*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E83111 - Hemochromatosis due to repeated red blood cell transfusions - as a primary diagnosis code | E83111 - Hemochromatosis due to repeated red blood cell transfusions - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.29 | |
| Readmission Rate (%) | 43.83 | |
| Unplanned Readmission Rate (%) | 18.39 | |
| 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 642: INBORN AND OTHER DISORDERS OF METABOLISM | |
|---|---|
| Total Hospitalizations at DRG | 6,630 |
| Total Hospitalizations with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 93 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions in DRG | 97.89 |
| Avg LOS at DRG | 4.34 |
| Avg LOS with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 3.99 |
| Readmission Rate at DRG | 29.08 |
| Readmission Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 61.18 |
| Unplanned Readmission Rate at DRG | 20.62 |
| Unplanned Readmission Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 17.65 |
| Total Medicare payments at DRG | $58,740,768 |
| Total Medicare payments with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $753,167 |
| Total Medicare payment per Day at DRG | $2,041 |
| Total Medicare payment per Day with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $2,030 |
| Total Medicare payment per Hospitalization at DRG | $8,860 |
| Total Medicare payment per Hospitalization with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $8,099 |
| Total Medicare Charges at DRG | $286,238,695 |
| Total Medicare Charges with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $3,505,231 |
| Avg Charges at DRG | $43,173 |
| Avg Charges with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $37,691 |
| Mortality Rate at DRG | 0.65 |
| Mortality Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | NA |
| SNF Discharge Rate at DRG | 12.99 |
| SNF Discharge Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | NA |
| Home Discharge Rate at DRG | 61.03 |
| Home Discharge Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 83.87 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 29 |
| JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS | 1601 YGNACIO VALLEY RD | WALNUT CREEK | CA | 94598 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT LEON ROBLES | 400 TAYLOR BLVD | PLEASANT HILL | CA | 94523 | 13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 4,397 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions in DRG | 46.09 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 6.1 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 47.91 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 42.94 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $23,195,522 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $865 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $5,275 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $172,075,259 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $39,135 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 1.05 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 90.45 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 642: INBORN AND OTHER DISORDERS OF METABOLISM | DRG 808: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 135 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions in DRG | 1.42 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 7.18 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 42.28 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 34.96 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $1,501,035 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $1,549 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $11,119 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $8,068,900 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $59,770 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 52.59 |
*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 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 72 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions in DRG | 0.75 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 4.82 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 32.84 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 23.88 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $492,093 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $1,418 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $6,835 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $3,388,143 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $47,058 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 52.78 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 781: OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS | DRG 014: ALLOGENEIC BONE MARROW TRANSPLANT | DRG 810: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 47 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions in DRG | 0.49 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 5.04 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 31.82 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $428,864 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $1,810 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $9,125 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $2,413,013 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | $51,341 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD E83111 - Hemochromatosis due to repeated red blood cell transfusions | 85.11 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MUSC MEDICAL CENTER | 169 ASHLEY AVE | CHARLESTON | SC | 29403 | 172 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 123 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 121 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MANUEL ZEVALLOS | 3737 MARTIN LUTHER KING JR BLVD | LYNWOOD | CA | 90262 | 29 |
| Dr. AQIB SULTAN | 100 MEDICAL CENTER DRIVE | SLIDELL | LA | 70461 | 23 |
| Dr. MANUEL F GONZALEZ | 115 N SUMTER ST | SUMTER | SC | 29150 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHEL GOWHARI | 1740 W TAYLOR ST | CHICAGO | IL | 60612 | 51 |
| Dr. JAWAN CORINE AYER-COLE | 800 W DR MARTIN LUTHER KING JR BLVD | TAMPA | FL | 33603 | 41 |
| Dr. SHIVI JAIN | 1901 W HARRISON STREET | CHICAGO | IL | 60612 | 40 |