Inpatient (sample)

IP claims data are for the federal fiscal year ending 09/30/2008.
The Case Mix Index (CMI) for LTAC hospitals reflects DRG changes implemented in FY04.
These reports are consistent with CMS Data Release policies.

 

Use navigation bar above to view other reports.
 summary of sample reports   subscription information

Export Options
Excel
PDF
Print
 

Patient Origin

Medicare Hospital Market Service Area file for calendar year ending 12/31/2008 / Definitions

ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
40207 935 5,219 $17,444,295 -5.1% 57.0%
40220 888 4,929 $16,270,110 -2.6% 49.4%
40299 667 3,743 $12,872,773 -5.4% 51.5%
40291 593 3,370 $12,123,427 -2.4% 47.7%
40222 575 3,183 $10,894,446 -14.8% 49.6%
40218 522 3,054 $9,979,085 -11.5% 36.6%
40241 512 2,931 $10,535,620 -0.4% 50.2%
40205 432 2,409 $7,703,035 -2.5% 40.2%
40243 421 2,540 $8,751,159 -6.7% 60.9%
40219 418 2,594 $8,545,538 -2.9% 23.9%
All other ZIP Codes 6,225 35,361 $125,006,892    
Total 12,188 69,333 $240,126,380 -0.5%  

Trend Report

Definitions

Inpatient Utilization Statistics FY 2008 FY 2007 FY 2006 FY 2005 FY 2004
Case Mix Index 1.6292 1.6286 1.6011 1.5880 1.5903
Medical MS-DRGs 64.07% 63.24% 64.02% 65.13% 67.24%
Surgical MS-DRGs 35.93% 36.44% 35.72% 34.52% 32.41%
Routine Discharges to home 5,657 6,065 6,689 6,468 6,337
Discharges to other acute care hospitals 81 94 119 107 99
Discharges to Skilled Nursing Facilities (SNF) 3,332 3,198 3,164 2,746 2,235
Deaths 571 528 554 504 480
Other Discharges 2,635 2,651 2,840 3,003 2,583
Total Discharges 12,276 12,536 13,366 12,828 11,734
Psychiatric Discharges (DPU, included in Total) 365 375 421 421 453
Rehabilitation Discharges (DPU, included in Total) 293 326 457 563 502

Statistics for the Top 20 Base MS-DRGs

Costs calculated per hospital's cost report for the period ending 08/31/2008. / 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
470-469 Major joint replacement or reattachment of lower extremity 1,106 3.68 $24,317 $9,212 $12,565 2.0455 8.6% 8.6%
872-871 Septicemia w/o MV 96+ hours 644 6.56 $17,000 $7,712 $7,792 1.6926 84.9% 84.9%
293-292-291 Heart failure & shock 620 5.74 $13,333 $5,210 $6,103 1.1079 78.1% 50.8%
195-194-193 Simple pneumonia & pleurisy 369 5.34 $12,557 $5,041 $5,754 1.0703 78.6% 37.9%
310-309-308 Cardiac arrhythmia & conduction disorders 355 4.10 $10,568 $3,994 $4,464 0.8145 56.6% 26.5%
189 Pulmonary edema & respiratory failure 354 6.46 $14,972 $6,417 $7,330 1.3660 0.0% 0.0%
066-065-064 Intracranial hemorrhage or cerebral infarction 333 4.78 $17,981 $5,745 $6,931 1.2547 72.7% 30.3%
684-683-682 Renal failure 326 5.95 $14,746 $5,887 $6,731 1.3031 89.9% 47.9%
379-378-377 G.I. hemorrhage 310 4.85 $13,105 $5,206 $6,129 1.1095 91.6% 32.9%
179-178-177 Respiratory infections & inflammations 305 7.39 $16,921 $7,811 $8,061 1.7248 88.9% 68.9%
690-689 Kidney & urinary tract infections 287 4.58 $11,718 $4,350 $5,188 0.9424 55.1% 55.1%
392-391 Esophagitis, gastroent & misc digest disorders 268 4.44 $11,946 $3,775 $5,021 0.7923 32.8% 32.8%
192-191-190 Chronic obstructive pulmonary disease 263 5.56 $12,237 $4,424 $5,980 0.9805 76.8% 39.9%
946-945 Rehabilitation 261 15.02 $26,953 $14,614 $15,445 1.0863 83.5% 0.0%
482-481-480 Hip & femur procedures except major joint 215 5.37 $22,463 $8,659 $10,887 1.9646 82.8% 29.8%
282-281-280 Acute myocardial infarction, discharged alive 201 6.52 $17,562 $6,913 $7,827 1.5299 82.6% 61.2%
885 Psychoses 187 9.55 $11,605 $7,114 $7,398 0.7783 0.0% 0.0%
331-330-329 Major small & large bowel procedures 183 10.25 $33,482 $16,001 $15,691 3.4140 84.2% 42.6%
312 Syncope & collapse 175 3.29 $11,991 $3,421 $4,444 0.7197 0.0% 0.0%
641-640 Nutritional & misc metabolic disorders 155 4.12 $10,032 $3,774 $4,452 0.8365 43.9% 43.9%
All Other MS-DRGs 6,254 5.79 $24,019 $9,102 $10,888 1.9671 54.3% 33.0%
T O T A L S 13,171 5.79 $20,284 $7,943 $9,417 1.6705 59.1% 37.3%

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


Statistics by Medical Service

Costs calculated per hospital's cost report for the period ending 08/31/2007. / Definitions

  Number Medicare Inpatients Average Length of Stay Average Charges Average Cost Medicare CMI CMI Adjusted Avg. Cost
Cardiology 1,815 5.02 $13,551 $5,854 1.0545 $5,552
Cardiovascular Surgery 730 5.93 $43,777 $19,766 3.5470 $5,573
Gynecology 56 2.54 $10,788 $4,693 0.9507 $4,937
Medicine 2,615 6.37 $15,569 $7,351 1.1997 $6,127
Neurology 906 5.42 $16,479 $6,803 1.1288 $6,027
Neurosurgery 92 6.33 $35,479 $15,920 2.7314 $5,829
Obstetrics 15 2.87 $7,105 $3,495 0.6754 $5,175
Oncology 227 6.63 $20,432 $8,599 1.5239 $5,643
Orthopedic Surgery 2,074 3.96 $25,256 $12,766 2.0992 $6,081
Orthopedics 342 4.47 $12,680 $5,403 0.9099 $5,938
Psychiatry 264 8.45 $10,940 $6,713 0.7514 $8,933
Pulmonology 1,594 6.22 $15,255 $7,236 1.3481 $5,367
Surgery 1,092 9.75 $36,503 $16,760 3.4406 $4,871
Surgery for Malignancy 122 4.12 $17,089 $7,514 1.7475 $4,300
Urology 912 5.08 $14,163 $6,359 1.1755 $5,409
Vascular Surgery 314 4.22 $24,070 $10,228 1.9821 $5,160
TOTAL 13,171 5.79 $20,284 $9,417 1.6705 $5,637