| 7823 - Edema - as a primary diagnosis code | 7823 - Edema - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.74 | |
| Readmission Rate (%) | 23.6 | |
| Unplanned Readmission Rate (%) | 14.41 | |
| 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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,276 | |||
| Total Hospitalizations with ICD 7823 - Edema | 4,154 | |||
| DRG Share of Total Hospitalizations | 0.44 | |||
| % of Total ICD 7823 - Edema in DRG | 81.5 | |||
| Avg LOS at DRG | 3.39 | |||
| Avg LOS with ICD 7823 - Edema | 3.29 | |||
| Readmission Rate at DRG | 21.71 | |||
| Readmission Rate with ICD 7823 - Edema | 20.91 | |||
| Unplanned Readmission Rate at DRG | 13.45 | |||
| Unplanned Readmission Rate with ICD 7823 - Edema | 13.48 | |||
| Total Medicare payments at DRG | $466,195,388 | |||
| Total Medicare payments with ICD 7823 - Edema | $18,576,611 | |||
| Total Medicare payment per Day at DRG | $1,371 | |||
| Total Medicare payment per Day with ICD 7823 - Edema | $1,359 | |||
| Total Medicare payment per Hospitalization at DRG | $4,649 | |||
| Total Medicare payment per Hospitalization with ICD 7823 - Edema | $4,472 | |||
| Total Medicare Charges at DRG | $2,100,980,417 | |||
| Total Medicare Charges with ICD 7823 - Edema | $78,138,480 | |||
| Avg Charges at DRG | $20,952 | |||
| Avg Charges with ICD 7823 - Edema | $18,810 | |||
| Mortality Rate at DRG | 1.0 | |||
| Mortality Rate with ICD 7823 - Edema | 0.29 | |||
| SNF Discharge Rate at DRG | 24.48 | |||
| SNF Discharge Rate with ICD 7823 - Edema | 15.6 | |||
| Home Discharge Rate at DRG | 41.26 | |||
| Home Discharge Rate with ICD 7823 - Edema | 55.2 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 18 |
| MOUNT SINAI BETH ISRAEL | FIRST AVENUE AND 16TH STREET | NEW YORK | NY | 10003 | 14 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 13 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 603: CELLULITIS WITHOUT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD 7823 - Edema | 45,363 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 7823 - Edema in DRG | 10.77 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 7823 - Edema | 13.43 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 7823 - Edema | 17.14 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 7823 - Edema | 13.06 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 7823 - Edema | $832,294,827 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 7823 - Edema | $1,366 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 7823 - Edema | $18,347 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 7823 - Edema | $1,758,555,214 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 7823 - Edema | $38,766 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 7823 - Edema | 0.17 | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 7823 - Edema | 15.75 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 7823 - Edema | 20.26 |
| DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 139,343 | ||||
| Total Hospitalizations with ICD 7823 - Edema | 8,811 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD 7823 - Edema in DRG | 2.09 | ||||
| Avg LOS at DRG | 10.91 | ||||
| Avg LOS with ICD 7823 - Edema | 11.43 | ||||
| Readmission Rate at DRG | 9.32 | ||||
| Readmission Rate with ICD 7823 - Edema | 9.35 | ||||
| Unplanned Readmission Rate at DRG | 6.79 | ||||
| Unplanned Readmission Rate with ICD 7823 - Edema | 6.72 | ||||
| Total Medicare payments at DRG | $2,086,742,506 | ||||
| Total Medicare payments with ICD 7823 - Edema | $136,043,327 | ||||
| Total Medicare payment per Day at DRG | $1,372 | ||||
| Total Medicare payment per Day with ICD 7823 - Edema | $1,351 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,976 | ||||
| Total Medicare payment per Hospitalization with ICD 7823 - Edema | $15,440 | ||||
| Total Medicare Charges at DRG | $4,091,959,256 | ||||
| Total Medicare Charges with ICD 7823 - Edema | $259,930,821 | ||||
| Avg Charges at DRG | $29,366 | ||||
| Avg Charges with ICD 7823 - Edema | $29,501 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD 7823 - Edema | NA | ||||
| SNF Discharge Rate at DRG | 12.5 | ||||
| SNF Discharge Rate with ICD 7823 - Edema | 11.51 | ||||
| Home Discharge Rate at DRG | 28.51 | ||||
| Home Discharge Rate with ICD 7823 - Edema | 29.05 |
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT 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 7823 - Edema | 7,089 | ||||
| DRG Share of Total Hospitalizations | 1.2 | ||||
| % of Total ICD 7823 - Edema in DRG | 1.68 | ||||
| Avg LOS at DRG | 6.96 | ||||
| Avg LOS with ICD 7823 - Edema | 7.7 | ||||
| Readmission Rate at DRG | 27.13 | ||||
| Readmission Rate with ICD 7823 - Edema | 27.63 | ||||
| Unplanned Readmission Rate at DRG | 20.24 | ||||
| Unplanned Readmission Rate with ICD 7823 - Edema | 19.92 | ||||
| Total Medicare payments at DRG | $2,790,739,849 | ||||
| Total Medicare payments with ICD 7823 - Edema | $77,023,847 | ||||
| Total Medicare payment per Day at DRG | $1,457 | ||||
| Total Medicare payment per Day with ICD 7823 - Edema | $1,412 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,150 | ||||
| Total Medicare payment per Hospitalization with ICD 7823 - Edema | $10,865 | ||||
| Total Medicare Charges at DRG | $11,867,056,741 | ||||
| Total Medicare Charges with ICD 7823 - Edema | $322,309,531 | ||||
| Avg Charges at DRG | $43,161 | ||||
| Avg Charges with ICD 7823 - Edema | $45,466 | ||||
| Mortality Rate at DRG | 7.44 | ||||
| Mortality Rate with ICD 7823 - Edema | 7.26 | ||||
| SNF Discharge Rate at DRG | 20.22 | ||||
| SNF Discharge Rate with ICD 7823 - Edema | 21.55 | ||||
| Home Discharge Rate at DRG | 37.4 | ||||
| Home Discharge Rate with ICD 7823 - Edema | 34.42 |
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD 7823 - Edema | 5,428 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 7823 - Edema in DRG | 1.29 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD 7823 - Edema | 4.24 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD 7823 - Edema | 21.12 | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD 7823 - Edema | 13.98 | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD 7823 - Edema | $28,164,985 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD 7823 - Edema | $1,224 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD 7823 - Edema | $5,189 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD 7823 - Edema | $120,487,200 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD 7823 - Edema | $22,197 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 7823 - Edema | 0.52 | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD 7823 - Edema | 33.16 | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD 7823 - Edema | 32.96 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| COOKEVILLE REGIONAL MEDICAL CENTER | 1 MEDICAL CENTER BLVD | COOKEVILLE | TN | 38501 | 1,640 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 1,227 |
| SPECTRUM HEALTH BUTTERWORTH HOSPITAL | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 1,046 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RYSZARD SAPINSKI | GLEN COVE HOSPITAL-DEPT OF PM&R | GLEN COVE | NY | 11542 | 431 |
| Dr. ELENA BELKIN | 101 SAINT ANDREWS LN | GLEN COVE | NY | 11542 | 364 |
| Dr. CLIFFORD A MONDA | 1530 PARKWAY | GREENWOOD | SC | 29646 | 285 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RYSZARD SAPINSKI | GLEN COVE HOSPITAL-DEPT OF PM&R | GLEN COVE | NY | 11542 | 430 |
| Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 430 |
| Dr. CLIFFORD A MONDA | 1530 PARKWAY | GREENWOOD | SC | 29646 | 429 |