| 4299 - Heart disease, unspecified - as a primary diagnosis code | 4299 - Heart disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.36 | |
| Readmission Rate (%) | 21.56 | |
| Unplanned Readmission Rate (%) | 11.01 | |
| 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 4299 - Heart disease, unspecified | 208 | ||
| DRG Share of Total Hospitalizations | 0.2 | ||
| % of Total ICD 4299 - Heart disease, unspecified in DRG | 58.59 | ||
| Avg LOS at DRG | 2.52 | ||
| Avg LOS with ICD 4299 - Heart disease, unspecified | 3.16 | ||
| Readmission Rate at DRG | 19.56 | ||
| Readmission Rate with ICD 4299 - Heart disease, unspecified | 18.46 | ||
| Unplanned Readmission Rate at DRG | 13.83 | ||
| Unplanned Readmission Rate with ICD 4299 - Heart disease, unspecified | 12.31 | ||
| Total Medicare payments at DRG | $172,068,623 | ||
| Total Medicare payments with ICD 4299 - Heart disease, unspecified | $841,993 | ||
| Total Medicare payment per Day at DRG | $1,526 | ||
| Total Medicare payment per Day with ICD 4299 - Heart disease, unspecified | $1,280 | ||
| Total Medicare payment per Hospitalization at DRG | $3,845 | ||
| Total Medicare payment per Hospitalization with ICD 4299 - Heart disease, unspecified | $4,048 | ||
| Total Medicare Charges at DRG | $891,334,481 | ||
| Total Medicare Charges with ICD 4299 - Heart disease, unspecified | $4,190,083 | ||
| Avg Charges at DRG | $19,915 | ||
| Avg Charges with ICD 4299 - Heart disease, unspecified | $20,145 | ||
| Mortality Rate at DRG | 0.69 | ||
| Mortality Rate with ICD 4299 - Heart disease, unspecified | NA | ||
| SNF Discharge Rate at DRG | 6.3 | ||
| SNF Discharge Rate with ICD 4299 - Heart disease, unspecified | 12.02 | ||
| Home Discharge Rate at DRG | 63.39 | ||
| Home Discharge Rate with ICD 4299 - Heart disease, unspecified | 57.69 |
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 939,378 | ||||
| Total Hospitalizations with ICD 4299 - Heart disease, unspecified | 4,918 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD 4299 - Heart disease, unspecified in DRG | 3.79 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD 4299 - Heart disease, unspecified | 3.36 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD 4299 - Heart disease, unspecified | 15.39 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD 4299 - Heart disease, unspecified | 4.41 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD 4299 - Heart disease, unspecified | $59,251,424 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD 4299 - Heart disease, unspecified | $3,588 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD 4299 - Heart disease, unspecified | $12,048 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD 4299 - Heart disease, unspecified | $272,361,688 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD 4299 - Heart disease, unspecified | $55,381 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD 4299 - Heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD 4299 - Heart disease, unspecified | 38.49 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD 4299 - Heart disease, unspecified | 17.89 |
| DRG 312: SYNCOPE AND COLLAPSE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,065 | ||||
| Total Hospitalizations with ICD 4299 - Heart disease, unspecified | 2,399 | ||||
| DRG Share of Total Hospitalizations | 0.85 | ||||
| % of Total ICD 4299 - Heart disease, unspecified in DRG | 1.85 | ||||
| Avg LOS at DRG | 2.91 | ||||
| Avg LOS with ICD 4299 - Heart disease, unspecified | 2.92 | ||||
| Readmission Rate at DRG | 15.53 | ||||
| Readmission Rate with ICD 4299 - Heart disease, unspecified | 14.01 | ||||
| Unplanned Readmission Rate at DRG | 10.7 | ||||
| Unplanned Readmission Rate with ICD 4299 - Heart disease, unspecified | 10.07 | ||||
| Total Medicare payments at DRG | $873,114,027 | ||||
| Total Medicare payments with ICD 4299 - Heart disease, unspecified | $10,505,229 | ||||
| Total Medicare payment per Day at DRG | $1,540 | ||||
| Total Medicare payment per Day with ICD 4299 - Heart disease, unspecified | $1,499 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,476 | ||||
| Total Medicare payment per Hospitalization with ICD 4299 - Heart disease, unspecified | $4,379 | ||||
| Total Medicare Charges at DRG | $4,705,143,201 | ||||
| Total Medicare Charges with ICD 4299 - Heart disease, unspecified | $55,771,813 | ||||
| Avg Charges at DRG | $24,121 | ||||
| Avg Charges with ICD 4299 - Heart disease, unspecified | $23,248 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD 4299 - Heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.1 | ||||
| SNF Discharge Rate with ICD 4299 - Heart disease, unspecified | 17.13 | ||||
| Home Discharge Rate at DRG | 56.81 | ||||
| Home Discharge Rate with ICD 4299 - Heart disease, unspecified | 57.23 |
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 204,070 | ||||
| Total Hospitalizations with ICD 4299 - Heart disease, unspecified | 2,165 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD 4299 - Heart disease, unspecified in DRG | 1.67 | ||||
| Avg LOS at DRG | 3.24 | ||||
| Avg LOS with ICD 4299 - Heart disease, unspecified | 3.3 | ||||
| Readmission Rate at DRG | 20.27 | ||||
| Readmission Rate with ICD 4299 - Heart disease, unspecified | 18.91 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD 4299 - Heart disease, unspecified | 13.52 | ||||
| Total Medicare payments at DRG | $973,540,845 | ||||
| Total Medicare payments with ICD 4299 - Heart disease, unspecified | $10,276,689 | ||||
| Total Medicare payment per Day at DRG | $1,471 | ||||
| Total Medicare payment per Day with ICD 4299 - Heart disease, unspecified | $1,437 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,771 | ||||
| Total Medicare payment per Hospitalization with ICD 4299 - Heart disease, unspecified | $4,747 | ||||
| Total Medicare Charges at DRG | $4,751,640,685 | ||||
| Total Medicare Charges with ICD 4299 - Heart disease, unspecified | $49,736,549 | ||||
| Avg Charges at DRG | $23,284 | ||||
| Avg Charges with ICD 4299 - Heart disease, unspecified | $22,973 | ||||
| Mortality Rate at DRG | 0.86 | ||||
| Mortality Rate with ICD 4299 - Heart disease, unspecified | 0.51 | ||||
| SNF Discharge Rate at DRG | 13.34 | ||||
| SNF Discharge Rate with ICD 4299 - Heart disease, unspecified | 13.16 | ||||
| Home Discharge Rate at DRG | 60.61 | ||||
| Home Discharge Rate with ICD 4299 - Heart disease, unspecified | 61.66 |
| 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD 4299 - Heart disease, unspecified | 1,646 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 4299 - Heart disease, unspecified in DRG | 1.27 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD 4299 - Heart disease, unspecified | 3.86 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD 4299 - Heart disease, unspecified | 18.67 | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD 4299 - Heart disease, unspecified | 13.99 | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD 4299 - Heart disease, unspecified | $8,035,786 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD 4299 - Heart disease, unspecified | $1,266 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD 4299 - Heart disease, unspecified | $4,882 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD 4299 - Heart disease, unspecified | $36,382,798 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD 4299 - Heart disease, unspecified | $22,104 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 4299 - Heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD 4299 - Heart disease, unspecified | 30.68 | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD 4299 - Heart disease, unspecified | 39.31 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 751 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 688 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 626 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JEFF DOUGLAS ALMAND | 1325 E FORTIFICATION ST | JACKSON | MS | 39202 | 43 |
| Dr. CHRISTOS KASAPIS | 303 MARION AVE | MCCOMB | MS | 39648 | 41 |
| Dr. EUGENE FRANK GULISH | 1015 KELLEY DR | PARIS | TN | 38242 | 38 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DARRIN ASHBROOKS | 108 HIGHWAY 71 S | ASHDOWN | AR | 71822 | 173 |
| Dr. CHI MEI WU | 9 MULE RD | TOMS RIVER | NJ | 08755 | 151 |
| Dr. RAJA SOHAIL ABBAS | 211 N 12TH ST | LEHIGHTON | PA | 18235 | 123 |