| 78609 - Other respiratory abnormalities - as a primary diagnosis code | 78609 - Other respiratory abnormalities - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.54 | |
| Readmission Rate (%) | 22.23 | |
| Unplanned Readmission Rate (%) | 12.47 | |
| 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 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 78609 - Other respiratory abnormalities | 7,909 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 78609 - Other respiratory abnormalities in DRG | 91.91 | ||||
| Avg LOS at DRG | 2.79 | ||||
| Avg LOS with ICD 78609 - Other respiratory abnormalities | 2.7 | ||||
| Readmission Rate at DRG | 19.08 | ||||
| Readmission Rate with ICD 78609 - Other respiratory abnormalities | 17.65 | ||||
| Unplanned Readmission Rate at DRG | 13.46 | ||||
| Unplanned Readmission Rate with ICD 78609 - Other respiratory abnormalities | 12.55 | ||||
| Total Medicare payments at DRG | $141,979,852 | ||||
| Total Medicare payments with ICD 78609 - Other respiratory abnormalities | $34,422,990 | ||||
| Total Medicare payment per Day at DRG | $1,594 | ||||
| Total Medicare payment per Day with ICD 78609 - Other respiratory abnormalities | $1,610 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,443 | ||||
| Total Medicare payment per Hospitalization with ICD 78609 - Other respiratory abnormalities | $4,352 | ||||
| Total Medicare Charges at DRG | $720,603,929 | ||||
| Total Medicare Charges with ICD 78609 - Other respiratory abnormalities | $171,726,475 | ||||
| Avg Charges at DRG | $22,548 | ||||
| Avg Charges with ICD 78609 - Other respiratory abnormalities | $21,713 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 78609 - Other respiratory abnormalities | 1.62 | ||||
| SNF Discharge Rate at DRG | 9.68 | ||||
| SNF Discharge Rate with ICD 78609 - Other respiratory abnormalities | 9.32 | ||||
| Home Discharge Rate at DRG | 64.25 | ||||
| Home Discharge Rate with ICD 78609 - Other respiratory abnormalities | 64.47 |
| DRG 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,627 | ||||
| Total Hospitalizations with ICD 78609 - Other respiratory abnormalities | 23 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 78609 - Other respiratory abnormalities in DRG | 0.27 | ||||
| Avg LOS at DRG | 4.99 | ||||
| Avg LOS with ICD 78609 - Other respiratory abnormalities | 8.57 | ||||
| Readmission Rate at DRG | 30.45 | ||||
| Readmission Rate with ICD 78609 - Other respiratory abnormalities | NA | ||||
| Unplanned Readmission Rate at DRG | 23.32 | ||||
| Unplanned Readmission Rate with ICD 78609 - Other respiratory abnormalities | NA | ||||
| Total Medicare payments at DRG | $39,989,038 | ||||
| Total Medicare payments with ICD 78609 - Other respiratory abnormalities | $301,077 | ||||
| Total Medicare payment per Day at DRG | $1,732 | ||||
| Total Medicare payment per Day with ICD 78609 - Other respiratory abnormalities | $1,528 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,643 | ||||
| Total Medicare payment per Hospitalization with ICD 78609 - Other respiratory abnormalities | $13,090 | ||||
| Total Medicare Charges at DRG | $172,505,455 | ||||
| Total Medicare Charges with ICD 78609 - Other respiratory abnormalities | $1,262,489 | ||||
| Avg Charges at DRG | $37,282 | ||||
| Avg Charges with ICD 78609 - Other respiratory abnormalities | $54,891 | ||||
| Mortality Rate at DRG | 1.3 | ||||
| Mortality Rate with ICD 78609 - Other respiratory abnormalities | NA | ||||
| SNF Discharge Rate at DRG | 9.83 | ||||
| SNF Discharge Rate with ICD 78609 - Other respiratory abnormalities | NA | ||||
| Home Discharge Rate at DRG | 65.18 | ||||
| Home Discharge Rate with ICD 78609 - Other respiratory abnormalities | 47.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 89 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 36 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MARK ANTHONY LOPEZ | 4700 LAS VEGAS BLVD N | LAS VEGAS | NV | 89191 | 12 |
| Dr. JAVED ZIA | 4005 ORCHARD DR | MIDLAND | MI | 48670 | 11 |
| DRG 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,958 | ||||
| Total Hospitalizations with ICD 78609 - Other respiratory abnormalities | 8,503 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 78609 - Other respiratory abnormalities in DRG | 5.61 | ||||
| Avg LOS at DRG | 2.79 | ||||
| Avg LOS with ICD 78609 - Other respiratory abnormalities | 2.7 | ||||
| Readmission Rate at DRG | 19.08 | ||||
| Readmission Rate with ICD 78609 - Other respiratory abnormalities | 17.75 | ||||
| Unplanned Readmission Rate at DRG | 13.46 | ||||
| Unplanned Readmission Rate with ICD 78609 - Other respiratory abnormalities | 12.52 | ||||
| Total Medicare payments at DRG | $141,979,852 | ||||
| Total Medicare payments with ICD 78609 - Other respiratory abnormalities | $36,972,814 | ||||
| Total Medicare payment per Day at DRG | $1,594 | ||||
| Total Medicare payment per Day with ICD 78609 - Other respiratory abnormalities | $1,611 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,443 | ||||
| Total Medicare payment per Hospitalization with ICD 78609 - Other respiratory abnormalities | $4,348 | ||||
| Total Medicare Charges at DRG | $720,603,929 | ||||
| Total Medicare Charges with ICD 78609 - Other respiratory abnormalities | $184,269,446 | ||||
| Avg Charges at DRG | $22,548 | ||||
| Avg Charges with ICD 78609 - Other respiratory abnormalities | $21,671 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 78609 - Other respiratory abnormalities | 1.59 | ||||
| SNF Discharge Rate at DRG | 9.68 | ||||
| SNF Discharge Rate with ICD 78609 - Other respiratory abnormalities | 9.14 | ||||
| Home Discharge Rate at DRG | 64.25 | ||||
| Home Discharge Rate with ICD 78609 - Other respiratory abnormalities | 64.54 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 78609 - Other respiratory abnormalities | 3,045 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 78609 - Other respiratory abnormalities in DRG | 2.01 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 78609 - Other respiratory abnormalities | 5.59 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 78609 - Other respiratory abnormalities | 26.68 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 78609 - Other respiratory abnormalities | 20.33 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 78609 - Other respiratory abnormalities | $29,243,191 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 78609 - Other respiratory abnormalities | $1,718 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 78609 - Other respiratory abnormalities | $9,604 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 78609 - Other respiratory abnormalities | $109,898,175 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 78609 - Other respiratory abnormalities | $36,091 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 78609 - Other respiratory abnormalities | 5.25 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 78609 - Other respiratory abnormalities | 20.2 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 78609 - Other respiratory abnormalities | 39.15 |
| DRG 313: CHEST PAIN | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 153,752 | ||||
| Total Hospitalizations with ICD 78609 - Other respiratory abnormalities | 2,366 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 78609 - Other respiratory abnormalities in DRG | 1.56 | ||||
| Avg LOS at DRG | 2.07 | ||||
| Avg LOS with ICD 78609 - Other respiratory abnormalities | 2.13 | ||||
| Readmission Rate at DRG | 17.09 | ||||
| Readmission Rate with ICD 78609 - Other respiratory abnormalities | 13.27 | ||||
| Unplanned Readmission Rate at DRG | 12.71 | ||||
| Unplanned Readmission Rate with ICD 78609 - Other respiratory abnormalities | 9.24 | ||||
| Total Medicare payments at DRG | $541,339,287 | ||||
| Total Medicare payments with ICD 78609 - Other respiratory abnormalities | $7,976,162 | ||||
| Total Medicare payment per Day at DRG | $1,703 | ||||
| Total Medicare payment per Day with ICD 78609 - Other respiratory abnormalities | $1,579 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,521 | ||||
| Total Medicare payment per Hospitalization with ICD 78609 - Other respiratory abnormalities | $3,371 | ||||
| Total Medicare Charges at DRG | $3,245,079,276 | ||||
| Total Medicare Charges with ICD 78609 - Other respiratory abnormalities | $50,260,300 | ||||
| Avg Charges at DRG | $21,106 | ||||
| Avg Charges with ICD 78609 - Other respiratory abnormalities | $21,243 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD 78609 - Other respiratory abnormalities | NA | ||||
| SNF Discharge Rate at DRG | 7.71 | ||||
| SNF Discharge Rate with ICD 78609 - Other respiratory abnormalities | 5.92 | ||||
| Home Discharge Rate at DRG | 73.3 | ||||
| Home Discharge Rate with ICD 78609 - Other respiratory abnormalities | 74.64 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 78609 - Other respiratory abnormalities | 1,911 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 78609 - Other respiratory abnormalities in DRG | 1.26 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 78609 - Other respiratory abnormalities | 4.53 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 78609 - Other respiratory abnormalities | 23.53 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 78609 - Other respiratory abnormalities | 16.59 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 78609 - Other respiratory abnormalities | $11,712,256 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 78609 - Other respiratory abnormalities | $1,353 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 78609 - Other respiratory abnormalities | $6,129 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 78609 - Other respiratory abnormalities | $56,640,623 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 78609 - Other respiratory abnormalities | $29,639 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 78609 - Other respiratory abnormalities | 4.29 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 78609 - Other respiratory abnormalities | 17.11 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 78609 - Other respiratory abnormalities | 49.82 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON MEDICAL CENTER | 301 HOSPITAL DR | GLEN BURNIE | MD | 21061 | 501 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 463 |
| SOLDIERS & SAILORS MEMORIAL HOSPITAL | 32-36 CENTRAL AVE | WELLSBORO | PA | 16901 | 456 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JAMOKAY P TAYLOR | 135 S PROSPECT ST | YPSILANTI | MI | 48198 | 102 |
| Dr. STEVEN C POPLAWSKI | 135 S PROSPECT ST | YPSILANTI | MI | 48198 | 90 |
| Dr. DONALD D SHAW | 32-36 CENTRAL AVE | WELLSBORO | PA | 16901 | 68 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. HEATHER R SCULLIN | 3700 KOLBE RD | LORAIN | OH | 44053 | 181 |
| Dr. JAMOKAY P TAYLOR | 135 S PROSPECT ST | YPSILANTI | MI | 48198 | 102 |
| Dr. STEVEN C POPLAWSKI | 135 S PROSPECT ST | YPSILANTI | MI | 48198 | 90 |