| 4292 - Cardiovascular disease, unspecified - as a primary diagnosis code | 4292 - Cardiovascular disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.0 | |
| Readmission Rate (%) | 22.42 | |
| Unplanned Readmission Rate (%) | 7.69 | |
| 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 303: ATHEROSCLEROSIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 302: ATHEROSCLEROSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 44,756 | ||
| Total Hospitalizations with ICD 4292 - Cardiovascular disease, unspecified | 71 | ||
| DRG Share of Total Hospitalizations | 0.2 | ||
| % of Total ICD 4292 - Cardiovascular disease, unspecified in DRG | 40.34 | ||
| Avg LOS at DRG | 2.52 | ||
| Avg LOS with ICD 4292 - Cardiovascular disease, unspecified | 3.41 | ||
| Readmission Rate at DRG | 19.56 | ||
| Readmission Rate with ICD 4292 - Cardiovascular disease, unspecified | NA | ||
| Unplanned Readmission Rate at DRG | 13.83 | ||
| Unplanned Readmission Rate with ICD 4292 - Cardiovascular disease, unspecified | NA | ||
| Total Medicare payments at DRG | $172,068,623 | ||
| Total Medicare payments with ICD 4292 - Cardiovascular disease, unspecified | $327,216 | ||
| Total Medicare payment per Day at DRG | $1,526 | ||
| Total Medicare payment per Day with ICD 4292 - Cardiovascular disease, unspecified | $1,352 | ||
| Total Medicare payment per Hospitalization at DRG | $3,845 | ||
| Total Medicare payment per Hospitalization with ICD 4292 - Cardiovascular disease, unspecified | $4,609 | ||
| Total Medicare Charges at DRG | $891,334,481 | ||
| Total Medicare Charges with ICD 4292 - Cardiovascular disease, unspecified | $1,081,785 | ||
| Avg Charges at DRG | $19,915 | ||
| Avg Charges with ICD 4292 - Cardiovascular disease, unspecified | $15,236 | ||
| Mortality Rate at DRG | 0.69 | ||
| Mortality Rate with ICD 4292 - Cardiovascular disease, unspecified | NA | ||
| SNF Discharge Rate at DRG | 6.3 | ||
| SNF Discharge Rate with ICD 4292 - Cardiovascular disease, unspecified | NA | ||
| Home Discharge Rate at DRG | 63.39 | ||
| Home Discharge Rate with ICD 4292 - Cardiovascular disease, unspecified | 59.15 |
| DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 4292 - Cardiovascular disease, unspecified | 1,198 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 4292 - Cardiovascular disease, unspecified in DRG | 3.29 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 4292 - Cardiovascular disease, unspecified | 12.87 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 4292 - Cardiovascular disease, unspecified | 24.66 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 4292 - Cardiovascular disease, unspecified | 13.33 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 4292 - Cardiovascular disease, unspecified | $11,621,451 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 4292 - Cardiovascular disease, unspecified | $754 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 4292 - Cardiovascular disease, unspecified | $9,701 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 4292 - Cardiovascular disease, unspecified | $34,144,721 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 4292 - Cardiovascular disease, unspecified | $28,501 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 4292 - Cardiovascular disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 4292 - Cardiovascular disease, unspecified | 9.93 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 4292 - Cardiovascular disease, unspecified | 54.09 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD 4292 - Cardiovascular disease, unspecified | 852 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 4292 - Cardiovascular disease, unspecified in DRG | 2.34 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 4292 - Cardiovascular disease, unspecified | 4.83 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 4292 - Cardiovascular disease, unspecified | 18.33 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 4292 - Cardiovascular disease, unspecified | 11.1 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 4292 - Cardiovascular disease, unspecified | $5,218,290 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 4292 - Cardiovascular disease, unspecified | $1,269 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 4292 - Cardiovascular disease, unspecified | $6,125 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 4292 - Cardiovascular disease, unspecified | $19,456,797 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 4292 - Cardiovascular disease, unspecified | $22,837 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 4292 - Cardiovascular disease, unspecified | 3.05 | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 4292 - Cardiovascular disease, unspecified | 18.78 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 4292 - Cardiovascular disease, unspecified | 43.66 |
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 261,933 | ||||
| Total Hospitalizations with ICD 4292 - Cardiovascular disease, unspecified | 588 | ||||
| DRG Share of Total Hospitalizations | 1.15 | ||||
| % of Total ICD 4292 - Cardiovascular disease, unspecified in DRG | 1.61 | ||||
| Avg LOS at DRG | 4.1 | ||||
| Avg LOS with ICD 4292 - Cardiovascular disease, unspecified | 4.27 | ||||
| Readmission Rate at DRG | 23.4 | ||||
| Readmission Rate with ICD 4292 - Cardiovascular disease, unspecified | 23.37 | ||||
| Unplanned Readmission Rate at DRG | 18.25 | ||||
| Unplanned Readmission Rate with ICD 4292 - Cardiovascular disease, unspecified | 16.7 | ||||
| Total Medicare payments at DRG | $1,493,154,986 | ||||
| Total Medicare payments with ICD 4292 - Cardiovascular disease, unspecified | $3,251,215 | ||||
| Total Medicare payment per Day at DRG | $1,391 | ||||
| Total Medicare payment per Day with ICD 4292 - Cardiovascular disease, unspecified | $1,296 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,701 | ||||
| Total Medicare payment per Hospitalization with ICD 4292 - Cardiovascular disease, unspecified | $5,529 | ||||
| Total Medicare Charges at DRG | $6,844,391,093 | ||||
| Total Medicare Charges with ICD 4292 - Cardiovascular disease, unspecified | $14,724,096 | ||||
| Avg Charges at DRG | $26,130 | ||||
| Avg Charges with ICD 4292 - Cardiovascular disease, unspecified | $25,041 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 4292 - Cardiovascular disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD 4292 - Cardiovascular disease, unspecified | 12.24 | ||||
| Home Discharge Rate at DRG | 59.35 | ||||
| Home Discharge Rate with ICD 4292 - Cardiovascular disease, unspecified | 53.57 |
| DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 178,164 | ||||
| Total Hospitalizations with ICD 4292 - Cardiovascular disease, unspecified | 491 | ||||
| DRG Share of Total Hospitalizations | 0.78 | ||||
| % of Total ICD 4292 - Cardiovascular disease, unspecified in DRG | 1.35 | ||||
| Avg LOS at DRG | 3.27 | ||||
| Avg LOS with ICD 4292 - Cardiovascular disease, unspecified | 3.51 | ||||
| Readmission Rate at DRG | 17.77 | ||||
| Readmission Rate with ICD 4292 - Cardiovascular disease, unspecified | 21.16 | ||||
| Unplanned Readmission Rate at DRG | 13.05 | ||||
| Unplanned Readmission Rate with ICD 4292 - Cardiovascular disease, unspecified | 14.11 | ||||
| Total Medicare payments at DRG | $751,041,404 | ||||
| Total Medicare payments with ICD 4292 - Cardiovascular disease, unspecified | $2,021,951 | ||||
| Total Medicare payment per Day at DRG | $1,290 | ||||
| Total Medicare payment per Day with ICD 4292 - Cardiovascular disease, unspecified | $1,174 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,215 | ||||
| Total Medicare payment per Hospitalization with ICD 4292 - Cardiovascular disease, unspecified | $4,118 | ||||
| Total Medicare Charges at DRG | $3,440,608,169 | ||||
| Total Medicare Charges with ICD 4292 - Cardiovascular disease, unspecified | $8,806,878 | ||||
| Avg Charges at DRG | $19,311 | ||||
| Avg Charges with ICD 4292 - Cardiovascular disease, unspecified | $17,937 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD 4292 - Cardiovascular disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 6.6 | ||||
| SNF Discharge Rate with ICD 4292 - Cardiovascular disease, unspecified | 8.15 | ||||
| Home Discharge Rate at DRG | 72.57 | ||||
| Home Discharge Rate with ICD 4292 - Cardiovascular disease, unspecified | 65.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| WILKES-BARRE GENERAL HOSPITAL | 575 N RIVER ST | WILKES BARRE | PA | 18764 | 713 |
| LEHIGH VALLEY HOSPITAL - HAZLETON | 700 E BROAD ST | HAZLETON | PA | 18201 | 624 |
| DARTMOUTH-HITCHCOCK MEDICAL CENTER | ONE MEDICAL CENTER DR | LEBANON | NH | 03756 | 598 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WAMIQ SULTAN | 310 WOODSTOWN ROAD | SALEM | NJ | 08079 | 105 |
| Dr. PHILIP J. BENYO | 144 S OLD TURNPIKE RD | DRUMS | PA | 18222 | 55 |
| Dr. CLIFTON WALES SALMON | 104 MORRIS CIR | HOMER | LA | 71040 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WAMIQ SULTAN | 310 WOODSTOWN ROAD | SALEM | NJ | 08079 | 441 |
| Dr. PHILIP J. BENYO | 144 S OLD TURNPIKE RD | DRUMS | PA | 18222 | 399 |
| Dr. JAMES D CHANEY | 130 KATE IRELAND DR | HYDEN | KY | 41749 | 306 |