• Medicare IPPS claims data are for federal fiscal year ending 09/30/2018 (Proposed rule MedPAR).
  • These reports are consistent with CMS cell size suppression policy.
  • The Case Mix Index (CMI) for LTAC hospitals reflects LTAC regulations.
Sample Hospital
Louisville, KY  11111
CMS Certification Number: 000000

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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 12/31/2018 (Quarterly Inpatient SAF). / Definitions
Name Cases Payment Cost CMI
Deep Ajmani MD 785 $7,877,204.00 $6,581,918.00 1.6611
Joshua N Quaye MD 638 $5,892,620.00 $5,195,577.00 1.5135
Dr. Jignesh Desai M.D. 554 $7,116,557.00 $7,071,392.00 2.0467
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 12/31/2017 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
40219 1,201 6,191 60,383,772 -3.4% 57.5%
40229 1,120 5,813 59,032,329 9.1% 55.7%
40216 1,053 5,638 53,309,409 0.5% 35.1%
40165 1,009 5,245 52,710,781 -3.3% 52.6%
40214 1,004 5,211 52,816,173 18.0% 41.6%
40272 968 5,006 52,773,725 13.7% 37.1%
40211 814 4,770 43,655,784 21.7% 43.9%
40291 795 3,642 38,114,105 11.7% 39.0%
40241 768 3,109 36,350,953 1.3% 54.4%
40218 735 3,928 37,593,793 9.7% 44.4%
All other ZIP Codes 19,267 97,413 1,099,094,003    
Total 28,734 145,966 1,585,834,827 7.5%  
Analyze the factors that define a hospital's payment under IPPS
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Trend Report

Inpatient Utilization Statistics FY 2018 FY 2017 FY 2016 FY 2015 FY 2014
Case Mix Index 1.8679 1.8067 1.8388 1.8325 1.8405
Medical MS-DRGs 68.12% 67.52% 67.07% 68.30% 67.59%
Surgical MS-DRGs 31.88% 32.48% 32.91% 31.70% 32.41%
Routine Discharges to home 9,965 10,262 9,967 10,537 9,415
Discharges to other acute care hospitals 40 55 58 57 76
Discharges to Skilled Nursing Facilities (SNF) 4,641 4,735 4,873 4,988 4,332
Deaths 561 597 592 615 495
Other Discharges 4,882 4,644 3,971 3,304 3,191
Total Discharges 20,089 20,293 19,461 19,501 17,509
Psychiatric Discharges (DPU, included in Total) 0 0 0 0 0
Rehabilitation Discharges (DPU, included in Total) 0 0 0 0 0
Medicare Advantage (HMO) Discharges (NOT included in Total) 8,949 8,124 7,050 6,813 N/A
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 12/31/2017. / 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 1,192 5.6 $47,614 $10,804 $9,500 1.7000 84.0% 84.0%
293-292-291 Heart failure & shock 1,181 4.6 $33,622 $8,357 $6,991 1.3301 92.9% 75.7%
470-469 Major joint replacement or reattachment of lower extremity 1,016 2.3 $99,115 $14,142 $19,517 2.1447 7.9% 7.9%
195-194-193 Simple pneumonia & pleurisy 688 3.8 $30,720 $7,101 $6,056 1.1174 87.4% 48.3%
684-683-682 Renal failure 639 4.3 $29,657 $7,185 $6,235 1.1257 92.5% 39.4%
189 Pulmonary edema & respiratory failure 500 4.8 $38,936 $7,726 $7,862 1.2198 0.0% 0.0%
690-689 Kidney & urinary tract infections 486 3.6 $25,004 $5,912 $5,062 0.9159 42.6% 42.6%
310-309-308 Cardiac arrhythmia & conduction disorders 473 3.3 $26,295 $5,607 $5,182 0.8660 75.9% 34.7%
192-191-190 Chronic obstructive pulmonary disease 460 3.9 $29,202 $6,309 $6,022 1.0083 85.9% 50.0%
066-065-064 Intracranial hemorrhage or cerebral infarction 452 3.7 $42,132 $7,861 $6,911 1.2540 80.8% 37.6%
392-391 Esophagitis, gastroent & misc digest disorders 428 3.5 $24,308 $5,582 $4,923 0.8539 19.9% 19.9%
379-378-377 G.I. hemorrhage 408 3.9 $33,726 $7,468 $7,254 1.1702 93.6% 29.7%
179-178-177 Respiratory infections & inflammations 376 4.9 $38,653 $9,611 $7,791 1.6361 92.6% 66.2%
641-640 Misc disorders of nutrition,metabolism,fluids/electrolytes 361 3.3 $23,429 $5,535 $4,888 0.9788 54.6% 54.6%
247-246 Percutaneous cardiovascular proc w drug-eluting stent 308 3.9 $102,108 $15,203 $16,414 2.5316 38.0% 38.0%
855-854-853 Infectious & parasitic diseases w O.R. procedure 281 12.2 $122,592 $29,246 $25,296 4.7841 99.6% 87.5%
331-330-329 Major small & large bowel procedures 249 8.8 $76,794 $18,836 $17,113 3.0100 77.9% 29.3%
484-483 Major joint & limb reattachment proc of upper extremity 227 1.6 $108,001 $17,307 $21,293 2.4264 100.0% 0.0%
455-454-453 Combined anterior/posterior spinal fusion 226 4.9 $224,044 $44,968 $43,287 6.3661 65.5% 11.1%
603-602 Cellulitis 213 3.6 $20,502 $6,344 $4,768 0.9791 21.6% 21.6%
All Other Base MS-DRGs 9,925 5.2 $62,075 $13,032 $12,680 2.1039
T O T A L S 20,089 4.8 $56,826 $11,741 $11,447 1.8679

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 12/31/2017. / Definitions
  Number Medicare Inpatients Average Length of Stay Average Charges Average Cost Medicare CMI CMI Adjusted Avg. Cost
Cardiology 2,818 4.0 $34,581 $6,733 1.1865 $5,675
Cardiovascular Surgery 912 5.7 $149,794 $28,422 4.2463 $6,693
Gynecology 64 3.3 $47,656 $9,381 1.2998 $7,217
Medicine 4,584 4.6 $35,368 $7,360 1.3070 $5,631
Neurology 1,307 3.7 $36,894 $6,531 1.2071 $5,411
Neurosurgery 235 5.4 $123,971 $25,421 3.6588 $6,948
Obstetrics 37 3.5 $17,078 $4,517 0.8544 $5,287
Oncology 327 5.9 $52,103 $10,234 1.7295 $5,917
Orthopedic Surgery 2,509 3.5 $110,321 $21,828 2.9012 $7,524
Orthopedics 400 3.5 $25,222 $4,965 1.0368 $4,789
Psychiatry 282 6.2 $20,086 $7,260 1.1022 $6,587
Pulmonology 2,548 4.4 $36,158 $7,255 1.3005 $5,579
Surgery 2,002 8.5 $86,064 $18,250 3.3575 $5,435
Surgery for Malignancy 149 5.3 $75,187 $15,048 2.0740 $7,255
Urology 1,564 4.2 $31,445 $6,605 1.1929 $5,537
Vascular Surgery 349 5.9 $85,542 $18,008 2.8093 $6,410
Burns 0 0.0 $0 $0 0.0000 $0
TOTAL 20,089 4.75 $56,826 $11,447 1.8679 $6,128