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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 12/31/2023 (Quarterly Inpatient SAF). / Definitions
Name | Cases | Payment | Cost | CMI |
---|---|---|---|---|
Rajanbhai R Amin M.D. | 307 | $5,602,865 | $6,665,952 | 2.4120 |
Ardel C Cagata MD | 284 | $3,456,732 | $3,702,636 | 1.7695 |
Samer Alnabhan M.D. | 261 | $3,177,338 | $3,169,462 | 1.7592 |
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 12/31/2022 / Definitions
ZIP Code of Residence | Discharges | Days of Care | Charges | Discharges Inc/(Dec) | Market Share | Market Share 5-years prior |
---|---|---|---|---|---|---|
40219 | 1,044 | 6,576 | $71,602,368 | -1.6% | 60.3% | 57.5% |
40165 | 964 | 5,603 | $69,313,335 | 0.8% | 55.9% | 52.6% |
40216 | 940 | 6,110 | $67,963,328 | -10.4% | 45.4% | 35.1% |
40229 | 927 | 5,450 | $63,349,370 | -8.8% | 57.5% | 55.7% |
40214 | 792 | 4,831 | $54,279,790 | 2.7% | 46.0% | 41.6% |
40272 | 771 | 4,723 | $55,671,515 | -9.9% | 40.6% | 37.1% |
40291 | 687 | 4,254 | $51,452,116 | -11.1% | 39.9% | 39.0% |
40241 | 596 | 3,158 | $39,578,026 | -10.4% | 60.9% | 54.4% |
40258 | 584 | 3,693 | $42,843,555 | -2.0% | 46.2% | 34.1% |
40299 | 556 | 3,028 | $36,845,297 | 3.3% | 36.6% | 33.9% |
All other ZIP Codes | 15,238 | 94,948 | $1,179,625,787 | |||
Total | 23,099 | 142,374 | $1,732,524,487 | -2.5% |
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 | 2.1298 | 2.1484 | 2.1081 | 2.0413 | 1.9181 |
Medical MS-DRGs | 67.90% | 68.48% | 70.64% | 67.88% | 67.29% |
Surgical MS-DRGs | 32.10% | 31.52% | 29.36% | 32.12% | 32.71% |
Routine Discharges to home | 5,562 | 5,006 | 6,208 | 8,097 | 9,955 |
Discharges to other acute care hospitals | 107 | 84 | 77 | 88 | 84 |
Discharges to Skilled Nursing Facilities (SNF) | 2,856 | 2,695 | 2,886 | 3,226 | 4,402 |
Deaths | 539 | 639 | 732 | 599 | 526 |
Other Discharges | 3,970 | 4,473 | 4,935 | 4,244 | 5,102 |
Total Discharges | 13,034 | 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) | 12,874 | 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 | 1,313 | 6.0 | $58,233 | $12,497 | $13,924 | 1.8298 | 86.3% | 86.3% |
293-292-291 | Heart failure & shock | 699 | 5.1 | $42,607 | $8,242 | $11,154 | 1.2698 | 99.9% | 97.7% |
310-309-308 | Cardiac arrhythmia & conduction disorders | 359 | 3.7 | $32,979 | $5,329 | $7,988 | 0.8453 | 79.1% | 33.7% |
195-194-193 | Simple pneumonia & pleurisy | 323 | 4.2 | $38,995 | $7,706 | $9,236 | 1.1859 | 97.5% | 76.5% |
684-683-682 | Renal failure | 320 | 4.6 | $34,830 | $7,526 | $9,205 | 1.1576 | 96.9% | 45.9% |
179-178-177 | Respiratory infections & inflammations | 314 | 5.7 | $50,644 | $11,632 | $12,657 | 1.6521 | 97.1% | 82.8% |
066-065-064 | Intracranial hemorrhage or cerebral infarction | 306 | 4.4 | $54,519 | $9,328 | $11,409 | 1.4245 | 87.9% | 46.7% |
379-378-377 | G.I. hemorrhage | 283 | 4.5 | $45,474 | $8,559 | $11,671 | 1.2724 | 96.5% | 37.8% |
247-246 | Percutaneous cardiovascular proc w drug-eluting stent | 251 | 3.8 | $135,356 | $17,373 | $23,697 | 2.3551 | 41.0% | 41.0% |
855-854-853 | Infectious & parasitic diseases w O.R. procedure | 240 | 10.6 | $131,932 | $30,611 | $31,465 | 4.3793 | 100.0% | 81.7% |
189 | Pulmonary edema & respiratory failure | 225 | 4.4 | $43,370 | $8,320 | $10,260 | 1.2070 | 0.0% | 0.0% |
641-640 | Misc disorders of nutrition,metabolism,fluids/electrolytes | 217 | 4.0 | $34,155 | $6,588 | $8,866 | 1.0463 | 55.8% | 55.8% |
455-454-453 | Combined anterior/posterior spinal fusion | 212 | 6.0 | $331,658 | $52,579 | $66,109 | 6.4889 | 84.0% | 19.8% |
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 | 197 | 4.8 | $43,753 | $9,298 | $10,894 | 1.4096 | 98.5% | 68.0% |
690-689 | Kidney & urinary tract infections | 195 | 3.9 | $28,935 | $6,489 | $7,604 | 1.0047 | 59.5% | 59.5% |
287-286 | Circulatory disorders except AMI, w card cath | 181 | 4.9 | $66,338 | $11,627 | $13,259 | 1.7093 | 59.7% | 59.7% |
331-330-329 | Major small & large bowel procedures | 176 | 7.7 | $111,900 | $19,855 | $28,424 | 2.9224 | 78.4% | 29.0% |
254-253-252 | Other vascular procedures | 153 | 6.1 | $110,653 | $19,392 | $26,764 | 2.8377 | 83.7% | 45.1% |
482-481-480 | Hip & femur procedures except major joint | 148 | 5.8 | $81,856 | $15,851 | $19,225 | 2.3394 | 90.5% | 31.8% |
All Other Base MS-DRGs | 6,721 | 5.4 | $95,009 | $17,093 | $21,726 | 2.4284 | |||
T O T A L S | 13,034 | 5.3 | $81,309 | $14,898 | $18,632 | 2.1298 |
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 | 1,770 | 4.5 | $43,809 | $10,450 | 1.2212 | $8,557 |
Cardiovascular Surgery | 950 | 5.2 | $211,849 | $42,924 | 4.4292 | $9,691 |
Gynecology | 51 | 2.6 | $51,328 | $11,402 | 1.4413 | $7,911 |
Medicine | 3,428 | 5.3 | $49,075 | $12,232 | 1.5590 | $7,846 |
Neurology | 797 | 4.5 | $51,660 | $11,270 | 1.3979 | $8,063 |
Neurosurgery | 180 | 5.7 | $170,534 | $38,458 | 3.9720 | $9,682 |
Obstetrics | 15 | 4.1 | $26,297 | $8,437 | 0.8355 | $10,098 |
Oncology | 342 | 5.4 | $91,419 | $20,478 | 2.2882 | $8,949 |
Orthopedic Surgery | 1,075 | 5.1 | $174,335 | $36,353 | 3.6779 | $9,884 |
Orthopedics | 268 | 4.2 | $33,970 | $8,521 | 1.1453 | $7,440 |
Psychiatry | 181 | 7.3 | $31,144 | $14,089 | 1.2460 | $11,307 |
Pulmonology | 1,308 | 4.9 | $48,370 | $11,592 | 1.4614 | $7,932 |
Surgery | 1,326 | 8.1 | $117,761 | $28,642 | 3.4276 | $8,356 |
Surgery for Malignancy | 115 | 4.9 | $97,328 | $21,766 | 2.4036 | $9,056 |
Urology | 898 | 4.8 | $40,948 | $10,630 | 1.3502 | $7,873 |
Vascular Surgery | 327 | 4.8 | $113,085 | $27,174 | 2.7721 | $9,803 |
Burns | 0 | 0.0 | $0 | $0 | 0.0000 | $0 |
TOTAL | 13,034 | 5.32 | $81,309 | $18,632 | 2.1298 | $8,748 |