*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D573 - Sickle-cell trait - as a primary diagnosis code | D573 - Sickle-cell trait - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.78 | |
| Readmission Rate (%) | 26.2 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 201,938 |
| Total Hospitalizations with ICD D573 - Sickle-cell trait | 20 |
| DRG Share of Total Hospitalizations | 0.61 |
| % of Total ICD D573 - Sickle-cell trait in DRG | 74.07 |
| Avg LOS at DRG | 3.4 |
| Avg LOS with ICD D573 - Sickle-cell trait | 3.95 |
| Readmission Rate at DRG | 26.55 |
| Readmission Rate with ICD D573 - Sickle-cell trait | NA |
| Unplanned Readmission Rate at DRG | 21.29 |
| Unplanned Readmission Rate with ICD D573 - Sickle-cell trait | NA |
| Total Medicare payments at DRG | $1,046,791,335 |
| Total Medicare payments with ICD D573 - Sickle-cell trait | $94,995 |
| Total Medicare payment per Day at DRG | $1,523 |
| Total Medicare payment per Day with ICD D573 - Sickle-cell trait | $1,202 |
| Total Medicare payment per Hospitalization at DRG | $5,184 |
| Total Medicare payment per Hospitalization with ICD D573 - Sickle-cell trait | $4,750 |
| Total Medicare Charges at DRG | $5,572,284,000 |
| Total Medicare Charges with ICD D573 - Sickle-cell trait | $490,640 |
| Avg Charges at DRG | $27,594 |
| Avg Charges with ICD D573 - Sickle-cell trait | $24,532 |
| Mortality Rate at DRG | 0.31 |
| Mortality Rate with ICD D573 - Sickle-cell trait | NA |
| SNF Discharge Rate at DRG | 12.45 |
| SNF Discharge Rate with ICD D573 - Sickle-cell trait | NA |
| Home Discharge Rate at DRG | 66.72 |
| Home Discharge Rate with ICD D573 - Sickle-cell trait | 75.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD D573 - Sickle-cell trait | 756 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD D573 - Sickle-cell trait in DRG | 3.88 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD D573 - Sickle-cell trait | 2.58 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD D573 - Sickle-cell trait | 11.32 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD D573 - Sickle-cell trait | 3.77 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD D573 - Sickle-cell trait | $9,276,067 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD D573 - Sickle-cell trait | $4,762 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD D573 - Sickle-cell trait | $12,270 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD D573 - Sickle-cell trait | $45,018,720 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD D573 - Sickle-cell trait | $59,549 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD D573 - Sickle-cell trait | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD D573 - Sickle-cell trait | 23.94 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD D573 - Sickle-cell trait | 19.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD D573 - Sickle-cell trait | 355 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD D573 - Sickle-cell trait in DRG | 1.82 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD D573 - Sickle-cell trait | 5.26 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD D573 - Sickle-cell trait | 29.56 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD D573 - Sickle-cell trait | 23.9 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD D573 - Sickle-cell trait | $3,510,556 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD D573 - Sickle-cell trait | $1,880 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD D573 - Sickle-cell trait | $9,889 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD D573 - Sickle-cell trait | $14,095,027 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD D573 - Sickle-cell trait | $39,704 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD D573 - Sickle-cell trait | 3.38 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD D573 - Sickle-cell trait | 17.75 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD D573 - Sickle-cell trait | 50.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD D573 - Sickle-cell trait | 261 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD D573 - Sickle-cell trait in DRG | 1.34 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD D573 - Sickle-cell trait | 6.91 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD D573 - Sickle-cell trait | 39.68 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD D573 - Sickle-cell trait | 29.55 | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD D573 - Sickle-cell trait | $5,663,421 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD D573 - Sickle-cell trait | $3,139 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD D573 - Sickle-cell trait | $21,699 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD D573 - Sickle-cell trait | $22,009,261 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD D573 - Sickle-cell trait | $84,327 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD D573 - Sickle-cell trait | NA | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD D573 - Sickle-cell trait | 14.56 | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD D573 - Sickle-cell trait | 52.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD D573 - Sickle-cell trait | 200 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD D573 - Sickle-cell trait in DRG | 1.03 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD D573 - Sickle-cell trait | 4.28 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD D573 - Sickle-cell trait | 26.67 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD D573 - Sickle-cell trait | 23.59 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD D573 - Sickle-cell trait | $1,329,686 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD D573 - Sickle-cell trait | $1,553 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD D573 - Sickle-cell trait | $6,648 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD D573 - Sickle-cell trait | $5,855,553 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD D573 - Sickle-cell trait | $29,278 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD D573 - Sickle-cell trait | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD D573 - Sickle-cell trait | 6.0 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD D573 - Sickle-cell trait | 61.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 171 |
| SENTARA NORFOLK GENERAL HOSPITAL | 600 GRESHAM DR | NORFOLK | VA | 23507 | 166 |
| RUSH UNIVERSITY MEDICAL CENTER | 1653 W CONGRESS PKWY | CHICAGO | IL | 60612 | 151 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEAN CLAUDE BASSILA | 220 N PEARMAN AVE | CLEVELAND | MS | 38732 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 21 |
| Dr. MUDASIRU A CAREW | 12600 PEMBROKE RD | MIRAMAR | FL | 33027 | 20 |
| Dr. IMAD M MANSOOR | 42557 WOODWARD AVE | BLOOMFIELD HILLS | MI | 48304 | 16 |