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Attending physician utilization measures including cases, CMI, cost, payment, length of stay and more.
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Key Attending Providers
- Medicare IPPS claims data are for 4 quarters ending on 03/31/2024 (Quarterly Inpatient SAF). / Definitions
| Name | Cases | Payment | Cost | CMI |
|---|---|---|---|---|
| Rajanbhai R Amin M.D. | 310 | $5,625,539 | $7,127,584 | 2.3001 |
| Samer Alnabhan M.D. | 305 | $3,593,548 | $3,832,932 | 1.7265 |
| Ardel C Cagata MD | 296 | $3,181,405 | $3,387,729 | 1.5862 |
Build color coded maps based on more detailed Patient Origin data
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Patient Origin
- Medicare Hospital Market Service Area file for calendar year ending 12/31/2023 / Definitions
| ZIP Code of Residence | Discharges | Days of Care | Charges | Discharges Inc/(Dec) | Market Share | Market Share 5-years prior |
|---|---|---|---|---|---|---|
| 40229 | 1,029 | 6,072 | $84,210,634 | 11.0% | 57.6% | 58.6% |
| 40216 | 1,020 | 6,398 | $81,875,388 | 8.5% | 46.6% | 36.8% |
| 40219 | 1,018 | 5,730 | $79,694,517 | -2.5% | 58.0% | 55.9% |
| 40165 | 982 | 5,416 | $81,881,822 | 1.9% | 55.0% | 53.7% |
| 40241 | 776 | 4,107 | $62,693,591 | 30.2% | 61.0% | 57.8% |
| 40291 | 758 | 3,838 | $58,855,341 | 10.3% | 44.0% | 41.4% |
| 40272 | 747 | 4,332 | $59,715,753 | -3.1% | 39.7% | 36.1% |
| 40214 | 737 | 4,117 | $57,406,728 | -6.9% | 43.8% | 41.4% |
| 40245 | 670 | 3,521 | $56,027,485 | 24.8% | 54.5% | 47.2% |
| 40299 | 667 | 3,347 | $49,099,712 | 20.0% | 37.9% | 36.8% |
| All other ZIP Codes | 16,649 | 96,800 | $1,432,191,219 | |||
| Total | 25,053 | 143,678 | $2,103,652,190 | 8.5% |
Analyze the factors that define a hospital's payment under IPPS
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Trend Report
| Inpatient Utilization Statistics | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 |
|---|---|---|---|---|---|
| Case Mix Index | 2.1314 | 2.1484 | 2.1081 | 2.0413 | 1.9181 |
| Medical MS-DRGs | 67.85% | 68.48% | 70.64% | 67.88% | 67.29% |
| Surgical MS-DRGs | 32.15% | 31.52% | 29.36% | 32.12% | 32.71% |
| Routine Discharges to home | 5,628 | 5,006 | 6,208 | 8,097 | 9,955 |
| Discharges to other acute care hospitals | 109 | 84 | 77 | 88 | 84 |
| Discharges to Skilled Nursing Facilities (SNF) | 2,836 | 2,695 | 2,886 | 3,226 | 4,402 |
| Deaths | 539 | 639 | 732 | 599 | 526 |
| Other Discharges | 3,963 | 4,473 | 4,935 | 4,244 | 5,102 |
| Total Discharges | 13,075 | 12,897 | 14,838 | 16,254 | 20,069 |
| Psychiatric Discharges (DPU, included in Total) | |||||
| Rehabilitation Discharges (DPU, included in Total) | |||||
| Medicare Advantage (HMO) Discharges (NOT included in Total) | 12,818 | 11,520 | 11,067 | 10,620 | 10,592 |
Use coding indicators and comparative data to identify areas for improvement
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Statistics for the Top 20 Base MS-DRGs
- Costs calculated per hospital's cost report for the period ending 12/31/2022. / Definitions
| Base MS-DRG | Base MS-DRG Description | IPPS Cases | ALOS | Average Charges | Average Payment | Average Cost | Case Mix Index | CC/MCC Rate | MCC Rate |
|---|---|---|---|---|---|---|---|---|---|
| 872-871 | Septicemia or severe sepsis w/o MV 96+ hours | 1,317 | 6.0 | $58,309 | $12,604 | $13,946 | 1.8302 | 86.3% | 86.3% |
| 293-292-291 | Heart failure & shock | 701 | 5.2 | $42,619 | $8,284 | $11,162 | 1.2699 | 99.9% | 97.7% |
| 310-309-308 | Cardiac arrhythmia & conduction disorders | 359 | 3.7 | $32,979 | $5,339 | $7,987 | 0.8453 | 79.1% | 33.7% |
| 195-194-193 | Simple pneumonia & pleurisy | 325 | 4.2 | $38,962 | $7,772 | $9,240 | 1.1866 | 97.5% | 76.6% |
| 684-683-682 | Renal failure | 320 | 4.6 | $34,920 | $7,563 | $9,201 | 1.1576 | 96.9% | 45.9% |
| 179-178-177 | Respiratory infections & inflammations | 314 | 5.7 | $50,644 | $11,666 | $12,657 | 1.6521 | 97.1% | 82.8% |
| 066-065-064 | Intracranial hemorrhage or cerebral infarction | 306 | 4.4 | $54,463 | $9,357 | $11,383 | 1.4245 | 87.9% | 46.7% |
| 379-378-377 | G.I. hemorrhage | 283 | 4.5 | $45,474 | $8,564 | $11,672 | 1.2724 | 96.5% | 37.8% |
| 247-246 | Percutaneous cardiovascular proc w drug-eluting stent | 252 | 3.8 | $135,373 | $17,386 | $23,711 | 2.3576 | 41.3% | 41.3% |
| 855-854-853 | Infectious & parasitic diseases w O.R. procedure | 243 | 11.0 | $133,594 | $30,545 | $32,066 | 4.3858 | 100.0% | 81.9% |
| 189 | Pulmonary edema & respiratory failure | 225 | 4.4 | $43,370 | $8,363 | $10,260 | 1.2070 | 0.0% | 0.0% |
| 641-640 | Misc disorders of nutrition,metabolism,fluids/electrolytes | 217 | 4.0 | $34,155 | $6,594 | $8,867 | 1.0463 | 55.8% | 55.8% |
| 455-454-453 | Combined anterior/posterior spinal fusion | 213 | 6.0 | $330,763 | $52,686 | $65,924 | 6.4810 | 83.6% | 19.7% |
| 392-391 | Esophagitis, gastroent & misc digest disorders | 201 | 3.6 | $28,940 | $6,113 | $7,288 | 0.9037 | 23.4% | 23.4% |
| 700-699-698 | Other kidney & urinary tract diagnoses | 201 | 4.7 | $43,703 | $9,329 | $10,856 | 1.4105 | 98.5% | 68.2% |
| 690-689 | Kidney & urinary tract infections | 195 | 3.9 | $28,935 | $6,577 | $7,605 | 1.0047 | 59.5% | 59.5% |
| 287-286 | Circulatory disorders except AMI, w card cath | 183 | 4.9 | $66,106 | $11,593 | $13,201 | 1.7082 | 59.6% | 59.6% |
| 331-330-329 | Major small & large bowel procedures | 176 | 7.7 | $111,903 | $20,021 | $28,415 | 2.9224 | 78.4% | 29.0% |
| 254-253-252 | Other vascular procedures | 154 | 6.1 | $110,275 | $19,416 | $26,675 | 2.8410 | 83.8% | 45.5% |
| 482-481-480 | Hip & femur procedures except major joint | 148 | 5.8 | $81,856 | $15,872 | $19,220 | 2.3394 | 90.5% | 31.8% |
| All Other Base MS-DRGs | 6,742 | 5.4 | $95,117 | $17,145 | $21,740 | 2.4300 | |||
| T O T A L S | 13,075 | 5.3 | $81,407 | $14,954 | $18,653 | 2.1314 |
Search for Individual MS-DRGs
- Enter MS-DRG desired and statistics will appear in a new window.
- (Only MS-DRGs representing more than 10 patients are reported.)
- Click here for MS-DRG Definitions (PDF or Excel). / Definitions
Search for Prior DRGs and Statistics (FY 2003-2007)
- Enter DRG desired and statistics will appear in a new window.
- (Only DRGs representing more than 10 patients are reported.)
- Please note that Prior DRGs numbers do not correspond to MS-DRGs.
- Also please note that "Average Reimbursement" for DRGs is different than "Average Payment" now reported for MS-DRGs.
- Click here for DRG Definitions (PDF or Excel). / Definitions
Explore online costs by MS-DRG, medical service, routine service, or department
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Statistics by Medical Service
- Costs calculated per hospital's cost report for the period ending 12/31/2022. / Definitions
| Number Medicare Inpatients | Average Length of Stay | Average Charges | Average Cost | Medicare CMI | CMI Adjusted Avg. Cost | |
|---|---|---|---|---|---|---|
| Cardiology | 1,775 | 4.5 | $43,846 | $10,457 | 1.2222 | $8,556 |
| Cardiovascular Surgery | 955 | 5.2 | $211,988 | $42,956 | 4.4284 | $9,700 |
| Gynecology | 51 | 2.6 | $51,328 | $11,394 | 1.4413 | $7,906 |
| Medicine | 3,434 | 5.3 | $49,120 | $12,243 | 1.5594 | $7,851 |
| Neurology | 798 | 4.5 | $51,622 | $11,262 | 1.3975 | $8,059 |
| Neurosurgery | 182 | 5.8 | $171,707 | $38,669 | 3.9741 | $9,730 |
| Obstetrics | 16 | 4.6 | $29,895 | $9,500 | 0.8842 | $10,743 |
| Oncology | 346 | 5.4 | $90,984 | $20,403 | 2.2997 | $8,872 |
| Orthopedic Surgery | 1,077 | 5.1 | $174,191 | $36,311 | 3.6782 | $9,872 |
| Orthopedics | 269 | 4.2 | $33,887 | $8,500 | 1.1435 | $7,433 |
| Psychiatry | 180 | 7.2 | $31,123 | $14,026 | 1.2457 | $11,259 |
| Pulmonology | 1,309 | 4.9 | $48,352 | $11,590 | 1.4611 | $7,932 |
| Surgery | 1,332 | 8.1 | $118,050 | $28,735 | 3.4296 | $8,379 |
| Surgery for Malignancy | 115 | 4.9 | $97,328 | $21,758 | 2.4036 | $9,052 |
| Urology | 903 | 4.8 | $40,977 | $10,616 | 1.3490 | $7,869 |
| Vascular Surgery | 330 | 4.8 | $112,967 | $27,139 | 2.7708 | $9,794 |
| Burns | 0 | 0.0 | $0 | $0 | 0.0000 | $0 |
| TOTAL | 13,075 | 5.33 | $81,407 | $18,653 | 2.1314 | $8,751 |