*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E807 - Disorder of bilirubin metabolism, unspecified - as a primary diagnosis code | E807 - Disorder of bilirubin metabolism, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.14 | |
| Readmission Rate (%) | 24.58 | |
| Unplanned Readmission Rate (%) | 18.57 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 57,175 | |
| Total Hospitalizations with ICD E807 - Disorder of bilirubin metabolism, unspecified | 46 | |
| DRG Share of Total Hospitalizations | 0.17 | |
| % of Total ICD E807 - Disorder of bilirubin metabolism, unspecified in DRG | 57.5 | |
| Avg LOS at DRG | 4.07 | |
| Avg LOS with ICD E807 - Disorder of bilirubin metabolism, unspecified | 3.09 | |
| Readmission Rate at DRG | 34.07 | |
| Readmission Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 41.03 | |
| Unplanned Readmission Rate at DRG | 26.53 | |
| Unplanned Readmission Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | NA | |
| Total Medicare payments at DRG | $353,726,509 | |
| Total Medicare payments with ICD E807 - Disorder of bilirubin metabolism, unspecified | $310,745 | |
| Total Medicare payment per Day at DRG | $1,519 | |
| Total Medicare payment per Day with ICD E807 - Disorder of bilirubin metabolism, unspecified | $2,188 | |
| Total Medicare payment per Hospitalization at DRG | $6,187 | |
| Total Medicare payment per Hospitalization with ICD E807 - Disorder of bilirubin metabolism, unspecified | $6,755 | |
| Total Medicare Charges at DRG | $1,770,659,000 | |
| Total Medicare Charges with ICD E807 - Disorder of bilirubin metabolism, unspecified | $1,540,689 | |
| Avg Charges at DRG | $30,969 | |
| Avg Charges with ICD E807 - Disorder of bilirubin metabolism, unspecified | $33,493 | |
| Mortality Rate at DRG | 1.12 | |
| Mortality Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | NA | |
| SNF Discharge Rate at DRG | 15.97 | |
| SNF Discharge Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | NA | |
| Home Discharge Rate at DRG | 50.7 | |
| Home Discharge Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 60.87 |
*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 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E807 - Disorder of bilirubin metabolism, unspecified | 1,596 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E807 - Disorder of bilirubin metabolism, unspecified in DRG | 11.57 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E807 - Disorder of bilirubin metabolism, unspecified | 6.18 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 22.05 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 14.49 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E807 - Disorder of bilirubin metabolism, unspecified | $19,515,297 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E807 - Disorder of bilirubin metabolism, unspecified | $1,980 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E807 - Disorder of bilirubin metabolism, unspecified | $12,228 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E807 - Disorder of bilirubin metabolism, unspecified | $107,047,415 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E807 - Disorder of bilirubin metabolism, unspecified | $67,072 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 13.47 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 20.61 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 28.95 |
*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 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD E807 - Disorder of bilirubin metabolism, unspecified | 280 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD E807 - Disorder of bilirubin metabolism, unspecified in DRG | 2.03 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD E807 - Disorder of bilirubin metabolism, unspecified | 10.76 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 29.11 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 15.61 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD E807 - Disorder of bilirubin metabolism, unspecified | $9,409,320 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD E807 - Disorder of bilirubin metabolism, unspecified | $3,124 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD E807 - Disorder of bilirubin metabolism, unspecified | $33,605 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD E807 - Disorder of bilirubin metabolism, unspecified | $39,865,479 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD E807 - Disorder of bilirubin metabolism, unspecified | $142,377 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 9.29 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 25.0 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 31.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 419: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,405 | ||||
| Total Hospitalizations with ICD E807 - Disorder of bilirubin metabolism, unspecified | 239 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD E807 - Disorder of bilirubin metabolism, unspecified in DRG | 1.73 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD E807 - Disorder of bilirubin metabolism, unspecified | 5.64 | ||||
| Readmission Rate at DRG | 24.55 | ||||
| Readmission Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 16.71 | ||||
| Unplanned Readmission Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 18.27 | ||||
| Total Medicare payments at DRG | $413,772,388 | ||||
| Total Medicare payments with ICD E807 - Disorder of bilirubin metabolism, unspecified | $2,518,232 | ||||
| Total Medicare payment per Day at DRG | $1,899 | ||||
| Total Medicare payment per Day with ICD E807 - Disorder of bilirubin metabolism, unspecified | $1,868 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,774 | ||||
| Total Medicare payment per Hospitalization with ICD E807 - Disorder of bilirubin metabolism, unspecified | $10,537 | ||||
| Total Medicare Charges at DRG | $2,091,472,966 | ||||
| Total Medicare Charges with ICD E807 - Disorder of bilirubin metabolism, unspecified | $14,322,348 | ||||
| Avg Charges at DRG | $54,458 | ||||
| Avg Charges with ICD E807 - Disorder of bilirubin metabolism, unspecified | $59,926 | ||||
| Mortality Rate at DRG | 3.2 | ||||
| Mortality Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 16.21 | ||||
| SNF Discharge Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 10.46 | ||||
| Home Discharge Rate at DRG | 47.16 | ||||
| Home Discharge Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 55.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH 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 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD E807 - Disorder of bilirubin metabolism, unspecified | 156 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD E807 - Disorder of bilirubin metabolism, unspecified in DRG | 1.13 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD E807 - Disorder of bilirubin metabolism, unspecified | 3.9 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 12.86 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 7.86 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD E807 - Disorder of bilirubin metabolism, unspecified | $938,197 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD E807 - Disorder of bilirubin metabolism, unspecified | $1,541 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD E807 - Disorder of bilirubin metabolism, unspecified | $6,014 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD E807 - Disorder of bilirubin metabolism, unspecified | $5,218,628 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD E807 - Disorder of bilirubin metabolism, unspecified | $33,453 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | NA | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD E807 - Disorder of bilirubin metabolism, unspecified | 80.13 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 341 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 336 |
| ASCENSION VIA CHRISTI ST. FRANCIS | 929 N SAINT FRANCIS ST | WICHITA | KS | 67214 | 311 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROHTASHAV DHIR | 1011 E SAINT MAARTENS DR | SAINT JOSEPH | MO | 64506 | 13 |
| Dr. SANTIAGO M CORNEJO | 13400 E SHEA BLVD | SCOTTSDALE | AZ | 85259 | 12 |
| Dr. ALI MIR AHMED | 450 CLARKSON AVE | BROOKLYN | NY | 11203 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MADELAINE JUDITH VILME | 2776 CLEVELAND AVE STE 8228 | FORT MYERS | FL | 33901 | 21 |
| Dr. SAMUEL S CHARVIT | 11375 CORTEZ BLVD | BROOKSVILLE | FL | 34613 | 21 |
| Dr. DAVID ELIJAH MASSIL | 1 MEDICAL PLAZA DR | ROSEVILLE | CA | 95661 | 20 |