| 5082 - Respiratory conditions due to smoke inhalation - as a primary diagnosis code | 5082 - Respiratory conditions due to smoke inhalation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.39 | |
| Readmission Rate (%) | 23.62 | |
| Unplanned Readmission Rate (%) | 10.1 | |
| 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 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,585 | ||||
| Total Hospitalizations with ICD 5082 - Respiratory conditions due to smoke inhalation | 407 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 5082 - Respiratory conditions due to smoke inhalation in DRG | 33.78 | ||||
| Avg LOS at DRG | 3.21 | ||||
| Avg LOS with ICD 5082 - Respiratory conditions due to smoke inhalation | 3.1 | ||||
| Readmission Rate at DRG | 18.63 | ||||
| Readmission Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 13.72 | ||||
| Unplanned Readmission Rate at DRG | 12.03 | ||||
| Unplanned Readmission Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 7.92 | ||||
| Total Medicare payments at DRG | $160,356,196 | ||||
| Total Medicare payments with ICD 5082 - Respiratory conditions due to smoke inhalation | $2,008,980 | ||||
| Total Medicare payment per Day at DRG | $1,582 | ||||
| Total Medicare payment per Day with ICD 5082 - Respiratory conditions due to smoke inhalation | $1,593 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,077 | ||||
| Total Medicare payment per Hospitalization with ICD 5082 - Respiratory conditions due to smoke inhalation | $4,936 | ||||
| Total Medicare Charges at DRG | $792,351,574 | ||||
| Total Medicare Charges with ICD 5082 - Respiratory conditions due to smoke inhalation | $8,661,162 | ||||
| Avg Charges at DRG | $25,086 | ||||
| Avg Charges with ICD 5082 - Respiratory conditions due to smoke inhalation | $21,280 | ||||
| Mortality Rate at DRG | 0.83 | ||||
| Mortality Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | NA | ||||
| SNF Discharge Rate at DRG | 20.26 | ||||
| SNF Discharge Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 13.51 | ||||
| Home Discharge Rate at DRG | 52.71 | ||||
| Home Discharge Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 62.16 |
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 34,870 | |
| Total Hospitalizations with ICD 5082 - Respiratory conditions due to smoke inhalation | 19 | |
| DRG Share of Total Hospitalizations | 0.15 | |
| % of Total ICD 5082 - Respiratory conditions due to smoke inhalation in DRG | 1.58 | |
| Avg LOS at DRG | 32.29 | |
| Avg LOS with ICD 5082 - Respiratory conditions due to smoke inhalation | 30.26 | |
| Readmission Rate at DRG | 77.59 | |
| Readmission Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 64.71 | |
| Unplanned Readmission Rate at DRG | 6.64 | |
| Unplanned Readmission Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | NA | |
| Total Medicare payments at DRG | $4,332,531,897 | |
| Total Medicare payments with ICD 5082 - Respiratory conditions due to smoke inhalation | $2,571,498 | |
| Total Medicare payment per Day at DRG | $3,848 | |
| Total Medicare payment per Day with ICD 5082 - Respiratory conditions due to smoke inhalation | $4,472 | |
| Total Medicare payment per Hospitalization at DRG | $124,248 | |
| Total Medicare payment per Hospitalization with ICD 5082 - Respiratory conditions due to smoke inhalation | $135,342 | |
| Total Medicare Charges at DRG | $18,041,668,887 | |
| Total Medicare Charges with ICD 5082 - Respiratory conditions due to smoke inhalation | $8,724,295 | |
| Avg Charges at DRG | $517,398 | |
| Avg Charges with ICD 5082 - Respiratory conditions due to smoke inhalation | $459,173 | |
| Mortality Rate at DRG | 19.09 | |
| Mortality Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | NA | |
| SNF Discharge Rate at DRG | 14.38 | |
| SNF Discharge Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | NA | |
| Home Discharge Rate at DRG | 1.86 | |
| Home Discharge Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CROZER CHESTER MEDICAL CENTER | ONE MEDICAL CENTER BOULEVARD | UPLAND | PA | 19013 | 23 |
| TEMPLE UNIVERSITY HOSPITAL | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 23 |
| DETROIT RECEIVING HOSPITAL & UNIVERSITY HEALTH CENTER | 4201 SAINT ANTOINE ST | DETROIT | MI | 48201 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM HUGHES | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM HUGHES | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 17 |
| DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 935: NON-EXTENSIVE BURNS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,585 | ||||
| Total Hospitalizations with ICD 5082 - Respiratory conditions due to smoke inhalation | 414 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 5082 - Respiratory conditions due to smoke inhalation in DRG | 16.0 | ||||
| Avg LOS at DRG | 3.21 | ||||
| Avg LOS with ICD 5082 - Respiratory conditions due to smoke inhalation | 3.09 | ||||
| Readmission Rate at DRG | 18.63 | ||||
| Readmission Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 13.73 | ||||
| Unplanned Readmission Rate at DRG | 12.03 | ||||
| Unplanned Readmission Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 8.03 | ||||
| Total Medicare payments at DRG | $160,356,196 | ||||
| Total Medicare payments with ICD 5082 - Respiratory conditions due to smoke inhalation | $2,032,312 | ||||
| Total Medicare payment per Day at DRG | $1,582 | ||||
| Total Medicare payment per Day with ICD 5082 - Respiratory conditions due to smoke inhalation | $1,590 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,077 | ||||
| Total Medicare payment per Hospitalization with ICD 5082 - Respiratory conditions due to smoke inhalation | $4,909 | ||||
| Total Medicare Charges at DRG | $792,351,574 | ||||
| Total Medicare Charges with ICD 5082 - Respiratory conditions due to smoke inhalation | $8,781,934 | ||||
| Avg Charges at DRG | $25,086 | ||||
| Avg Charges with ICD 5082 - Respiratory conditions due to smoke inhalation | $21,212 | ||||
| Mortality Rate at DRG | 0.83 | ||||
| Mortality Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | NA | ||||
| SNF Discharge Rate at DRG | 20.26 | ||||
| SNF Discharge Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 13.53 | ||||
| Home Discharge Rate at DRG | 52.71 | ||||
| Home Discharge Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 62.08 |
| DRG 928: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH COMPLICATION OR COMORBIDITY (CC)/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 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 933: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,330 | ||||
| Total Hospitalizations with ICD 5082 - Respiratory conditions due to smoke inhalation | 93 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 5082 - Respiratory conditions due to smoke inhalation in DRG | 3.59 | ||||
| Avg LOS at DRG | 15.19 | ||||
| Avg LOS with ICD 5082 - Respiratory conditions due to smoke inhalation | 13.46 | ||||
| Readmission Rate at DRG | 29.41 | ||||
| Readmission Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 26.87 | ||||
| Unplanned Readmission Rate at DRG | 8.05 | ||||
| Unplanned Readmission Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | NA | ||||
| Total Medicare payments at DRG | $105,414,620 | ||||
| Total Medicare payments with ICD 5082 - Respiratory conditions due to smoke inhalation | $4,573,513 | ||||
| Total Medicare payment per Day at DRG | $2,979 | ||||
| Total Medicare payment per Day with ICD 5082 - Respiratory conditions due to smoke inhalation | $3,653 | ||||
| Total Medicare payment per Hospitalization at DRG | $45,242 | ||||
| Total Medicare payment per Hospitalization with ICD 5082 - Respiratory conditions due to smoke inhalation | $49,178 | ||||
| Total Medicare Charges at DRG | $380,520,125 | ||||
| Total Medicare Charges with ICD 5082 - Respiratory conditions due to smoke inhalation | $17,240,315 | ||||
| Avg Charges at DRG | $163,313 | ||||
| Avg Charges with ICD 5082 - Respiratory conditions due to smoke inhalation | $185,380 | ||||
| Mortality Rate at DRG | 3.86 | ||||
| Mortality Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 24.73 | ||||
| SNF Discharge Rate at DRG | 21.07 | ||||
| SNF Discharge Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 20.43 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 20.43 |
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 927: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | 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 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 261,933 | ||||
| Total Hospitalizations with ICD 5082 - Respiratory conditions due to smoke inhalation | 67 | ||||
| DRG Share of Total Hospitalizations | 1.15 | ||||
| % of Total ICD 5082 - Respiratory conditions due to smoke inhalation in DRG | 2.59 | ||||
| Avg LOS at DRG | 4.1 | ||||
| Avg LOS with ICD 5082 - Respiratory conditions due to smoke inhalation | 3.66 | ||||
| Readmission Rate at DRG | 23.4 | ||||
| Readmission Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 16.92 | ||||
| Unplanned Readmission Rate at DRG | 18.25 | ||||
| Unplanned Readmission Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 16.92 | ||||
| Total Medicare payments at DRG | $1,493,154,986 | ||||
| Total Medicare payments with ICD 5082 - Respiratory conditions due to smoke inhalation | $354,563 | ||||
| Total Medicare payment per Day at DRG | $1,391 | ||||
| Total Medicare payment per Day with ICD 5082 - Respiratory conditions due to smoke inhalation | $1,447 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,701 | ||||
| Total Medicare payment per Hospitalization with ICD 5082 - Respiratory conditions due to smoke inhalation | $5,292 | ||||
| Total Medicare Charges at DRG | $6,844,391,093 | ||||
| Total Medicare Charges with ICD 5082 - Respiratory conditions due to smoke inhalation | $1,441,971 | ||||
| Avg Charges at DRG | $26,130 | ||||
| Avg Charges with ICD 5082 - Respiratory conditions due to smoke inhalation | $21,522 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | NA | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | NA | ||||
| Home Discharge Rate at DRG | 59.35 | ||||
| Home Discharge Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 76.12 |
| DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 60,931 | ||||
| Total Hospitalizations with ICD 5082 - Respiratory conditions due to smoke inhalation | 25 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD 5082 - Respiratory conditions due to smoke inhalation in DRG | 0.97 | ||||
| Avg LOS at DRG | 2.83 | ||||
| Avg LOS with ICD 5082 - Respiratory conditions due to smoke inhalation | 2.2 | ||||
| Readmission Rate at DRG | 36.2 | ||||
| Readmission Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | NA | ||||
| Unplanned Readmission Rate at DRG | 9.99 | ||||
| Unplanned Readmission Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | NA | ||||
| Total Medicare payments at DRG | $242,441,494 | ||||
| Total Medicare payments with ICD 5082 - Respiratory conditions due to smoke inhalation | $104,965 | ||||
| Total Medicare payment per Day at DRG | $1,405 | ||||
| Total Medicare payment per Day with ICD 5082 - Respiratory conditions due to smoke inhalation | $1,908 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,979 | ||||
| Total Medicare payment per Hospitalization with ICD 5082 - Respiratory conditions due to smoke inhalation | $4,199 | ||||
| Total Medicare Charges at DRG | $1,225,494,734 | ||||
| Total Medicare Charges with ICD 5082 - Respiratory conditions due to smoke inhalation | $453,076 | ||||
| Avg Charges at DRG | $20,113 | ||||
| Avg Charges with ICD 5082 - Respiratory conditions due to smoke inhalation | $18,123 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | NA | ||||
| SNF Discharge Rate at DRG | 6.77 | ||||
| SNF Discharge Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | NA | ||||
| Home Discharge Rate at DRG | 51.15 | ||||
| Home Discharge Rate with ICD 5082 - Respiratory conditions due to smoke inhalation | 52.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| DETROIT RECEIVING HOSPITAL & UNIVERSITY HEALTH CENTER | 4201 SAINT ANTOINE ST | DETROIT | MI | 48201 | 34 |
| CROZER CHESTER MEDICAL CENTER | ONE MEDICAL CENTER BOULEVARD | UPLAND | PA | 19013 | 34 |
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM HUGHES | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 14 |
| Dr. MICHAEL THOMAS WHITE | 4160 JOHN R ST | DETROIT | MI | 48201 | 13 |
| Dr. SYLVIA JEAN PETRONE | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM HUGHES | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 22 |
| Dr. ROBERT FRED MULLINS | 3675 J DEWEY GRAY CIR | AUGUSTA | GA | 30909 | 15 |
| Dr. MICHAEL THOMAS WHITE | 4160 JOHN R ST | DETROIT | MI | 48201 | 13 |