*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D539 - Nutritional anemia, unspecified - as a primary diagnosis code | D539 - Nutritional anemia, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.36 | |
| Readmission Rate (%) | 26.83 | |
| Unplanned Readmission Rate (%) | 19.34 | |
| 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 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 802: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD D539 - Nutritional anemia, unspecified | 2,519 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD D539 - Nutritional anemia, unspecified in DRG | 68.23 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD D539 - Nutritional anemia, unspecified | 3.04 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD D539 - Nutritional anemia, unspecified | 22.78 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD D539 - Nutritional anemia, unspecified | 17.31 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD D539 - Nutritional anemia, unspecified | $13,404,772 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD D539 - Nutritional anemia, unspecified | $1,752 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD D539 - Nutritional anemia, unspecified | $5,321 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD D539 - Nutritional anemia, unspecified | $70,903,162 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD D539 - Nutritional anemia, unspecified | $28,147 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD D539 - Nutritional anemia, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD D539 - Nutritional anemia, unspecified | 21.28 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD D539 - Nutritional anemia, unspecified | 55.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 803: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 3,310 |
| Total Hospitalizations with ICD D539 - Nutritional anemia, unspecified | 15 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD D539 - Nutritional anemia, unspecified in DRG | 0.41 |
| Avg LOS at DRG | 5.29 |
| Avg LOS with ICD D539 - Nutritional anemia, unspecified | 5.53 |
| Readmission Rate at DRG | 26.18 |
| Readmission Rate with ICD D539 - Nutritional anemia, unspecified | NA |
| Unplanned Readmission Rate at DRG | 16.73 |
| Unplanned Readmission Rate with ICD D539 - Nutritional anemia, unspecified | NA |
| Total Medicare payments at DRG | $39,639,920 |
| Total Medicare payments with ICD D539 - Nutritional anemia, unspecified | $185,186 |
| Total Medicare payment per Day at DRG | $2,263 |
| Total Medicare payment per Day with ICD D539 - Nutritional anemia, unspecified | $2,231 |
| Total Medicare payment per Hospitalization at DRG | $11,976 |
| Total Medicare payment per Hospitalization with ICD D539 - Nutritional anemia, unspecified | $12,346 |
| Total Medicare Charges at DRG | $202,430,122 |
| Total Medicare Charges with ICD D539 - Nutritional anemia, unspecified | $748,664 |
| Avg Charges at DRG | $61,157 |
| Avg Charges with ICD D539 - Nutritional anemia, unspecified | $49,911 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD D539 - Nutritional anemia, unspecified | NA |
| SNF Discharge Rate at DRG | 16.44 |
| SNF Discharge Rate with ICD D539 - Nutritional anemia, unspecified | NA |
| Home Discharge Rate at DRG | 56.62 |
| Home Discharge Rate with ICD D539 - Nutritional anemia, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 17 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 15 |
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 11 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD D539 - Nutritional anemia, unspecified | 23,359 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D539 - Nutritional anemia, unspecified in DRG | 9.11 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D539 - Nutritional anemia, unspecified | 6.9 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D539 - Nutritional anemia, unspecified | 27.18 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D539 - Nutritional anemia, unspecified | 19.15 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D539 - Nutritional anemia, unspecified | $286,039,033 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D539 - Nutritional anemia, unspecified | $1,776 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D539 - Nutritional anemia, unspecified | $12,245 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D539 - Nutritional anemia, unspecified | $1,506,622,247 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D539 - Nutritional anemia, unspecified | $64,499 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D539 - Nutritional anemia, unspecified | 11.89 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D539 - Nutritional anemia, unspecified | 30.29 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D539 - Nutritional anemia, unspecified | 21.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD D539 - Nutritional anemia, unspecified | 4,676 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD D539 - Nutritional anemia, unspecified in DRG | 1.82 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD D539 - Nutritional anemia, unspecified | 5.76 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD D539 - Nutritional anemia, unspecified | 24.49 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD D539 - Nutritional anemia, unspecified | 18.38 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD D539 - Nutritional anemia, unspecified | $41,917,903 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD D539 - Nutritional anemia, unspecified | $1,556 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD D539 - Nutritional anemia, unspecified | $8,964 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD D539 - Nutritional anemia, unspecified | $211,264,137 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD D539 - Nutritional anemia, unspecified | $45,181 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD D539 - Nutritional anemia, unspecified | 3.79 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD D539 - Nutritional anemia, unspecified | 27.44 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD D539 - Nutritional anemia, unspecified | 34.99 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 | 408,103 | ||||
| Total Hospitalizations with ICD D539 - Nutritional anemia, unspecified | 3,515 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD D539 - Nutritional anemia, unspecified in DRG | 1.37 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD D539 - Nutritional anemia, unspecified | 3.62 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD D539 - Nutritional anemia, unspecified | 19.95 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD D539 - Nutritional anemia, unspecified | 15.62 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD D539 - Nutritional anemia, unspecified | $21,756,805 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD D539 - Nutritional anemia, unspecified | $1,709 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD D539 - Nutritional anemia, unspecified | $6,190 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD D539 - Nutritional anemia, unspecified | $119,207,297 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD D539 - Nutritional anemia, unspecified | $33,914 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD D539 - Nutritional anemia, unspecified | 0.51 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD D539 - Nutritional anemia, unspecified | 17.75 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD D539 - Nutritional anemia, unspecified | 57.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD D539 - Nutritional anemia, unspecified | 3,092 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD D539 - Nutritional anemia, unspecified in DRG | 1.21 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD D539 - Nutritional anemia, unspecified | 7.61 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD D539 - Nutritional anemia, unspecified | 26.93 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD D539 - Nutritional anemia, unspecified | 19.7 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD D539 - Nutritional anemia, unspecified | $38,101,573 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD D539 - Nutritional anemia, unspecified | $1,619 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD D539 - Nutritional anemia, unspecified | $12,323 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD D539 - Nutritional anemia, unspecified | $185,452,285 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD D539 - Nutritional anemia, unspecified | $59,978 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD D539 - Nutritional anemia, unspecified | 7.34 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD D539 - Nutritional anemia, unspecified | 34.09 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD D539 - Nutritional anemia, unspecified | 19.02 |
| 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 | 1,674 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 830 |
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 800 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL JUSTIN REMLEY | 50 N PERRY ST | PONTIAC | MI | 48342 | 54 |
| Dr. JAMES KIRK SUTTON | 50 N PERRY ST | PONTIAC | MI | 48342 | 41 |
| Dr. BRIAN TWEDDLE | 50 N PERRY ST | PONTIAC | MI | 48342 | 38 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SCOTT PAUL SHISLER | 1100 S VAN DYKE | BAD AXE | MI | 48413 | 302 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 191 |
| Dr. C. DEAN MILNE | 2010 GOLDRING AVE. | LAS VEGAS | NV | 89106 | 128 |