Inpatient Utilization

Based on Medicare IPPS claims data

  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2022 (Final 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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Provider Analysis
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
Market Analysis
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%  
IPPS Dashboard
Analyze the factors that define a hospital's payment under IPPS
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Trend Report

Inpatient Utilization Statistics FY 2022 FY 2021 FY 2020 FY 2019 FY 2018
Case Mix Index 2.1484 2.1081 2.0413 1.9181 1.8668
Medical MS-DRGs 68.48% 70.64% 67.88% 67.29% 68.13%
Surgical MS-DRGs 31.52% 29.36% 32.12% 32.71% 31.87%
Routine Discharges to home 5,006 6,208 8,097 9,955 10,040
Discharges to other acute care hospitals 84 77 88 84 41
Discharges to Skilled Nursing Facilities (SNF) 2,695 2,886 3,226 4,402 4,646
Deaths 639 732 599 526 561
Other Discharges 4,473 4,935 4,244 5,102 4,864
Total Discharges 12,897 14,838 16,254 20,069 20,152
Psychiatric Discharges (DPU, included in Total)
Rehabilitation Discharges (DPU, included in Total)
Medicare Advantage (HMO) Discharges (NOT included in Total) 11,520 11,067 10,620 10,592 8,938
MS-DRG Coding Indicators
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 12/31/2021. / 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
Clinical Cost Analyzer
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 12/31/2021. / Definitions
  Number Medicare Inpatients Average Length of Stay Average Charges Average Cost Medicare CMI CMI Adjusted Avg. Cost
Cardiology 1,684 4.8 $41,906 $8,865 1.2170 $7,285
Cardiovascular Surgery 912 5.3 $179,320 $35,772 4.3424 $8,238
Gynecology 21 4.7 $59,567 $12,907 1.5581 $8,284
Medicine 3,418 5.7 $49,309 $10,924 1.5576 $7,014
Neurology 813 4.7 $47,796 $9,355 1.4232 $6,573
Neurosurgery 222 5.9 $144,724 $31,736 3.9573 $8,020
Obstetrics 29 2.8 $18,235 $5,093 0.9073 $5,613
Oncology 330 6.0 $62,658 $13,385 2.0642 $6,484
Orthopedic Surgery 1,038 5.3 $150,890 $30,958 3.6270 $8,535
Orthopedics 225 4.1 $30,651 $6,413 1.1580 $5,538
Psychiatry 199 6.2 $22,467 $9,300 1.1590 $8,024
Pulmonology 1,438 5.3 $48,343 $10,369 1.5753 $6,582
Surgery 1,270 9.1 $109,115 $24,930 3.6796 $6,775
Surgery for Malignancy 90 6.0 $84,910 $18,153 2.4911 $7,287
Urology 859 5.5 $39,986 $9,373 1.3775 $6,804
Vascular Surgery 349 4.4 $98,709 $22,753 2.8570 $7,964
Burns 0 0.0 $0 $0 0.0000 $0
TOTAL 12,897 5.69 $73,553 $15,818 2.1484 $7,363