| 49390 - Asthma,unspecified type, unspecified - as a primary diagnosis code | 49390 - Asthma,unspecified type, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.37 | |
| Readmission Rate (%) | 21.15 | |
| Unplanned Readmission Rate (%) | 9.94 | |
| 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 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 75,399 | |||
| Total Hospitalizations with ICD 49390 - Asthma,unspecified type, unspecified | 3,385 | |||
| DRG Share of Total Hospitalizations | 0.33 | |||
| % of Total ICD 49390 - Asthma,unspecified type, unspecified in DRG | 56.36 | |||
| Avg LOS at DRG | 3.87 | |||
| Avg LOS with ICD 49390 - Asthma,unspecified type, unspecified | 4.06 | |||
| Readmission Rate at DRG | 16.25 | |||
| Readmission Rate with ICD 49390 - Asthma,unspecified type, unspecified | 15.62 | |||
| Unplanned Readmission Rate at DRG | 12.3 | |||
| Unplanned Readmission Rate with ICD 49390 - Asthma,unspecified type, unspecified | 11.24 | |||
| Total Medicare payments at DRG | $395,741,898 | |||
| Total Medicare payments with ICD 49390 - Asthma,unspecified type, unspecified | $17,048,517 | |||
| Total Medicare payment per Day at DRG | $1,358 | |||
| Total Medicare payment per Day with ICD 49390 - Asthma,unspecified type, unspecified | $1,241 | |||
| Total Medicare payment per Hospitalization at DRG | $5,249 | |||
| Total Medicare payment per Hospitalization with ICD 49390 - Asthma,unspecified type, unspecified | $5,036 | |||
| Total Medicare Charges at DRG | $1,921,741,489 | |||
| Total Medicare Charges with ICD 49390 - Asthma,unspecified type, unspecified | $87,849,460 | |||
| Avg Charges at DRG | $25,488 | |||
| Avg Charges with ICD 49390 - Asthma,unspecified type, unspecified | $25,953 | |||
| Mortality Rate at DRG | 0.22 | |||
| Mortality Rate with ICD 49390 - Asthma,unspecified type, unspecified | NA | |||
| SNF Discharge Rate at DRG | 12.22 | |||
| SNF Discharge Rate with ICD 49390 - Asthma,unspecified type, unspecified | 11.52 | |||
| Home Discharge Rate at DRG | 64.58 | |||
| Home Discharge Rate with ICD 49390 - Asthma,unspecified type, unspecified | 65.35 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| HIGHLANDS MEDICAL CENTER | 380 WOODS COVE RD | SCOTTSBORO | AL | 35768 | 57 |
| DELRAY MEDICAL CENTER | 5352 LINTON BLVD | DELRAY BEACH | FL | 33484 | 49 |
| BOCA RATON REGIONAL HOSPITAL | 800 MEADOWS ROAD | BOCA RATON | FL | 33486 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JUNAID HASSAN MEMON | 1508 SOUTH BROAD STREET | SCOTTSBORO | AL | 35768 | 46 |
| Dr. NURUDEEN SHEKONI | 5160 GALAXIE DR | JACKSON | MS | 39206 | 21 |
| Dr. BRIAN IGNATIUS REBELLO | 13590 JOG RD | DELRAY BEACH | FL | 33446 | 15 |
| DRG 885: PSYCHOSES | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 49390 - Asthma,unspecified type, unspecified | 63,969 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 49390 - Asthma,unspecified type, unspecified in DRG | 7.25 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 49390 - Asthma,unspecified type, unspecified | 10.05 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 49390 - Asthma,unspecified type, unspecified | 27.94 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 49390 - Asthma,unspecified type, unspecified | 13.59 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 49390 - Asthma,unspecified type, unspecified | $468,002,090 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 49390 - Asthma,unspecified type, unspecified | $728 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 49390 - Asthma,unspecified type, unspecified | $7,316 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 49390 - Asthma,unspecified type, unspecified | $1,486,917,863 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 49390 - Asthma,unspecified type, unspecified | $23,244 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 49390 - Asthma,unspecified type, unspecified | 0.02 | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 49390 - Asthma,unspecified type, unspecified | 3.22 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 49390 - Asthma,unspecified type, unspecified | 84.69 |
| DRG 603: CELLULITIS WITHOUT 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 49390 - Asthma,unspecified type, unspecified | 14,214 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 49390 - Asthma,unspecified type, unspecified in DRG | 1.61 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 49390 - Asthma,unspecified type, unspecified | 4.14 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 49390 - Asthma,unspecified type, unspecified | 16.09 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 49390 - Asthma,unspecified type, unspecified | 10.99 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 49390 - Asthma,unspecified type, unspecified | $75,220,464 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 49390 - Asthma,unspecified type, unspecified | $1,280 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 49390 - Asthma,unspecified type, unspecified | $5,292 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 49390 - Asthma,unspecified type, unspecified | $327,868,885 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 49390 - Asthma,unspecified type, unspecified | $23,067 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 49390 - Asthma,unspecified type, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 49390 - Asthma,unspecified type, unspecified | 12.0 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 49390 - Asthma,unspecified type, unspecified | 59.26 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD 49390 - Asthma,unspecified type, unspecified | 10,415 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 49390 - Asthma,unspecified type, unspecified in DRG | 1.18 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD 49390 - Asthma,unspecified type, unspecified | 4.58 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD 49390 - Asthma,unspecified type, unspecified | 17.62 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD 49390 - Asthma,unspecified type, unspecified | 12.57 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD 49390 - Asthma,unspecified type, unspecified | $71,301,446 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD 49390 - Asthma,unspecified type, unspecified | $1,494 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD 49390 - Asthma,unspecified type, unspecified | $6,846 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD 49390 - Asthma,unspecified type, unspecified | $324,645,231 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD 49390 - Asthma,unspecified type, unspecified | $31,171 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD 49390 - Asthma,unspecified type, unspecified | 1.2 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 49390 - Asthma,unspecified type, unspecified | 17.38 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD 49390 - Asthma,unspecified type, unspecified | 53.33 |
| DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | DRG 195: SIMPLE PNEUMONIA AND PLEURISY 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 123,354 | ||||
| Total Hospitalizations with ICD 49390 - Asthma,unspecified type, unspecified | 8,191 | ||||
| DRG Share of Total Hospitalizations | 0.54 | ||||
| % of Total ICD 49390 - Asthma,unspecified type, unspecified in DRG | 0.93 | ||||
| Avg LOS at DRG | 5.68 | ||||
| Avg LOS with ICD 49390 - Asthma,unspecified type, unspecified | 5.59 | ||||
| Readmission Rate at DRG | 27.97 | ||||
| Readmission Rate with ICD 49390 - Asthma,unspecified type, unspecified | 32.01 | ||||
| Unplanned Readmission Rate at DRG | 12.96 | ||||
| Unplanned Readmission Rate with ICD 49390 - Asthma,unspecified type, unspecified | 12.19 | ||||
| Total Medicare payments at DRG | $587,825,453 | ||||
| Total Medicare payments with ICD 49390 - Asthma,unspecified type, unspecified | $42,067,041 | ||||
| Total Medicare payment per Day at DRG | $839 | ||||
| Total Medicare payment per Day with ICD 49390 - Asthma,unspecified type, unspecified | $919 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,765 | ||||
| Total Medicare payment per Hospitalization with ICD 49390 - Asthma,unspecified type, unspecified | $5,136 | ||||
| Total Medicare Charges at DRG | $2,077,306,032 | ||||
| Total Medicare Charges with ICD 49390 - Asthma,unspecified type, unspecified | $116,730,234 | ||||
| Avg Charges at DRG | $16,840 | ||||
| Avg Charges with ICD 49390 - Asthma,unspecified type, unspecified | $14,251 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD 49390 - Asthma,unspecified type, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.97 | ||||
| SNF Discharge Rate with ICD 49390 - Asthma,unspecified type, unspecified | 2.36 | ||||
| Home Discharge Rate at DRG | 79.7 | ||||
| Home Discharge Rate with ICD 49390 - Asthma,unspecified type, unspecified | 86.63 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 2,687 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 2,581 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 2,484 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 300 |
| Dr. HILTON GORDON | 4646 N MARINE DR | CHICAGO | IL | 60640 | 298 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 270 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 310 |
| Dr. HILTON GORDON | 4646 N MARINE DR | CHICAGO | IL | 60640 | 304 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 277 |