*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E739 - Lactose intolerance, unspecified - as a primary diagnosis code | E739 - Lactose intolerance, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.21 | |
| Readmission Rate (%) | 20.16 | |
| Unplanned Readmission Rate (%) | 22.64 | |
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 522,791 | |
| Total Hospitalizations with ICD E739 - Lactose intolerance, unspecified | 40 | |
| DRG Share of Total Hospitalizations | 1.59 | |
| % of Total ICD E739 - Lactose intolerance, unspecified in DRG | 72.73 | |
| Avg LOS at DRG | 3.14 | |
| Avg LOS with ICD E739 - Lactose intolerance, unspecified | 2.45 | |
| Readmission Rate at DRG | 17.1 | |
| Readmission Rate with ICD E739 - Lactose intolerance, unspecified | 28.95 | |
| Unplanned Readmission Rate at DRG | 12.62 | |
| Unplanned Readmission Rate with ICD E739 - Lactose intolerance, unspecified | NA | |
| Total Medicare payments at DRG | $2,290,151,156 | |
| Total Medicare payments with ICD E739 - Lactose intolerance, unspecified | $181,543 | |
| Total Medicare payment per Day at DRG | $1,394 | |
| Total Medicare payment per Day with ICD E739 - Lactose intolerance, unspecified | $1,852 | |
| Total Medicare payment per Hospitalization at DRG | $4,381 | |
| Total Medicare payment per Hospitalization with ICD E739 - Lactose intolerance, unspecified | $4,539 | |
| Total Medicare Charges at DRG | $13,619,287,561 | |
| Total Medicare Charges with ICD E739 - Lactose intolerance, unspecified | $916,525 | |
| Avg Charges at DRG | $26,051 | |
| Avg Charges with ICD E739 - Lactose intolerance, unspecified | $22,913 | |
| Mortality Rate at DRG | 0.18 | |
| Mortality Rate with ICD E739 - Lactose intolerance, unspecified | NA | |
| SNF Discharge Rate at DRG | 8.57 | |
| SNF Discharge Rate with ICD E739 - Lactose intolerance, unspecified | NA | |
| Home Discharge Rate at DRG | 72.49 | |
| Home Discharge Rate with ICD E739 - Lactose intolerance, unspecified | 80.0 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD E739 - Lactose intolerance, unspecified | 1,744 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD E739 - Lactose intolerance, unspecified in DRG | 7.07 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD E739 - Lactose intolerance, unspecified | 14.17 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD E739 - Lactose intolerance, unspecified | 24.97 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD E739 - Lactose intolerance, unspecified | 10.3 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD E739 - Lactose intolerance, unspecified | $17,655,850 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD E739 - Lactose intolerance, unspecified | $714 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD E739 - Lactose intolerance, unspecified | $10,124 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD E739 - Lactose intolerance, unspecified | $58,175,699 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD E739 - Lactose intolerance, unspecified | $33,358 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD E739 - Lactose intolerance, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD E739 - Lactose intolerance, unspecified | 4.64 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD E739 - Lactose intolerance, unspecified | 79.64 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | 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 E739 - Lactose intolerance, unspecified | 431 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD E739 - Lactose intolerance, unspecified in DRG | 1.75 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD E739 - Lactose intolerance, unspecified | 4.23 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD E739 - Lactose intolerance, unspecified | 12.87 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD E739 - Lactose intolerance, unspecified | 10.15 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD E739 - Lactose intolerance, unspecified | $2,877,892 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD E739 - Lactose intolerance, unspecified | $1,577 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD E739 - Lactose intolerance, unspecified | $6,677 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD E739 - Lactose intolerance, unspecified | $14,743,889 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD E739 - Lactose intolerance, unspecified | $34,209 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD E739 - Lactose intolerance, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD E739 - Lactose intolerance, unspecified | 17.17 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD E739 - Lactose intolerance, unspecified | 53.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD E739 - Lactose intolerance, unspecified | 301 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD E739 - Lactose intolerance, unspecified in DRG | 1.22 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD E739 - Lactose intolerance, unspecified | 3.85 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD E739 - Lactose intolerance, unspecified | 9.43 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD E739 - Lactose intolerance, unspecified | 7.41 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD E739 - Lactose intolerance, unspecified | $1,827,024 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD E739 - Lactose intolerance, unspecified | $1,575 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD E739 - Lactose intolerance, unspecified | $6,070 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD E739 - Lactose intolerance, unspecified | $7,953,165 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD E739 - Lactose intolerance, unspecified | $26,422 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD E739 - Lactose intolerance, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD E739 - Lactose intolerance, unspecified | 16.94 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD E739 - Lactose intolerance, unspecified | 53.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD E739 - Lactose intolerance, unspecified | 249 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD E739 - Lactose intolerance, unspecified in DRG | 1.01 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD E739 - Lactose intolerance, unspecified | 6.05 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD E739 - Lactose intolerance, unspecified | 29.82 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD E739 - Lactose intolerance, unspecified | 25.88 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD E739 - Lactose intolerance, unspecified | $2,464,272 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD E739 - Lactose intolerance, unspecified | $1,636 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD E739 - Lactose intolerance, unspecified | $9,897 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD E739 - Lactose intolerance, unspecified | $10,907,831 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD E739 - Lactose intolerance, unspecified | $43,807 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD E739 - Lactose intolerance, unspecified | 5.62 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD E739 - Lactose intolerance, unspecified | 27.31 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD E739 - Lactose intolerance, unspecified | 29.72 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 303 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 235 |
| UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON MEDICAL CENTER | 301 HOSPITAL DR | GLEN BURNIE | MD | 21061 | 157 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRAD LESLIE PENENBERG | 120 S SPALDING DR STE 400 | BEVERLY HILLS | CA | 90212 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT OLIVER MORTON | 1000 ROLLING HILLS LN | ADA | OK | 74820 | 21 |
| Dr. RAD GHARAVI | 7115 W NORTH AVE | OAK PARK | IL | 60302 | 20 |
| Dr. JOHN J HASKIN | 707 N MICHIGAN ST | SOUTH BEND | IN | 46601 | 17 |