*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease - as a primary diagnosis code | E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.1 | |
| Readmission Rate (%) | 28.59 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 160,950 | |
| Total Hospitalizations with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 16 | |
| DRG Share of Total Hospitalizations | 0.49 | |
| % of Total ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease in DRG | 53.33 | |
| Avg LOS at DRG | 4.98 | |
| Avg LOS with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 2.44 | |
| Readmission Rate at DRG | 20.85 | |
| Readmission Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | NA | |
| Unplanned Readmission Rate at DRG | 13.4 | |
| Unplanned Readmission Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | NA | |
| Total Medicare payments at DRG | $1,184,949,733 | |
| Total Medicare payments with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $65,962 | |
| Total Medicare payment per Day at DRG | $1,477 | |
| Total Medicare payment per Day with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $1,691 | |
| Total Medicare payment per Hospitalization at DRG | $7,362 | |
| Total Medicare payment per Hospitalization with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $4,123 | |
| Total Medicare Charges at DRG | $4,222,078,897 | |
| Total Medicare Charges with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $371,954 | |
| Avg Charges at DRG | $26,232 | |
| Avg Charges with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $23,247 | |
| Mortality Rate at DRG | 0.67 | |
| Mortality Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | NA | |
| SNF Discharge Rate at DRG | 22.29 | |
| SNF Discharge Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | NA | |
| Home Discharge Rate at DRG | 35.46 | |
| Home Discharge Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 81.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 2,376 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease in DRG | 7.33 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 7.03 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 32.21 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 23.48 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $23,340,696 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $1,398 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $9,824 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $138,476,041 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $58,281 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 3.7 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 20.33 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 38.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 841: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 834: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 756 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease in DRG | 2.33 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 5.24 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 28.71 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 21.08 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $5,085,218 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $1,283 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $6,726 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $26,829,062 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $35,488 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 14.95 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 53.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,065 | ||||
| Total Hospitalizations with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 435 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease in DRG | 1.34 | ||||
| Avg LOS at DRG | 4.03 | ||||
| Avg LOS with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 4.75 | ||||
| Readmission Rate at DRG | 66.75 | ||||
| Readmission Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 62.68 | ||||
| Unplanned Readmission Rate at DRG | 10.94 | ||||
| Unplanned Readmission Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 15.02 | ||||
| Total Medicare payments at DRG | $438,494,977 | ||||
| Total Medicare payments with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $4,494,441 | ||||
| Total Medicare payment per Day at DRG | $2,416 | ||||
| Total Medicare payment per Day with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $2,176 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,730 | ||||
| Total Medicare payment per Hospitalization with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $10,332 | ||||
| Total Medicare Charges at DRG | $2,145,591,374 | ||||
| Total Medicare Charges with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $24,846,530 | ||||
| Avg Charges at DRG | $47,611 | ||||
| Avg Charges with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $57,118 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | NA | ||||
| SNF Discharge Rate at DRG | 4.35 | ||||
| SNF Discharge Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 3.45 | ||||
| Home Discharge Rate at DRG | 81.76 | ||||
| Home Discharge Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 79.08 |
*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 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 365 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease in DRG | 1.13 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 6.02 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 27.58 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 19.09 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $3,399,192 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $1,546 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $9,313 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $19,976,117 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | $54,729 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 4.38 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 18.36 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD E790 - Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | 38.9 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 295 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 253 |
| OROVILLE HOSPITAL | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 240 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SRIDHAR THIRUMALAI | 2321 STOUT RD | MENOMONIE | WI | 54751 | 25 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 21 |
| Dr. HARIS ALI | 1500 DUARTE RD | DUARTE | CA | 91010 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ARTI PATEL | 3901 ARMORY ROAD | WICHITA FALLS | TX | 76302 | 153 |
| Dr. STUART M. MILLER | 2001 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 141 |
| Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 60 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | N179 | Acute kidney failure, unspecified |