*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D472 - Monoclonal gammopathy - as a primary diagnosis code | D472 - Monoclonal gammopathy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.55 | |
| Readmission Rate (%) | 25.66 | |
| Unplanned Readmission Rate (%) | 21.58 | |
| 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 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 814: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 8,939 | ||
| Total Hospitalizations with ICD D472 - Monoclonal gammopathy | 150 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD D472 - Monoclonal gammopathy in DRG | 47.47 | ||
| Avg LOS at DRG | 3.88 | ||
| Avg LOS with ICD D472 - Monoclonal gammopathy | 6.29 | ||
| Readmission Rate at DRG | 23.69 | ||
| Readmission Rate with ICD D472 - Monoclonal gammopathy | 28.37 | ||
| Unplanned Readmission Rate at DRG | 15.05 | ||
| Unplanned Readmission Rate with ICD D472 - Monoclonal gammopathy | 19.86 | ||
| Total Medicare payments at DRG | $57,943,027 | ||
| Total Medicare payments with ICD D472 - Monoclonal gammopathy | $1,199,066 | ||
| Total Medicare payment per Day at DRG | $1,671 | ||
| Total Medicare payment per Day with ICD D472 - Monoclonal gammopathy | $1,272 | ||
| Total Medicare payment per Hospitalization at DRG | $6,482 | ||
| Total Medicare payment per Hospitalization with ICD D472 - Monoclonal gammopathy | $7,994 | ||
| Total Medicare Charges at DRG | $302,109,342 | ||
| Total Medicare Charges with ICD D472 - Monoclonal gammopathy | $8,785,105 | ||
| Avg Charges at DRG | $33,797 | ||
| Avg Charges with ICD D472 - Monoclonal gammopathy | $58,567 | ||
| Mortality Rate at DRG | 0.58 | ||
| Mortality Rate with ICD D472 - Monoclonal gammopathy | NA | ||
| SNF Discharge Rate at DRG | 13.86 | ||
| SNF Discharge Rate with ICD D472 - Monoclonal gammopathy | 20.0 | ||
| Home Discharge Rate at DRG | 57.72 | ||
| Home Discharge Rate with ICD D472 - Monoclonal gammopathy | 47.33 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD D472 - Monoclonal gammopathy | 4,797 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D472 - Monoclonal gammopathy in DRG | 6.19 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D472 - Monoclonal gammopathy | 7.34 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D472 - Monoclonal gammopathy | 25.51 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D472 - Monoclonal gammopathy | 17.72 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D472 - Monoclonal gammopathy | $61,183,696 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D472 - Monoclonal gammopathy | $1,739 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D472 - Monoclonal gammopathy | $12,755 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D472 - Monoclonal gammopathy | $314,786,336 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D472 - Monoclonal gammopathy | $65,622 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D472 - Monoclonal gammopathy | 10.61 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D472 - Monoclonal gammopathy | 28.25 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D472 - Monoclonal gammopathy | 26.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD D472 - Monoclonal gammopathy | 1,324 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD D472 - Monoclonal gammopathy in DRG | 1.71 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD D472 - Monoclonal gammopathy | 3.88 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD D472 - Monoclonal gammopathy | 20.53 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD D472 - Monoclonal gammopathy | 16.71 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD D472 - Monoclonal gammopathy | $8,549,454 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD D472 - Monoclonal gammopathy | $1,664 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD D472 - Monoclonal gammopathy | $6,457 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD D472 - Monoclonal gammopathy | $47,746,268 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD D472 - Monoclonal gammopathy | $36,062 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD D472 - Monoclonal gammopathy | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD D472 - Monoclonal gammopathy | 15.33 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD D472 - Monoclonal gammopathy | 60.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD D472 - Monoclonal gammopathy | 998 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD D472 - Monoclonal gammopathy in DRG | 1.29 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD D472 - Monoclonal gammopathy | 6.34 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD D472 - Monoclonal gammopathy | 26.34 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD D472 - Monoclonal gammopathy | 18.7 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD D472 - Monoclonal gammopathy | $9,932,653 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD D472 - Monoclonal gammopathy | $1,570 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD D472 - Monoclonal gammopathy | $9,953 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD D472 - Monoclonal gammopathy | $46,784,137 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD D472 - Monoclonal gammopathy | $46,878 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD D472 - Monoclonal gammopathy | 7.52 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD D472 - Monoclonal gammopathy | 21.34 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD D472 - Monoclonal gammopathy | 36.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD D472 - Monoclonal gammopathy | 844 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD D472 - Monoclonal gammopathy in DRG | 1.09 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD D472 - Monoclonal gammopathy | 3.57 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD D472 - Monoclonal gammopathy | 24.97 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD D472 - Monoclonal gammopathy | 19.1 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD D472 - Monoclonal gammopathy | $4,855,542 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD D472 - Monoclonal gammopathy | $1,612 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD D472 - Monoclonal gammopathy | $5,753 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD D472 - Monoclonal gammopathy | $26,676,574 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD D472 - Monoclonal gammopathy | $31,607 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD D472 - Monoclonal gammopathy | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD D472 - Monoclonal gammopathy | 16.59 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD D472 - Monoclonal gammopathy | 61.02 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 480 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 450 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 389 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SURAJIT CHAUDHURI | 1205 CAPE CT | FAYETTEVILLE | NC | 28304 | 13 |
| Dr. ANDREW S WEEKS | 9 BUZELL AVE | EXETER | NH | 03833 | 13 |
| Dr. TERRY L. OVERBY | 1871 EVELYN BYRD AVE | HARRISONBURG | VA | 22801 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SURAYIA T HASAN | 224 PROFESSIONAL PARK | BECKLEY | WV | 25801 | 31 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 28 |
| Dr. ERIC JASON PALES | 1550 N NORTHWEST HWY | PARK RIDGE | IL | 60068 | 27 |