*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D591 - Other autoimmune hemolytic anemias - as a primary diagnosis code | D591 - Other autoimmune hemolytic anemias - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.17 | |
| Readmission Rate (%) | 29.53 | |
| Unplanned Readmission Rate (%) | 17.58 | |
| 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 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 808: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 810: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 800: SPLENECTOMY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 801: SPLENECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,432 | ||||
| Total Hospitalizations with ICD D591 - Other autoimmune hemolytic anemias | 2,024 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD D591 - Other autoimmune hemolytic anemias in DRG | 49.61 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD D591 - Other autoimmune hemolytic anemias | 4.9 | ||||
| Readmission Rate at DRG | 30.74 | ||||
| Readmission Rate with ICD D591 - Other autoimmune hemolytic anemias | 22.67 | ||||
| Unplanned Readmission Rate at DRG | 18.94 | ||||
| Unplanned Readmission Rate with ICD D591 - Other autoimmune hemolytic anemias | 16.48 | ||||
| Total Medicare payments at DRG | $376,347,273 | ||||
| Total Medicare payments with ICD D591 - Other autoimmune hemolytic anemias | $17,898,665 | ||||
| Total Medicare payment per Day at DRG | $1,873 | ||||
| Total Medicare payment per Day with ICD D591 - Other autoimmune hemolytic anemias | $1,805 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,284 | ||||
| Total Medicare payment per Hospitalization with ICD D591 - Other autoimmune hemolytic anemias | $8,843 | ||||
| Total Medicare Charges at DRG | $1,794,383,177 | ||||
| Total Medicare Charges with ICD D591 - Other autoimmune hemolytic anemias | $106,935,854 | ||||
| Avg Charges at DRG | $39,496 | ||||
| Avg Charges with ICD D591 - Other autoimmune hemolytic anemias | $52,834 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD D591 - Other autoimmune hemolytic anemias | 0.89 | ||||
| SNF Discharge Rate at DRG | 7.48 | ||||
| SNF Discharge Rate with ICD D591 - Other autoimmune hemolytic anemias | 10.28 | ||||
| Home Discharge Rate at DRG | 67.79 | ||||
| Home Discharge Rate with ICD D591 - Other autoimmune hemolytic anemias | 66.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 799: SPLENECTOMY 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 803: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 1,442 | ||||
| Total Hospitalizations with ICD D591 - Other autoimmune hemolytic anemias | 37 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD D591 - Other autoimmune hemolytic anemias in DRG | 0.91 | ||||
| Avg LOS at DRG | 10.65 | ||||
| Avg LOS with ICD D591 - Other autoimmune hemolytic anemias | 17.16 | ||||
| Readmission Rate at DRG | 30.84 | ||||
| Readmission Rate with ICD D591 - Other autoimmune hemolytic anemias | 43.33 | ||||
| Unplanned Readmission Rate at DRG | 16.39 | ||||
| Unplanned Readmission Rate with ICD D591 - Other autoimmune hemolytic anemias | NA | ||||
| Total Medicare payments at DRG | $50,083,599 | ||||
| Total Medicare payments with ICD D591 - Other autoimmune hemolytic anemias | $1,499,193 | ||||
| Total Medicare payment per Day at DRG | $3,261 | ||||
| Total Medicare payment per Day with ICD D591 - Other autoimmune hemolytic anemias | $2,361 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,732 | ||||
| Total Medicare payment per Hospitalization with ICD D591 - Other autoimmune hemolytic anemias | $40,519 | ||||
| Total Medicare Charges at DRG | $238,153,426 | ||||
| Total Medicare Charges with ICD D591 - Other autoimmune hemolytic anemias | $9,733,857 | ||||
| Avg Charges at DRG | $165,155 | ||||
| Avg Charges with ICD D591 - Other autoimmune hemolytic anemias | $263,077 | ||||
| Mortality Rate at DRG | 10.54 | ||||
| Mortality Rate with ICD D591 - Other autoimmune hemolytic anemias | NA | ||||
| SNF Discharge Rate at DRG | 20.67 | ||||
| SNF Discharge Rate with ICD D591 - Other autoimmune hemolytic anemias | 35.14 | ||||
| Home Discharge Rate at DRG | 35.58 | ||||
| Home Discharge Rate with ICD D591 - Other autoimmune hemolytic anemias | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 26 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 24 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 20 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 808: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 810: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 841: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,432 | ||||
| Total Hospitalizations with ICD D591 - Other autoimmune hemolytic anemias | 2,213 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD D591 - Other autoimmune hemolytic anemias in DRG | 11.46 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD D591 - Other autoimmune hemolytic anemias | 4.93 | ||||
| Readmission Rate at DRG | 30.74 | ||||
| Readmission Rate with ICD D591 - Other autoimmune hemolytic anemias | 23.47 | ||||
| Unplanned Readmission Rate at DRG | 18.94 | ||||
| Unplanned Readmission Rate with ICD D591 - Other autoimmune hemolytic anemias | 16.47 | ||||
| Total Medicare payments at DRG | $376,347,273 | ||||
| Total Medicare payments with ICD D591 - Other autoimmune hemolytic anemias | $19,673,149 | ||||
| Total Medicare payment per Day at DRG | $1,873 | ||||
| Total Medicare payment per Day with ICD D591 - Other autoimmune hemolytic anemias | $1,803 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,284 | ||||
| Total Medicare payment per Hospitalization with ICD D591 - Other autoimmune hemolytic anemias | $8,890 | ||||
| Total Medicare Charges at DRG | $1,794,383,177 | ||||
| Total Medicare Charges with ICD D591 - Other autoimmune hemolytic anemias | $116,634,772 | ||||
| Avg Charges at DRG | $39,496 | ||||
| Avg Charges with ICD D591 - Other autoimmune hemolytic anemias | $52,704 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD D591 - Other autoimmune hemolytic anemias | 0.81 | ||||
| SNF Discharge Rate at DRG | 7.48 | ||||
| SNF Discharge Rate with ICD D591 - Other autoimmune hemolytic anemias | 10.08 | ||||
| Home Discharge Rate at DRG | 67.79 | ||||
| Home Discharge Rate with ICD D591 - Other autoimmune hemolytic anemias | 67.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK 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) | DRG 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD D591 - Other autoimmune hemolytic anemias | 493 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD D591 - Other autoimmune hemolytic anemias in DRG | 2.55 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD D591 - Other autoimmune hemolytic anemias | 6.23 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD D591 - Other autoimmune hemolytic anemias | 26.98 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD D591 - Other autoimmune hemolytic anemias | 22.09 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD D591 - Other autoimmune hemolytic anemias | $4,929,507 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD D591 - Other autoimmune hemolytic anemias | $1,605 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD D591 - Other autoimmune hemolytic anemias | $9,999 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD D591 - Other autoimmune hemolytic anemias | $24,604,167 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD D591 - Other autoimmune hemolytic anemias | $49,907 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD D591 - Other autoimmune hemolytic anemias | 6.09 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD D591 - Other autoimmune hemolytic anemias | 19.88 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD D591 - Other autoimmune hemolytic anemias | 33.87 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD D591 - Other autoimmune hemolytic anemias | 255 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD D591 - Other autoimmune hemolytic anemias in DRG | 1.32 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD D591 - Other autoimmune hemolytic anemias | 6.88 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD D591 - Other autoimmune hemolytic anemias | 24.38 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD D591 - Other autoimmune hemolytic anemias | 20.25 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD D591 - Other autoimmune hemolytic anemias | $2,515,203 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD D591 - Other autoimmune hemolytic anemias | $1,434 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD D591 - Other autoimmune hemolytic anemias | $9,864 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD D591 - Other autoimmune hemolytic anemias | $15,614,373 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD D591 - Other autoimmune hemolytic anemias | $61,233 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD D591 - Other autoimmune hemolytic anemias | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD D591 - Other autoimmune hemolytic anemias | 24.31 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD D591 - Other autoimmune hemolytic anemias | 41.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 813: COAGULATION DISORDERS | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD D591 - Other autoimmune hemolytic anemias | 205 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD D591 - Other autoimmune hemolytic anemias in DRG | 1.06 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD D591 - Other autoimmune hemolytic anemias | 10.11 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD D591 - Other autoimmune hemolytic anemias | 30.22 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD D591 - Other autoimmune hemolytic anemias | 20.88 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD D591 - Other autoimmune hemolytic anemias | $2,123,914 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD D591 - Other autoimmune hemolytic anemias | $1,025 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD D591 - Other autoimmune hemolytic anemias | $10,361 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD D591 - Other autoimmune hemolytic anemias | $12,632,705 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD D591 - Other autoimmune hemolytic anemias | $61,623 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD D591 - Other autoimmune hemolytic anemias | 6.83 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD D591 - Other autoimmune hemolytic anemias | 19.51 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD D591 - Other autoimmune hemolytic anemias | 30.73 |
| 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 | 104 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 96 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 83 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN KAMARA | 6221 WILSHIRE BLVD STE 617 | LOS ANGELES | CA | 90048 | 13 |
| Dr. RANDALL SCOTT SCHWARTZ | 36100 EUCLID AVE | WILLOUGHBY | OH | 44094 | 12 |
| Dr. DANIEL LEWIS SPITZ | 1309 N FLAGLER DR | WEST PALM BEACH | FL | 33401 | 11 |