| 51882 - Other pulmonary insufficiency, not elsewhere classified - as a primary diagnosis code | 51882 - Other pulmonary insufficiency, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.3 | |
| Readmission Rate (%) | 26.02 | |
| Unplanned Readmission Rate (%) | 15.82 | |
| 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 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | 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 | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,958 | ||||
| Total Hospitalizations with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 2,004 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 51882 - Other pulmonary insufficiency, not elsewhere classified in DRG | 81.04 | ||||
| Avg LOS at DRG | 2.79 | ||||
| Avg LOS with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 4.19 | ||||
| Readmission Rate at DRG | 19.08 | ||||
| Readmission Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 23.76 | ||||
| Unplanned Readmission Rate at DRG | 13.46 | ||||
| Unplanned Readmission Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 15.15 | ||||
| Total Medicare payments at DRG | $141,979,852 | ||||
| Total Medicare payments with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $11,883,477 | ||||
| Total Medicare payment per Day at DRG | $1,594 | ||||
| Total Medicare payment per Day with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $1,416 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,443 | ||||
| Total Medicare payment per Hospitalization with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $5,930 | ||||
| Total Medicare Charges at DRG | $720,603,929 | ||||
| Total Medicare Charges with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $50,490,592 | ||||
| Avg Charges at DRG | $22,548 | ||||
| Avg Charges with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $25,195 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 8.53 | ||||
| SNF Discharge Rate at DRG | 9.68 | ||||
| SNF Discharge Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 17.86 | ||||
| Home Discharge Rate at DRG | 64.25 | ||||
| Home Discharge Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 39.02 |
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 48,577 | |
| Total Hospitalizations with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 17 | |
| DRG Share of Total Hospitalizations | 0.21 | |
| % of Total ICD 51882 - Other pulmonary insufficiency, not elsewhere classified in DRG | 0.69 | |
| Avg LOS at DRG | 14.65 | |
| Avg LOS with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 13.53 | |
| Readmission Rate at DRG | 37.54 | |
| Readmission Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | NA | |
| Unplanned Readmission Rate at DRG | 20.58 | |
| Unplanned Readmission Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | NA | |
| Total Medicare payments at DRG | $1,729,486,111 | |
| Total Medicare payments with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $735,356 | |
| Total Medicare payment per Day at DRG | $2,430 | |
| Total Medicare payment per Day with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $3,197 | |
| Total Medicare payment per Hospitalization at DRG | $35,603 | |
| Total Medicare payment per Hospitalization with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $43,256 | |
| Total Medicare Charges at DRG | $7,235,174,566 | |
| Total Medicare Charges with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $2,023,196 | |
| Avg Charges at DRG | $148,942 | |
| Avg Charges with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $119,012 | |
| Mortality Rate at DRG | 9.66 | |
| Mortality Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | NA | |
| SNF Discharge Rate at DRG | 30.41 | |
| SNF Discharge Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | NA | |
| Home Discharge Rate at DRG | 22.89 | |
| Home Discharge Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER | 9901 MEDICAL CENTER DR | ROCKVILLE | MD | 20850 | 15 |
| DCH REGIONAL MEDICAL CENTER | 809 UNIVERSITY BLVD E | TUSCALOOSA | AL | 35401 | 14 |
| WELLSTAR KENNESTONE HOSPITAL | 677 CHURCH ST NE | MARIETTA | GA | 30060 | 12 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 204: RESPIRATORY SIGNS AND SYMPTOMS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 6,797 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 51882 - Other pulmonary insufficiency, not elsewhere classified in DRG | 9.56 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 7.31 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 24.39 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 16.96 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $88,045,046 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $1,772 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $12,954 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $410,271,129 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $60,361 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 18.11 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 27.47 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 20.54 |
| DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 75,399 | ||||
| Total Hospitalizations with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 2,021 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD 51882 - Other pulmonary insufficiency, not elsewhere classified in DRG | 2.84 | ||||
| Avg LOS at DRG | 3.87 | ||||
| Avg LOS with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 4.09 | ||||
| Readmission Rate at DRG | 16.25 | ||||
| Readmission Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 15.33 | ||||
| Unplanned Readmission Rate at DRG | 12.3 | ||||
| Unplanned Readmission Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 11.89 | ||||
| Total Medicare payments at DRG | $395,741,898 | ||||
| Total Medicare payments with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $10,337,131 | ||||
| Total Medicare payment per Day at DRG | $1,358 | ||||
| Total Medicare payment per Day with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $1,252 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,249 | ||||
| Total Medicare payment per Hospitalization with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $5,115 | ||||
| Total Medicare Charges at DRG | $1,921,741,489 | ||||
| Total Medicare Charges with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $57,623,054 | ||||
| Avg Charges at DRG | $25,488 | ||||
| Avg Charges with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $28,512 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 12.22 | ||||
| SNF Discharge Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 11.48 | ||||
| Home Discharge Rate at DRG | 64.58 | ||||
| Home Discharge Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 66.45 |
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 261,933 | ||||
| Total Hospitalizations with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 1,176 | ||||
| DRG Share of Total Hospitalizations | 1.15 | ||||
| % of Total ICD 51882 - Other pulmonary insufficiency, not elsewhere classified in DRG | 1.65 | ||||
| Avg LOS at DRG | 4.1 | ||||
| Avg LOS with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 4.36 | ||||
| Readmission Rate at DRG | 23.4 | ||||
| Readmission Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 22.57 | ||||
| Unplanned Readmission Rate at DRG | 18.25 | ||||
| Unplanned Readmission Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 17.11 | ||||
| Total Medicare payments at DRG | $1,493,154,986 | ||||
| Total Medicare payments with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $6,730,826 | ||||
| Total Medicare payment per Day at DRG | $1,391 | ||||
| Total Medicare payment per Day with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $1,312 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,701 | ||||
| Total Medicare payment per Hospitalization with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $5,723 | ||||
| Total Medicare Charges at DRG | $6,844,391,093 | ||||
| Total Medicare Charges with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $30,626,219 | ||||
| Avg Charges at DRG | $26,130 | ||||
| Avg Charges with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $26,043 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 10.2 | ||||
| Home Discharge Rate at DRG | 59.35 | ||||
| Home Discharge Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 59.35 |
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,583 | ||||
| Total Hospitalizations with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 748 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD 51882 - Other pulmonary insufficiency, not elsewhere classified in DRG | 1.05 | ||||
| Avg LOS at DRG | 14.4 | ||||
| Avg LOS with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 15.44 | ||||
| Readmission Rate at DRG | 39.61 | ||||
| Readmission Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 39.32 | ||||
| Unplanned Readmission Rate at DRG | 17.93 | ||||
| Unplanned Readmission Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 18.28 | ||||
| Total Medicare payments at DRG | $4,418,648,842 | ||||
| Total Medicare payments with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $30,332,857 | ||||
| Total Medicare payment per Day at DRG | $2,545 | ||||
| Total Medicare payment per Day with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $2,627 | ||||
| Total Medicare payment per Hospitalization at DRG | $36,644 | ||||
| Total Medicare payment per Hospitalization with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $40,552 | ||||
| Total Medicare Charges at DRG | $18,323,348,541 | ||||
| Total Medicare Charges with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $127,088,306 | ||||
| Avg Charges at DRG | $151,956 | ||||
| Avg Charges with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | $169,904 | ||||
| Mortality Rate at DRG | 13.99 | ||||
| Mortality Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 14.44 | ||||
| SNF Discharge Rate at DRG | 33.74 | ||||
| SNF Discharge Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 33.29 | ||||
| Home Discharge Rate at DRG | 13.29 | ||||
| Home Discharge Rate with ICD 51882 - Other pulmonary insufficiency, not elsewhere classified | 12.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| WELLSTAR KENNESTONE HOSPITAL | 677 CHURCH ST NE | MARIETTA | GA | 30060 | 769 |
| LANCASTER GENERAL HOSPITAL | 555 N DUKE ST | LANCASTER | PA | 17602 | 603 |
| ALEXIAN BROTHERS MEDICAL CENTER | 800 BIESTERFIELD RD | ELK GROVE VILLAGE | IL | 60007 | 488 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ROBERT C GALLAGHER | 85 SEYMOUR ST | HARTFORD | CT | 06106 | 60 |
| Dr. SUNGHYE JENNY KANG | 2200 W HIGGINS RD | HOFFMAN ESTATES | IL | 60169 | 41 |
| Dr. ROBERT C HAGBERG | 110 FRANCIS ST | BOSTON | MA | 02215 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MARK ANTHONY HERRERA OPERARIO | 412 MAIN STREET | COLUMBIA | LA | 71418 | 100 |
| Dr. KUMAR B ENNAMURI | 1818 W LINDSEY ST | NORMAN | OK | 73069 | 71 |
| Dr. JONATHAN D ELLEN | 4441 E LOHMAN AVE | LAS CRUCES | NM | 88011 | 71 |