| 51289 - Other pneumothorax - as a primary diagnosis code | 51289 - Other pneumothorax - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.67 | |
| Readmission Rate (%) | 29.58 | |
| Unplanned Readmission Rate (%) | 15.09 | |
| 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 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,192 | ||||
| Total Hospitalizations with ICD 51289 - Other pneumothorax | 4,365 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 51289 - Other pneumothorax in DRG | 31.71 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 51289 - Other pneumothorax | 5.0 | ||||
| Readmission Rate at DRG | 19.66 | ||||
| Readmission Rate with ICD 51289 - Other pneumothorax | 25.07 | ||||
| Unplanned Readmission Rate at DRG | 10.75 | ||||
| Unplanned Readmission Rate with ICD 51289 - Other pneumothorax | 16.1 | ||||
| Total Medicare payments at DRG | $105,309,929 | ||||
| Total Medicare payments with ICD 51289 - Other pneumothorax | $27,129,221 | ||||
| Total Medicare payment per Day at DRG | $1,393 | ||||
| Total Medicare payment per Day with ICD 51289 - Other pneumothorax | $1,244 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,126 | ||||
| Total Medicare payment per Hospitalization with ICD 51289 - Other pneumothorax | $6,215 | ||||
| Total Medicare Charges at DRG | $514,564,942 | ||||
| Total Medicare Charges with ICD 51289 - Other pneumothorax | $132,159,541 | ||||
| Avg Charges at DRG | $29,930 | ||||
| Avg Charges with ICD 51289 - Other pneumothorax | $30,277 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD 51289 - Other pneumothorax | 1.31 | ||||
| SNF Discharge Rate at DRG | 13.83 | ||||
| SNF Discharge Rate with ICD 51289 - Other pneumothorax | 10.93 | ||||
| Home Discharge Rate at DRG | 61.13 | ||||
| Home Discharge Rate with ICD 51289 - Other pneumothorax | 57.8 |
| DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 20,601 | ||||
| Total Hospitalizations with ICD 51289 - Other pneumothorax | 380 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD 51289 - Other pneumothorax in DRG | 2.76 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD 51289 - Other pneumothorax | 7.66 | ||||
| Readmission Rate at DRG | 8.29 | ||||
| Readmission Rate with ICD 51289 - Other pneumothorax | 11.7 | ||||
| Unplanned Readmission Rate at DRG | 4.91 | ||||
| Unplanned Readmission Rate with ICD 51289 - Other pneumothorax | 6.65 | ||||
| Total Medicare payments at DRG | $233,357,077 | ||||
| Total Medicare payments with ICD 51289 - Other pneumothorax | $4,042,022 | ||||
| Total Medicare payment per Day at DRG | $2,997 | ||||
| Total Medicare payment per Day with ICD 51289 - Other pneumothorax | $1,388 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,327 | ||||
| Total Medicare payment per Hospitalization with ICD 51289 - Other pneumothorax | $10,637 | ||||
| Total Medicare Charges at DRG | $1,195,230,978 | ||||
| Total Medicare Charges with ICD 51289 - Other pneumothorax | $23,730,686 | ||||
| Avg Charges at DRG | $58,018 | ||||
| Avg Charges with ICD 51289 - Other pneumothorax | $62,449 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 51289 - Other pneumothorax | NA | ||||
| SNF Discharge Rate at DRG | 3.55 | ||||
| SNF Discharge Rate with ICD 51289 - Other pneumothorax | 4.74 | ||||
| Home Discharge Rate at DRG | 76.45 | ||||
| Home Discharge Rate with ICD 51289 - Other pneumothorax | 72.63 |
| DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,497 | ||||
| Total Hospitalizations with ICD 51289 - Other pneumothorax | 76 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 51289 - Other pneumothorax in DRG | 0.55 | ||||
| Avg LOS at DRG | 3.82 | ||||
| Avg LOS with ICD 51289 - Other pneumothorax | 5.16 | ||||
| Readmission Rate at DRG | 16.1 | ||||
| Readmission Rate with ICD 51289 - Other pneumothorax | 20.0 | ||||
| Unplanned Readmission Rate at DRG | 9.49 | ||||
| Unplanned Readmission Rate with ICD 51289 - Other pneumothorax | NA | ||||
| Total Medicare payments at DRG | $44,067,934 | ||||
| Total Medicare payments with ICD 51289 - Other pneumothorax | $595,219 | ||||
| Total Medicare payment per Day at DRG | $2,098 | ||||
| Total Medicare payment per Day with ICD 51289 - Other pneumothorax | $1,518 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,017 | ||||
| Total Medicare payment per Hospitalization with ICD 51289 - Other pneumothorax | $7,832 | ||||
| Total Medicare Charges at DRG | $228,886,909 | ||||
| Total Medicare Charges with ICD 51289 - Other pneumothorax | $3,136,564 | ||||
| Avg Charges at DRG | $41,639 | ||||
| Avg Charges with ICD 51289 - Other pneumothorax | $41,271 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 51289 - Other pneumothorax | NA | ||||
| SNF Discharge Rate at DRG | 6.08 | ||||
| SNF Discharge Rate with ICD 51289 - Other pneumothorax | NA | ||||
| Home Discharge Rate at DRG | 73.29 | ||||
| Home Discharge Rate with ICD 51289 - Other pneumothorax | 81.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 35 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 35 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN SHERWOOD | 1101 SAM PERRY BLVD | FREDERICKSBURG | VA | 22401 | 13 |
| Dr. MITCHELL TERUICHI GODBEE | 1125 MADISON ST | JEFFERSON CITY | MO | 65101 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DAVID ZOLFAGHARI | 3800 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | 14 |
| Dr. PERCIVAL OFRECIO BUENAVENTURA | 25 MONUMENT RD | YORK | PA | 17403 | 14 |
| Dr. AJAY GUPTA | 5325 ELLIOTT DR | YPSILANTI | MI | 48197 | 13 |
| DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,192 | ||||
| Total Hospitalizations with ICD 51289 - Other pneumothorax | 4,507 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 51289 - Other pneumothorax in DRG | 8.2 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 51289 - Other pneumothorax | 4.99 | ||||
| Readmission Rate at DRG | 19.66 | ||||
| Readmission Rate with ICD 51289 - Other pneumothorax | 25.07 | ||||
| Unplanned Readmission Rate at DRG | 10.75 | ||||
| Unplanned Readmission Rate with ICD 51289 - Other pneumothorax | 16.01 | ||||
| Total Medicare payments at DRG | $105,309,929 | ||||
| Total Medicare payments with ICD 51289 - Other pneumothorax | $28,107,090 | ||||
| Total Medicare payment per Day at DRG | $1,393 | ||||
| Total Medicare payment per Day with ICD 51289 - Other pneumothorax | $1,249 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,126 | ||||
| Total Medicare payment per Hospitalization with ICD 51289 - Other pneumothorax | $6,236 | ||||
| Total Medicare Charges at DRG | $514,564,942 | ||||
| Total Medicare Charges with ICD 51289 - Other pneumothorax | $137,285,432 | ||||
| Avg Charges at DRG | $29,930 | ||||
| Avg Charges with ICD 51289 - Other pneumothorax | $30,460 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD 51289 - Other pneumothorax | 1.31 | ||||
| SNF Discharge Rate at DRG | 13.83 | ||||
| SNF Discharge Rate with ICD 51289 - Other pneumothorax | 10.85 | ||||
| Home Discharge Rate at DRG | 61.13 | ||||
| Home Discharge Rate with ICD 51289 - Other pneumothorax | 57.84 |
| DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,142 | ||||
| Total Hospitalizations with ICD 51289 - Other pneumothorax | 2,320 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 51289 - Other pneumothorax in DRG | 4.22 | ||||
| Avg LOS at DRG | 3.27 | ||||
| Avg LOS with ICD 51289 - Other pneumothorax | 3.65 | ||||
| Readmission Rate at DRG | 17.25 | ||||
| Readmission Rate with ICD 51289 - Other pneumothorax | 22.11 | ||||
| Unplanned Readmission Rate at DRG | 9.73 | ||||
| Unplanned Readmission Rate with ICD 51289 - Other pneumothorax | 13.75 | ||||
| Total Medicare payments at DRG | $21,415,357 | ||||
| Total Medicare payments with ICD 51289 - Other pneumothorax | $9,719,233 | ||||
| Total Medicare payment per Day at DRG | $1,274 | ||||
| Total Medicare payment per Day with ICD 51289 - Other pneumothorax | $1,148 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,165 | ||||
| Total Medicare payment per Hospitalization with ICD 51289 - Other pneumothorax | $4,189 | ||||
| Total Medicare Charges at DRG | $106,469,699 | ||||
| Total Medicare Charges with ICD 51289 - Other pneumothorax | $47,297,016 | ||||
| Avg Charges at DRG | $20,706 | ||||
| Avg Charges with ICD 51289 - Other pneumothorax | $20,387 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD 51289 - Other pneumothorax | NA | ||||
| SNF Discharge Rate at DRG | 4.12 | ||||
| SNF Discharge Rate with ICD 51289 - Other pneumothorax | 4.44 | ||||
| Home Discharge Rate at DRG | 77.95 | ||||
| Home Discharge Rate with ICD 51289 - Other pneumothorax | 74.31 |
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,825 | ||||
| Total Hospitalizations with ICD 51289 - Other pneumothorax | 1,203 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD 51289 - Other pneumothorax in DRG | 2.19 | ||||
| Avg LOS at DRG | 26.33 | ||||
| Avg LOS with ICD 51289 - Other pneumothorax | 30.32 | ||||
| Readmission Rate at DRG | 74.89 | ||||
| Readmission Rate with ICD 51289 - Other pneumothorax | 75.72 | ||||
| Unplanned Readmission Rate at DRG | 8.96 | ||||
| Unplanned Readmission Rate with ICD 51289 - Other pneumothorax | 7.17 | ||||
| Total Medicare payments at DRG | $3,043,515,432 | ||||
| Total Medicare payments with ICD 51289 - Other pneumothorax | $98,347,779 | ||||
| Total Medicare payment per Day at DRG | $2,831 | ||||
| Total Medicare payment per Day with ICD 51289 - Other pneumothorax | $2,696 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,550 | ||||
| Total Medicare payment per Hospitalization with ICD 51289 - Other pneumothorax | $81,752 | ||||
| Total Medicare Charges at DRG | $12,546,632,655 | ||||
| Total Medicare Charges with ICD 51289 - Other pneumothorax | $453,008,961 | ||||
| Avg Charges at DRG | $307,327 | ||||
| Avg Charges with ICD 51289 - Other pneumothorax | $376,566 | ||||
| Mortality Rate at DRG | 15.32 | ||||
| Mortality Rate with ICD 51289 - Other pneumothorax | 30.17 | ||||
| SNF Discharge Rate at DRG | 18.25 | ||||
| SNF Discharge Rate with ICD 51289 - Other pneumothorax | 12.14 | ||||
| Home Discharge Rate at DRG | 2.06 | ||||
| Home Discharge Rate with ICD 51289 - Other pneumothorax | 2.08 |
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,583 | ||||
| Total Hospitalizations with ICD 51289 - Other pneumothorax | 851 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD 51289 - Other pneumothorax in DRG | 1.55 | ||||
| Avg LOS at DRG | 14.4 | ||||
| Avg LOS with ICD 51289 - Other pneumothorax | 20.24 | ||||
| Readmission Rate at DRG | 39.61 | ||||
| Readmission Rate with ICD 51289 - Other pneumothorax | 45.52 | ||||
| Unplanned Readmission Rate at DRG | 17.93 | ||||
| Unplanned Readmission Rate with ICD 51289 - Other pneumothorax | 16.17 | ||||
| Total Medicare payments at DRG | $4,418,648,842 | ||||
| Total Medicare payments with ICD 51289 - Other pneumothorax | $39,428,523 | ||||
| Total Medicare payment per Day at DRG | $2,545 | ||||
| Total Medicare payment per Day with ICD 51289 - Other pneumothorax | $2,290 | ||||
| Total Medicare payment per Hospitalization at DRG | $36,644 | ||||
| Total Medicare payment per Hospitalization with ICD 51289 - Other pneumothorax | $46,332 | ||||
| Total Medicare Charges at DRG | $18,323,348,541 | ||||
| Total Medicare Charges with ICD 51289 - Other pneumothorax | $213,884,307 | ||||
| Avg Charges at DRG | $151,956 | ||||
| Avg Charges with ICD 51289 - Other pneumothorax | $251,333 | ||||
| Mortality Rate at DRG | 13.99 | ||||
| Mortality Rate with ICD 51289 - Other pneumothorax | 30.79 | ||||
| SNF Discharge Rate at DRG | 33.74 | ||||
| SNF Discharge Rate with ICD 51289 - Other pneumothorax | 24.44 | ||||
| Home Discharge Rate at DRG | 13.29 | ||||
| Home Discharge Rate with ICD 51289 - Other pneumothorax | 7.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 312 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 273 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 225 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. GREGORY SCOTT SPOWART | 120 WILGART WAY | SALINAS | CA | 93901 | 43 |
| Dr. MICHAEL S MULLIGAN | UNIVERSITY OF WASHINGTON MEDICAL CTR | SEATTLE | WA | 98195 | 42 |
| Dr. JOHN ROBERT ROBERTS | 2400 PATTERSON ST | NASHVILLE | TN | 37203 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL S MULLIGAN | UNIVERSITY OF WASHINGTON MEDICAL CTR | SEATTLE | WA | 98195 | 42 |
| Dr. GREGORY SCOTT SPOWART | 120 WILGART WAY | SALINAS | CA | 93901 | 37 |
| Dr. PERCIVAL OFRECIO BUENAVENTURA | 25 MONUMENT RD | YORK | PA | 17403 | 36 |