*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E221 - Hyperprolactinemia - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.46 | |
| 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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 614: ADRENAL AND PITUITARY PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 644: ENDOCRINE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD E221 - Hyperprolactinemia | 793 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD E221 - Hyperprolactinemia in DRG | 23.86 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD E221 - Hyperprolactinemia | 21.62 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD E221 - Hyperprolactinemia | 24.93 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD E221 - Hyperprolactinemia | 11.62 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD E221 - Hyperprolactinemia | $9,761,878 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD E221 - Hyperprolactinemia | $569 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD E221 - Hyperprolactinemia | $12,310 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD E221 - Hyperprolactinemia | $44,249,262 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD E221 - Hyperprolactinemia | $55,800 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD E221 - Hyperprolactinemia | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD E221 - Hyperprolactinemia | 3.53 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD E221 - Hyperprolactinemia | 80.2 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD E221 - Hyperprolactinemia | 45 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD E221 - Hyperprolactinemia in DRG | 1.35 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD E221 - Hyperprolactinemia | 4.27 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD E221 - Hyperprolactinemia | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD E221 - Hyperprolactinemia | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD E221 - Hyperprolactinemia | $303,217 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD E221 - Hyperprolactinemia | $1,579 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD E221 - Hyperprolactinemia | $6,738 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD E221 - Hyperprolactinemia | $1,965,697 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD E221 - Hyperprolactinemia | $43,682 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD E221 - Hyperprolactinemia | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD E221 - Hyperprolactinemia | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD E221 - Hyperprolactinemia | 53.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 643: ENDOCRINE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,462 | ||||
| Total Hospitalizations with ICD E221 - Hyperprolactinemia | 36 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD E221 - Hyperprolactinemia in DRG | 1.08 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD E221 - Hyperprolactinemia | 11.75 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD E221 - Hyperprolactinemia | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 18.51 | ||||
| Unplanned Readmission Rate with ICD E221 - Hyperprolactinemia | NA | ||||
| Total Medicare payments at DRG | $317,594,799 | ||||
| Total Medicare payments with ICD E221 - Hyperprolactinemia | $531,786 | ||||
| Total Medicare payment per Day at DRG | $1,651 | ||||
| Total Medicare payment per Day with ICD E221 - Hyperprolactinemia | $1,257 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,426 | ||||
| Total Medicare payment per Hospitalization with ICD E221 - Hyperprolactinemia | $14,772 | ||||
| Total Medicare Charges at DRG | $1,554,071,419 | ||||
| Total Medicare Charges with ICD E221 - Hyperprolactinemia | $3,373,340 | ||||
| Avg Charges at DRG | $51,017 | ||||
| Avg Charges with ICD E221 - Hyperprolactinemia | $93,704 | ||||
| Mortality Rate at DRG | 2.85 | ||||
| Mortality Rate with ICD E221 - Hyperprolactinemia | NA | ||||
| SNF Discharge Rate at DRG | 31.13 | ||||
| SNF Discharge Rate with ICD E221 - Hyperprolactinemia | NA | ||||
| Home Discharge Rate at DRG | 31.18 | ||||
| Home Discharge Rate with ICD E221 - Hyperprolactinemia | 36.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD E221 - Hyperprolactinemia | 33 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD E221 - Hyperprolactinemia in DRG | 0.99 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD E221 - Hyperprolactinemia | 6.76 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD E221 - Hyperprolactinemia | NA | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD E221 - Hyperprolactinemia | NA | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD E221 - Hyperprolactinemia | $258,499 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD E221 - Hyperprolactinemia | $1,159 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD E221 - Hyperprolactinemia | $7,833 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD E221 - Hyperprolactinemia | $1,805,129 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD E221 - Hyperprolactinemia | $54,701 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD E221 - Hyperprolactinemia | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD E221 - Hyperprolactinemia | NA | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD E221 - Hyperprolactinemia | 57.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH VISTA HOSPITAL | 1409 E LAKE MEAD BLVD | NORTH LAS VEGAS | NV | 89030 | 60 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 26 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL AN NGUYEN | 1409 E LAKE MEAD BLVD | N LAS VEGAS | NV | 89030 | 31 |
| Dr. KEVIN BERNSTEIN | 7010 SMOKE RANCH RD STE 120 | LAS VEGAS | NV | 89128 | 29 |
| Dr. SARAMMA EAPPEN | 700 WALTER REED DR | GREENSBORO | NC | 27403 | 13 |