*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E46 - Unspecified protein-calorie malnutrition - as a primary diagnosis code | E46 - Unspecified protein-calorie malnutrition - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.82 | |
| Readmission Rate (%) | 31.41 | |
| Unplanned Readmission Rate (%) | 18.6 | |
| 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) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD E46 - Unspecified protein-calorie malnutrition | 1,579 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD E46 - Unspecified protein-calorie malnutrition in DRG | 65.98 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD E46 - Unspecified protein-calorie malnutrition | 5.31 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD E46 - Unspecified protein-calorie malnutrition | 26.89 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD E46 - Unspecified protein-calorie malnutrition | 17.37 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD E46 - Unspecified protein-calorie malnutrition | $9,479,874 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD E46 - Unspecified protein-calorie malnutrition | $1,130 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD E46 - Unspecified protein-calorie malnutrition | $6,004 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD E46 - Unspecified protein-calorie malnutrition | $49,189,382 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD E46 - Unspecified protein-calorie malnutrition | $31,152 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD E46 - Unspecified protein-calorie malnutrition | 1.52 | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD E46 - Unspecified protein-calorie malnutrition | 32.62 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD E46 - Unspecified protein-calorie malnutrition | 23.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 620: O.R. PROCEDURES FOR OBESITY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 15,548 | |
| Total Hospitalizations with ICD E46 - Unspecified protein-calorie malnutrition | 16 | |
| DRG Share of Total Hospitalizations | 0.05 | |
| % of Total ICD E46 - Unspecified protein-calorie malnutrition in DRG | 0.67 | |
| Avg LOS at DRG | 7.55 | |
| Avg LOS with ICD E46 - Unspecified protein-calorie malnutrition | 10.81 | |
| Readmission Rate at DRG | 25.61 | |
| Readmission Rate with ICD E46 - Unspecified protein-calorie malnutrition | NA | |
| Unplanned Readmission Rate at DRG | 13.93 | |
| Unplanned Readmission Rate with ICD E46 - Unspecified protein-calorie malnutrition | NA | |
| Total Medicare payments at DRG | $225,408,950 | |
| Total Medicare payments with ICD E46 - Unspecified protein-calorie malnutrition | $265,647 | |
| Total Medicare payment per Day at DRG | $1,921 | |
| Total Medicare payment per Day with ICD E46 - Unspecified protein-calorie malnutrition | $1,536 | |
| Total Medicare payment per Hospitalization at DRG | $14,498 | |
| Total Medicare payment per Hospitalization with ICD E46 - Unspecified protein-calorie malnutrition | $16,603 | |
| Total Medicare Charges at DRG | $1,165,672,078 | |
| Total Medicare Charges with ICD E46 - Unspecified protein-calorie malnutrition | $1,268,139 | |
| Avg Charges at DRG | $74,972 | |
| Avg Charges with ICD E46 - Unspecified protein-calorie malnutrition | $79,259 | |
| Mortality Rate at DRG | 0.19 | |
| Mortality Rate with ICD E46 - Unspecified protein-calorie malnutrition | NA | |
| SNF Discharge Rate at DRG | 27.84 | |
| SNF Discharge Rate with ICD E46 - Unspecified protein-calorie malnutrition | NA | |
| Home Discharge Rate at DRG | 27.39 | |
| Home Discharge Rate with ICD E46 - Unspecified protein-calorie malnutrition | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 23 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 20 |
| UNIVERSITY OF WASHINGTON MEDICAL CENTER | 1959 NE PACIFIC ST | SEATTLE | WA | 98195 | 17 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E46 - Unspecified protein-calorie malnutrition | 80,404 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E46 - Unspecified protein-calorie malnutrition in DRG | 11.05 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E46 - Unspecified protein-calorie malnutrition | 8.82 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E46 - Unspecified protein-calorie malnutrition | 29.89 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E46 - Unspecified protein-calorie malnutrition | 19.24 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E46 - Unspecified protein-calorie malnutrition | $1,078,229,328 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E46 - Unspecified protein-calorie malnutrition | $1,520 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E46 - Unspecified protein-calorie malnutrition | $13,410 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E46 - Unspecified protein-calorie malnutrition | $6,559,828,870 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E46 - Unspecified protein-calorie malnutrition | $81,586 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E46 - Unspecified protein-calorie malnutrition | 16.75 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E46 - Unspecified protein-calorie malnutrition | 31.61 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E46 - Unspecified protein-calorie malnutrition | 13.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD E46 - Unspecified protein-calorie malnutrition | 12,199 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD E46 - Unspecified protein-calorie malnutrition in DRG | 1.68 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD E46 - Unspecified protein-calorie malnutrition | 10.04 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD E46 - Unspecified protein-calorie malnutrition | 28.22 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD E46 - Unspecified protein-calorie malnutrition | 19.2 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD E46 - Unspecified protein-calorie malnutrition | $171,224,347 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD E46 - Unspecified protein-calorie malnutrition | $1,397 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD E46 - Unspecified protein-calorie malnutrition | $14,036 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD E46 - Unspecified protein-calorie malnutrition | $959,552,970 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD E46 - Unspecified protein-calorie malnutrition | $78,658 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD E46 - Unspecified protein-calorie malnutrition | 11.11 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD E46 - Unspecified protein-calorie malnutrition | 34.8 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD E46 - Unspecified protein-calorie malnutrition | 13.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD E46 - Unspecified protein-calorie malnutrition | 10,408 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD E46 - Unspecified protein-calorie malnutrition in DRG | 1.43 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD E46 - Unspecified protein-calorie malnutrition | 7.52 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD E46 - Unspecified protein-calorie malnutrition | 26.2 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD E46 - Unspecified protein-calorie malnutrition | 18.14 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD E46 - Unspecified protein-calorie malnutrition | $102,291,858 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD E46 - Unspecified protein-calorie malnutrition | $1,307 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD E46 - Unspecified protein-calorie malnutrition | $9,828 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD E46 - Unspecified protein-calorie malnutrition | $601,067,523 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD E46 - Unspecified protein-calorie malnutrition | $57,751 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD E46 - Unspecified protein-calorie malnutrition | 8.81 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD E46 - Unspecified protein-calorie malnutrition | 30.05 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD E46 - Unspecified protein-calorie malnutrition | 22.22 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD E46 - Unspecified protein-calorie malnutrition | 8,535 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD E46 - Unspecified protein-calorie malnutrition in DRG | 1.17 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD E46 - Unspecified protein-calorie malnutrition | 6.67 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD E46 - Unspecified protein-calorie malnutrition | 30.24 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD E46 - Unspecified protein-calorie malnutrition | 22.55 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD E46 - Unspecified protein-calorie malnutrition | $73,114,885 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD E46 - Unspecified protein-calorie malnutrition | $1,284 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD E46 - Unspecified protein-calorie malnutrition | $8,566 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD E46 - Unspecified protein-calorie malnutrition | $423,882,799 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD E46 - Unspecified protein-calorie malnutrition | $49,664 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD E46 - Unspecified protein-calorie malnutrition | 6.41 | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD E46 - Unspecified protein-calorie malnutrition | 34.08 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD E46 - Unspecified protein-calorie malnutrition | 22.04 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OROVILLE HOSPITAL | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 9,593 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 3,038 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 2,710 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 802 |
| Dr. NHIA KASH VANG | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 582 |
| Dr. LOVE N DALAL | 2809 OLIVE HWY | OROVILLE | CA | 95966 | 437 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. REX DUANE WILSON | 2175 ROSALINE AVE | REDDING | CA | 96001 | 980 |
| Dr. GURBIR SINGH ATWAL | 825 DELBON AVE | TURLOCK | CA | 95382 | 942 |
| Dr. STUART M. MILLER | 2001 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 914 |