| 4928 - Other emphysema - as a primary diagnosis code | 4928 - Other emphysema - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.02 | |
| Readmission Rate (%) | 23.53 | |
| Unplanned Readmission Rate (%) | 14.66 | |
| 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 007: LUNG TRANSPLANT | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 261,933 | ||||
| Total Hospitalizations with ICD 4928 - Other emphysema | 1,249 | ||||
| DRG Share of Total Hospitalizations | 1.15 | ||||
| % of Total ICD 4928 - Other emphysema in DRG | 34.77 | ||||
| Avg LOS at DRG | 4.1 | ||||
| Avg LOS with ICD 4928 - Other emphysema | 3.89 | ||||
| Readmission Rate at DRG | 23.4 | ||||
| Readmission Rate with ICD 4928 - Other emphysema | 21.82 | ||||
| Unplanned Readmission Rate at DRG | 18.25 | ||||
| Unplanned Readmission Rate with ICD 4928 - Other emphysema | 16.53 | ||||
| Total Medicare payments at DRG | $1,493,154,986 | ||||
| Total Medicare payments with ICD 4928 - Other emphysema | $7,959,597 | ||||
| Total Medicare payment per Day at DRG | $1,391 | ||||
| Total Medicare payment per Day with ICD 4928 - Other emphysema | $1,637 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,701 | ||||
| Total Medicare payment per Hospitalization with ICD 4928 - Other emphysema | $6,373 | ||||
| Total Medicare Charges at DRG | $6,844,391,093 | ||||
| Total Medicare Charges with ICD 4928 - Other emphysema | $32,892,345 | ||||
| Avg Charges at DRG | $26,130 | ||||
| Avg Charges with ICD 4928 - Other emphysema | $26,335 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 4928 - Other emphysema | 0.96 | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD 4928 - Other emphysema | 14.17 | ||||
| Home Discharge Rate at DRG | 59.35 | ||||
| Home Discharge Rate with ICD 4928 - Other emphysema | 55.24 |
| DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,228 | ||||
| Total Hospitalizations with ICD 4928 - Other emphysema | 49 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD 4928 - Other emphysema in DRG | 1.36 | ||||
| Avg LOS at DRG | 12.99 | ||||
| Avg LOS with ICD 4928 - Other emphysema | 13.51 | ||||
| Readmission Rate at DRG | 26.81 | ||||
| Readmission Rate with ICD 4928 - Other emphysema | 26.53 | ||||
| Unplanned Readmission Rate at DRG | 12.82 | ||||
| Unplanned Readmission Rate with ICD 4928 - Other emphysema | NA | ||||
| Total Medicare payments at DRG | $815,254,283 | ||||
| Total Medicare payments with ICD 4928 - Other emphysema | $1,834,446 | ||||
| Total Medicare payment per Day at DRG | $2,591 | ||||
| Total Medicare payment per Day with ICD 4928 - Other emphysema | $2,771 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,649 | ||||
| Total Medicare payment per Hospitalization with ICD 4928 - Other emphysema | $37,438 | ||||
| Total Medicare Charges at DRG | $3,562,718,272 | ||||
| Total Medicare Charges with ICD 4928 - Other emphysema | $6,952,964 | ||||
| Avg Charges at DRG | $147,050 | ||||
| Avg Charges with ICD 4928 - Other emphysema | $141,897 | ||||
| Mortality Rate at DRG | 9.43 | ||||
| Mortality Rate with ICD 4928 - Other emphysema | NA | ||||
| SNF Discharge Rate at DRG | 18.28 | ||||
| SNF Discharge Rate with ICD 4928 - Other emphysema | NA | ||||
| Home Discharge Rate at DRG | 31.72 | ||||
| Home Discharge Rate with ICD 4928 - Other emphysema | 44.9 |
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 42,015 | |
| Total Hospitalizations with ICD 4928 - Other emphysema | 16 | |
| DRG Share of Total Hospitalizations | 0.18 | |
| % of Total ICD 4928 - Other emphysema in DRG | 0.45 | |
| Avg LOS at DRG | 13.94 | |
| Avg LOS with ICD 4928 - Other emphysema | 10.69 | |
| Readmission Rate at DRG | 33.47 | |
| Readmission Rate with ICD 4928 - Other emphysema | NA | |
| Unplanned Readmission Rate at DRG | 20.71 | |
| Unplanned Readmission Rate with ICD 4928 - Other emphysema | NA | |
| Total Medicare payments at DRG | $1,233,602,792 | |
| Total Medicare payments with ICD 4928 - Other emphysema | $381,776 | |
| Total Medicare payment per Day at DRG | $2,106 | |
| Total Medicare payment per Day with ICD 4928 - Other emphysema | $2,233 | |
| Total Medicare payment per Hospitalization at DRG | $29,361 | |
| Total Medicare payment per Hospitalization with ICD 4928 - Other emphysema | $23,861 | |
| Total Medicare Charges at DRG | $5,177,106,393 | |
| Total Medicare Charges with ICD 4928 - Other emphysema | $1,374,622 | |
| Avg Charges at DRG | $123,220 | |
| Avg Charges with ICD 4928 - Other emphysema | $85,914 | |
| Mortality Rate at DRG | 9.78 | |
| Mortality Rate with ICD 4928 - Other emphysema | NA | |
| SNF Discharge Rate at DRG | 24.4 | |
| SNF Discharge Rate with ICD 4928 - Other emphysema | NA | |
| Home Discharge Rate at DRG | 28.01 | |
| Home Discharge Rate with ICD 4928 - Other emphysema | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| UMASSMEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL | 60 HOSPITAL RD | LEOMINSTER | MA | 01453 | 67 |
| RUSH UNIVERSITY MEDICAL CENTER | 1653 W CONGRESS PKWY | CHICAGO | IL | 60612 | 26 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STEPHEN R HAZELRIGG | 315 W CARPENTER ST | SPRINGFIELD | IL | 62702 | 17 |
| Dr. JAMES D. MALONEY | 600 HIGHLAND AVE | MADISON | WI | 53792 | 12 |
| Dr. MICHAEL S MULLIGAN | UNIVERSITY OF WASHINGTON MEDICAL CTR | SEATTLE | WA | 98195 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STEPHEN R HAZELRIGG | 315 W CARPENTER ST | SPRINGFIELD | IL | 62702 | 17 |
| Dr. MICHAEL S MULLIGAN | UNIVERSITY OF WASHINGTON MEDICAL CTR | SEATTLE | WA | 98195 | 11 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 4928 - Other emphysema | 8,558 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 4928 - Other emphysema in DRG | 4.29 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 4928 - Other emphysema | 6.6 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 4928 - Other emphysema | 23.68 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 4928 - Other emphysema | 16.39 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 4928 - Other emphysema | $105,895,427 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 4928 - Other emphysema | $1,874 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 4928 - Other emphysema | $12,374 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 4928 - Other emphysema | $457,209,268 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 4928 - Other emphysema | $53,425 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 4928 - Other emphysema | 16.66 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 4928 - Other emphysema | 23.19 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 4928 - Other emphysema | 26.62 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 4928 - Other emphysema | 3,857 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 4928 - Other emphysema in DRG | 1.93 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 4928 - Other emphysema | 5.99 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 4928 - Other emphysema | 28.1 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 4928 - Other emphysema | 21.63 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 4928 - Other emphysema | $37,278,825 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 4928 - Other emphysema | $1,613 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 4928 - Other emphysema | $9,665 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 4928 - Other emphysema | $163,182,358 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 4928 - Other emphysema | $42,308 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 4928 - Other emphysema | 6.48 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 4928 - Other emphysema | 20.87 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 4928 - Other emphysema | 33.16 |
| DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 153,817 | ||||
| Total Hospitalizations with ICD 4928 - Other emphysema | 2,358 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 4928 - Other emphysema in DRG | 1.18 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD 4928 - Other emphysema | 3.46 | ||||
| Readmission Rate at DRG | 12.12 | ||||
| Readmission Rate with ICD 4928 - Other emphysema | 12.15 | ||||
| Unplanned Readmission Rate at DRG | 7.73 | ||||
| Unplanned Readmission Rate with ICD 4928 - Other emphysema | 7.88 | ||||
| Total Medicare payments at DRG | $668,604,595 | ||||
| Total Medicare payments with ICD 4928 - Other emphysema | $10,291,784 | ||||
| Total Medicare payment per Day at DRG | $1,280 | ||||
| Total Medicare payment per Day with ICD 4928 - Other emphysema | $1,263 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,347 | ||||
| Total Medicare payment per Hospitalization with ICD 4928 - Other emphysema | $4,365 | ||||
| Total Medicare Charges at DRG | $2,827,442,477 | ||||
| Total Medicare Charges with ICD 4928 - Other emphysema | $48,463,524 | ||||
| Avg Charges at DRG | $18,382 | ||||
| Avg Charges with ICD 4928 - Other emphysema | $20,553 | ||||
| Mortality Rate at DRG | 1.04 | ||||
| Mortality Rate with ICD 4928 - Other emphysema | 0.89 | ||||
| SNF Discharge Rate at DRG | 13.92 | ||||
| SNF Discharge Rate with ICD 4928 - Other emphysema | 9.88 | ||||
| Home Discharge Rate at DRG | 61.44 | ||||
| Home Discharge Rate with ICD 4928 - Other emphysema | 67.6 |
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 257,265 | ||||
| Total Hospitalizations with ICD 4928 - Other emphysema | 1,967 | ||||
| DRG Share of Total Hospitalizations | 1.13 | ||||
| % of Total ICD 4928 - Other emphysema in DRG | 0.99 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 4928 - Other emphysema | 3.55 | ||||
| Readmission Rate at DRG | 20.42 | ||||
| Readmission Rate with ICD 4928 - Other emphysema | 21.84 | ||||
| Unplanned Readmission Rate at DRG | 13.45 | ||||
| Unplanned Readmission Rate with ICD 4928 - Other emphysema | 14.84 | ||||
| Total Medicare payments at DRG | $1,129,638,166 | ||||
| Total Medicare payments with ICD 4928 - Other emphysema | $8,992,384 | ||||
| Total Medicare payment per Day at DRG | $1,314 | ||||
| Total Medicare payment per Day with ICD 4928 - Other emphysema | $1,287 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,391 | ||||
| Total Medicare payment per Hospitalization with ICD 4928 - Other emphysema | $4,572 | ||||
| Total Medicare Charges at DRG | $5,148,191,149 | ||||
| Total Medicare Charges with ICD 4928 - Other emphysema | $43,671,300 | ||||
| Avg Charges at DRG | $20,011 | ||||
| Avg Charges with ICD 4928 - Other emphysema | $22,202 | ||||
| Mortality Rate at DRG | 0.85 | ||||
| Mortality Rate with ICD 4928 - Other emphysema | 0.97 | ||||
| SNF Discharge Rate at DRG | 20.19 | ||||
| SNF Discharge Rate with ICD 4928 - Other emphysema | 19.83 | ||||
| Home Discharge Rate at DRG | 51.02 | ||||
| Home Discharge Rate with ICD 4928 - Other emphysema | 47.64 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 654 |
| UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON MEDICAL CENTER | 301 HOSPITAL DR | GLEN BURNIE | MD | 21061 | 626 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 579 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SHERIF TAHA ELAMIR | 1018 MOUND ST | NACOGDOCHES | TX | 75961 | 69 |
| Dr. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 59 |
| Dr. VALERIE W RUSCH | 1275 YORK AVE | NEW YORK | NY | 10021 | 57 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMED RASHID MIRZA | 805 W CEDAR ST | STANDISH | MI | 48658 | 84 |
| Dr. JAMES NOAH EICKHOLZ | 546 LONE OAK RD | PADUCAH | KY | 42003 | 80 |
| Dr. STEVEN WALTER BUMB | 442 W HIGH ST | BRYAN | OH | 43506 | 76 |