*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D899 - Disorder involving the immune mechanism, unspecified - as a primary diagnosis code | D899 - Disorder involving the immune mechanism, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.46 | |
| Readmission Rate (%) | 26.6 | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 8,939 |
| Total Hospitalizations with ICD D899 - Disorder involving the immune mechanism, unspecified | 31 |
| DRG Share of Total Hospitalizations | 0.03 |
| % of Total ICD D899 - Disorder involving the immune mechanism, unspecified in DRG | 67.39 |
| Avg LOS at DRG | 3.88 |
| Avg LOS with ICD D899 - Disorder involving the immune mechanism, unspecified | 3.65 |
| Readmission Rate at DRG | 23.69 |
| Readmission Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | NA |
| Unplanned Readmission Rate at DRG | 15.05 |
| Unplanned Readmission Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | NA |
| Total Medicare payments at DRG | $57,943,027 |
| Total Medicare payments with ICD D899 - Disorder involving the immune mechanism, unspecified | $199,895 |
| Total Medicare payment per Day at DRG | $1,671 |
| Total Medicare payment per Day with ICD D899 - Disorder involving the immune mechanism, unspecified | $1,769 |
| Total Medicare payment per Hospitalization at DRG | $6,482 |
| Total Medicare payment per Hospitalization with ICD D899 - Disorder involving the immune mechanism, unspecified | $6,448 |
| Total Medicare Charges at DRG | $302,109,342 |
| Total Medicare Charges with ICD D899 - Disorder involving the immune mechanism, unspecified | $1,011,022 |
| Avg Charges at DRG | $33,797 |
| Avg Charges with ICD D899 - Disorder involving the immune mechanism, unspecified | $32,614 |
| Mortality Rate at DRG | 0.58 |
| Mortality Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | NA |
| SNF Discharge Rate at DRG | 13.86 |
| SNF Discharge Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | NA |
| Home Discharge Rate at DRG | 57.72 |
| Home Discharge Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 67.74 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD D899 - Disorder involving the immune mechanism, unspecified | 5,438 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D899 - Disorder involving the immune mechanism, unspecified in DRG | 17.18 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D899 - Disorder involving the immune mechanism, unspecified | 6.47 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 26.39 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 18.01 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D899 - Disorder involving the immune mechanism, unspecified | $62,284,378 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D899 - Disorder involving the immune mechanism, unspecified | $1,769 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D899 - Disorder involving the immune mechanism, unspecified | $11,454 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D899 - Disorder involving the immune mechanism, unspecified | $337,624,223 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D899 - Disorder involving the immune mechanism, unspecified | $62,086 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 9.69 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 16.4 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 37.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD D899 - Disorder involving the immune mechanism, unspecified | 723 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD D899 - Disorder involving the immune mechanism, unspecified in DRG | 2.28 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD D899 - Disorder involving the immune mechanism, unspecified | 12.09 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 35.12 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 18.17 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD D899 - Disorder involving the immune mechanism, unspecified | $23,376,364 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD D899 - Disorder involving the immune mechanism, unspecified | $2,673 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD D899 - Disorder involving the immune mechanism, unspecified | $32,332 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD D899 - Disorder involving the immune mechanism, unspecified | $107,994,296 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD D899 - Disorder involving the immune mechanism, unspecified | $149,370 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 12.86 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 22.96 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 22.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 864: FEVER | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD D899 - Disorder involving the immune mechanism, unspecified | 494 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD D899 - Disorder involving the immune mechanism, unspecified in DRG | 1.56 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD D899 - Disorder involving the immune mechanism, unspecified | 6.27 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 34.84 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 26.7 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD D899 - Disorder involving the immune mechanism, unspecified | $4,843,605 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD D899 - Disorder involving the immune mechanism, unspecified | $1,564 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD D899 - Disorder involving the immune mechanism, unspecified | $9,805 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD D899 - Disorder involving the immune mechanism, unspecified | $27,418,158 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD D899 - Disorder involving the immune mechanism, unspecified | $55,502 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 4.05 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 16.4 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 41.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD D899 - Disorder involving the immune mechanism, unspecified | 352 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD D899 - Disorder involving the immune mechanism, unspecified in DRG | 1.11 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD D899 - Disorder involving the immune mechanism, unspecified | 10.34 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 32.87 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 15.92 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD D899 - Disorder involving the immune mechanism, unspecified | $8,233,711 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD D899 - Disorder involving the immune mechanism, unspecified | $2,261 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD D899 - Disorder involving the immune mechanism, unspecified | $23,391 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD D899 - Disorder involving the immune mechanism, unspecified | $40,457,709 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD D899 - Disorder involving the immune mechanism, unspecified | $114,937 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 12.78 | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 14.49 | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD D899 - Disorder involving the immune mechanism, unspecified | 37.22 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 459 |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | 620 SKYLINE DR | JACKSON | TN | 38301 | 285 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 230 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES M LEE | 100 SOUTH ASHLEY DRIVE | TAMPA | FL | 33602 | 18 |
| Dr. SEYED GHASEMIAN | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 18 |
| Dr. JEFFREY E BALL | 506 6TH ST | BROOKLYN | NY | 11215 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HENRY J WEISS | 5350 SPRING HILL DR | SPRING HILL | FL | 34606 | 47 |
| Dr. ABDULLAH KAMARA | 10065 CORTEZ BLVD | WEEKI WACHEE | FL | 34613 | 44 |
| Dr. KAISER RENI TARAFDAR | 4102 24TH ST | LUBBOCK | TX | 79410 | 44 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | D649 | Anemia, unspecified |
| 2 | Z7982 | Long term (current) use of aspirin |
| 3 | Z87891 | Personal history of nicotine dependence |
| 4 | E785 | Hyperlipidemia, unspecified |
| 5 | I10 | Essential (primary) hypertension |