51884 - Acute and chronic respiratory failure - as a primary diagnosis code | 51884 - Acute and chronic respiratory failure - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 9.58 | |
Readmission Rate (%) | 32.58 | |
Unplanned Readmission Rate (%) | 22.27 | |
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 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 | 274,950 | ||||
Total Hospitalizations with ICD 51884 - Acute and chronic respiratory failure | 137,870 | ||||
DRG Share of Total Hospitalizations | 1.2 | ||||
% of Total ICD 51884 - Acute and chronic respiratory failure in DRG | 68.63 | ||||
Avg LOS at DRG | 6.96 | ||||
Avg LOS with ICD 51884 - Acute and chronic respiratory failure | 7.07 | ||||
Readmission Rate at DRG | 27.13 | ||||
Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 29.07 | ||||
Unplanned Readmission Rate at DRG | 20.24 | ||||
Unplanned Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 22.28 | ||||
Total Medicare payments at DRG | $2,790,739,849 | ||||
Total Medicare payments with ICD 51884 - Acute and chronic respiratory failure | $1,372,204,715 | ||||
Total Medicare payment per Day at DRG | $1,457 | ||||
Total Medicare payment per Day with ICD 51884 - Acute and chronic respiratory failure | $1,407 | ||||
Total Medicare payment per Hospitalization at DRG | $10,150 | ||||
Total Medicare payment per Hospitalization with ICD 51884 - Acute and chronic respiratory failure | $9,953 | ||||
Total Medicare Charges at DRG | $11,867,056,741 | ||||
Total Medicare Charges with ICD 51884 - Acute and chronic respiratory failure | $6,111,452,548 | ||||
Avg Charges at DRG | $43,161 | ||||
Avg Charges with ICD 51884 - Acute and chronic respiratory failure | $44,328 | ||||
Mortality Rate at DRG | 7.44 | ||||
Mortality Rate with ICD 51884 - Acute and chronic respiratory failure | 6.05 | ||||
SNF Discharge Rate at DRG | 20.22 | ||||
SNF Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 20.79 | ||||
Home Discharge Rate at DRG | 37.4 | ||||
Home Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 35.55 |
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 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 48,577 | ||||
Total Hospitalizations with ICD 51884 - Acute and chronic respiratory failure | 1,660 | ||||
DRG Share of Total Hospitalizations | 0.21 | ||||
% of Total ICD 51884 - Acute and chronic respiratory failure in DRG | 0.83 | ||||
Avg LOS at DRG | 14.65 | ||||
Avg LOS with ICD 51884 - Acute and chronic respiratory failure | 25.78 | ||||
Readmission Rate at DRG | 37.54 | ||||
Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 42.92 | ||||
Unplanned Readmission Rate at DRG | 20.58 | ||||
Unplanned Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 25.92 | ||||
Total Medicare payments at DRG | $1,729,486,111 | ||||
Total Medicare payments with ICD 51884 - Acute and chronic respiratory failure | $80,566,566 | ||||
Total Medicare payment per Day at DRG | $2,430 | ||||
Total Medicare payment per Day with ICD 51884 - Acute and chronic respiratory failure | $1,883 | ||||
Total Medicare payment per Hospitalization at DRG | $35,603 | ||||
Total Medicare payment per Hospitalization with ICD 51884 - Acute and chronic respiratory failure | $48,534 | ||||
Total Medicare Charges at DRG | $7,235,174,566 | ||||
Total Medicare Charges with ICD 51884 - Acute and chronic respiratory failure | $364,011,904 | ||||
Avg Charges at DRG | $148,942 | ||||
Avg Charges with ICD 51884 - Acute and chronic respiratory failure | $219,284 | ||||
Mortality Rate at DRG | 9.66 | ||||
Mortality Rate with ICD 51884 - Acute and chronic respiratory failure | 14.82 | ||||
SNF Discharge Rate at DRG | 30.41 | ||||
SNF Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 35.42 | ||||
Home Discharge Rate at DRG | 22.89 | ||||
Home Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 12.17 |
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 007: LUNG TRANSPLANT | |
---|---|---|---|---|
Total Hospitalizations at DRG | 31,742 | |||
Total Hospitalizations with ICD 51884 - Acute and chronic respiratory failure | 190 | |||
DRG Share of Total Hospitalizations | 0.14 | |||
% of Total ICD 51884 - Acute and chronic respiratory failure in DRG | 0.09 | |||
Avg LOS at DRG | 7.58 | |||
Avg LOS with ICD 51884 - Acute and chronic respiratory failure | 9.63 | |||
Readmission Rate at DRG | 25.44 | |||
Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 33.89 | |||
Unplanned Readmission Rate at DRG | 14.47 | |||
Unplanned Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 25.56 | |||
Total Medicare payments at DRG | $583,003,764 | |||
Total Medicare payments with ICD 51884 - Acute and chronic respiratory failure | $3,754,436 | |||
Total Medicare payment per Day at DRG | $2,422 | |||
Total Medicare payment per Day with ICD 51884 - Acute and chronic respiratory failure | $2,053 | |||
Total Medicare payment per Hospitalization at DRG | $18,367 | |||
Total Medicare payment per Hospitalization with ICD 51884 - Acute and chronic respiratory failure | $19,760 | |||
Total Medicare Charges at DRG | $2,600,081,468 | |||
Total Medicare Charges with ICD 51884 - Acute and chronic respiratory failure | $18,169,036 | |||
Avg Charges at DRG | $81,913 | |||
Avg Charges with ICD 51884 - Acute and chronic respiratory failure | $95,627 | |||
Mortality Rate at DRG | 0.96 | |||
Mortality Rate with ICD 51884 - Acute and chronic respiratory failure | NA | |||
SNF Discharge Rate at DRG | 25.55 | |||
SNF Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 26.32 | |||
Home Discharge Rate at DRG | 40.29 | |||
Home Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 34.21 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
MOSAIC LIFE CARE AT ST. JOSEPH | 5325 FARAON ST | SAINT JOSEPH | MO | 64506 | 633 |
ASCENSION VIA CHRISTI ST. FRANCIS | 929 N SAINT FRANCIS ST | WICHITA | KS | 67214 | 623 |
MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 529 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. ANNE CHARLOTTE SQUIRES | 227 W MAIN ST | ABINGDON | VA | 24210 | 186 |
Dr. MARK WAYNE ALLEN | 333 LAIDLEY ST | CHARLESTON | WV | 25301 | 164 |
Dr. MADHUKANTH T. REDDY | 2401 W. UNIVERSITY AVE. | MUNCIE | IN | 47303 | 144 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. ANNE CHARLOTTE SQUIRES | 227 W MAIN ST | ABINGDON | VA | 24210 | 219 |
Dr. MARK WAYNE ALLEN | 333 LAIDLEY ST | CHARLESTON | WV | 25301 | 212 |
Dr. MCKAY B CROWLEY | 1701 WESTCHESTER DRIVE | HIGH POINT | NC | 27262 | 190 |
DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 274,950 | ||||
Total Hospitalizations with ICD 51884 - Acute and chronic respiratory failure | 138,139 | ||||
DRG Share of Total Hospitalizations | 1.2 | ||||
% of Total ICD 51884 - Acute and chronic respiratory failure in DRG | 21.23 | ||||
Avg LOS at DRG | 6.96 | ||||
Avg LOS with ICD 51884 - Acute and chronic respiratory failure | 7.07 | ||||
Readmission Rate at DRG | 27.13 | ||||
Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 29.07 | ||||
Unplanned Readmission Rate at DRG | 20.24 | ||||
Unplanned Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 22.28 | ||||
Total Medicare payments at DRG | $2,790,739,849 | ||||
Total Medicare payments with ICD 51884 - Acute and chronic respiratory failure | $1,374,485,812 | ||||
Total Medicare payment per Day at DRG | $1,457 | ||||
Total Medicare payment per Day with ICD 51884 - Acute and chronic respiratory failure | $1,407 | ||||
Total Medicare payment per Hospitalization at DRG | $10,150 | ||||
Total Medicare payment per Hospitalization with ICD 51884 - Acute and chronic respiratory failure | $9,950 | ||||
Total Medicare Charges at DRG | $11,867,056,741 | ||||
Total Medicare Charges with ICD 51884 - Acute and chronic respiratory failure | $6,121,902,044 | ||||
Avg Charges at DRG | $43,161 | ||||
Avg Charges with ICD 51884 - Acute and chronic respiratory failure | $44,317 | ||||
Mortality Rate at DRG | 7.44 | ||||
Mortality Rate with ICD 51884 - Acute and chronic respiratory failure | 6.04 | ||||
SNF Discharge Rate at DRG | 20.22 | ||||
SNF Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 20.79 | ||||
Home Discharge Rate at DRG | 37.4 | ||||
Home Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 35.57 |
DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 145,433 | ||||
Total Hospitalizations with ICD 51884 - Acute and chronic respiratory failure | 36,482 | ||||
DRG Share of Total Hospitalizations | 0.64 | ||||
% of Total ICD 51884 - Acute and chronic respiratory failure in DRG | 5.61 | ||||
Avg LOS at DRG | 7.16 | ||||
Avg LOS with ICD 51884 - Acute and chronic respiratory failure | 8.44 | ||||
Readmission Rate at DRG | 32.17 | ||||
Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 35.69 | ||||
Unplanned Readmission Rate at DRG | 19.81 | ||||
Unplanned Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 22.76 | ||||
Total Medicare payments at DRG | $2,251,747,382 | ||||
Total Medicare payments with ICD 51884 - Acute and chronic respiratory failure | $572,312,224 | ||||
Total Medicare payment per Day at DRG | $2,163 | ||||
Total Medicare payment per Day with ICD 51884 - Acute and chronic respiratory failure | $1,858 | ||||
Total Medicare payment per Hospitalization at DRG | $15,483 | ||||
Total Medicare payment per Hospitalization with ICD 51884 - Acute and chronic respiratory failure | $15,688 | ||||
Total Medicare Charges at DRG | $10,278,831,383 | ||||
Total Medicare Charges with ICD 51884 - Acute and chronic respiratory failure | $2,725,581,723 | ||||
Avg Charges at DRG | $70,677 | ||||
Avg Charges with ICD 51884 - Acute and chronic respiratory failure | $74,710 | ||||
Mortality Rate at DRG | 26.04 | ||||
Mortality Rate with ICD 51884 - Acute and chronic respiratory failure | 18.23 | ||||
SNF Discharge Rate at DRG | 18.71 | ||||
SNF Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 22.92 | ||||
Home Discharge Rate at DRG | 21.5 | ||||
Home Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 20.16 |
DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 136,004 | ||||
Total Hospitalizations with ICD 51884 - Acute and chronic respiratory failure | 6,939 | ||||
DRG Share of Total Hospitalizations | 0.6 | ||||
% of Total ICD 51884 - Acute and chronic respiratory failure in DRG | 1.07 | ||||
Avg LOS at DRG | 5.84 | ||||
Avg LOS with ICD 51884 - Acute and chronic respiratory failure | 7.2 | ||||
Readmission Rate at DRG | 28.01 | ||||
Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 30.52 | ||||
Unplanned Readmission Rate at DRG | 19.71 | ||||
Unplanned Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 21.45 | ||||
Total Medicare payments at DRG | $1,493,796,897 | ||||
Total Medicare payments with ICD 51884 - Acute and chronic respiratory failure | $76,756,595 | ||||
Total Medicare payment per Day at DRG | $1,882 | ||||
Total Medicare payment per Day with ICD 51884 - Acute and chronic respiratory failure | $1,537 | ||||
Total Medicare payment per Hospitalization at DRG | $10,983 | ||||
Total Medicare payment per Hospitalization with ICD 51884 - Acute and chronic respiratory failure | $11,062 | ||||
Total Medicare Charges at DRG | $6,680,411,091 | ||||
Total Medicare Charges with ICD 51884 - Acute and chronic respiratory failure | $407,478,979 | ||||
Avg Charges at DRG | $49,119 | ||||
Avg Charges with ICD 51884 - Acute and chronic respiratory failure | $58,723 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD 51884 - Acute and chronic respiratory failure | NA | ||||
SNF Discharge Rate at DRG | 24.26 | ||||
SNF Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 26.72 | ||||
Home Discharge Rate at DRG | 31.8 | ||||
Home Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 24.56 |
DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES 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 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 102,753 | ||||
Total Hospitalizations with ICD 51884 - Acute and chronic respiratory failure | 4,678 | ||||
DRG Share of Total Hospitalizations | 0.45 | ||||
% of Total ICD 51884 - Acute and chronic respiratory failure in DRG | 0.72 | ||||
Avg LOS at DRG | 7.33 | ||||
Avg LOS with ICD 51884 - Acute and chronic respiratory failure | 9.47 | ||||
Readmission Rate at DRG | 32.63 | ||||
Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 34.08 | ||||
Unplanned Readmission Rate at DRG | 22.44 | ||||
Unplanned Readmission Rate with ICD 51884 - Acute and chronic respiratory failure | 21.95 | ||||
Total Medicare payments at DRG | $1,376,213,228 | ||||
Total Medicare payments with ICD 51884 - Acute and chronic respiratory failure | $67,082,924 | ||||
Total Medicare payment per Day at DRG | $1,828 | ||||
Total Medicare payment per Day with ICD 51884 - Acute and chronic respiratory failure | $1,515 | ||||
Total Medicare payment per Hospitalization at DRG | $13,393 | ||||
Total Medicare payment per Hospitalization with ICD 51884 - Acute and chronic respiratory failure | $14,340 | ||||
Total Medicare Charges at DRG | $5,899,767,418 | ||||
Total Medicare Charges with ICD 51884 - Acute and chronic respiratory failure | $356,325,477 | ||||
Avg Charges at DRG | $57,417 | ||||
Avg Charges with ICD 51884 - Acute and chronic respiratory failure | $76,170 | ||||
Mortality Rate at DRG | 5.59 | ||||
Mortality Rate with ICD 51884 - Acute and chronic respiratory failure | 11.14 | ||||
SNF Discharge Rate at DRG | 19.0 | ||||
SNF Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 22.02 | ||||
Home Discharge Rate at DRG | 40.54 | ||||
Home Discharge Rate with ICD 51884 - Acute and chronic respiratory failure | 24.22 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 2,303 |
ASCENSION VIA CHRISTI ST. FRANCIS | 929 N SAINT FRANCIS ST | WICHITA | KS | 67214 | 2,141 |
BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 1,918 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. ANNE CHARLOTTE SQUIRES | 227 W MAIN ST | ABINGDON | VA | 24210 | 209 |
Dr. MARK WAYNE ALLEN | 333 LAIDLEY ST | CHARLESTON | WV | 25301 | 192 |
Dr. MADHUKANTH T. REDDY | 2401 W. UNIVERSITY AVE. | MUNCIE | IN | 47303 | 161 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. AHMAD NOMAN | 1800 W CHARLESTON BLVD | LAS VEGAS | NV | 89102 | 268 |
Dr. MARK WAYNE ALLEN | 333 LAIDLEY ST | CHARLESTON | WV | 25301 | 265 |
Dr. JOHN DAVID COWDEN | 1026 A AVE NE | CEDAR RAPIDS | IA | 52402 | 265 |