| 78605 - Shortness of breath - as a primary diagnosis code | 78605 - Shortness of breath - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.72 | |
| Readmission Rate (%) | 21.66 | |
| Unplanned Readmission Rate (%) | 14.28 | |
| 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 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,958 | ||||
| Total Hospitalizations with ICD 78605 - Shortness of breath | 7,705 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 78605 - Shortness of breath in DRG | 91.74 | ||||
| Avg LOS at DRG | 2.79 | ||||
| Avg LOS with ICD 78605 - Shortness of breath | 2.47 | ||||
| Readmission Rate at DRG | 19.08 | ||||
| Readmission Rate with ICD 78605 - Shortness of breath | 19.46 | ||||
| Unplanned Readmission Rate at DRG | 13.46 | ||||
| Unplanned Readmission Rate with ICD 78605 - Shortness of breath | 14.08 | ||||
| Total Medicare payments at DRG | $141,979,852 | ||||
| Total Medicare payments with ICD 78605 - Shortness of breath | $34,961,290 | ||||
| Total Medicare payment per Day at DRG | $1,594 | ||||
| Total Medicare payment per Day with ICD 78605 - Shortness of breath | $1,837 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,443 | ||||
| Total Medicare payment per Hospitalization with ICD 78605 - Shortness of breath | $4,537 | ||||
| Total Medicare Charges at DRG | $720,603,929 | ||||
| Total Medicare Charges with ICD 78605 - Shortness of breath | $160,464,401 | ||||
| Avg Charges at DRG | $22,548 | ||||
| Avg Charges with ICD 78605 - Shortness of breath | $20,826 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 78605 - Shortness of breath | 0.71 | ||||
| SNF Discharge Rate at DRG | 9.68 | ||||
| SNF Discharge Rate with ICD 78605 - Shortness of breath | 8.72 | ||||
| Home Discharge Rate at DRG | 64.25 | ||||
| Home Discharge Rate with ICD 78605 - Shortness of breath | 63.92 |
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 31,742 | |
| Total Hospitalizations with ICD 78605 - Shortness of breath | 22 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD 78605 - Shortness of breath in DRG | 0.26 | |
| Avg LOS at DRG | 7.58 | |
| Avg LOS with ICD 78605 - Shortness of breath | 3.45 | |
| Readmission Rate at DRG | 25.44 | |
| Readmission Rate with ICD 78605 - Shortness of breath | NA | |
| Unplanned Readmission Rate at DRG | 14.47 | |
| Unplanned Readmission Rate with ICD 78605 - Shortness of breath | NA | |
| Total Medicare payments at DRG | $583,003,764 | |
| Total Medicare payments with ICD 78605 - Shortness of breath | $332,909 | |
| Total Medicare payment per Day at DRG | $2,422 | |
| Total Medicare payment per Day with ICD 78605 - Shortness of breath | $4,380 | |
| Total Medicare payment per Hospitalization at DRG | $18,367 | |
| Total Medicare payment per Hospitalization with ICD 78605 - Shortness of breath | $15,132 | |
| Total Medicare Charges at DRG | $2,600,081,468 | |
| Total Medicare Charges with ICD 78605 - Shortness of breath | $1,554,697 | |
| Avg Charges at DRG | $81,913 | |
| Avg Charges with ICD 78605 - Shortness of breath | $70,668 | |
| Mortality Rate at DRG | 0.96 | |
| Mortality Rate with ICD 78605 - Shortness of breath | NA | |
| SNF Discharge Rate at DRG | 25.55 | |
| SNF Discharge Rate with ICD 78605 - Shortness of breath | NA | |
| Home Discharge Rate at DRG | 40.29 | |
| Home Discharge Rate with ICD 78605 - Shortness of breath | 50.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 69 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 43 |
| STATEN ISLAND UNIVERSITY HOSPITAL | 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 35 |
| DRG 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | 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 | 31,958 | ||||
| Total Hospitalizations with ICD 78605 - Shortness of breath | 8,467 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 78605 - Shortness of breath in DRG | 7.09 | ||||
| Avg LOS at DRG | 2.79 | ||||
| Avg LOS with ICD 78605 - Shortness of breath | 2.5 | ||||
| Readmission Rate at DRG | 19.08 | ||||
| Readmission Rate with ICD 78605 - Shortness of breath | 19.27 | ||||
| Unplanned Readmission Rate at DRG | 13.46 | ||||
| Unplanned Readmission Rate with ICD 78605 - Shortness of breath | 13.9 | ||||
| Total Medicare payments at DRG | $141,979,852 | ||||
| Total Medicare payments with ICD 78605 - Shortness of breath | $38,241,155 | ||||
| Total Medicare payment per Day at DRG | $1,594 | ||||
| Total Medicare payment per Day with ICD 78605 - Shortness of breath | $1,809 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,443 | ||||
| Total Medicare payment per Hospitalization with ICD 78605 - Shortness of breath | $4,516 | ||||
| Total Medicare Charges at DRG | $720,603,929 | ||||
| Total Medicare Charges with ICD 78605 - Shortness of breath | $176,714,183 | ||||
| Avg Charges at DRG | $22,548 | ||||
| Avg Charges with ICD 78605 - Shortness of breath | $20,871 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 78605 - Shortness of breath | 0.74 | ||||
| SNF Discharge Rate at DRG | 9.68 | ||||
| SNF Discharge Rate with ICD 78605 - Shortness of breath | 8.73 | ||||
| Home Discharge Rate at DRG | 64.25 | ||||
| Home Discharge Rate with ICD 78605 - Shortness of breath | 64.18 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 78605 - Shortness of breath | 2,519 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 78605 - Shortness of breath in DRG | 2.11 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 78605 - Shortness of breath | 5.17 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 78605 - Shortness of breath | 29.22 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 78605 - Shortness of breath | 21.07 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 78605 - Shortness of breath | $22,895,982 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 78605 - Shortness of breath | $1,758 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 78605 - Shortness of breath | $9,089 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 78605 - Shortness of breath | $79,743,389 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 78605 - Shortness of breath | $31,657 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 78605 - Shortness of breath | 4.8 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 78605 - Shortness of breath | 17.86 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 78605 - Shortness of breath | 41.37 |
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 261,933 | ||||
| Total Hospitalizations with ICD 78605 - Shortness of breath | 1,989 | ||||
| DRG Share of Total Hospitalizations | 1.15 | ||||
| % of Total ICD 78605 - Shortness of breath in DRG | 1.66 | ||||
| Avg LOS at DRG | 4.1 | ||||
| Avg LOS with ICD 78605 - Shortness of breath | 3.91 | ||||
| Readmission Rate at DRG | 23.4 | ||||
| Readmission Rate with ICD 78605 - Shortness of breath | 22.36 | ||||
| Unplanned Readmission Rate at DRG | 18.25 | ||||
| Unplanned Readmission Rate with ICD 78605 - Shortness of breath | 14.69 | ||||
| Total Medicare payments at DRG | $1,493,154,986 | ||||
| Total Medicare payments with ICD 78605 - Shortness of breath | $11,335,671 | ||||
| Total Medicare payment per Day at DRG | $1,391 | ||||
| Total Medicare payment per Day with ICD 78605 - Shortness of breath | $1,459 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,701 | ||||
| Total Medicare payment per Hospitalization with ICD 78605 - Shortness of breath | $5,699 | ||||
| Total Medicare Charges at DRG | $6,844,391,093 | ||||
| Total Medicare Charges with ICD 78605 - Shortness of breath | $42,300,712 | ||||
| Avg Charges at DRG | $26,130 | ||||
| Avg Charges with ICD 78605 - Shortness of breath | $21,267 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 78605 - Shortness of breath | 0.85 | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD 78605 - Shortness of breath | 9.45 | ||||
| Home Discharge Rate at DRG | 59.35 | ||||
| Home Discharge Rate with ICD 78605 - Shortness of breath | 61.19 |
| DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 204,070 | ||||
| Total Hospitalizations with ICD 78605 - Shortness of breath | 1,886 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD 78605 - Shortness of breath in DRG | 1.58 | ||||
| Avg LOS at DRG | 3.24 | ||||
| Avg LOS with ICD 78605 - Shortness of breath | 3.13 | ||||
| Readmission Rate at DRG | 20.27 | ||||
| Readmission Rate with ICD 78605 - Shortness of breath | 20.77 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD 78605 - Shortness of breath | 13.51 | ||||
| Total Medicare payments at DRG | $973,540,845 | ||||
| Total Medicare payments with ICD 78605 - Shortness of breath | $9,154,351 | ||||
| Total Medicare payment per Day at DRG | $1,471 | ||||
| Total Medicare payment per Day with ICD 78605 - Shortness of breath | $1,551 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,771 | ||||
| Total Medicare payment per Hospitalization with ICD 78605 - Shortness of breath | $4,854 | ||||
| Total Medicare Charges at DRG | $4,751,640,685 | ||||
| Total Medicare Charges with ICD 78605 - Shortness of breath | $39,123,189 | ||||
| Avg Charges at DRG | $23,284 | ||||
| Avg Charges with ICD 78605 - Shortness of breath | $20,744 | ||||
| Mortality Rate at DRG | 0.86 | ||||
| Mortality Rate with ICD 78605 - Shortness of breath | 0.64 | ||||
| SNF Discharge Rate at DRG | 13.34 | ||||
| SNF Discharge Rate with ICD 78605 - Shortness of breath | 9.97 | ||||
| Home Discharge Rate at DRG | 60.61 | ||||
| Home Discharge Rate with ICD 78605 - Shortness of breath | 65.22 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BRISTOL REGIONAL MEDICAL CENTER | 1 MEDICAL PARK BLVD | BRISTOL | TN | 37620 | 484 |
| MAJOR HOSPITAL | 150 W WASHINGTON ST | SHELBYVILLE | IN | 46176 | 451 |
| PECONIC BAY MEDICAL CENTER | 1300 ROANOKE AVE | RIVERHEAD | NY | 11901 | 433 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. PAUL A PEREZ-NAVARRO | 2605 FOREST HILLS RD SW | WILSON | NC | 27893 | 99 |
| Dr. SUNIL K PRAKASH CHAND | 2605 FOREST HILLS RD SW | WILSON | NC | 27893 | 98 |
| Dr. TERRY R HORTON | 715 N FOREMAN ST | VINITA | OK | 74301 | 98 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 188 |
| Dr. PHILLIP STEVEN BUDZENSKI | 11469 REGENCY LN | CARMEL | IN | 46033 | 108 |
| Dr. TERRY R HORTON | 715 N FOREMAN ST | VINITA | OK | 74301 | 98 |