitalization at DRG | $59,982 | ||||
| Total Medicare payment per Hospitalization with ICD 42823 - Acute on chronic systolic heart failure | $58,226 | ||||
| Total Medicare Charges at DRG | $792,302,347 | ||||
| Total Medicare Charges with ICD 42823 - Acute on chronic systolic heart failure | $168,293,557 | ||||
| Avg Charges at DRG | $252,728 | ||||
| Avg Charges with ICD 42823 - Acute on chronic systolic heart failure | $241,108 | ||||
| Mortality Rate at DRG | 2.3 | ||||
| Mortality Rate with ICD 42823 - Acute on chronic systolic heart failure | 2.87 | ||||
| SNF Discharge Rate at DRG | 17.89 | ||||
| SNF Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 16.33 | ||||
| Home Discharge Rate at DRG | 42.3 | ||||
| Home Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 40.69 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 892 |
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 803 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 754 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JAMIE L. KENNEDY | LEE ST FL 2 | CHARLOTTESVILLE | VA | 22908 | 65 |
| Dr. JOSEPH L KENZORA | 4921 PARKVIEW PL | SAINT LOUIS | MO | 63110 | 63 |
| Dr. JAMES A HILL | 1600 SW ARCHER ROAD | GAINESVILLE | FL | 32610 | 60 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JAMES D. BERGIN | UVA HOSPITAL W | CHARLOTTESVILLE | VA | 22908 | 110 |
| Dr. WAI H. LEE | 303 S NAPPANEE ST | ELKHART | IN | 46514 | 108 |
| Dr. RICHARD A SHLOFMITZ | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 108 |
| 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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH 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 42823 - Acute on chronic systolic heart failure | 121,150 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 42823 - Acute on chronic systolic heart failure in DRG | 21.01 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 42823 - Acute on chronic systolic heart failure | 4.46 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 27.21 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 20.97 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 42823 - Acute on chronic systolic heart failure | $753,667,635 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 42823 - Acute on chronic systolic heart failure | $1,393 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 42823 - Acute on chronic systolic heart failure | $6,221 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 42823 - Acute on chronic systolic heart failure | $3,289,316,960 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 42823 - Acute on chronic systolic heart failure | $27,151 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 42823 - Acute on chronic systolic heart failure | 1.23 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 15.07 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 47.99 |
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 145,769 | ||||
| Total Hospitalizations with ICD 42823 - Acute on chronic systolic heart failure | 20,049 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD 42823 - Acute on chronic systolic heart failure in DRG | 3.48 | ||||
| Avg LOS at DRG | 4.85 | ||||
| Avg LOS with ICD 42823 - Acute on chronic systolic heart failure | 4.91 | ||||
| Readmission Rate at DRG | 25.6 | ||||
| Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 26.4 | ||||
| Unplanned Readmission Rate at DRG | 18.72 | ||||
| Unplanned Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 19.64 | ||||
| Total Medicare payments at DRG | $1,120,486,081 | ||||
| Total Medicare payments with ICD 42823 - Acute on chronic systolic heart failure | $152,773,598 | ||||
| Total Medicare payment per Day at DRG | $1,586 | ||||
| Total Medicare payment per Day with ICD 42823 - Acute on chronic systolic heart failure | $1,553 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,687 | ||||
| Total Medicare payment per Hospitalization with ICD 42823 - Acute on chronic systolic heart failure | $7,620 | ||||
| Total Medicare Charges at DRG | $5,110,715,516 | ||||
| Total Medicare Charges with ICD 42823 - Acute on chronic systolic heart failure | $654,698,873 | ||||
| Avg Charges at DRG | $35,060 | ||||
| Avg Charges with ICD 42823 - Acute on chronic systolic heart failure | $32,655 | ||||
| Mortality Rate at DRG | 4.85 | ||||
| Mortality Rate with ICD 42823 - Acute on chronic systolic heart failure | 2.8 | ||||
| SNF Discharge Rate at DRG | 18.12 | ||||
| SNF Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 15.06 | ||||
| Home Discharge Rate at DRG | 46.21 | ||||
| Home Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 50.32 |
| DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 173,056 | ||||
| Total Hospitalizations with ICD 42823 - Acute on chronic systolic heart failure | 10,842 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD 42823 - Acute on chronic systolic heart failure in DRG | 1.88 | ||||
| Avg LOS at DRG | 3.22 | ||||
| Avg LOS with ICD 42823 - Acute on chronic systolic heart failure | 6.13 | ||||
| Readmission Rate at DRG | 16.06 | ||||
| Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 23.62 | ||||
| Unplanned Readmission Rate at DRG | 9.18 | ||||
| Unplanned Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 14.48 | ||||
| Total Medicare payments at DRG | $1,112,419,471 | ||||
| Total Medicare payments with ICD 42823 - Acute on chronic systolic heart failure | $80,232,644 | ||||
| Total Medicare payment per Day at DRG | $1,997 | ||||
| Total Medicare payment per Day with ICD 42823 - Acute on chronic systolic heart failure | $1,207 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,428 | ||||
| Total Medicare payment per Hospitalization with ICD 42823 - Acute on chronic systolic heart failure | $7,400 | ||||
| Total Medicare Charges at DRG | $7,057,392,157 | ||||
| Total Medicare Charges with ICD 42823 - Acute on chronic systolic heart failure | $599,969,436 | ||||
| Avg Charges at DRG | $40,781 | ||||
| Avg Charges with ICD 42823 - Acute on chronic systolic heart failure | $55,338 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD 42823 - Acute on chronic systolic heart failure | 0.65 | ||||
| SNF Discharge Rate at DRG | 3.55 | ||||
| SNF Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 6.31 | ||||
| Home Discharge Rate at DRG | 78.82 | ||||
| Home Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 60.27 |
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 226: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 119,208 | ||||
| Total Hospitalizations with ICD 42823 - Acute on chronic systolic heart failure | 4,693 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD 42823 - Acute on chronic systolic heart failure in DRG | 0.81 | ||||
| Avg LOS at DRG | 5.97 | ||||
| Avg LOS with ICD 42823 - Acute on chronic systolic heart failure | 7.38 | ||||
| Readmission Rate at DRG | 28.49 | ||||
| Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 30.02 | ||||
| Unplanned Readmission Rate at DRG | 21.2 | ||||
| Unplanned Readmission Rate with ICD 42823 - Acute on chronic systolic heart failure | 21.47 | ||||
| Total Medicare payments at DRG | $1,381,744,311 | ||||
| Total Medicare payments with ICD 42823 - Acute on chronic systolic heart failure | $55,086,458 | ||||
| Total Medicare payment per Day at DRG | $1,942 | ||||
| Total Medicare payment per Day with ICD 42823 - Acute on chronic systolic heart failure | $1,590 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,591 | ||||
| Total Medicare payment per Hospitalization with ICD 42823 - Acute on chronic systolic heart failure | $11,738 | ||||
| Total Medicare Charges at DRG | $6,006,105,446 | ||||
| Total Medicare Charges with ICD 42823 - Acute on chronic systolic heart failure | $273,222,044 | ||||
| Avg Charges at DRG | $50,383 | ||||
| Avg Charges with ICD 42823 - Acute on chronic systolic heart failure | $58,219 | ||||
| Mortality Rate at DRG | 6.32 | ||||
| Mortality Rate with ICD 42823 - Acute on chronic systolic heart failure | 6.48 | ||||
| SNF Discharge Rate at DRG | 24.09 | ||||
| SNF Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 24.21 | ||||
| Home Discharge Rate at DRG | 39.74 | ||||
| Home Discharge Rate with ICD 42823 - Acute on chronic systolic heart failure | 34.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 1,719 |
| BAPTIST MEMORIAL HOSPITAL | 6019 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 1,630 |
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 1,524 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. AILEEN GARCIAGAYOSO | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 113 |
| Dr. KAZI A ZAMAN | 1251 WESLEY DR | MEMPHIS | TN | 38116 | 110 |
| Dr. JOSEPH L KENZORA | 4921 PARKVIEW PL | SAINT LOUIS | MO | 63110 | 90 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RICHARD A SHLOFMITZ | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 184 |
| Dr. PETER ROYTMAN | 55 MADISON AVENUE | MORRISTOWN | NJ | 07960 | 174 |
| Dr. GHIATH M ALMASRI | BRODY OUTPATIENT CENTER | GREENVILLE | NC | 27858 | 165 |