*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D6859 - Other primary thrombophilia - as a primary diagnosis code | D6859 - Other primary thrombophilia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.98 | |
| Readmission Rate (%) | 28.09 | |
| Unplanned Readmission Rate (%) | 18.18 | |
| 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 D6859 - Other primary thrombophilia | 165 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD D6859 - Other primary thrombophilia in DRG | 46.74 | ||
| Avg LOS at DRG | 3.88 | ||
| Avg LOS with ICD D6859 - Other primary thrombophilia | 4.32 | ||
| Readmission Rate at DRG | 23.69 | ||
| Readmission Rate with ICD D6859 - Other primary thrombophilia | 31.82 | ||
| Unplanned Readmission Rate at DRG | 15.05 | ||
| Unplanned Readmission Rate with ICD D6859 - Other primary thrombophilia | 20.78 | ||
| Total Medicare payments at DRG | $57,943,027 | ||
| Total Medicare payments with ICD D6859 - Other primary thrombophilia | $1,105,662 | ||
| Total Medicare payment per Day at DRG | $1,671 | ||
| Total Medicare payment per Day with ICD D6859 - Other primary thrombophilia | $1,551 | ||
| Total Medicare payment per Hospitalization at DRG | $6,482 | ||
| Total Medicare payment per Hospitalization with ICD D6859 - Other primary thrombophilia | $6,701 | ||
| Total Medicare Charges at DRG | $302,109,342 | ||
| Total Medicare Charges with ICD D6859 - Other primary thrombophilia | $5,808,619 | ||
| Avg Charges at DRG | $33,797 | ||
| Avg Charges with ICD D6859 - Other primary thrombophilia | $35,204 | ||
| Mortality Rate at DRG | 0.58 | ||
| Mortality Rate with ICD D6859 - Other primary thrombophilia | NA | ||
| SNF Discharge Rate at DRG | 13.86 | ||
| SNF Discharge Rate with ICD D6859 - Other primary thrombophilia | 11.52 | ||
| Home Discharge Rate at DRG | 57.72 | ||
| Home Discharge Rate with ICD D6859 - Other primary thrombophilia | 57.58 |
*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 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD D6859 - Other primary thrombophilia | 4,525 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D6859 - Other primary thrombophilia in DRG | 6.02 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D6859 - Other primary thrombophilia | 7.4 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D6859 - Other primary thrombophilia | 31.86 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D6859 - Other primary thrombophilia | 21.73 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D6859 - Other primary thrombophilia | $58,669,462 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D6859 - Other primary thrombophilia | $1,753 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D6859 - Other primary thrombophilia | $12,966 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D6859 - Other primary thrombophilia | $357,207,270 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D6859 - Other primary thrombophilia | $78,941 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D6859 - Other primary thrombophilia | 13.92 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D6859 - Other primary thrombophilia | 25.7 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D6859 - Other primary thrombophilia | 24.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD D6859 - Other primary thrombophilia | 1,550 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD D6859 - Other primary thrombophilia in DRG | 2.06 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD D6859 - Other primary thrombophilia | 4.33 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD D6859 - Other primary thrombophilia | 34.39 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD D6859 - Other primary thrombophilia | 10.06 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD D6859 - Other primary thrombophilia | $10,759,730 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD D6859 - Other primary thrombophilia | $1,602 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD D6859 - Other primary thrombophilia | $6,942 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD D6859 - Other primary thrombophilia | $68,505,763 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD D6859 - Other primary thrombophilia | $44,197 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD D6859 - Other primary thrombophilia | 1.23 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD D6859 - Other primary thrombophilia | 17.74 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD D6859 - Other primary thrombophilia | 33.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD D6859 - Other primary thrombophilia | 1,140 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD D6859 - Other primary thrombophilia in DRG | 1.52 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD D6859 - Other primary thrombophilia | 9.11 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD D6859 - Other primary thrombophilia | 36.93 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD D6859 - Other primary thrombophilia | 22.95 | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD D6859 - Other primary thrombophilia | $27,384,416 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD D6859 - Other primary thrombophilia | $2,636 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD D6859 - Other primary thrombophilia | $24,021 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD D6859 - Other primary thrombophilia | $154,367,885 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD D6859 - Other primary thrombophilia | $135,410 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD D6859 - Other primary thrombophilia | 4.3 | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD D6859 - Other primary thrombophilia | 14.47 | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD D6859 - Other primary thrombophilia | 51.4 |
*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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD D6859 - Other primary thrombophilia | 884 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD D6859 - Other primary thrombophilia in DRG | 1.18 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD D6859 - Other primary thrombophilia | 4.34 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD D6859 - Other primary thrombophilia | 19.59 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD D6859 - Other primary thrombophilia | 14.22 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD D6859 - Other primary thrombophilia | $4,770,081 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD D6859 - Other primary thrombophilia | $1,242 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD D6859 - Other primary thrombophilia | $5,396 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD D6859 - Other primary thrombophilia | $25,577,606 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD D6859 - Other primary thrombophilia | $28,934 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD D6859 - Other primary thrombophilia | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD D6859 - Other primary thrombophilia | 12.67 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD D6859 - Other primary thrombophilia | 55.09 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SHERMAN OAKS HOSPITAL | 4929 VAN NUYS BLVD. | SHERMAN OAKS | CA | 91403 | 1,100 |
| ENCINO HOSPITAL MEDICAL CENTER | 16237 VENTURA BLVD | ENCINO | CA | 91436 | 988 |
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 524 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NECHEMIA B PELEG | 4955 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 173 |
| Dr. OLEG LIAKHOVETSKI | 4940 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 86 |
| Dr. SIVA ARUNASALAM | 12780 HESPERIA RD | VICTORVILLE | CA | 92395 | 65 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. OLEG LIAKHOVETSKI | 4940 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 686 |
| Dr. SAM SUMAN NUTHALAPATY | 600 E 233RD ST | BRONX | NY | 10466 | 194 |
| Dr. TIMOTHY JAMES STACY | 4955 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 189 |