*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D759 - Disease of blood and blood-forming organs, unspecified - as a primary diagnosis code | D759 - Disease of blood and blood-forming organs, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.77 | |
| Readmission Rate (%) | 29.62 | |
| 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 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 D759 - Disease of blood and blood-forming organs, unspecified | 39 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD D759 - Disease of blood and blood-forming organs, unspecified in DRG | 48.15 | ||
| Avg LOS at DRG | 3.88 | ||
| Avg LOS with ICD D759 - Disease of blood and blood-forming organs, unspecified | 3.79 | ||
| Readmission Rate at DRG | 23.69 | ||
| Readmission Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | NA | ||
| Unplanned Readmission Rate at DRG | 15.05 | ||
| Unplanned Readmission Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | NA | ||
| Total Medicare payments at DRG | $57,943,027 | ||
| Total Medicare payments with ICD D759 - Disease of blood and blood-forming organs, unspecified | $276,241 | ||
| Total Medicare payment per Day at DRG | $1,671 | ||
| Total Medicare payment per Day with ICD D759 - Disease of blood and blood-forming organs, unspecified | $1,866 | ||
| Total Medicare payment per Hospitalization at DRG | $6,482 | ||
| Total Medicare payment per Hospitalization with ICD D759 - Disease of blood and blood-forming organs, unspecified | $7,083 | ||
| Total Medicare Charges at DRG | $302,109,342 | ||
| Total Medicare Charges with ICD D759 - Disease of blood and blood-forming organs, unspecified | $1,391,796 | ||
| Avg Charges at DRG | $33,797 | ||
| Avg Charges with ICD D759 - Disease of blood and blood-forming organs, unspecified | $35,687 | ||
| Mortality Rate at DRG | 0.58 | ||
| Mortality Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | NA | ||
| SNF Discharge Rate at DRG | 13.86 | ||
| SNF Discharge Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | NA | ||
| Home Discharge Rate at DRG | 57.72 | ||
| Home Discharge Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 46.15 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY 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 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD D759 - Disease of blood and blood-forming organs, unspecified | 496 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D759 - Disease of blood and blood-forming organs, unspecified in DRG | 6.89 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D759 - Disease of blood and blood-forming organs, unspecified | 7.14 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 30.54 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 19.95 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D759 - Disease of blood and blood-forming organs, unspecified | $6,134,508 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D759 - Disease of blood and blood-forming organs, unspecified | $1,732 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D759 - Disease of blood and blood-forming organs, unspecified | $12,368 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D759 - Disease of blood and blood-forming organs, unspecified | $36,692,567 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D759 - Disease of blood and blood-forming organs, unspecified | $73,977 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 13.91 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 19.96 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 32.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD D759 - Disease of blood and blood-forming organs, unspecified | 144 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD D759 - Disease of blood and blood-forming organs, unspecified in DRG | 2.0 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD D759 - Disease of blood and blood-forming organs, unspecified | 4.7 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 20.44 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 14.6 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD D759 - Disease of blood and blood-forming organs, unspecified | $1,268,491 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD D759 - Disease of blood and blood-forming organs, unspecified | $1,874 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD D759 - Disease of blood and blood-forming organs, unspecified | $8,809 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD D759 - Disease of blood and blood-forming organs, unspecified | $5,697,463 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD D759 - Disease of blood and blood-forming organs, unspecified | $39,566 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 10.42 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 56.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 841: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,646 | ||||
| Total Hospitalizations with ICD D759 - Disease of blood and blood-forming organs, unspecified | 102 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD D759 - Disease of blood and blood-forming organs, unspecified in DRG | 1.42 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD D759 - Disease of blood and blood-forming organs, unspecified | 6.67 | ||||
| Readmission Rate at DRG | 36.28 | ||||
| Readmission Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 40.86 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 23.66 | ||||
| Total Medicare payments at DRG | $299,718,477 | ||||
| Total Medicare payments with ICD D759 - Disease of blood and blood-forming organs, unspecified | $1,278,032 | ||||
| Total Medicare payment per Day at DRG | $2,062 | ||||
| Total Medicare payment per Day with ICD D759 - Disease of blood and blood-forming organs, unspecified | $1,879 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,687 | ||||
| Total Medicare payment per Hospitalization with ICD D759 - Disease of blood and blood-forming organs, unspecified | $12,530 | ||||
| Total Medicare Charges at DRG | $1,432,739,779 | ||||
| Total Medicare Charges with ICD D759 - Disease of blood and blood-forming organs, unspecified | $6,930,657 | ||||
| Avg Charges at DRG | $55,866 | ||||
| Avg Charges with ICD D759 - Disease of blood and blood-forming organs, unspecified | $67,948 | ||||
| Mortality Rate at DRG | 2.6 | ||||
| Mortality Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 13.23 | ||||
| SNF Discharge Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 12.75 | ||||
| Home Discharge Rate at DRG | 49.84 | ||||
| Home Discharge Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 50.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 808: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD D759 - Disease of blood and blood-forming organs, unspecified | 81 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD D759 - Disease of blood and blood-forming organs, unspecified in DRG | 1.13 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD D759 - Disease of blood and blood-forming organs, unspecified | 7.52 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 36.51 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 30.16 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD D759 - Disease of blood and blood-forming organs, unspecified | $899,696 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD D759 - Disease of blood and blood-forming organs, unspecified | $1,477 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD D759 - Disease of blood and blood-forming organs, unspecified | $11,107 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD D759 - Disease of blood and blood-forming organs, unspecified | $5,262,369 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD D759 - Disease of blood and blood-forming organs, unspecified | $64,968 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 13.58 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 16.05 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD D759 - Disease of blood and blood-forming organs, unspecified | 35.8 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ROSWELL PARK COMPREHENSIVE CANCER CENTER | ELM AND CARLTON ST | BUFFALO | NY | 14263 | 136 |
| BEAUMONT HOSPITAL - FARMINGTON HILLS | 28050 GRAND RIVER AVE | FARMINGTON HILLS | MI | 48336 | 72 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 49 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ELIZABETH A GRIFFITHS | ELM AND CARLTON ST | BUFFALO | NY | 14263 | 26 |
| Dr. JAMES E THOMPSON | ELM AND CARLTON ST | BUFFALO | NY | 14263 | 24 |
| Dr. EVELENA ONTIVEROS | ELM AND CARLTON ST | BUFFALO | NY | 14263 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ELIZABETH A GRIFFITHS | ELM AND CARLTON ST | BUFFALO | NY | 14263 | 33 |
| Dr. JAMES E THOMPSON | ELM AND CARLTON ST | BUFFALO | NY | 14263 | 30 |
| Dr. EUNICE WANG | ELM AND CARLTON ST | BUFFALO | NY | 14263 | 24 |