• Medicare IPPS claims data are for federal fiscal year ending 09/30/2017 (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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Inpatient Utilization

Based on Medicare IPPS claims data

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 12/31/2017 (Quarterly Inpatient SAF). / Definitions
Name Cases Payment Cost CMI
Deep Ajmani MD 878 $8,281,999.00 $6,469,481.00 1.5659
Joshua N Quaye MD 626 $6,543,224.00 $5,505,076.00 1.5959
Julius B Larosa M.D. 573 $4,843,079.00 $4,067,558.00 1.3912
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 12/31/2016 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
40219 1,243 6,868 63,174,007 5.9% 56.4%
40216 1,048 5,887 57,470,989 0.3% 36.8%
40165 1,043 5,724 57,261,187 2.9% 55.6%
40229 1,027 5,745 58,443,460 -4.1% 55.5%
40214 851 4,860 48,848,060 -5.0% 37.2%
40272 851 4,591 46,080,599 -5.5% 35.0%
40241 758 3,211 36,931,032 1.5% 55.0%
40291 712 3,496 37,601,911 11.1% 39.8%
40218 670 3,469 31,357,800 -11.3% 43.8%
40211 669 3,841 33,271,041 -9.7% 39.2%
All other ZIP Codes 17,850 93,461 1,039,318,730    
Total 26,722 141,153 1,509,758,816 0.9%  
Analyze the factors that define a hospital's payment under IPPS
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Trend Report

Inpatient Utilization Statistics FY 2017 FY 2016 FY 2015 FY 2014 FY 2013
Case Mix Index 1.8077 1.8388 1.8325 1.8405 1.7994
Medical MS-DRGs 67.53% 67.07% 68.30% 67.59% 66.13%
Surgical MS-DRGs 32.47% 32.91% 31.70% 32.41% 33.87%
Routine Discharges to home 10,212 9,967 10,537 9,415 9,014
Discharges to other acute care hospitals 56 58 57 76 95
Discharges to Skilled Nursing Facilities (SNF) 4,732 4,873 4,988 4,332 4,645
Deaths 597 592 615 495 589
Other Discharges 4,655 3,971 3,304 3,191 4,009
Total Discharges 20,252 19,461 19,501 17,509 18,352
Psychiatric Discharges (DPU, included in Total) 0 0 0 0 50
Rehabilitation Discharges (DPU, included in Total) 0 0 0 0 0
Medicare Advantage (HMO) Discharges (NOT included in Total) 8,155 7,050 6,813 5,815 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 12/31/2016. / 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
293-292-291 Heart failure & shock 1,142 5.0 $34,246 $8,314 $7,581 1.2798 90.1% 67.3%
192-191-190 Chronic obstructive pulmonary disease 1,122 4.5 $32,254 $7,202 $7,063 1.0682 91.9% 72.1%
470-469 Major joint replacement or reattachment of lower extremity 1,017 2.4 $92,060 $13,762 $17,779 2.1260 4.8% 4.8%
872-871 Septicemia or severe sepsis w/o MV 96+ hours 895 6.0 $46,329 $10,497 $9,794 1.6077 78.5% 78.5%
684-683-682 Renal failure 600 4.7 $29,631 $7,320 $6,587 1.1058 89.2% 37.8%
690-689 Kidney & urinary tract infections 548 3.6 $22,328 $5,920 $4,824 0.9040 44.0% 44.0%
310-309-308 Cardiac arrhythmia & conduction disorders 523 3.8 $27,518 $5,830 $5,754 0.8663 75.1% 33.5%
379-378-377 G.I. hemorrhage 473 4.3 $34,688 $7,648 $7,634 1.1639 89.9% 26.8%
392-391 Esophagitis, gastroent & misc digest disorders 459 3.7 $23,795 $5,549 $5,014 0.8257 18.7% 18.7%
066-065-064 Intracranial hemorrhage or cerebral infarction 435 4.0 $40,564 $7,778 $7,014 1.2075 79.1% 32.0%
195-194-193 Simple pneumonia & pleurisy 409 4.0 $28,316 $6,924 $5,976 1.0495 78.2% 35.5%
641-640 Misc disorders of nutrition,metabolism,fluids/electrolytes 352 4.0 $26,314 $5,657 $5,796 0.9283 49.4% 49.4%
460-459 Spinal fusion except cervical 337 3.8 $139,262 $28,190 $26,544 4.2176 8.9% 8.9%
247-246 Percutaneous cardiovascular proc w drug-eluting stent 316 3.8 $93,856 $15,010 $14,729 2.4945 32.9% 32.9%
189 Pulmonary edema & respiratory failure 293 5.3 $41,373 $8,341 $8,967 1.2135 0.0% 0.0%
179-178-177 Respiratory infections & inflammations 292 5.3 $36,866 $10,280 $8,044 1.6433 90.8% 65.4%
603-602 Cellulitis 271 3.8 $19,288 $6,539 $4,734 0.9641 19.6% 19.6%
331-330-329 Major small & large bowel procedures 259 9.6 $79,807 $18,582 $17,367 2.9829 73.7% 27.8%
254-253-252 Other vascular procedures 230 5.9 $78,382 $16,388 $16,488 2.9154 87.4% 57.0%
390-389-388 G.I. obstruction 207 4.2 $21,463 $5,846 $4,850 0.8622 69.1% 12.1%
All Other Base MS-DRGs 10,072 5.4 $61,866 $13,560 $12,593 2.1444
T O T A L S 20,252 4.9 $53,899 $11,547 $10,985 1.8077

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 12/31/2016. / Definitions
  Number Medicare Inpatients Average Length of Stay Average Charges Average Cost Medicare CMI CMI Adjusted Avg. Cost
Cardiology 2,856 4.3 $33,700 $6,903 1.1306 $6,105
Cardiovascular Surgery 909 5.8 $131,148 $24,163 3.9288 $6,150
Gynecology 92 3.7 $43,709 $8,777 1.3177 $6,661
Medicine 4,485 4.8 $33,773 $7,309 1.2108 $6,036
Neurology 1,288 3.8 $36,286 $6,577 1.1424 $5,757
Neurosurgery 265 5.8 $121,640 $23,367 3.4877 $6,700
Obstetrics 48 3.8 $16,321 $4,511 0.8163 $5,526
Oncology 327 5.1 $44,300 $8,985 1.6849 $5,333
Orthopedic Surgery 2,565 3.5 $99,979 $19,447 2.8129 $6,913
Orthopedics 391 4.0 $26,563 $5,564 1.0213 $5,448
Psychiatry 279 5.3 $18,986 $6,230 0.9760 $6,383
Pulmonology 2,631 4.8 $36,307 $7,832 1.2963 $6,042
Surgery 2,015 8.7 $85,083 $18,125 3.3637 $5,389
Surgery for Malignancy 165 5.2 $76,171 $14,951 2.0679 $7,230
Urology 1,590 4.4 $30,441 $6,623 1.1836 $5,596
Vascular Surgery 345 5.7 $76,251 $15,845 2.8201 $5,619
Burns 0 0.0 $0 $0 0.0000 $0
TOTAL 20,252 4.92 $53,899 $10,985 1.8077 $6,077