*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B182 - Chronic viral hepatitis C - as a primary diagnosis code | B182 - Chronic viral hepatitis C - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.52 | |
| Readmission Rate (%) | 31.1 | |
| Unplanned Readmission Rate (%) | 27.4 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | DRG 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 006: LIVER TRANSPLANT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||||
| Total Hospitalizations with ICD B182 - Chronic viral hepatitis C | 463 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD B182 - Chronic viral hepatitis C in DRG | 37.58 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD B182 - Chronic viral hepatitis C | 4.07 | ||||
| Readmission Rate at DRG | 34.07 | ||||
| Readmission Rate with ICD B182 - Chronic viral hepatitis C | 36.71 | ||||
| Unplanned Readmission Rate at DRG | 26.53 | ||||
| Unplanned Readmission Rate with ICD B182 - Chronic viral hepatitis C | 28.83 | ||||
| Total Medicare payments at DRG | $353,726,509 | ||||
| Total Medicare payments with ICD B182 - Chronic viral hepatitis C | $3,038,951 | ||||
| Total Medicare payment per Day at DRG | $1,519 | ||||
| Total Medicare payment per Day with ICD B182 - Chronic viral hepatitis C | $1,613 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||||
| Total Medicare payment per Hospitalization with ICD B182 - Chronic viral hepatitis C | $6,564 | ||||
| Total Medicare Charges at DRG | $1,770,659,000 | ||||
| Total Medicare Charges with ICD B182 - Chronic viral hepatitis C | $14,465,638 | ||||
| Avg Charges at DRG | $30,969 | ||||
| Avg Charges with ICD B182 - Chronic viral hepatitis C | $31,243 | ||||
| Mortality Rate at DRG | 1.12 | ||||
| Mortality Rate with ICD B182 - Chronic viral hepatitis C | NA | ||||
| SNF Discharge Rate at DRG | 15.97 | ||||
| SNF Discharge Rate with ICD B182 - Chronic viral hepatitis C | 17.93 | ||||
| Home Discharge Rate at DRG | 50.7 | ||||
| Home Discharge Rate with ICD B182 - Chronic viral hepatitis C | 54.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 6,779 | ||
| Total Hospitalizations with ICD B182 - Chronic viral hepatitis C | 32 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD B182 - Chronic viral hepatitis C in DRG | 2.6 | ||
| Avg LOS at DRG | 9.29 | ||
| Avg LOS with ICD B182 - Chronic viral hepatitis C | 9.16 | ||
| Readmission Rate at DRG | 35.9 | ||
| Readmission Rate with ICD B182 - Chronic viral hepatitis C | 40.74 | ||
| Unplanned Readmission Rate at DRG | 25.82 | ||
| Unplanned Readmission Rate with ICD B182 - Chronic viral hepatitis C | NA | ||
| Total Medicare payments at DRG | $181,778,856 | ||
| Total Medicare payments with ICD B182 - Chronic viral hepatitis C | $928,308 | ||
| Total Medicare payment per Day at DRG | $2,886 | ||
| Total Medicare payment per Day with ICD B182 - Chronic viral hepatitis C | $3,168 | ||
| Total Medicare payment per Hospitalization at DRG | $26,815 | ||
| Total Medicare payment per Hospitalization with ICD B182 - Chronic viral hepatitis C | $29,010 | ||
| Total Medicare Charges at DRG | $661,562,226 | ||
| Total Medicare Charges with ICD B182 - Chronic viral hepatitis C | $2,501,252 | ||
| Avg Charges at DRG | $97,590 | ||
| Avg Charges with ICD B182 - Chronic viral hepatitis C | $78,164 | ||
| Mortality Rate at DRG | 10.8 | ||
| Mortality Rate with ICD B182 - Chronic viral hepatitis C | NA | ||
| SNF Discharge Rate at DRG | 16.7 | ||
| SNF Discharge Rate with ICD B182 - Chronic viral hepatitis C | NA | ||
| Home Discharge Rate at DRG | 36.13 | ||
| Home Discharge Rate with ICD B182 - Chronic viral hepatitis C | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST DALLAS MEDICAL CENTER | 1441 N BECKLEY AVE | DALLAS | TX | 75203 | 24 |
| MAYO CLINIC | 4500 SAN PABLO RD S | JACKSONVILLE | FL | 32224 | 21 |
| OUR LADY OF LOURDES MEDICAL CENTER | 1600 HADDON AVE | CAMDEN | NJ | 08103 | 19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD B182 - Chronic viral hepatitis C | 12,537 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B182 - Chronic viral hepatitis C in DRG | 5.96 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B182 - Chronic viral hepatitis C | 7.3 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B182 - Chronic viral hepatitis C | 30.86 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B182 - Chronic viral hepatitis C | 22.59 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B182 - Chronic viral hepatitis C | $167,389,194 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B182 - Chronic viral hepatitis C | $1,829 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B182 - Chronic viral hepatitis C | $13,352 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B182 - Chronic viral hepatitis C | $929,542,050 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B182 - Chronic viral hepatitis C | $74,144 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B182 - Chronic viral hepatitis C | 12.18 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B182 - Chronic viral hepatitis C | 22.21 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B182 - Chronic viral hepatitis C | 31.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,884 | ||||
| Total Hospitalizations with ICD B182 - Chronic viral hepatitis C | 4,484 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD B182 - Chronic viral hepatitis C in DRG | 2.13 | ||||
| Avg LOS at DRG | 6.43 | ||||
| Avg LOS with ICD B182 - Chronic viral hepatitis C | 6.48 | ||||
| Readmission Rate at DRG | 37.66 | ||||
| Readmission Rate with ICD B182 - Chronic viral hepatitis C | 40.85 | ||||
| Unplanned Readmission Rate at DRG | 28.76 | ||||
| Unplanned Readmission Rate with ICD B182 - Chronic viral hepatitis C | 33.62 | ||||
| Total Medicare payments at DRG | $726,233,427 | ||||
| Total Medicare payments with ICD B182 - Chronic viral hepatitis C | $60,241,527 | ||||
| Total Medicare payment per Day at DRG | $1,987 | ||||
| Total Medicare payment per Day with ICD B182 - Chronic viral hepatitis C | $2,074 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,767 | ||||
| Total Medicare payment per Hospitalization with ICD B182 - Chronic viral hepatitis C | $13,435 | ||||
| Total Medicare Charges at DRG | $3,363,541,067 | ||||
| Total Medicare Charges with ICD B182 - Chronic viral hepatitis C | $280,100,382 | ||||
| Avg Charges at DRG | $59,130 | ||||
| Avg Charges with ICD B182 - Chronic viral hepatitis C | $62,467 | ||||
| Mortality Rate at DRG | 9.48 | ||||
| Mortality Rate with ICD B182 - Chronic viral hepatitis C | 8.59 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD B182 - Chronic viral hepatitis C | 19.13 | ||||
| Home Discharge Rate at DRG | 33.97 | ||||
| Home Discharge Rate with ICD B182 - Chronic viral hepatitis C | 37.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,515 | ||||
| Total Hospitalizations with ICD B182 - Chronic viral hepatitis C | 3,168 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD B182 - Chronic viral hepatitis C in DRG | 1.51 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD B182 - Chronic viral hepatitis C | 4.15 | ||||
| Readmission Rate at DRG | 35.39 | ||||
| Readmission Rate with ICD B182 - Chronic viral hepatitis C | 38.32 | ||||
| Unplanned Readmission Rate at DRG | 28.09 | ||||
| Unplanned Readmission Rate with ICD B182 - Chronic viral hepatitis C | 31.59 | ||||
| Total Medicare payments at DRG | $218,331,747 | ||||
| Total Medicare payments with ICD B182 - Chronic viral hepatitis C | $21,314,454 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD B182 - Chronic viral hepatitis C | $1,621 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,326 | ||||
| Total Medicare payment per Hospitalization with ICD B182 - Chronic viral hepatitis C | $6,728 | ||||
| Total Medicare Charges at DRG | $1,184,008,123 | ||||
| Total Medicare Charges with ICD B182 - Chronic viral hepatitis C | $110,723,303 | ||||
| Avg Charges at DRG | $34,304 | ||||
| Avg Charges with ICD B182 - Chronic viral hepatitis C | $34,951 | ||||
| Mortality Rate at DRG | 0.79 | ||||
| Mortality Rate with ICD B182 - Chronic viral hepatitis C | 0.79 | ||||
| SNF Discharge Rate at DRG | 14.95 | ||||
| SNF Discharge Rate with ICD B182 - Chronic viral hepatitis C | 13.01 | ||||
| Home Discharge Rate at DRG | 56.13 | ||||
| Home Discharge Rate with ICD B182 - Chronic viral hepatitis C | 60.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD B182 - Chronic viral hepatitis C | 2,781 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD B182 - Chronic viral hepatitis C in DRG | 1.32 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD B182 - Chronic viral hepatitis C | 4.18 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD B182 - Chronic viral hepatitis C | 40.32 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD B182 - Chronic viral hepatitis C | 34.74 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD B182 - Chronic viral hepatitis C | $23,197,359 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD B182 - Chronic viral hepatitis C | $1,994 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD B182 - Chronic viral hepatitis C | $8,341 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD B182 - Chronic viral hepatitis C | $108,881,837 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD B182 - Chronic viral hepatitis C | $39,152 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD B182 - Chronic viral hepatitis C | 2.05 | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD B182 - Chronic viral hepatitis C | 14.67 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD B182 - Chronic viral hepatitis C | 55.27 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 1,641 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 1,373 |
| BOSTON MEDICAL CENTER | 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 905 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 531 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 524 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 328 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 578 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 541 |
| Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 324 |