| 5180 - Pulmonary collapse - as a primary diagnosis code | 5180 - Pulmonary collapse - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.91 | |
| Readmission Rate (%) | 28.64 | |
| Unplanned Readmission Rate (%) | 13.26 | |
| 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 205: OTHER RESPIRATORY SYSTEM DIAGNOSES 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 | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,585 | ||||
| Total Hospitalizations with ICD 5180 - Pulmonary collapse | 2,013 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 5180 - Pulmonary collapse in DRG | 53.09 | ||||
| Avg LOS at DRG | 3.21 | ||||
| Avg LOS with ICD 5180 - Pulmonary collapse | 3.18 | ||||
| Readmission Rate at DRG | 18.63 | ||||
| Readmission Rate with ICD 5180 - Pulmonary collapse | 17.92 | ||||
| Unplanned Readmission Rate at DRG | 12.03 | ||||
| Unplanned Readmission Rate with ICD 5180 - Pulmonary collapse | 11.81 | ||||
| Total Medicare payments at DRG | $160,356,196 | ||||
| Total Medicare payments with ICD 5180 - Pulmonary collapse | $9,597,914 | ||||
| Total Medicare payment per Day at DRG | $1,582 | ||||
| Total Medicare payment per Day with ICD 5180 - Pulmonary collapse | $1,501 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,077 | ||||
| Total Medicare payment per Hospitalization with ICD 5180 - Pulmonary collapse | $4,768 | ||||
| Total Medicare Charges at DRG | $792,351,574 | ||||
| Total Medicare Charges with ICD 5180 - Pulmonary collapse | $47,117,162 | ||||
| Avg Charges at DRG | $25,086 | ||||
| Avg Charges with ICD 5180 - Pulmonary collapse | $23,406 | ||||
| Mortality Rate at DRG | 0.83 | ||||
| Mortality Rate with ICD 5180 - Pulmonary collapse | NA | ||||
| SNF Discharge Rate at DRG | 20.26 | ||||
| SNF Discharge Rate with ICD 5180 - Pulmonary collapse | 24.54 | ||||
| Home Discharge Rate at DRG | 52.71 | ||||
| Home Discharge Rate with ICD 5180 - Pulmonary collapse | 43.32 |
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,742 | ||||
| Total Hospitalizations with ICD 5180 - Pulmonary collapse | 27 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 5180 - Pulmonary collapse in DRG | 0.71 | ||||
| Avg LOS at DRG | 7.58 | ||||
| Avg LOS with ICD 5180 - Pulmonary collapse | 3.22 | ||||
| Readmission Rate at DRG | 25.44 | ||||
| Readmission Rate with ICD 5180 - Pulmonary collapse | NA | ||||
| Unplanned Readmission Rate at DRG | 14.47 | ||||
| Unplanned Readmission Rate with ICD 5180 - Pulmonary collapse | NA | ||||
| Total Medicare payments at DRG | $583,003,764 | ||||
| Total Medicare payments with ICD 5180 - Pulmonary collapse | $441,599 | ||||
| Total Medicare payment per Day at DRG | $2,422 | ||||
| Total Medicare payment per Day with ICD 5180 - Pulmonary collapse | $5,076 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,367 | ||||
| Total Medicare payment per Hospitalization with ICD 5180 - Pulmonary collapse | $16,356 | ||||
| Total Medicare Charges at DRG | $2,600,081,468 | ||||
| Total Medicare Charges with ICD 5180 - Pulmonary collapse | $1,350,768 | ||||
| Avg Charges at DRG | $81,913 | ||||
| Avg Charges with ICD 5180 - Pulmonary collapse | $50,028 | ||||
| Mortality Rate at DRG | 0.96 | ||||
| Mortality Rate with ICD 5180 - Pulmonary collapse | NA | ||||
| SNF Discharge Rate at DRG | 25.55 | ||||
| SNF Discharge Rate with ICD 5180 - Pulmonary collapse | NA | ||||
| Home Discharge Rate at DRG | 40.29 | ||||
| Home Discharge Rate with ICD 5180 - Pulmonary collapse | 70.37 |
| DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,641 | |||
| Total Hospitalizations with ICD 5180 - Pulmonary collapse | 21 | |||
| DRG Share of Total Hospitalizations | 0.12 | |||
| % of Total ICD 5180 - Pulmonary collapse in DRG | 0.55 | |||
| Avg LOS at DRG | 6.49 | |||
| Avg LOS with ICD 5180 - Pulmonary collapse | 5.33 | |||
| Readmission Rate at DRG | 23.98 | |||
| Readmission Rate with ICD 5180 - Pulmonary collapse | NA | |||
| Unplanned Readmission Rate at DRG | 15.6 | |||
| Unplanned Readmission Rate with ICD 5180 - Pulmonary collapse | NA | |||
| Total Medicare payments at DRG | $338,196,103 | |||
| Total Medicare payments with ICD 5180 - Pulmonary collapse | $242,987 | |||
| Total Medicare payment per Day at DRG | $1,956 | |||
| Total Medicare payment per Day with ICD 5180 - Pulmonary collapse | $2,170 | |||
| Total Medicare payment per Hospitalization at DRG | $12,695 | |||
| Total Medicare payment per Hospitalization with ICD 5180 - Pulmonary collapse | $11,571 | |||
| Total Medicare Charges at DRG | $1,585,617,034 | |||
| Total Medicare Charges with ICD 5180 - Pulmonary collapse | $1,047,182 | |||
| Avg Charges at DRG | $59,518 | |||
| Avg Charges with ICD 5180 - Pulmonary collapse | $49,866 | |||
| Mortality Rate at DRG | 1.11 | |||
| Mortality Rate with ICD 5180 - Pulmonary collapse | NA | |||
| SNF Discharge Rate at DRG | 15.22 | |||
| SNF Discharge Rate with ICD 5180 - Pulmonary collapse | NA | |||
| Home Discharge Rate at DRG | 51.73 | |||
| Home Discharge Rate with ICD 5180 - Pulmonary collapse | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| JEFFERSON STRATFORD HOSPITAL | 18 E LAUREL RD | STRATFORD | NJ | 08084 | 32 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 13 |
| ASCENSION GENESYS REGIONAL MEDICAL CENTER | 1 GENESYS PKWY | GRAND BLANC | MI | 48439 | 11 |
| 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 5180 - Pulmonary collapse | 35,690 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 5180 - Pulmonary collapse in DRG | 6.11 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 5180 - Pulmonary collapse | 9.39 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 5180 - Pulmonary collapse | 29.53 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 5180 - Pulmonary collapse | 18.51 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 5180 - Pulmonary collapse | $500,943,083 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 5180 - Pulmonary collapse | $1,495 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 5180 - Pulmonary collapse | $14,036 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 5180 - Pulmonary collapse | $2,797,023,317 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 5180 - Pulmonary collapse | $78,370 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 5180 - Pulmonary collapse | 14.39 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 5180 - Pulmonary collapse | 32.95 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 5180 - Pulmonary collapse | 17.28 |
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 939,378 | ||||
| Total Hospitalizations with ICD 5180 - Pulmonary collapse | 11,356 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD 5180 - Pulmonary collapse in DRG | 1.95 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD 5180 - Pulmonary collapse | 4.29 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD 5180 - Pulmonary collapse | 19.09 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD 5180 - Pulmonary collapse | 5.55 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD 5180 - Pulmonary collapse | $143,397,588 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD 5180 - Pulmonary collapse | $2,940 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD 5180 - Pulmonary collapse | $12,627 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD 5180 - Pulmonary collapse | $724,215,703 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD 5180 - Pulmonary collapse | $63,774 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD 5180 - Pulmonary collapse | 0.11 | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD 5180 - Pulmonary collapse | 47.96 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD 5180 - Pulmonary collapse | 9.85 |
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,583 | ||||
| Total Hospitalizations with ICD 5180 - Pulmonary collapse | 9,937 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD 5180 - Pulmonary collapse in DRG | 1.7 | ||||
| Avg LOS at DRG | 14.4 | ||||
| Avg LOS with ICD 5180 - Pulmonary collapse | 17.7 | ||||
| Readmission Rate at DRG | 39.61 | ||||
| Readmission Rate with ICD 5180 - Pulmonary collapse | 40.88 | ||||
| Unplanned Readmission Rate at DRG | 17.93 | ||||
| Unplanned Readmission Rate with ICD 5180 - Pulmonary collapse | 16.81 | ||||
| Total Medicare payments at DRG | $4,418,648,842 | ||||
| Total Medicare payments with ICD 5180 - Pulmonary collapse | $404,008,870 | ||||
| Total Medicare payment per Day at DRG | $2,545 | ||||
| Total Medicare payment per Day with ICD 5180 - Pulmonary collapse | $2,297 | ||||
| Total Medicare payment per Hospitalization at DRG | $36,644 | ||||
| Total Medicare payment per Hospitalization with ICD 5180 - Pulmonary collapse | $40,657 | ||||
| Total Medicare Charges at DRG | $18,323,348,541 | ||||
| Total Medicare Charges with ICD 5180 - Pulmonary collapse | $1,976,437,619 | ||||
| Avg Charges at DRG | $151,956 | ||||
| Avg Charges with ICD 5180 - Pulmonary collapse | $198,897 | ||||
| Mortality Rate at DRG | 13.99 | ||||
| Mortality Rate with ICD 5180 - Pulmonary collapse | 14.31 | ||||
| SNF Discharge Rate at DRG | 33.74 | ||||
| SNF Discharge Rate with ICD 5180 - Pulmonary collapse | 34.42 | ||||
| Home Discharge Rate at DRG | 13.29 | ||||
| Home Discharge Rate with ICD 5180 - Pulmonary collapse | 10.96 |
| DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | 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 | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,637 | ||||
| Total Hospitalizations with ICD 5180 - Pulmonary collapse | 8,185 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD 5180 - Pulmonary collapse in DRG | 1.4 | ||||
| Avg LOS at DRG | 11.15 | ||||
| Avg LOS with ICD 5180 - Pulmonary collapse | 12.36 | ||||
| Readmission Rate at DRG | 34.38 | ||||
| Readmission Rate with ICD 5180 - Pulmonary collapse | 34.9 | ||||
| Unplanned Readmission Rate at DRG | 13.56 | ||||
| Unplanned Readmission Rate with ICD 5180 - Pulmonary collapse | 13.28 | ||||
| Total Medicare payments at DRG | $2,284,710,986 | ||||
| Total Medicare payments with ICD 5180 - Pulmonary collapse | $460,776,305 | ||||
| Total Medicare payment per Day at DRG | $5,043 | ||||
| Total Medicare payment per Day with ICD 5180 - Pulmonary collapse | $4,555 | ||||
| Total Medicare payment per Hospitalization at DRG | $56,222 | ||||
| Total Medicare payment per Hospitalization with ICD 5180 - Pulmonary collapse | $56,295 | ||||
| Total Medicare Charges at DRG | $9,612,625,571 | ||||
| Total Medicare Charges with ICD 5180 - Pulmonary collapse | $2,014,278,417 | ||||
| Avg Charges at DRG | $236,549 | ||||
| Avg Charges with ICD 5180 - Pulmonary collapse | $246,094 | ||||
| Mortality Rate at DRG | 7.5 | ||||
| Mortality Rate with ICD 5180 - Pulmonary collapse | 4.32 | ||||
| SNF Discharge Rate at DRG | 25.18 | ||||
| SNF Discharge Rate with ICD 5180 - Pulmonary collapse | 27.89 | ||||
| Home Discharge Rate at DRG | 20.25 | ||||
| Home Discharge Rate with ICD 5180 - Pulmonary collapse | 19.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 3,620 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 3,376 |
| ASCENSION GENESYS REGIONAL MEDICAL CENTER | 1 GENESYS PKWY | GRAND BLANC | MI | 48439 | 2,800 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. KEVIN DONN ACCOLA | 217 HILLCREST ST | ORLANDO | FL | 32801 | 353 |
| Dr. PRODROMOS A VERVERELI | 1250 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 280 |
| Dr. LARRY L SHEARS | 979 E 3RD ST | CHATTANOOGA | TN | 37403 | 280 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. KUNADI S REDDY | 414 PERRY RD | GRAND BLANC | MI | 48439 | 314 |
| Dr. LARRY L SHEARS | 979 E 3RD ST | CHATTANOOGA | TN | 37403 | 308 |
| Dr. CHRISTOPHER E SALEM | 8201 NEWMAN AVE | HUNTINGTON BEACH | CA | 92647 | 308 |