*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D6851 - Activated protein C resistance - as a primary diagnosis code | D6851 - Activated protein C resistance - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.59 | |
| Readmission Rate (%) | 22.97 | |
| Unplanned Readmission Rate (%) | 14.43 | |
| 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 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 814: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 8,939 | ||
| Total Hospitalizations with ICD D6851 - Activated protein C resistance | 46 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD D6851 - Activated protein C resistance in DRG | 46.94 | ||
| Avg LOS at DRG | 3.88 | ||
| Avg LOS with ICD D6851 - Activated protein C resistance | 5.26 | ||
| Readmission Rate at DRG | 23.69 | ||
| Readmission Rate with ICD D6851 - Activated protein C resistance | NA | ||
| Unplanned Readmission Rate at DRG | 15.05 | ||
| Unplanned Readmission Rate with ICD D6851 - Activated protein C resistance | NA | ||
| Total Medicare payments at DRG | $57,943,027 | ||
| Total Medicare payments with ICD D6851 - Activated protein C resistance | $232,541 | ||
| Total Medicare payment per Day at DRG | $1,671 | ||
| Total Medicare payment per Day with ICD D6851 - Activated protein C resistance | $961 | ||
| Total Medicare payment per Hospitalization at DRG | $6,482 | ||
| Total Medicare payment per Hospitalization with ICD D6851 - Activated protein C resistance | $5,055 | ||
| Total Medicare Charges at DRG | $302,109,342 | ||
| Total Medicare Charges with ICD D6851 - Activated protein C resistance | $1,787,451 | ||
| Avg Charges at DRG | $33,797 | ||
| Avg Charges with ICD D6851 - Activated protein C resistance | $38,858 | ||
| Mortality Rate at DRG | 0.58 | ||
| Mortality Rate with ICD D6851 - Activated protein C resistance | NA | ||
| SNF Discharge Rate at DRG | 13.86 | ||
| SNF Discharge Rate with ICD D6851 - Activated protein C resistance | NA | ||
| Home Discharge Rate at DRG | 57.72 | ||
| Home Discharge Rate with ICD D6851 - Activated protein C resistance | 63.04 |
*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 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | 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 D6851 - Activated protein C resistance | 3,647 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD D6851 - Activated protein C resistance in DRG | 6.03 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD D6851 - Activated protein C resistance | 2.58 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD D6851 - Activated protein C resistance | 9.05 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD D6851 - Activated protein C resistance | 3.68 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD D6851 - Activated protein C resistance | $42,489,139 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD D6851 - Activated protein C resistance | $4,524 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD D6851 - Activated protein C resistance | $11,650 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD D6851 - Activated protein C resistance | $213,606,925 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD D6851 - Activated protein C resistance | $58,571 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD D6851 - Activated protein C resistance | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD D6851 - Activated protein C resistance | 23.58 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD D6851 - Activated protein C resistance | 30.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD D6851 - Activated protein C resistance | 1,015 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD D6851 - Activated protein C resistance in DRG | 1.68 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD D6851 - Activated protein C resistance | 4.0 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD D6851 - Activated protein C resistance | 18.48 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD D6851 - Activated protein C resistance | 13.6 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD D6851 - Activated protein C resistance | $5,139,586 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD D6851 - Activated protein C resistance | $1,267 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD D6851 - Activated protein C resistance | $5,064 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD D6851 - Activated protein C resistance | $26,276,757 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD D6851 - Activated protein C resistance | $25,888 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD D6851 - Activated protein C resistance | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD D6851 - Activated protein C resistance | 10.34 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD D6851 - Activated protein C resistance | 60.1 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD D6851 - Activated protein C resistance | 840 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD D6851 - Activated protein C resistance in DRG | 1.39 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD D6851 - Activated protein C resistance | 6.05 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD D6851 - Activated protein C resistance | 27.72 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD D6851 - Activated protein C resistance | 20.16 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD D6851 - Activated protein C resistance | $7,837,980 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD D6851 - Activated protein C resistance | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD D6851 - Activated protein C resistance | $9,331 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD D6851 - Activated protein C resistance | $38,802,772 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD D6851 - Activated protein C resistance | $46,194 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD D6851 - Activated protein C resistance | 3.57 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD D6851 - Activated protein C resistance | 14.05 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD D6851 - Activated protein C resistance | 45.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD D6851 - Activated protein C resistance | 693 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD D6851 - Activated protein C resistance in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD D6851 - Activated protein C resistance | 4.0 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD D6851 - Activated protein C resistance | 25.95 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD D6851 - Activated protein C resistance | 19.85 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD D6851 - Activated protein C resistance | $3,908,003 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD D6851 - Activated protein C resistance | $1,411 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD D6851 - Activated protein C resistance | $5,639 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD D6851 - Activated protein C resistance | $20,669,441 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD D6851 - Activated protein C resistance | $29,826 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD D6851 - Activated protein C resistance | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD D6851 - Activated protein C resistance | 16.02 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD D6851 - Activated protein C resistance | 56.13 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 382 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 303 |
| ST. CLOUD HOSPITAL | 1406 6TH AVE NORTH | SAINT CLOUD | MN | 56303 | 251 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK A HELLER | 7500 FRANCE AVE S | EDINA | MN | 55435 | 14 |
| Dr. CHARLES A HOPE | 210 E DERENNE AVE | SAVANNAH | GA | 31405 | 12 |
| Dr. MICHAEL LOWELL MOULTON | 813 FOUNDERS PARK DR E | SPRINGDALE | AR | 72762 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GHANEM SHARABI | 27560 HOOVER RD | WARREN | MI | 48093 | 24 |
| Dr. MICHAEL K MARGOLIS | 3950 S ROCHESTER RD | ROCHESTER HILLS | MI | 48307 | 21 |
| Dr. ALAA G MANSOUR | 19011 E 10 MILE RD | ROSEVILLE | MI | 48066 | 17 |