*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E701 - Other hyperphenylalaninemias - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 20.29 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E701 - Other hyperphenylalaninemias | 112 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E701 - Other hyperphenylalaninemias in DRG | 16.94 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E701 - Other hyperphenylalaninemias | 8.59 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E701 - Other hyperphenylalaninemias | 30.39 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E701 - Other hyperphenylalaninemias | 23.53 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E701 - Other hyperphenylalaninemias | $1,365,138 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E701 - Other hyperphenylalaninemias | $1,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E701 - Other hyperphenylalaninemias | $12,189 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E701 - Other hyperphenylalaninemias | $6,948,029 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E701 - Other hyperphenylalaninemias | $62,036 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E701 - Other hyperphenylalaninemias | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E701 - Other hyperphenylalaninemias | 18.75 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E701 - Other hyperphenylalaninemias | 41.07 |
*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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD E701 - Other hyperphenylalaninemias | 18 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD E701 - Other hyperphenylalaninemias in DRG | 2.72 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD E701 - Other hyperphenylalaninemias | 19.0 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD E701 - Other hyperphenylalaninemias | NA | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD E701 - Other hyperphenylalaninemias | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD E701 - Other hyperphenylalaninemias | $174,485 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD E701 - Other hyperphenylalaninemias | $510 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD E701 - Other hyperphenylalaninemias | $9,694 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD E701 - Other hyperphenylalaninemias | $1,108,088 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD E701 - Other hyperphenylalaninemias | $61,560 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD E701 - Other hyperphenylalaninemias | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD E701 - Other hyperphenylalaninemias | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD E701 - Other hyperphenylalaninemias | 66.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 135,138 |
| Total Hospitalizations with ICD E701 - Other hyperphenylalaninemias | 12 |
| DRG Share of Total Hospitalizations | 0.41 |
| % of Total ICD E701 - Other hyperphenylalaninemias in DRG | 1.82 |
| Avg LOS at DRG | 3.28 |
| Avg LOS with ICD E701 - Other hyperphenylalaninemias | 2.92 |
| Readmission Rate at DRG | 16.48 |
| Readmission Rate with ICD E701 - Other hyperphenylalaninemias | NA |
| Unplanned Readmission Rate at DRG | 10.54 |
| Unplanned Readmission Rate with ICD E701 - Other hyperphenylalaninemias | NA |
| Total Medicare payments at DRG | $705,646,122 |
| Total Medicare payments with ICD E701 - Other hyperphenylalaninemias | $65,974 |
| Total Medicare payment per Day at DRG | $1,592 |
| Total Medicare payment per Day with ICD E701 - Other hyperphenylalaninemias | $1,885 |
| Total Medicare payment per Hospitalization at DRG | $5,222 |
| Total Medicare payment per Hospitalization with ICD E701 - Other hyperphenylalaninemias | $5,498 |
| Total Medicare Charges at DRG | $4,131,642,258 |
| Total Medicare Charges with ICD E701 - Other hyperphenylalaninemias | $302,173 |
| Avg Charges at DRG | $30,574 |
| Avg Charges with ICD E701 - Other hyperphenylalaninemias | $25,181 |
| Mortality Rate at DRG | 0.2 |
| Mortality Rate with ICD E701 - Other hyperphenylalaninemias | NA |
| SNF Discharge Rate at DRG | 16.47 |
| SNF Discharge Rate with ICD E701 - Other hyperphenylalaninemias | NA |
| Home Discharge Rate at DRG | 56.97 |
| Home Discharge Rate with ICD E701 - Other hyperphenylalaninemias | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 14 |
| EXCELA HEALTH WESTMORELAND HOSPITAL | 532 W PITTSBURGH ST | GREENSBURG | PA | 15601 | 11 |