| 51883 - Chronic respiratory failure - as a primary diagnosis code | 51883 - Chronic respiratory failure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.66 | |
| Readmission Rate (%) | 29.9 | |
| Unplanned Readmission Rate (%) | 23.55 | |
| 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 274,950 | ||||
| Total Hospitalizations with ICD 51883 - Chronic respiratory failure | 3,585 | ||||
| DRG Share of Total Hospitalizations | 1.2 | ||||
| % of Total ICD 51883 - Chronic respiratory failure in DRG | 52.21 | ||||
| Avg LOS at DRG | 6.96 | ||||
| Avg LOS with ICD 51883 - Chronic respiratory failure | 14.37 | ||||
| Readmission Rate at DRG | 27.13 | ||||
| Readmission Rate with ICD 51883 - Chronic respiratory failure | 31.94 | ||||
| Unplanned Readmission Rate at DRG | 20.24 | ||||
| Unplanned Readmission Rate with ICD 51883 - Chronic respiratory failure | 22.24 | ||||
| Total Medicare payments at DRG | $2,790,739,849 | ||||
| Total Medicare payments with ICD 51883 - Chronic respiratory failure | $64,935,245 | ||||
| Total Medicare payment per Day at DRG | $1,457 | ||||
| Total Medicare payment per Day with ICD 51883 - Chronic respiratory failure | $1,260 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,150 | ||||
| Total Medicare payment per Hospitalization with ICD 51883 - Chronic respiratory failure | $18,113 | ||||
| Total Medicare Charges at DRG | $11,867,056,741 | ||||
| Total Medicare Charges with ICD 51883 - Chronic respiratory failure | $239,665,363 | ||||
| Avg Charges at DRG | $43,161 | ||||
| Avg Charges with ICD 51883 - Chronic respiratory failure | $66,852 | ||||
| Mortality Rate at DRG | 7.44 | ||||
| Mortality Rate with ICD 51883 - Chronic respiratory failure | 6.97 | ||||
| SNF Discharge Rate at DRG | 20.22 | ||||
| SNF Discharge Rate with ICD 51883 - Chronic respiratory failure | 28.62 | ||||
| Home Discharge Rate at DRG | 37.4 | ||||
| Home Discharge Rate with ICD 51883 - Chronic respiratory failure | 22.45 |
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,825 | ||||
| Total Hospitalizations with ICD 51883 - Chronic respiratory failure | 120 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD 51883 - Chronic respiratory failure in DRG | 1.75 | ||||
| Avg LOS at DRG | 26.33 | ||||
| Avg LOS with ICD 51883 - Chronic respiratory failure | 23.39 | ||||
| Readmission Rate at DRG | 74.89 | ||||
| Readmission Rate with ICD 51883 - Chronic respiratory failure | 40.95 | ||||
| Unplanned Readmission Rate at DRG | 8.96 | ||||
| Unplanned Readmission Rate with ICD 51883 - Chronic respiratory failure | 15.24 | ||||
| Total Medicare payments at DRG | $3,043,515,432 | ||||
| Total Medicare payments with ICD 51883 - Chronic respiratory failure | $7,519,593 | ||||
| Total Medicare payment per Day at DRG | $2,831 | ||||
| Total Medicare payment per Day with ICD 51883 - Chronic respiratory failure | $2,679 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,550 | ||||
| Total Medicare payment per Hospitalization with ICD 51883 - Chronic respiratory failure | $62,663 | ||||
| Total Medicare Charges at DRG | $12,546,632,655 | ||||
| Total Medicare Charges with ICD 51883 - Chronic respiratory failure | $24,475,163 | ||||
| Avg Charges at DRG | $307,327 | ||||
| Avg Charges with ICD 51883 - Chronic respiratory failure | $203,960 | ||||
| Mortality Rate at DRG | 15.32 | ||||
| Mortality Rate with ICD 51883 - Chronic respiratory failure | 11.67 | ||||
| SNF Discharge Rate at DRG | 18.25 | ||||
| SNF Discharge Rate with ICD 51883 - Chronic respiratory failure | 25.0 | ||||
| Home Discharge Rate at DRG | 2.06 | ||||
| Home Discharge Rate with ICD 51883 - Chronic respiratory failure | NA |
| 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 | 34,870 |
| Total Hospitalizations with ICD 51883 - Chronic respiratory failure | 17 |
| DRG Share of Total Hospitalizations | 0.15 |
| % of Total ICD 51883 - Chronic respiratory failure in DRG | 0.25 |
| Avg LOS at DRG | 32.29 |
| Avg LOS with ICD 51883 - Chronic respiratory failure | 39.53 |
| Readmission Rate at DRG | 77.59 |
| Readmission Rate with ICD 51883 - Chronic respiratory failure | NA |
| Unplanned Readmission Rate at DRG | 6.64 |
| Unplanned Readmission Rate with ICD 51883 - Chronic respiratory failure | NA |
| Total Medicare payments at DRG | $4,332,531,897 |
| Total Medicare payments with ICD 51883 - Chronic respiratory failure | $1,912,741 |
| Total Medicare payment per Day at DRG | $3,848 |
| Total Medicare payment per Day with ICD 51883 - Chronic respiratory failure | $2,846 |
| Total Medicare payment per Hospitalization at DRG | $124,248 |
| Total Medicare payment per Hospitalization with ICD 51883 - Chronic respiratory failure | $112,514 |
| Total Medicare Charges at DRG | $18,041,668,887 |
| Total Medicare Charges with ICD 51883 - Chronic respiratory failure | $7,225,309 |
| Avg Charges at DRG | $517,398 |
| Avg Charges with ICD 51883 - Chronic respiratory failure | $425,018 |
| Mortality Rate at DRG | 19.09 |
| Mortality Rate with ICD 51883 - Chronic respiratory failure | NA |
| SNF Discharge Rate at DRG | 14.38 |
| SNF Discharge Rate with ICD 51883 - Chronic respiratory failure | NA |
| Home Discharge Rate at DRG | 1.86 |
| Home Discharge Rate with ICD 51883 - Chronic respiratory failure | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| VIRTUA WILLINGBORO HOSPITAL | 218A SUNSET RD | WILLINGBORO | NJ | 08046 | 373 |
| PRESENCE HOLY FAMILY MEDICAL CENTER | 100 N RIVER RD | DES PLAINES | IL | 60016 | 251 |
| NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | 900 MAIN ST | NEW YORK | NY | 10044 | 119 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. NANCY AWADALLAH | 100 N RIVER RD | DES PLAINES | IL | 60016 | 63 |
| Dr. ISTINA MORARIU | 100 N RIVER RD | DES PLAINES | IL | 60016 | 58 |
| Dr. SCOTT L SIEGAL | 1 BRACE ROAD | CHERRY HILL | NJ | 08034 | 51 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. NANCY AWADALLAH | 100 N RIVER RD | DES PLAINES | IL | 60016 | 63 |
| Dr. ISTINA MORARIU | 100 N RIVER RD | DES PLAINES | IL | 60016 | 56 |
| Dr. SCOTT L SIEGAL | 1 BRACE ROAD | CHERRY HILL | NJ | 08034 | 51 |
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 261,933 | ||||
| Total Hospitalizations with ICD 51883 - Chronic respiratory failure | 39,384 | ||||
| DRG Share of Total Hospitalizations | 1.15 | ||||
| % of Total ICD 51883 - Chronic respiratory failure in DRG | 13.34 | ||||
| Avg LOS at DRG | 4.1 | ||||
| Avg LOS with ICD 51883 - Chronic respiratory failure | 4.21 | ||||
| Readmission Rate at DRG | 23.4 | ||||
| Readmission Rate with ICD 51883 - Chronic respiratory failure | 26.89 | ||||
| Unplanned Readmission Rate at DRG | 18.25 | ||||
| Unplanned Readmission Rate with ICD 51883 - Chronic respiratory failure | 22.1 | ||||
| Total Medicare payments at DRG | $1,493,154,986 | ||||
| Total Medicare payments with ICD 51883 - Chronic respiratory failure | $217,092,946 | ||||
| Total Medicare payment per Day at DRG | $1,391 | ||||
| Total Medicare payment per Day with ICD 51883 - Chronic respiratory failure | $1,310 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,701 | ||||
| Total Medicare payment per Hospitalization with ICD 51883 - Chronic respiratory failure | $5,512 | ||||
| Total Medicare Charges at DRG | $6,844,391,093 | ||||
| Total Medicare Charges with ICD 51883 - Chronic respiratory failure | $968,236,792 | ||||
| Avg Charges at DRG | $26,130 | ||||
| Avg Charges with ICD 51883 - Chronic respiratory failure | $24,585 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 51883 - Chronic respiratory failure | 0.35 | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD 51883 - Chronic respiratory failure | 12.13 | ||||
| Home Discharge Rate at DRG | 59.35 | ||||
| Home Discharge Rate with ICD 51883 - Chronic respiratory failure | 55.88 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 51883 - Chronic respiratory failure | 7,169 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 51883 - Chronic respiratory failure in DRG | 2.43 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 51883 - Chronic respiratory failure | 6.67 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 51883 - Chronic respiratory failure | 32.41 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 51883 - Chronic respiratory failure | 25.6 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 51883 - Chronic respiratory failure | $69,316,971 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 51883 - Chronic respiratory failure | $1,450 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 51883 - Chronic respiratory failure | $9,669 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 51883 - Chronic respiratory failure | $302,520,869 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 51883 - Chronic respiratory failure | $42,198 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 51883 - Chronic respiratory failure | 3.7 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 51883 - Chronic respiratory failure | 26.89 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 51883 - Chronic respiratory failure | 28.4 |
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 72,734 | ||||
| Total Hospitalizations with ICD 51883 - Chronic respiratory failure | 4,438 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD 51883 - Chronic respiratory failure in DRG | 1.5 | ||||
| Avg LOS at DRG | 15.55 | ||||
| Avg LOS with ICD 51883 - Chronic respiratory failure | 13.62 | ||||
| Readmission Rate at DRG | 41.51 | ||||
| Readmission Rate with ICD 51883 - Chronic respiratory failure | 45.02 | ||||
| Unplanned Readmission Rate at DRG | 18.87 | ||||
| Unplanned Readmission Rate with ICD 51883 - Chronic respiratory failure | 29.46 | ||||
| Total Medicare payments at DRG | $3,073,561,577 | ||||
| Total Medicare payments with ICD 51883 - Chronic respiratory failure | $179,153,468 | ||||
| Total Medicare payment per Day at DRG | $2,717 | ||||
| Total Medicare payment per Day with ICD 51883 - Chronic respiratory failure | $2,965 | ||||
| Total Medicare payment per Hospitalization at DRG | $42,258 | ||||
| Total Medicare payment per Hospitalization with ICD 51883 - Chronic respiratory failure | $40,368 | ||||
| Total Medicare Charges at DRG | $13,191,940,014 | ||||
| Total Medicare Charges with ICD 51883 - Chronic respiratory failure | $664,178,520 | ||||
| Avg Charges at DRG | $181,372 | ||||
| Avg Charges with ICD 51883 - Chronic respiratory failure | $149,657 | ||||
| Mortality Rate at DRG | 36.0 | ||||
| Mortality Rate with ICD 51883 - Chronic respiratory failure | 11.78 | ||||
| SNF Discharge Rate at DRG | 25.65 | ||||
| SNF Discharge Rate with ICD 51883 - Chronic respiratory failure | 49.08 | ||||
| Home Discharge Rate at DRG | 5.1 | ||||
| Home Discharge Rate with ICD 51883 - Chronic respiratory failure | 8.38 |
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 204,070 | ||||
| Total Hospitalizations with ICD 51883 - Chronic respiratory failure | 3,845 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD 51883 - Chronic respiratory failure in DRG | 1.3 | ||||
| Avg LOS at DRG | 3.24 | ||||
| Avg LOS with ICD 51883 - Chronic respiratory failure | 3.5 | ||||
| Readmission Rate at DRG | 20.27 | ||||
| Readmission Rate with ICD 51883 - Chronic respiratory failure | 27.8 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD 51883 - Chronic respiratory failure | 21.7 | ||||
| Total Medicare payments at DRG | $973,540,845 | ||||
| Total Medicare payments with ICD 51883 - Chronic respiratory failure | $18,348,029 | ||||
| Total Medicare payment per Day at DRG | $1,471 | ||||
| Total Medicare payment per Day with ICD 51883 - Chronic respiratory failure | $1,362 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,771 | ||||
| Total Medicare payment per Hospitalization with ICD 51883 - Chronic respiratory failure | $4,772 | ||||
| Total Medicare Charges at DRG | $4,751,640,685 | ||||
| Total Medicare Charges with ICD 51883 - Chronic respiratory failure | $91,162,265 | ||||
| Avg Charges at DRG | $23,284 | ||||
| Avg Charges with ICD 51883 - Chronic respiratory failure | $23,709 | ||||
| Mortality Rate at DRG | 0.86 | ||||
| Mortality Rate with ICD 51883 - Chronic respiratory failure | 0.86 | ||||
| SNF Discharge Rate at DRG | 13.34 | ||||
| SNF Discharge Rate with ICD 51883 - Chronic respiratory failure | 16.02 | ||||
| Home Discharge Rate at DRG | 60.61 | ||||
| Home Discharge Rate with ICD 51883 - Chronic respiratory failure | 49.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 1,960 |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL | 155 MEMORIAL DR | PINEHURST | NC | 28374 | 1,011 |
| WINCHESTER MEDICAL CENTER | 1840 AMHERST ST | WINCHESTER | VA | 22601 | 970 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. NECHEMIA B PELEG | 4955 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 100 |
| Dr. VIVEK GUPTA | 2331 W CHICAGO AVE | CHICAGO | IL | 60622 | 96 |
| Dr. ZERGABACHEW ASFAW | 3965 SEDGWICK AVE | BRONX | NY | 10463 | 84 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. VIVEK GUPTA | 2331 W CHICAGO AVE | CHICAGO | IL | 60622 | 197 |
| Dr. SANJAY RANJIT BHARTI | 1526 MILEGROUND RD | MORGANTOWN | WV | 26505 | 157 |
| Dr. SURAYIA T HASAN | 224 PROFESSIONAL PARK | BECKLEY | WV | 25801 | 149 |