*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D5700 - Hb-SS disease with crisis, unspecified - as a primary diagnosis code | D5700 - Hb-SS disease with crisis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.45 | |
| Readmission Rate (%) | 46.22 | |
| Unplanned Readmission Rate (%) | 42.38 | |
| 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD D5700 - Hb-SS disease with crisis, unspecified | 41,168 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD D5700 - Hb-SS disease with crisis, unspecified in DRG | 84.13 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD D5700 - Hb-SS disease with crisis, unspecified | 4.75 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 46.86 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 42.9 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD D5700 - Hb-SS disease with crisis, unspecified | $208,422,009 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD D5700 - Hb-SS disease with crisis, unspecified | $1,065 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD D5700 - Hb-SS disease with crisis, unspecified | $5,063 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD D5700 - Hb-SS disease with crisis, unspecified | $1,224,667,397 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD D5700 - Hb-SS disease with crisis, unspecified | $29,748 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 0.06 | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 0.45 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 89.52 |
*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) | DRG 802: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 3,310 | ||
| Total Hospitalizations with ICD D5700 - Hb-SS disease with crisis, unspecified | 42 | ||
| DRG Share of Total Hospitalizations | 0.01 | ||
| % of Total ICD D5700 - Hb-SS disease with crisis, unspecified in DRG | 0.09 | ||
| Avg LOS at DRG | 5.29 | ||
| Avg LOS with ICD D5700 - Hb-SS disease with crisis, unspecified | 10.14 | ||
| Readmission Rate at DRG | 26.18 | ||
| Readmission Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 40.0 | ||
| Unplanned Readmission Rate at DRG | 16.73 | ||
| Unplanned Readmission Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 32.5 | ||
| Total Medicare payments at DRG | $39,639,920 | ||
| Total Medicare payments with ICD D5700 - Hb-SS disease with crisis, unspecified | $498,313 | ||
| Total Medicare payment per Day at DRG | $2,263 | ||
| Total Medicare payment per Day with ICD D5700 - Hb-SS disease with crisis, unspecified | $1,170 | ||
| Total Medicare payment per Hospitalization at DRG | $11,976 | ||
| Total Medicare payment per Hospitalization with ICD D5700 - Hb-SS disease with crisis, unspecified | $11,865 | ||
| Total Medicare Charges at DRG | $202,430,122 | ||
| Total Medicare Charges with ICD D5700 - Hb-SS disease with crisis, unspecified | $3,772,496 | ||
| Avg Charges at DRG | $61,157 | ||
| Avg Charges with ICD D5700 - Hb-SS disease with crisis, unspecified | $89,821 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | NA | ||
| SNF Discharge Rate at DRG | 16.44 | ||
| SNF Discharge Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | NA | ||
| Home Discharge Rate at DRG | 56.62 | ||
| Home Discharge Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 64.29 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM | 1740 W TAYLOR ST | CHICAGO | IL | 60612 | 496 |
| THE MOSES H. CONE MEMORIAL HOSPITAL | 1200 N ELM ST | GREENSBORO | NC | 27401 | 461 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 444 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHELLE ALLYSON MATTHEWS | 509 N ELAM AVE | GREENSBORO | NC | 27403 | 145 |
| Dr. DOUGLAS CALDWELL COLLINS | 320 PARKWAY DR NE | ATLANTA | GA | 30312 | 93 |
| Dr. CURTIS L OWENS | 3960 KNIGHT ARNOLD RD | MEMPHIS | TN | 38118 | 65 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GERSHWIN THEOPHILUS BLYDEN | 8335 NE 2ND AVE | MIAMI | FL | 33138 | 238 |
| Dr. MICHELLE ALLYSON MATTHEWS | 509 N ELAM AVE | GREENSBORO | NC | 27403 | 235 |
| Dr. SHIVI JAIN | 1901 W HARRISON STREET | CHICAGO | IL | 60612 | 193 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 781: OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD D5700 - Hb-SS disease with crisis, unspecified | 41,363 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD D5700 - Hb-SS disease with crisis, unspecified in DRG | 71.71 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD D5700 - Hb-SS disease with crisis, unspecified | 4.76 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 46.86 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 42.91 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD D5700 - Hb-SS disease with crisis, unspecified | $209,594,974 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD D5700 - Hb-SS disease with crisis, unspecified | $1,066 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD D5700 - Hb-SS disease with crisis, unspecified | $5,067 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD D5700 - Hb-SS disease with crisis, unspecified | $1,230,257,214 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD D5700 - Hb-SS disease with crisis, unspecified | $29,743 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 0.06 | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 0.45 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 89.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD D5700 - Hb-SS disease with crisis, unspecified | 549 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD D5700 - Hb-SS disease with crisis, unspecified in DRG | 0.95 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD D5700 - Hb-SS disease with crisis, unspecified | 10.7 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 50.71 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 45.01 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD D5700 - Hb-SS disease with crisis, unspecified | $6,207,408 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD D5700 - Hb-SS disease with crisis, unspecified | $1,057 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD D5700 - Hb-SS disease with crisis, unspecified | $11,307 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD D5700 - Hb-SS disease with crisis, unspecified | $46,557,322 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD D5700 - Hb-SS disease with crisis, unspecified | $84,804 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 3.28 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 52.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD D5700 - Hb-SS disease with crisis, unspecified | 178 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD D5700 - Hb-SS disease with crisis, unspecified in DRG | 0.31 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD D5700 - Hb-SS disease with crisis, unspecified | 13.7 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 58.64 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 46.3 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD D5700 - Hb-SS disease with crisis, unspecified | $4,589,204 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD D5700 - Hb-SS disease with crisis, unspecified | $1,882 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD D5700 - Hb-SS disease with crisis, unspecified | $25,782 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD D5700 - Hb-SS disease with crisis, unspecified | $27,294,168 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD D5700 - Hb-SS disease with crisis, unspecified | $153,338 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | NA | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 61.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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) | DRG 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD D5700 - Hb-SS disease with crisis, unspecified | 99 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD D5700 - Hb-SS disease with crisis, unspecified in DRG | 0.17 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD D5700 - Hb-SS disease with crisis, unspecified | 4.58 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 57.14 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 50.55 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD D5700 - Hb-SS disease with crisis, unspecified | $676,268 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD D5700 - Hb-SS disease with crisis, unspecified | $1,493 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD D5700 - Hb-SS disease with crisis, unspecified | $6,831 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD D5700 - Hb-SS disease with crisis, unspecified | $4,066,228 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD D5700 - Hb-SS disease with crisis, unspecified | $41,073 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | NA | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD D5700 - Hb-SS disease with crisis, unspecified | 85.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM | 1740 W TAYLOR ST | CHICAGO | IL | 60612 | 569 |
| THE MOSES H. CONE MEMORIAL HOSPITAL | 1200 N ELM ST | GREENSBORO | NC | 27401 | 517 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 508 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHELLE ALLYSON MATTHEWS | 509 N ELAM AVE | GREENSBORO | NC | 27403 | 164 |
| Dr. DOUGLAS CALDWELL COLLINS | 320 PARKWAY DR NE | ATLANTA | GA | 30312 | 94 |
| Dr. CURTIS L OWENS | 3960 KNIGHT ARNOLD RD | MEMPHIS | TN | 38118 | 72 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHELLE ALLYSON MATTHEWS | 509 N ELAM AVE | GREENSBORO | NC | 27403 | 267 |
| Dr. GERSHWIN THEOPHILUS BLYDEN | 8335 NE 2ND AVE | MIAMI | FL | 33138 | 257 |
| Dr. SHIVI JAIN | 1901 W HARRISON STREET | CHICAGO | IL | 60612 | 216 |