| 5181 - Interstitial emphysema - as a primary diagnosis code | 5181 - Interstitial emphysema - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.43 | |
| Readmission Rate (%) | 30.72 | |
| Unplanned Readmission Rate (%) | 16.28 | |
| 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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,192 | ||||
| Total Hospitalizations with ICD 5181 - Interstitial emphysema | 208 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 5181 - Interstitial emphysema in DRG | 36.88 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 5181 - Interstitial emphysema | 3.74 | ||||
| Readmission Rate at DRG | 19.66 | ||||
| Readmission Rate with ICD 5181 - Interstitial emphysema | 25.26 | ||||
| Unplanned Readmission Rate at DRG | 10.75 | ||||
| Unplanned Readmission Rate with ICD 5181 - Interstitial emphysema | 17.37 | ||||
| Total Medicare payments at DRG | $105,309,929 | ||||
| Total Medicare payments with ICD 5181 - Interstitial emphysema | $1,415,215 | ||||
| Total Medicare payment per Day at DRG | $1,393 | ||||
| Total Medicare payment per Day with ICD 5181 - Interstitial emphysema | $1,819 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,126 | ||||
| Total Medicare payment per Hospitalization with ICD 5181 - Interstitial emphysema | $6,804 | ||||
| Total Medicare Charges at DRG | $514,564,942 | ||||
| Total Medicare Charges with ICD 5181 - Interstitial emphysema | $5,997,736 | ||||
| Avg Charges at DRG | $29,930 | ||||
| Avg Charges with ICD 5181 - Interstitial emphysema | $28,835 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD 5181 - Interstitial emphysema | NA | ||||
| SNF Discharge Rate at DRG | 13.83 | ||||
| SNF Discharge Rate with ICD 5181 - Interstitial emphysema | 10.1 | ||||
| Home Discharge Rate at DRG | 61.13 | ||||
| Home Discharge Rate with ICD 5181 - Interstitial emphysema | 56.25 |
| DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,487 | ||||
| Total Hospitalizations with ICD 5181 - Interstitial emphysema | 511 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 5181 - Interstitial emphysema in DRG | 5.8 | ||||
| Avg LOS at DRG | 7.44 | ||||
| Avg LOS with ICD 5181 - Interstitial emphysema | 8.87 | ||||
| Readmission Rate at DRG | 26.16 | ||||
| Readmission Rate with ICD 5181 - Interstitial emphysema | 27.62 | ||||
| Unplanned Readmission Rate at DRG | 15.74 | ||||
| Unplanned Readmission Rate with ICD 5181 - Interstitial emphysema | 16.9 | ||||
| Total Medicare payments at DRG | $112,239,436 | ||||
| Total Medicare payments with ICD 5181 - Interstitial emphysema | $6,373,179 | ||||
| Total Medicare payment per Day at DRG | $1,590 | ||||
| Total Medicare payment per Day with ICD 5181 - Interstitial emphysema | $1,406 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,831 | ||||
| Total Medicare payment per Hospitalization with ICD 5181 - Interstitial emphysema | $12,472 | ||||
| Total Medicare Charges at DRG | $484,973,150 | ||||
| Total Medicare Charges with ICD 5181 - Interstitial emphysema | $28,759,212 | ||||
| Avg Charges at DRG | $51,120 | ||||
| Avg Charges with ICD 5181 - Interstitial emphysema | $56,280 | ||||
| Mortality Rate at DRG | 7.16 | ||||
| Mortality Rate with ICD 5181 - Interstitial emphysema | 8.61 | ||||
| SNF Discharge Rate at DRG | 21.33 | ||||
| SNF Discharge Rate with ICD 5181 - Interstitial emphysema | 14.48 | ||||
| Home Discharge Rate at DRG | 35.3 | ||||
| Home Discharge Rate with ICD 5181 - Interstitial emphysema | 32.09 |
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 89,944 | ||||
| Total Hospitalizations with ICD 5181 - Interstitial emphysema | 456 | ||||
| DRG Share of Total Hospitalizations | 0.39 | ||||
| % of Total ICD 5181 - Interstitial emphysema in DRG | 5.17 | ||||
| Avg LOS at DRG | 21.37 | ||||
| Avg LOS with ICD 5181 - Interstitial emphysema | 16.74 | ||||
| Readmission Rate at DRG | 40.58 | ||||
| Readmission Rate with ICD 5181 - Interstitial emphysema | 35.16 | ||||
| Unplanned Readmission Rate at DRG | 20.26 | ||||
| Unplanned Readmission Rate with ICD 5181 - Interstitial emphysema | 13.74 | ||||
| Total Medicare payments at DRG | $4,108,813,026 | ||||
| Total Medicare payments with ICD 5181 - Interstitial emphysema | $17,979,984 | ||||
| Total Medicare payment per Day at DRG | $2,137 | ||||
| Total Medicare payment per Day with ICD 5181 - Interstitial emphysema | $2,355 | ||||
| Total Medicare payment per Hospitalization at DRG | $45,682 | ||||
| Total Medicare payment per Hospitalization with ICD 5181 - Interstitial emphysema | $39,430 | ||||
| Total Medicare Charges at DRG | $16,393,740,063 | ||||
| Total Medicare Charges with ICD 5181 - Interstitial emphysema | $81,959,405 | ||||
| Avg Charges at DRG | $182,266 | ||||
| Avg Charges with ICD 5181 - Interstitial emphysema | $179,736 | ||||
| Mortality Rate at DRG | 28.83 | ||||
| Mortality Rate with ICD 5181 - Interstitial emphysema | 53.29 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD 5181 - Interstitial emphysema | 12.72 | ||||
| Home Discharge Rate at DRG | 6.42 | ||||
| Home Discharge Rate with ICD 5181 - Interstitial emphysema | 3.95 |
| 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) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,870 | ||||
| Total Hospitalizations with ICD 5181 - Interstitial emphysema | 210 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 5181 - Interstitial emphysema in DRG | 2.38 | ||||
| Avg LOS at DRG | 32.29 | ||||
| Avg LOS with ICD 5181 - Interstitial emphysema | 31.51 | ||||
| Readmission Rate at DRG | 77.59 | ||||
| Readmission Rate with ICD 5181 - Interstitial emphysema | 74.29 | ||||
| Unplanned Readmission Rate at DRG | 6.64 | ||||
| Unplanned Readmission Rate with ICD 5181 - Interstitial emphysema | NA | ||||
| Total Medicare payments at DRG | $4,332,531,897 | ||||
| Total Medicare payments with ICD 5181 - Interstitial emphysema | $25,547,004 | ||||
| Total Medicare payment per Day at DRG | $3,848 | ||||
| Total Medicare payment per Day with ICD 5181 - Interstitial emphysema | $3,861 | ||||
| Total Medicare payment per Hospitalization at DRG | $124,248 | ||||
| Total Medicare payment per Hospitalization with ICD 5181 - Interstitial emphysema | $121,652 | ||||
| Total Medicare Charges at DRG | $18,041,668,887 | ||||
| Total Medicare Charges with ICD 5181 - Interstitial emphysema | $98,273,488 | ||||
| Avg Charges at DRG | $517,398 | ||||
| Avg Charges with ICD 5181 - Interstitial emphysema | $467,969 | ||||
| Mortality Rate at DRG | 19.09 | ||||
| Mortality Rate with ICD 5181 - Interstitial emphysema | 29.05 | ||||
| SNF Discharge Rate at DRG | 14.38 | ||||
| SNF Discharge Rate with ICD 5181 - Interstitial emphysema | 8.1 | ||||
| Home Discharge Rate at DRG | 1.86 | ||||
| Home Discharge Rate with ICD 5181 - Interstitial emphysema | NA |
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 151,975 | ||||
| Total Hospitalizations with ICD 5181 - Interstitial emphysema | 100 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 5181 - Interstitial emphysema in DRG | 1.13 | ||||
| Avg LOS at DRG | 8.26 | ||||
| Avg LOS with ICD 5181 - Interstitial emphysema | 11.05 | ||||
| Readmission Rate at DRG | 27.23 | ||||
| Readmission Rate with ICD 5181 - Interstitial emphysema | 27.03 | ||||
| Unplanned Readmission Rate at DRG | 18.84 | ||||
| Unplanned Readmission Rate with ICD 5181 - Interstitial emphysema | 18.92 | ||||
| Total Medicare payments at DRG | $2,014,358,740 | ||||
| Total Medicare payments with ICD 5181 - Interstitial emphysema | $1,567,865 | ||||
| Total Medicare payment per Day at DRG | $1,605 | ||||
| Total Medicare payment per Day with ICD 5181 - Interstitial emphysema | $1,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,255 | ||||
| Total Medicare payment per Hospitalization with ICD 5181 - Interstitial emphysema | $15,679 | ||||
| Total Medicare Charges at DRG | $8,492,043,787 | ||||
| Total Medicare Charges with ICD 5181 - Interstitial emphysema | $7,070,720 | ||||
| Avg Charges at DRG | $55,878 | ||||
| Avg Charges with ICD 5181 - Interstitial emphysema | $70,707 | ||||
| Mortality Rate at DRG | 9.63 | ||||
| Mortality Rate with ICD 5181 - Interstitial emphysema | 18.0 | ||||
| SNF Discharge Rate at DRG | 33.6 | ||||
| SNF Discharge Rate with ICD 5181 - Interstitial emphysema | 23.0 | ||||
| Home Discharge Rate at DRG | 18.52 | ||||
| Home Discharge Rate with ICD 5181 - Interstitial emphysema | 11.0 |
| 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 | 93 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 66 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 49 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. KEITH ERIC SOMMERS | 4007 N TALIAFERRO AVE | TAMPA | FL | 33603 | 11 |
| Dr. RUDY P LACKNER | 988095 NEBRASKA MEDICAL CTR | OMAHA | NE | 68198 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. KEITH ERIC SOMMERS | 4007 N TALIAFERRO AVE | TAMPA | FL | 33603 | 11 |
| Dr. RUDY P LACKNER | 988095 NEBRASKA MEDICAL CTR | OMAHA | NE | 68198 | 11 |