| 49120 - Obstructive chronic bronchitis without exacerbation - as a primary diagnosis code | 49120 - Obstructive chronic bronchitis without exacerbation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.44 | |
| Readmission Rate (%) | 25.14 | |
| Unplanned Readmission Rate (%) | 13.93 | |
| 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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 261,933 | ||||
| Total Hospitalizations with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 1,439 | ||||
| DRG Share of Total Hospitalizations | 1.15 | ||||
| % of Total ICD 49120 - Obstructive chronic bronchitis without exacerbation in DRG | 42.99 | ||||
| Avg LOS at DRG | 4.1 | ||||
| Avg LOS with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 3.67 | ||||
| Readmission Rate at DRG | 23.4 | ||||
| Readmission Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 21.13 | ||||
| Unplanned Readmission Rate at DRG | 18.25 | ||||
| Unplanned Readmission Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 15.18 | ||||
| Total Medicare payments at DRG | $1,493,154,986 | ||||
| Total Medicare payments with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $7,997,381 | ||||
| Total Medicare payment per Day at DRG | $1,391 | ||||
| Total Medicare payment per Day with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $1,515 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,701 | ||||
| Total Medicare payment per Hospitalization with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $5,558 | ||||
| Total Medicare Charges at DRG | $6,844,391,093 | ||||
| Total Medicare Charges with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $34,789,858 | ||||
| Avg Charges at DRG | $26,130 | ||||
| Avg Charges with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $24,176 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 14.25 | ||||
| Home Discharge Rate at DRG | 59.35 | ||||
| Home Discharge Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 54.9 |
| DRG 007: LUNG TRANSPLANT | |
|---|---|
| Total Hospitalizations at DRG | 1,068 |
| Total Hospitalizations with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 11 |
| DRG Share of Total Hospitalizations | 0.0 |
| % of Total ICD 49120 - Obstructive chronic bronchitis without exacerbation in DRG | 0.33 |
| Avg LOS at DRG | 18.43 |
| Avg LOS with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 18.45 |
| Readmission Rate at DRG | 39.47 |
| Readmission Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | NA |
| Unplanned Readmission Rate at DRG | 12.9 |
| Unplanned Readmission Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | NA |
| Total Medicare payments at DRG | $86,180,375 |
| Total Medicare payments with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $819,237 |
| Total Medicare payment per Day at DRG | $4,378 |
| Total Medicare payment per Day with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $4,036 |
| Total Medicare payment per Hospitalization at DRG | $80,693 |
| Total Medicare payment per Hospitalization with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $74,476 |
| Total Medicare Charges at DRG | $514,553,161 |
| Total Medicare Charges with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $5,214,722 |
| Avg Charges at DRG | $481,791 |
| Avg Charges with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $474,066 |
| Mortality Rate at DRG | 1.31 |
| Mortality Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | NA |
| SNF Discharge Rate at DRG | NA |
| SNF Discharge Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | NA |
| Home Discharge Rate at DRG | 52.34 |
| Home Discharge Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| PEMISCOT MEMORIAL HEALTH SYSTEMS | 946 E REED ST | HAYTI | MO | 63851 | 74 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 39 |
| KENTUCKY RIVER MEDICAL CENTER | 540 JETT DR | JACKSON | KY | 41339 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ABDULLAH ARSHAD | 907 E REED ST | HAYTI | MO | 63851 | 73 |
| Dr. GEORGE EDWARD BURNETTE | 424 JETT DR | JACKSON | KY | 41339 | 29 |
| Dr. PRATAP KUMAR SOURI | 100 HOSPITAL DR | BARNESVILLE | OH | 43713 | 12 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 3,100 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 49120 - Obstructive chronic bronchitis without exacerbation in DRG | 4.21 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 7.27 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 27.16 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 17.89 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $38,813,215 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $1,721 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $12,520 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $182,456,550 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $58,857 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 12.0 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 28.71 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 25.68 |
| DRG 885: PSYCHOSES | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 1,901 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 49120 - Obstructive chronic bronchitis without exacerbation in DRG | 2.58 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 10.77 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 27.69 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 14.89 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $16,091,006 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $786 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $8,464 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $51,540,246 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $27,112 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 16.2 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 66.96 |
| DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 153,817 | ||||
| Total Hospitalizations with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 1,094 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 49120 - Obstructive chronic bronchitis without exacerbation in DRG | 1.48 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 3.75 | ||||
| Readmission Rate at DRG | 12.12 | ||||
| Readmission Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 13.28 | ||||
| Unplanned Readmission Rate at DRG | 7.73 | ||||
| Unplanned Readmission Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 8.33 | ||||
| Total Medicare payments at DRG | $668,604,595 | ||||
| Total Medicare payments with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $4,810,866 | ||||
| Total Medicare payment per Day at DRG | $1,280 | ||||
| Total Medicare payment per Day with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $1,172 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,347 | ||||
| Total Medicare payment per Hospitalization with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $4,398 | ||||
| Total Medicare Charges at DRG | $2,827,442,477 | ||||
| Total Medicare Charges with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $23,137,445 | ||||
| Avg Charges at DRG | $18,382 | ||||
| Avg Charges with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $21,149 | ||||
| Mortality Rate at DRG | 1.04 | ||||
| Mortality Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 13.92 | ||||
| SNF Discharge Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 11.06 | ||||
| Home Discharge Rate at DRG | 61.44 | ||||
| Home Discharge Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 64.53 |
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 858 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 49120 - Obstructive chronic bronchitis without exacerbation in DRG | 1.16 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 4.4 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 20.33 | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 14.81 | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $4,215,863 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $1,116 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $4,914 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $20,959,377 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD 49120 - Obstructive chronic bronchitis without exacerbation | $24,428 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 28.9 | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD 49120 - Obstructive chronic bronchitis without exacerbation | 39.28 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CARILION ROANOKE MEMORIAL HOSPITAL | 1906 BELLEVIEW AVE SE | ROANOKE | VA | 24014 | 635 |
| MAGNOLIA REGIONAL HEALTH CENTER | 611 ALCORN DR | CORINTH | MS | 38834 | 446 |
| OSF SAINT FRANCIS MEDICAL CENTER | 530 NE GLEN OAK AVE | PEORIA | IL | 61637 | 391 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM M. GILLESPIE | 510 S GRAND AVE STE 200 | GLENDORA | CA | 91741 | 107 |
| Dr. ABDULLAH ARSHAD | 907 E REED ST | HAYTI | MO | 63851 | 65 |
| Dr. DAVID G CHASE | 100 HOSPITAL ST | BOONEVILLE | MS | 38829 | 58 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ABDULLAH ARSHAD | 907 E REED ST | HAYTI | MO | 63851 | 299 |
| Dr. JOSEPH L PRATT | 121 PRATT DR | CORINTH | MS | 38834 | 116 |
| Dr. WILLIAM M. GILLESPIE | 510 S GRAND AVE STE 200 | GLENDORA | CA | 91741 | 106 |