*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D731 - Hypersplenism - as a primary diagnosis code | D731 - Hypersplenism - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.55 | |
| Readmission Rate (%) | 33.41 | |
| Unplanned Readmission Rate (%) | 15.33 | |
| 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 800: SPLENECTOMY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 799: SPLENECTOMY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 814: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 801: SPLENECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,122 | ||||
| Total Hospitalizations with ICD D731 - Hypersplenism | 66 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD D731 - Hypersplenism in DRG | 40.74 | ||||
| Avg LOS at DRG | 6.07 | ||||
| Avg LOS with ICD D731 - Hypersplenism | 4.91 | ||||
| Readmission Rate at DRG | 22.11 | ||||
| Readmission Rate with ICD D731 - Hypersplenism | 16.92 | ||||
| Unplanned Readmission Rate at DRG | 14.52 | ||||
| Unplanned Readmission Rate with ICD D731 - Hypersplenism | NA | ||||
| Total Medicare payments at DRG | $20,708,977 | ||||
| Total Medicare payments with ICD D731 - Hypersplenism | $1,103,380 | ||||
| Total Medicare payment per Day at DRG | $3,043 | ||||
| Total Medicare payment per Day with ICD D731 - Hypersplenism | $3,405 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,457 | ||||
| Total Medicare payment per Hospitalization with ICD D731 - Hypersplenism | $16,718 | ||||
| Total Medicare Charges at DRG | $104,424,655 | ||||
| Total Medicare Charges with ICD D731 - Hypersplenism | $5,459,684 | ||||
| Avg Charges at DRG | $93,070 | ||||
| Avg Charges with ICD D731 - Hypersplenism | $82,722 | ||||
| Mortality Rate at DRG | 1.6 | ||||
| Mortality Rate with ICD D731 - Hypersplenism | NA | ||||
| SNF Discharge Rate at DRG | 9.0 | ||||
| SNF Discharge Rate with ICD D731 - Hypersplenism | NA | ||||
| Home Discharge Rate at DRG | 69.07 | ||||
| Home Discharge Rate with ICD D731 - Hypersplenism | 69.7 |
*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 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD D731 - Hypersplenism | 1,012 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D731 - Hypersplenism in DRG | 6.49 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D731 - Hypersplenism | 7.82 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D731 - Hypersplenism | 32.51 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D731 - Hypersplenism | 22.33 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D731 - Hypersplenism | $12,681,327 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D731 - Hypersplenism | $1,603 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D731 - Hypersplenism | $12,531 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D731 - Hypersplenism | $80,279,980 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D731 - Hypersplenism | $79,328 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D731 - Hypersplenism | 12.35 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D731 - Hypersplenism | 22.43 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D731 - Hypersplenism | 27.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD D731 - Hypersplenism | 450 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD D731 - Hypersplenism in DRG | 2.89 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD D731 - Hypersplenism | 4.2 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD D731 - Hypersplenism | 26.73 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD D731 - Hypersplenism | 22.91 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD D731 - Hypersplenism | $2,733,321 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD D731 - Hypersplenism | $1,445 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD D731 - Hypersplenism | $6,074 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD D731 - Hypersplenism | $17,989,084 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD D731 - Hypersplenism | $39,976 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD D731 - Hypersplenism | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD D731 - Hypersplenism | 8.22 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD D731 - Hypersplenism | 67.33 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD D731 - Hypersplenism | 226 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD D731 - Hypersplenism in DRG | 1.45 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD D731 - Hypersplenism | 7.23 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD D731 - Hypersplenism | 40.7 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD D731 - Hypersplenism | 28.64 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD D731 - Hypersplenism | $2,368,795 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD D731 - Hypersplenism | $1,450 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD D731 - Hypersplenism | $10,481 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD D731 - Hypersplenism | $14,561,968 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD D731 - Hypersplenism | $64,433 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD D731 - Hypersplenism | 6.19 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD D731 - Hypersplenism | 19.03 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD D731 - Hypersplenism | 40.71 |
*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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE 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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD D731 - Hypersplenism | 169 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD D731 - Hypersplenism in DRG | 1.08 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD D731 - Hypersplenism | 4.67 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD D731 - Hypersplenism | 25.79 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD D731 - Hypersplenism | 18.87 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD D731 - Hypersplenism | $976,290 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD D731 - Hypersplenism | $1,236 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD D731 - Hypersplenism | $5,777 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD D731 - Hypersplenism | $6,119,805 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD D731 - Hypersplenism | $36,212 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD D731 - Hypersplenism | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD D731 - Hypersplenism | 10.06 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD D731 - Hypersplenism | 52.66 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CALIFORNIA PACIFIC MEDICAL CENTER-PACIFIC CAMPUS HOSPITAL | 2333 BUCHANAN STREET | SAN FRANCISCO | CA | 94115 | 97 |
| CAPE FEAR VALLEY MEDICAL CENTER | 1638 OWEN DR | FAYETTEVILLE | NC | 28304 | 82 |
| UCHEALTH UNIVERSITY OF COLORADO HOSPITAL | 12605 E 16TH AVE | AURORA | CO | 80045 | 80 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRIAN K. BRONZO | 3700 CALIFORNIA ST | SAN FRANCISCO | CA | 94118 | 15 |
| Dr. ERROL RICHARD KORN | 752 MEDICAL CENTER CT | CHULA VISTA | CA | 91911 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RODNEY LYNN CARRY | 4085 DE ZAVALA RD | SHAVANO PARK | TX | 78249 | 27 |
| Dr. GUY LUBLINER | 2340 CLAY ST | SAN FRANCISCO | CA | 94115 | 21 |
| Dr. FADI F ABOU-ISSA | 8120 MAIN ST | HOUMA | LA | 70360 | 17 |