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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 09/30/2023 (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 | 1,369 | 6.4 | $55,918 | $12,242 | $11,941 | 1.7579 | 86.5% | 86.5% |
| 293-292-291 | Heart failure & shock | 691 | 5.6 | $41,769 | $8,222 | $9,575 | 1.2624 | 100.0% | 98.6% |
| 179-178-177 | Respiratory infections & inflammations | 492 | 6.3 | $53,301 | $13,355 | $11,688 | 1.7669 | 99.2% | 87.6% |
| 066-065-064 | Intracranial hemorrhage or cerebral infarction | 344 | 4.3 | $48,939 | $8,998 | $8,905 | 1.4303 | 90.7% | 48.8% |
| 310-309-308 | Cardiac arrhythmia & conduction disorders | 326 | 3.5 | $27,773 | $5,349 | $5,968 | 0.8494 | 75.2% | 32.5% |
| 684-683-682 | Renal failure | 320 | 5.1 | $34,642 | $7,626 | $8,194 | 1.1454 | 96.2% | 46.6% |
| 379-378-377 | G.I. hemorrhage | 277 | 4.8 | $41,589 | $8,537 | $9,890 | 1.2932 | 98.2% | 37.9% |
| 247-246 | Percutaneous cardiovascular proc w drug-eluting stent | 273 | 4.3 | $119,795 | $17,577 | $20,339 | 2.5340 | 48.7% | 48.7% |
| 855-854-853 | Infectious & parasitic diseases w O.R. procedure | 273 | 12.0 | $128,159 | $31,087 | $28,607 | 4.4675 | 100.0% | 82.4% |
| 195-194-193 | Simple pneumonia & pleurisy | 268 | 4.2 | $35,248 | $7,530 | $7,372 | 1.1905 | 97.8% | 73.9% |
| 690-689 | Kidney & urinary tract infections | 200 | 4.1 | $28,032 | $6,440 | $6,205 | 0.9701 | 55.0% | 55.0% |
| 189 | Pulmonary edema & respiratory failure | 198 | 4.5 | $39,655 | $7,635 | $8,388 | 1.2261 | 0.0% | 0.0% |
| 641-640 | Misc disorders of nutrition,metabolism,fluids/electrolytes | 183 | 4.1 | $29,807 | $6,655 | $6,881 | 1.0667 | 65.6% | 65.6% |
| 392-391 | Esophagitis, gastroent & misc digest disorders | 181 | 3.8 | $26,390 | $5,883 | $6,078 | 0.9073 | 29.3% | 29.3% |
| 455-454-453 | Combined anterior/posterior spinal fusion | 175 | 5.0 | $294,420 | $50,684 | $58,470 | 6.5145 | 86.3% | 19.4% |
| 254-253-252 | Other vascular procedures | 174 | 4.9 | $85,889 | $19,843 | $19,667 | 2.9077 | 92.5% | 47.1% |
| 700-699-698 | Other kidney & urinary tract diagnoses | 156 | 5.9 | $40,698 | $9,333 | $9,453 | 1.4369 | 98.1% | 71.2% |
| 192-191-190 | Chronic obstructive pulmonary disease | 154 | 3.4 | $28,322 | $6,498 | $5,990 | 1.0317 | 96.1% | 64.3% |
| 482-481-480 | Hip & femur procedures except major joint | 154 | 6.0 | $77,845 | $16,008 | $17,055 | 2.3572 | 89.6% | 33.1% |
| 287-286 | Circulatory disorders except AMI, w card cath | 153 | 4.8 | $62,906 | $10,429 | $11,052 | 1.6424 | 51.6% | 51.6% |
| All Other Base MS-DRGs | 6,536 | 5.9 | $87,036 | $17,019 | $18,965 | 2.5086 | |||
| T O T A L S | 12,897 | 5.7 | $73,553 | $14,664 | $15,818 | 2.1484 |
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 |