*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D739 - Disease of spleen, unspecified - as a primary diagnosis code | D739 - Disease of spleen, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.01 | |
| Readmission Rate (%) | 25.69 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD D739 - Disease of spleen, unspecified | 83 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D739 - Disease of spleen, unspecified in DRG | 7.13 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D739 - Disease of spleen, unspecified | 6.87 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D739 - Disease of spleen, unspecified | 24.0 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D739 - Disease of spleen, unspecified | 17.33 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D739 - Disease of spleen, unspecified | $1,008,530 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D739 - Disease of spleen, unspecified | $1,769 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D739 - Disease of spleen, unspecified | $12,151 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D739 - Disease of spleen, unspecified | $5,130,944 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D739 - Disease of spleen, unspecified | $61,819 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D739 - Disease of spleen, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D739 - Disease of spleen, unspecified | 28.92 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D739 - Disease of spleen, unspecified | 34.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD D739 - Disease of spleen, unspecified | 18 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD D739 - Disease of spleen, unspecified in DRG | 1.55 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD D739 - Disease of spleen, unspecified | 3.56 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD D739 - Disease of spleen, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD D739 - Disease of spleen, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD D739 - Disease of spleen, unspecified | $116,405 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD D739 - Disease of spleen, unspecified | $1,819 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD D739 - Disease of spleen, unspecified | $6,467 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD D739 - Disease of spleen, unspecified | $635,005 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD D739 - Disease of spleen, unspecified | $35,278 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD D739 - Disease of spleen, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD D739 - Disease of spleen, unspecified | NA | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD D739 - Disease of spleen, unspecified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD D739 - Disease of spleen, unspecified | 14 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD D739 - Disease of spleen, unspecified in DRG | 1.2 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD D739 - Disease of spleen, unspecified | 5.21 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD D739 - Disease of spleen, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD D739 - Disease of spleen, unspecified | NA | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD D739 - Disease of spleen, unspecified | $67,827 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD D739 - Disease of spleen, unspecified | $929 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD D739 - Disease of spleen, unspecified | $4,845 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD D739 - Disease of spleen, unspecified | $446,028 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD D739 - Disease of spleen, unspecified | $31,859 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD D739 - Disease of spleen, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD D739 - Disease of spleen, unspecified | NA | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD D739 - Disease of spleen, unspecified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD D739 - Disease of spleen, unspecified | 13 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD D739 - Disease of spleen, unspecified in DRG | 1.12 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD D739 - Disease of spleen, unspecified | 5.92 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD D739 - Disease of spleen, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD D739 - Disease of spleen, unspecified | NA | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD D739 - Disease of spleen, unspecified | $85,405 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD D739 - Disease of spleen, unspecified | $1,109 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD D739 - Disease of spleen, unspecified | $6,570 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD D739 - Disease of spleen, unspecified | $651,146 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD D739 - Disease of spleen, unspecified | $50,088 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD D739 - Disease of spleen, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD D739 - Disease of spleen, unspecified | NA | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD D739 - Disease of spleen, unspecified | NA |