*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D869 - Sarcoidosis, unspecified - as a primary diagnosis code | D869 - Sarcoidosis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.47 | |
| Readmission Rate (%) | 25.11 | |
| 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 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,541 | ||||
| Total Hospitalizations with ICD D869 - Sarcoidosis, unspecified | 404 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD D869 - Sarcoidosis, unspecified in DRG | 40.04 | ||||
| Avg LOS at DRG | 6.23 | ||||
| Avg LOS with ICD D869 - Sarcoidosis, unspecified | 5.52 | ||||
| Readmission Rate at DRG | 26.09 | ||||
| Readmission Rate with ICD D869 - Sarcoidosis, unspecified | 27.96 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD D869 - Sarcoidosis, unspecified | 21.51 | ||||
| Total Medicare payments at DRG | $258,475,425 | ||||
| Total Medicare payments with ICD D869 - Sarcoidosis, unspecified | $4,105,748 | ||||
| Total Medicare payment per Day at DRG | $1,691 | ||||
| Total Medicare payment per Day with ICD D869 - Sarcoidosis, unspecified | $1,842 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,532 | ||||
| Total Medicare payment per Hospitalization with ICD D869 - Sarcoidosis, unspecified | $10,163 | ||||
| Total Medicare Charges at DRG | $1,253,316,626 | ||||
| Total Medicare Charges with ICD D869 - Sarcoidosis, unspecified | $18,436,462 | ||||
| Avg Charges at DRG | $51,070 | ||||
| Avg Charges with ICD D869 - Sarcoidosis, unspecified | $45,635 | ||||
| Mortality Rate at DRG | 8.32 | ||||
| Mortality Rate with ICD D869 - Sarcoidosis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.24 | ||||
| SNF Discharge Rate with ICD D869 - Sarcoidosis, unspecified | 11.63 | ||||
| Home Discharge Rate at DRG | 38.58 | ||||
| Home Discharge Rate with ICD D869 - Sarcoidosis, unspecified | 59.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 10,403 |
| Total Hospitalizations with ICD D869 - Sarcoidosis, unspecified | 11 |
| DRG Share of Total Hospitalizations | 0.03 |
| % of Total ICD D869 - Sarcoidosis, unspecified in DRG | 1.09 |
| Avg LOS at DRG | 3.0 |
| Avg LOS with ICD D869 - Sarcoidosis, unspecified | 2.55 |
| Readmission Rate at DRG | 11.25 |
| Readmission Rate with ICD D869 - Sarcoidosis, unspecified | NA |
| Unplanned Readmission Rate at DRG | 6.64 |
| Unplanned Readmission Rate with ICD D869 - Sarcoidosis, unspecified | NA |
| Total Medicare payments at DRG | $81,324,379 |
| Total Medicare payments with ICD D869 - Sarcoidosis, unspecified | $89,733 |
| Total Medicare payment per Day at DRG | $2,602 |
| Total Medicare payment per Day with ICD D869 - Sarcoidosis, unspecified | $3,205 |
| Total Medicare payment per Hospitalization at DRG | $7,817 |
| Total Medicare payment per Hospitalization with ICD D869 - Sarcoidosis, unspecified | $8,158 |
| Total Medicare Charges at DRG | $497,200,815 |
| Total Medicare Charges with ICD D869 - Sarcoidosis, unspecified | $558,353 |
| Avg Charges at DRG | $47,794 |
| Avg Charges with ICD D869 - Sarcoidosis, unspecified | $50,759 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD D869 - Sarcoidosis, unspecified | NA |
| SNF Discharge Rate at DRG | 3.03 |
| SNF Discharge Rate with ICD D869 - Sarcoidosis, unspecified | NA |
| Home Discharge Rate at DRG | 80.29 |
| Home Discharge Rate with ICD D869 - Sarcoidosis, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CAPE FEAR VALLEY MEDICAL CENTER | 1638 OWEN DR | FAYETTEVILLE | NC | 28304 | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD D869 - Sarcoidosis, unspecified | 3,762 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D869 - Sarcoidosis, unspecified in DRG | 5.69 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D869 - Sarcoidosis, unspecified | 6.29 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D869 - Sarcoidosis, unspecified | 27.24 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D869 - Sarcoidosis, unspecified | 19.67 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D869 - Sarcoidosis, unspecified | $43,788,341 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D869 - Sarcoidosis, unspecified | $1,849 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D869 - Sarcoidosis, unspecified | $11,640 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D869 - Sarcoidosis, unspecified | $220,473,164 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D869 - Sarcoidosis, unspecified | $58,605 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D869 - Sarcoidosis, unspecified | 9.38 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D869 - Sarcoidosis, unspecified | 21.08 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D869 - Sarcoidosis, unspecified | 36.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD D869 - Sarcoidosis, unspecified | 1,240 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD D869 - Sarcoidosis, unspecified in DRG | 1.87 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD D869 - Sarcoidosis, unspecified | 3.42 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD D869 - Sarcoidosis, unspecified | 20.19 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD D869 - Sarcoidosis, unspecified | 16.13 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD D869 - Sarcoidosis, unspecified | $5,655,488 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD D869 - Sarcoidosis, unspecified | $1,335 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD D869 - Sarcoidosis, unspecified | $4,561 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD D869 - Sarcoidosis, unspecified | $34,793,911 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD D869 - Sarcoidosis, unspecified | $28,060 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD D869 - Sarcoidosis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD D869 - Sarcoidosis, unspecified | 5.48 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD D869 - Sarcoidosis, unspecified | 78.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD D869 - Sarcoidosis, unspecified | 1,042 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD D869 - Sarcoidosis, unspecified in DRG | 1.57 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD D869 - Sarcoidosis, unspecified | 4.5 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD D869 - Sarcoidosis, unspecified | 18.38 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD D869 - Sarcoidosis, unspecified | 13.66 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD D869 - Sarcoidosis, unspecified | $6,863,033 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD D869 - Sarcoidosis, unspecified | $1,464 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD D869 - Sarcoidosis, unspecified | $6,586 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD D869 - Sarcoidosis, unspecified | $35,327,575 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD D869 - Sarcoidosis, unspecified | $33,904 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD D869 - Sarcoidosis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD D869 - Sarcoidosis, unspecified | 12.48 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD D869 - Sarcoidosis, unspecified | 55.57 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD D869 - Sarcoidosis, unspecified | 735 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD D869 - Sarcoidosis, unspecified in DRG | 1.11 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD D869 - Sarcoidosis, unspecified | 3.64 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD D869 - Sarcoidosis, unspecified | 23.03 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD D869 - Sarcoidosis, unspecified | 17.88 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD D869 - Sarcoidosis, unspecified | $4,481,618 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD D869 - Sarcoidosis, unspecified | $1,673 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD D869 - Sarcoidosis, unspecified | $6,097 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD D869 - Sarcoidosis, unspecified | $24,121,689 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD D869 - Sarcoidosis, unspecified | $32,819 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD D869 - Sarcoidosis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD D869 - Sarcoidosis, unspecified | 9.25 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD D869 - Sarcoidosis, unspecified | 71.02 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 282 |
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 254 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 251 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 28 |
| Dr. LUAN K DO | 8851 CENTER DR | LA MESA | CA | 91942 | 24 |
| Dr. RADHIKA JASTHI | 80 MILL RIVER STREET | STAMFORD | CT | 06902 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 34 |
| Dr. JOHN L HERZOG | 1257 HWY 61 S | HOLLANDALE | MS | 38748 | 34 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 26 |