*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B1920 - Unspecified viral hepatitis C without hepatic coma - as a primary diagnosis code | B1920 - Unspecified viral hepatitis C without hepatic coma - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.45 | |
| Readmission Rate (%) | 30.57 | |
| Unplanned Readmission Rate (%) | 30.73 | |
| 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 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||||
| Total Hospitalizations with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 416 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD B1920 - Unspecified viral hepatitis C without hepatic coma in DRG | 41.56 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 3.66 | ||||
| Readmission Rate at DRG | 34.07 | ||||
| Readmission Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 34.93 | ||||
| Unplanned Readmission Rate at DRG | 26.53 | ||||
| Unplanned Readmission Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 28.27 | ||||
| Total Medicare payments at DRG | $353,726,509 | ||||
| Total Medicare payments with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $2,421,589 | ||||
| Total Medicare payment per Day at DRG | $1,519 | ||||
| Total Medicare payment per Day with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $1,590 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||||
| Total Medicare payment per Hospitalization with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $5,821 | ||||
| Total Medicare Charges at DRG | $1,770,659,000 | ||||
| Total Medicare Charges with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $11,879,083 | ||||
| Avg Charges at DRG | $30,969 | ||||
| Avg Charges with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $28,555 | ||||
| Mortality Rate at DRG | 1.12 | ||||
| Mortality Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | NA | ||||
| SNF Discharge Rate at DRG | 15.97 | ||||
| SNF Discharge Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 10.1 | ||||
| Home Discharge Rate at DRG | 50.7 | ||||
| Home Discharge Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 59.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 006: LIVER TRANSPLANT WITHOUT 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 | 1,435 | ||
| Total Hospitalizations with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 24 | ||
| DRG Share of Total Hospitalizations | 0.0 | ||
| % of Total ICD B1920 - Unspecified viral hepatitis C without hepatic coma in DRG | 2.4 | ||
| Avg LOS at DRG | 8.46 | ||
| Avg LOS with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 8.29 | ||
| Readmission Rate at DRG | 31.64 | ||
| Readmission Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | NA | ||
| Unplanned Readmission Rate at DRG | 10.64 | ||
| Unplanned Readmission Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | NA | ||
| Total Medicare payments at DRG | $55,869,568 | ||
| Total Medicare payments with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $971,124 | ||
| Total Medicare payment per Day at DRG | $4,601 | ||
| Total Medicare payment per Day with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $4,880 | ||
| Total Medicare payment per Hospitalization at DRG | $38,933 | ||
| Total Medicare payment per Hospitalization with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $40,464 | ||
| Total Medicare Charges at DRG | $459,878,755 | ||
| Total Medicare Charges with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $6,538,303 | ||
| Avg Charges at DRG | $320,473 | ||
| Avg Charges with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $272,429 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | NA | ||
| SNF Discharge Rate at DRG | 2.09 | ||
| SNF Discharge Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | NA | ||
| Home Discharge Rate at DRG | 53.17 | ||
| Home Discharge Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 58.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| EINSTEIN MEDICAL CENTER PHILADELPHIA | 5501 OLD YORK RD | PHILA | PA | 19141 | 16 |
| UNIVERSITY HEALTH SYSTEM | 4502 MEDICAL DR | SAN ANTONIO | TX | 78229 | 15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 28,590 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD B1920 - Unspecified viral hepatitis C without hepatic coma in DRG | 9.57 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 10.48 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 35.38 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 16.67 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $222,405,108 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $742 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $7,779 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $744,384,204 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $26,037 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 3.02 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 83.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,726 | ||||
| Total Hospitalizations with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 4,376 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD B1920 - Unspecified viral hepatitis C without hepatic coma in DRG | 1.46 | ||||
| Avg LOS at DRG | 12.1 | ||||
| Avg LOS with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 11.84 | ||||
| Readmission Rate at DRG | 22.75 | ||||
| Readmission Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 21.96 | ||||
| Unplanned Readmission Rate at DRG | 8.4 | ||||
| Unplanned Readmission Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 7.01 | ||||
| Total Medicare payments at DRG | $426,733,948 | ||||
| Total Medicare payments with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $42,174,684 | ||||
| Total Medicare payment per Day at DRG | $789 | ||||
| Total Medicare payment per Day with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $814 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,541 | ||||
| Total Medicare payment per Hospitalization with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $9,638 | ||||
| Total Medicare Charges at DRG | $1,040,774,746 | ||||
| Total Medicare Charges with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $94,295,700 | ||||
| Avg Charges at DRG | $23,270 | ||||
| Avg Charges with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $21,548 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | NA | ||||
| SNF Discharge Rate at DRG | 0.24 | ||||
| SNF Discharge Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | NA | ||||
| Home Discharge Rate at DRG | 92.46 | ||||
| Home Discharge Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 92.41 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,884 | ||||
| Total Hospitalizations with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 4,124 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD B1920 - Unspecified viral hepatitis C without hepatic coma in DRG | 1.38 | ||||
| Avg LOS at DRG | 6.43 | ||||
| Avg LOS with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 5.84 | ||||
| Readmission Rate at DRG | 37.66 | ||||
| Readmission Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 43.25 | ||||
| Unplanned Readmission Rate at DRG | 28.76 | ||||
| Unplanned Readmission Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 35.62 | ||||
| Total Medicare payments at DRG | $726,233,427 | ||||
| Total Medicare payments with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $51,807,690 | ||||
| Total Medicare payment per Day at DRG | $1,987 | ||||
| Total Medicare payment per Day with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $2,153 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,767 | ||||
| Total Medicare payment per Hospitalization with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $12,562 | ||||
| Total Medicare Charges at DRG | $3,363,541,067 | ||||
| Total Medicare Charges with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $226,166,235 | ||||
| Avg Charges at DRG | $59,130 | ||||
| Avg Charges with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $54,841 | ||||
| Mortality Rate at DRG | 9.48 | ||||
| Mortality Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 7.61 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 19.4 | ||||
| Home Discharge Rate at DRG | 33.97 | ||||
| Home Discharge Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 37.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 3,638 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD B1920 - Unspecified viral hepatitis C without hepatic coma in DRG | 1.22 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 4.84 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 23.75 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 16.77 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $26,422,871 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $1,500 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $7,263 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $147,921,927 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | $40,660 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 1.04 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 14.29 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD B1920 - Unspecified viral hepatitis C without hepatic coma | 53.66 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 1,454 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 1,357 |
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 1,196 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 987 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 193 |
| Dr. DOROTA K. POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 187 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 1,085 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 268 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 220 |