American Hospital Directory - Sample Hospital - Inpatient Utilization (2024)

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 12/31/2023 (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

  • Definitions
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 1,313 6.0 $58,233 $12,497 $13,924 1.8298 86.3% 86.3%
293-292-291 Heart failure & shock 699 5.1 $42,607 $8,242 $11,154 1.2698 99.9% 97.7%
310-309-308 Cardiac arrhythmia & conduction disorders 359 3.7 $32,979 $5,329 $7,988 0.8453 79.1% 33.7%
195-194-193 Simple pneumonia & pleurisy 323 4.2 $38,995 $7,706 $9,236 1.1859 97.5% 76.5%
684-683-682 Renal failure 320 4.6 $34,830 $7,526 $9,205 1.1576 96.9% 45.9%
179-178-177 Respiratory infections & inflammations 314 5.7 $50,644 $11,632 $12,657 1.6521 97.1% 82.8%
066-065-064 Intracranial hemorrhage or cerebral infarction 306 4.4 $54,519 $9,328 $11,409 1.4245 87.9% 46.7%
379-378-377 G.I. hemorrhage 283 4.5 $45,474 $8,559 $11,671 1.2724 96.5% 37.8%
247-246 Percutaneous cardiovascular proc w drug-eluting stent 251 3.8 $135,356 $17,373 $23,697 2.3551 41.0% 41.0%
855-854-853 Infectious & parasitic diseases w O.R. procedure 240 10.6 $131,932 $30,611 $31,465 4.3793 100.0% 81.7%
189 Pulmonary edema & respiratory failure 225 4.4 $43,370 $8,320 $10,260 1.2070 0.0% 0.0%
641-640 Misc disorders of nutrition,metabolism,fluids/electrolytes 217 4.0 $34,155 $6,588 $8,866 1.0463 55.8% 55.8%
455-454-453 Combined anterior/posterior spinal fusion 212 6.0 $331,658 $52,579 $66,109 6.4889 84.0% 19.8%
392-391 Esophagitis, gastroent & misc digest disorders 201 3.6 $28,940 $6,113 $7,288 0.9037 23.4% 23.4%
700-699-698 Other kidney & urinary tract diagnoses 197 4.8 $43,753 $9,298 $10,894 1.4096 98.5% 68.0%
690-689 Kidney & urinary tract infections 195 3.9 $28,935 $6,489 $7,604 1.0047 59.5% 59.5%
287-286 Circulatory disorders except AMI, w card cath 181 4.9 $66,338 $11,627 $13,259 1.7093 59.7% 59.7%
331-330-329 Major small & large bowel procedures 176 7.7 $111,900 $19,855 $28,424 2.9224 78.4% 29.0%
254-253-252 Other vascular procedures 153 6.1 $110,653 $19,392 $26,764 2.8377 83.7% 45.1%
482-481-480 Hip & femur procedures except major joint 148 5.8 $81,856 $15,851 $19,225 2.3394 90.5% 31.8%
All Other Base MS-DRGs 6,721 5.4 $95,009 $17,093 $21,726 2.4284
T O T A L S 13,034 5.3 $81,309 $14,898 $18,632 2.1298

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 Reimbursem*nt" 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
American Hospital Directory - Sample Hospital - Inpatient Utilization (2024)
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