*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E806 - Other disorders of bilirubin metabolism - as a primary diagnosis code | E806 - Other disorders of bilirubin metabolism - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.48 | |
| Readmission Rate (%) | 25.9 | |
| Unplanned Readmission Rate (%) | 15.81 | |
| 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 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||
| Total Hospitalizations with ICD E806 - Other disorders of bilirubin metabolism | 326 | ||
| DRG Share of Total Hospitalizations | 0.17 | ||
| % of Total ICD E806 - Other disorders of bilirubin metabolism in DRG | 50.46 | ||
| Avg LOS at DRG | 4.07 | ||
| Avg LOS with ICD E806 - Other disorders of bilirubin metabolism | 3.19 | ||
| Readmission Rate at DRG | 34.07 | ||
| Readmission Rate with ICD E806 - Other disorders of bilirubin metabolism | 23.78 | ||
| Unplanned Readmission Rate at DRG | 26.53 | ||
| Unplanned Readmission Rate with ICD E806 - Other disorders of bilirubin metabolism | 14.34 | ||
| Total Medicare payments at DRG | $353,726,509 | ||
| Total Medicare payments with ICD E806 - Other disorders of bilirubin metabolism | $1,932,061 | ||
| Total Medicare payment per Day at DRG | $1,519 | ||
| Total Medicare payment per Day with ICD E806 - Other disorders of bilirubin metabolism | $1,856 | ||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||
| Total Medicare payment per Hospitalization with ICD E806 - Other disorders of bilirubin metabolism | $5,927 | ||
| Total Medicare Charges at DRG | $1,770,659,000 | ||
| Total Medicare Charges with ICD E806 - Other disorders of bilirubin metabolism | $8,955,114 | ||
| Avg Charges at DRG | $30,969 | ||
| Avg Charges with ICD E806 - Other disorders of bilirubin metabolism | $27,470 | ||
| Mortality Rate at DRG | 1.12 | ||
| Mortality Rate with ICD E806 - Other disorders of bilirubin metabolism | NA | ||
| SNF Discharge Rate at DRG | 15.97 | ||
| SNF Discharge Rate with ICD E806 - Other disorders of bilirubin metabolism | 9.2 | ||
| Home Discharge Rate at DRG | 50.7 | ||
| Home Discharge Rate with ICD E806 - Other disorders of bilirubin metabolism | 64.42 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E806 - Other disorders of bilirubin metabolism | 6,555 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E806 - Other disorders of bilirubin metabolism in DRG | 10.74 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E806 - Other disorders of bilirubin metabolism | 6.5 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E806 - Other disorders of bilirubin metabolism | 24.75 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E806 - Other disorders of bilirubin metabolism | 15.97 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E806 - Other disorders of bilirubin metabolism | $79,980,766 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E806 - Other disorders of bilirubin metabolism | $1,878 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E806 - Other disorders of bilirubin metabolism | $12,201 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E806 - Other disorders of bilirubin metabolism | $454,136,514 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E806 - Other disorders of bilirubin metabolism | $69,281 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E806 - Other disorders of bilirubin metabolism | 14.94 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E806 - Other disorders of bilirubin metabolism | 20.55 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E806 - Other disorders of bilirubin metabolism | 28.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD E806 - Other disorders of bilirubin metabolism | 1,196 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD E806 - Other disorders of bilirubin metabolism in DRG | 1.96 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD E806 - Other disorders of bilirubin metabolism | 12.01 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD E806 - Other disorders of bilirubin metabolism | 31.4 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD E806 - Other disorders of bilirubin metabolism | 14.06 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD E806 - Other disorders of bilirubin metabolism | $41,723,346 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD E806 - Other disorders of bilirubin metabolism | $2,904 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD E806 - Other disorders of bilirubin metabolism | $34,886 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD E806 - Other disorders of bilirubin metabolism | $201,384,612 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD E806 - Other disorders of bilirubin metabolism | $168,382 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD E806 - Other disorders of bilirubin metabolism | 14.72 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD E806 - Other disorders of bilirubin metabolism | 24.16 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD E806 - Other disorders of bilirubin metabolism | 22.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD E806 - Other disorders of bilirubin metabolism | 1,099 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD E806 - Other disorders of bilirubin metabolism in DRG | 1.8 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD E806 - Other disorders of bilirubin metabolism | 3.13 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD E806 - Other disorders of bilirubin metabolism | 16.52 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD E806 - Other disorders of bilirubin metabolism | 11.56 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD E806 - Other disorders of bilirubin metabolism | $5,064,279 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD E806 - Other disorders of bilirubin metabolism | $1,474 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD E806 - Other disorders of bilirubin metabolism | $4,608 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD E806 - Other disorders of bilirubin metabolism | $31,963,138 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD E806 - Other disorders of bilirubin metabolism | $29,084 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD E806 - Other disorders of bilirubin metabolism | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD E806 - Other disorders of bilirubin metabolism | 5.82 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD E806 - Other disorders of bilirubin metabolism | 76.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD E806 - Other disorders of bilirubin metabolism | 659 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD E806 - Other disorders of bilirubin metabolism in DRG | 1.08 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD E806 - Other disorders of bilirubin metabolism | 3.75 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD E806 - Other disorders of bilirubin metabolism | 18.9 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD E806 - Other disorders of bilirubin metabolism | 12.76 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD E806 - Other disorders of bilirubin metabolism | $3,476,910 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD E806 - Other disorders of bilirubin metabolism | $1,406 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD E806 - Other disorders of bilirubin metabolism | $5,276 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD E806 - Other disorders of bilirubin metabolism | $17,574,288 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD E806 - Other disorders of bilirubin metabolism | $26,668 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD E806 - Other disorders of bilirubin metabolism | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD E806 - Other disorders of bilirubin metabolism | 23.37 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD E806 - Other disorders of bilirubin metabolism | 49.17 |
| 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 | 726 |
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 353 |
| MOUNTAINVIEW HOSPITAL | 3100 N TENAYA WAY | LAS VEGAS | NV | 89128 | 299 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 34 |
| Dr. ADAM B ELFANT | 501 FELLOWSHIP RD | MOUNT LAUREL | NJ | 08054 | 23 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SCOTT PAUL SHISLER | 1100 S VAN DYKE | BAD AXE | MI | 48413 | 98 |
| Dr. JEFFREY MICHAEL HOSTETTER | CEDAR CREST AVENUE AND I-78 | ALLENTOWN | PA | 18105 | 46 |
| Dr. J D LITTLETON | 320 W 18TH ST | HOPKINSVILLE | KY | 42240 | 42 |