*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D638 - Anemia in other chronic diseases classified elsewhere - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 20.92 | |
| 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 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD D638 - Anemia in other chronic diseases classified elsewhere | 108,932 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D638 - Anemia in other chronic diseases classified elsewhere in DRG | 9.49 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D638 - Anemia in other chronic diseases classified elsewhere | 7.96 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 30.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 20.98 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D638 - Anemia in other chronic diseases classified elsewhere | $1,365,660,114 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D638 - Anemia in other chronic diseases classified elsewhere | $1,576 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D638 - Anemia in other chronic diseases classified elsewhere | $12,537 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D638 - Anemia in other chronic diseases classified elsewhere | $8,046,449,383 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D638 - Anemia in other chronic diseases classified elsewhere | $73,867 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 10.13 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 32.49 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 19.42 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD D638 - Anemia in other chronic diseases classified elsewhere | 21,609 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD D638 - Anemia in other chronic diseases classified elsewhere in DRG | 1.88 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD D638 - Anemia in other chronic diseases classified elsewhere | 6.3 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 27.79 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 20.82 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD D638 - Anemia in other chronic diseases classified elsewhere | $196,512,402 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD D638 - Anemia in other chronic diseases classified elsewhere | $1,444 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD D638 - Anemia in other chronic diseases classified elsewhere | $9,094 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD D638 - Anemia in other chronic diseases classified elsewhere | $1,109,853,496 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD D638 - Anemia in other chronic diseases classified elsewhere | $51,361 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 3.74 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 26.6 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD D638 - Anemia in other chronic diseases classified elsewhere | 15,454 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD D638 - Anemia in other chronic diseases classified elsewhere in DRG | 1.35 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD D638 - Anemia in other chronic diseases classified elsewhere | 9.01 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 30.51 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 21.73 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD D638 - Anemia in other chronic diseases classified elsewhere | $203,726,844 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD D638 - Anemia in other chronic diseases classified elsewhere | $1,463 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD D638 - Anemia in other chronic diseases classified elsewhere | $13,183 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD D638 - Anemia in other chronic diseases classified elsewhere | $1,131,575,935 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD D638 - Anemia in other chronic diseases classified elsewhere | $73,222 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 6.74 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 35.76 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 16.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD D638 - Anemia in other chronic diseases classified elsewhere | 12,745 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD D638 - Anemia in other chronic diseases classified elsewhere in DRG | 1.11 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD D638 - Anemia in other chronic diseases classified elsewhere | 6.39 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 33.37 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 24.49 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD D638 - Anemia in other chronic diseases classified elsewhere | $141,835,618 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD D638 - Anemia in other chronic diseases classified elsewhere | $1,740 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD D638 - Anemia in other chronic diseases classified elsewhere | $11,129 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD D638 - Anemia in other chronic diseases classified elsewhere | $798,142,186 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD D638 - Anemia in other chronic diseases classified elsewhere | $62,624 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 25.46 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD D638 - Anemia in other chronic diseases classified elsewhere | 31.49 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 4,919 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 4,233 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 4,144 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FARHAN MAQSOOD | 1100 E CHEVES ST | FLORENCE | SC | 29506 | 309 |
| Dr. HAMIDREZA MOGHADDAM | 16919 N BAY RD | SUNNY ISLES BEACH | FL | 33160 | 308 |
| Dr. LOUIS V EBERLE | 6263 POPLAR AVE | MEMPHIS | TN | 38119 | 268 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DEREK DONGWOO LEE | 6901 MEDICAL PKWY | WACO | TX | 76712 | 1,403 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 1,361 |
| Dr. NURUDEEN SHEKONI | 5160 GALAXIE DR | JACKSON | MS | 39206 | 918 |