*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E41 - Nutritional marasmus - as a primary diagnosis code | E41 - Nutritional marasmus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.8 | |
| Readmission Rate (%) | 29.51 | |
| Unplanned Readmission Rate (%) | 24.1 | |
| 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT 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 | 310,318 | |
| Total Hospitalizations with ICD E41 - Nutritional marasmus | 51 | |
| DRG Share of Total Hospitalizations | 0.94 | |
| % of Total ICD E41 - Nutritional marasmus in DRG | 55.43 | |
| Avg LOS at DRG | 3.19 | |
| Avg LOS with ICD E41 - Nutritional marasmus | 6.37 | |
| Readmission Rate at DRG | 20.19 | |
| Readmission Rate with ICD E41 - Nutritional marasmus | 39.13 | |
| Unplanned Readmission Rate at DRG | 13.62 | |
| Unplanned Readmission Rate with ICD E41 - Nutritional marasmus | 28.26 | |
| Total Medicare payments at DRG | $1,415,392,709 | |
| Total Medicare payments with ICD E41 - Nutritional marasmus | $292,287 | |
| Total Medicare payment per Day at DRG | $1,431 | |
| Total Medicare payment per Day with ICD E41 - Nutritional marasmus | $899 | |
| Total Medicare payment per Hospitalization at DRG | $4,561 | |
| Total Medicare payment per Hospitalization with ICD E41 - Nutritional marasmus | $5,731 | |
| Total Medicare Charges at DRG | $7,113,640,596 | |
| Total Medicare Charges with ICD E41 - Nutritional marasmus | $1,816,770 | |
| Avg Charges at DRG | $22,924 | |
| Avg Charges with ICD E41 - Nutritional marasmus | $35,623 | |
| Mortality Rate at DRG | 0.63 | |
| Mortality Rate with ICD E41 - Nutritional marasmus | NA | |
| SNF Discharge Rate at DRG | 19.76 | |
| SNF Discharge Rate with ICD E41 - Nutritional marasmus | 23.53 | |
| Home Discharge Rate at DRG | 50.47 | |
| Home Discharge Rate with ICD E41 - Nutritional marasmus | 31.37 |
*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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E41 - Nutritional marasmus | 1,105 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E41 - Nutritional marasmus in DRG | 12.39 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E41 - Nutritional marasmus | 7.74 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E41 - Nutritional marasmus | 25.18 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E41 - Nutritional marasmus | 16.98 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E41 - Nutritional marasmus | $14,096,732 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E41 - Nutritional marasmus | $1,647 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E41 - Nutritional marasmus | $12,757 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E41 - Nutritional marasmus | $80,127,831 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E41 - Nutritional marasmus | $72,514 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E41 - Nutritional marasmus | 19.19 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E41 - Nutritional marasmus | 30.14 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E41 - Nutritional marasmus | 10.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD E41 - Nutritional marasmus | 244 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD E41 - Nutritional marasmus in DRG | 2.74 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD E41 - Nutritional marasmus | 5.48 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD E41 - Nutritional marasmus | 24.56 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD E41 - Nutritional marasmus | 18.86 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD E41 - Nutritional marasmus | $1,719,969 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD E41 - Nutritional marasmus | $1,286 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD E41 - Nutritional marasmus | $7,049 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD E41 - Nutritional marasmus | $9,488,365 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD E41 - Nutritional marasmus | $38,887 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD E41 - Nutritional marasmus | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD E41 - Nutritional marasmus | 19.26 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD E41 - Nutritional marasmus | 39.75 |
*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 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD E41 - Nutritional marasmus | 157 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD E41 - Nutritional marasmus in DRG | 1.76 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD E41 - Nutritional marasmus | 5.54 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD E41 - Nutritional marasmus | 27.03 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD E41 - Nutritional marasmus | 16.22 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD E41 - Nutritional marasmus | $1,086,951 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD E41 - Nutritional marasmus | $1,251 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD E41 - Nutritional marasmus | $6,923 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD E41 - Nutritional marasmus | $5,029,982 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD E41 - Nutritional marasmus | $32,038 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD E41 - Nutritional marasmus | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD E41 - Nutritional marasmus | 37.58 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD E41 - Nutritional marasmus | 20.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD E41 - Nutritional marasmus | 114 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD E41 - Nutritional marasmus in DRG | 1.28 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD E41 - Nutritional marasmus | 13.88 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD E41 - Nutritional marasmus | 24.51 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD E41 - Nutritional marasmus | 14.71 | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD E41 - Nutritional marasmus | $3,809,477 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD E41 - Nutritional marasmus | $2,408 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD E41 - Nutritional marasmus | $33,416 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD E41 - Nutritional marasmus | $18,795,545 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD E41 - Nutritional marasmus | $164,873 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD E41 - Nutritional marasmus | 9.65 | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD E41 - Nutritional marasmus | 19.3 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD E41 - Nutritional marasmus | 21.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 789 |
| SAINT CLARE'S DENVILLE HOSPITAL | 25 POCONO RD | DENVILLE | NJ | 07834 | 551 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 123 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK MICHEAL SHANLEY | 124 E MAIN ST | DENVILLE | NJ | 07834 | 22 |
| Dr. VERA MILLER | 1740 EASTCHESTER RD | BRONX | NY | 10461 | 21 |
| Dr. EDWARD KELLY | 75 FRANCIS ST | BOSTON | MA | 02115 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK MICHEAL SHANLEY | 124 E MAIN ST | DENVILLE | NJ | 07834 | 182 |
| Dr. ARVIND KUMAR AGGARWAL | 23 KINDERKAMACK RD | WOODCLIFF LAKE | NJ | 07677 | 37 |
| Dr. NAGASAMUDRA SHAMARAO ASHOK | 229 W 7TH STREET | SAN JACINTO | CA | 92583 | 37 |