*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E849 - Cystic fibrosis, unspecified - as a primary diagnosis code | E849 - Cystic fibrosis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.3 | |
| Readmission Rate (%) | 30.3 | |
| Unplanned Readmission Rate (%) | 10.46 | |
| 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES 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 | 310,318 | |
| Total Hospitalizations with ICD E849 - Cystic fibrosis, unspecified | 164 | |
| DRG Share of Total Hospitalizations | 0.94 | |
| % of Total ICD E849 - Cystic fibrosis, unspecified in DRG | 62.12 | |
| Avg LOS at DRG | 3.19 | |
| Avg LOS with ICD E849 - Cystic fibrosis, unspecified | 6.32 | |
| Readmission Rate at DRG | 20.19 | |
| Readmission Rate with ICD E849 - Cystic fibrosis, unspecified | 19.33 | |
| Unplanned Readmission Rate at DRG | 13.62 | |
| Unplanned Readmission Rate with ICD E849 - Cystic fibrosis, unspecified | 8.0 | |
| Total Medicare payments at DRG | $1,415,392,709 | |
| Total Medicare payments with ICD E849 - Cystic fibrosis, unspecified | $990,344 | |
| Total Medicare payment per Day at DRG | $1,431 | |
| Total Medicare payment per Day with ICD E849 - Cystic fibrosis, unspecified | $956 | |
| Total Medicare payment per Hospitalization at DRG | $4,561 | |
| Total Medicare payment per Hospitalization with ICD E849 - Cystic fibrosis, unspecified | $6,039 | |
| Total Medicare Charges at DRG | $7,113,640,596 | |
| Total Medicare Charges with ICD E849 - Cystic fibrosis, unspecified | $9,086,962 | |
| Avg Charges at DRG | $22,924 | |
| Avg Charges with ICD E849 - Cystic fibrosis, unspecified | $55,408 | |
| Mortality Rate at DRG | 0.63 | |
| Mortality Rate with ICD E849 - Cystic fibrosis, unspecified | NA | |
| SNF Discharge Rate at DRG | 19.76 | |
| SNF Discharge Rate with ICD E849 - Cystic fibrosis, unspecified | NA | |
| Home Discharge Rate at DRG | 50.47 | |
| Home Discharge Rate with ICD E849 - Cystic fibrosis, unspecified | 68.9 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E849 - Cystic fibrosis, unspecified | 380 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E849 - Cystic fibrosis, unspecified in DRG | 8.3 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E849 - Cystic fibrosis, unspecified | 6.78 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E849 - Cystic fibrosis, unspecified | 38.31 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E849 - Cystic fibrosis, unspecified | 28.81 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E849 - Cystic fibrosis, unspecified | $4,395,858 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E849 - Cystic fibrosis, unspecified | $1,706 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E849 - Cystic fibrosis, unspecified | $11,568 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E849 - Cystic fibrosis, unspecified | $26,624,468 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E849 - Cystic fibrosis, unspecified | $70,064 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E849 - Cystic fibrosis, unspecified | 6.84 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E849 - Cystic fibrosis, unspecified | 8.42 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E849 - Cystic fibrosis, unspecified | 44.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH 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 | 109,057 | ||||
| Total Hospitalizations with ICD E849 - Cystic fibrosis, unspecified | 127 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD E849 - Cystic fibrosis, unspecified in DRG | 2.77 | ||||
| Avg LOS at DRG | 5.35 | ||||
| Avg LOS with ICD E849 - Cystic fibrosis, unspecified | 7.68 | ||||
| Readmission Rate at DRG | 21.3 | ||||
| Readmission Rate with ICD E849 - Cystic fibrosis, unspecified | 27.59 | ||||
| Unplanned Readmission Rate at DRG | 15.67 | ||||
| Unplanned Readmission Rate with ICD E849 - Cystic fibrosis, unspecified | 15.52 | ||||
| Total Medicare payments at DRG | $920,227,801 | ||||
| Total Medicare payments with ICD E849 - Cystic fibrosis, unspecified | $1,149,261 | ||||
| Total Medicare payment per Day at DRG | $1,576 | ||||
| Total Medicare payment per Day with ICD E849 - Cystic fibrosis, unspecified | $1,179 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,438 | ||||
| Total Medicare payment per Hospitalization with ICD E849 - Cystic fibrosis, unspecified | $9,049 | ||||
| Total Medicare Charges at DRG | $4,179,019,701 | ||||
| Total Medicare Charges with ICD E849 - Cystic fibrosis, unspecified | $8,511,182 | ||||
| Avg Charges at DRG | $38,320 | ||||
| Avg Charges with ICD E849 - Cystic fibrosis, unspecified | $67,017 | ||||
| Mortality Rate at DRG | 1.76 | ||||
| Mortality Rate with ICD E849 - Cystic fibrosis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.6 | ||||
| SNF Discharge Rate with ICD E849 - Cystic fibrosis, unspecified | NA | ||||
| Home Discharge Rate at DRG | 33.88 | ||||
| Home Discharge Rate with ICD E849 - Cystic fibrosis, unspecified | 57.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD E849 - Cystic fibrosis, unspecified | 105 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD E849 - Cystic fibrosis, unspecified in DRG | 2.29 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD E849 - Cystic fibrosis, unspecified | 4.64 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD E849 - Cystic fibrosis, unspecified | 25.25 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD E849 - Cystic fibrosis, unspecified | 18.18 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD E849 - Cystic fibrosis, unspecified | $711,310 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD E849 - Cystic fibrosis, unspecified | $1,461 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD E849 - Cystic fibrosis, unspecified | $6,774 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD E849 - Cystic fibrosis, unspecified | $4,392,687 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD E849 - Cystic fibrosis, unspecified | $41,835 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E849 - Cystic fibrosis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD E849 - Cystic fibrosis, unspecified | NA | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD E849 - Cystic fibrosis, unspecified | 64.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD E849 - Cystic fibrosis, unspecified | 74 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD E849 - Cystic fibrosis, unspecified in DRG | 1.62 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD E849 - Cystic fibrosis, unspecified | 3.51 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD E849 - Cystic fibrosis, unspecified | 30.88 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD E849 - Cystic fibrosis, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD E849 - Cystic fibrosis, unspecified | $422,456 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD E849 - Cystic fibrosis, unspecified | $1,625 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD E849 - Cystic fibrosis, unspecified | $5,709 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD E849 - Cystic fibrosis, unspecified | $2,437,048 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD E849 - Cystic fibrosis, unspecified | $32,933 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD E849 - Cystic fibrosis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD E849 - Cystic fibrosis, unspecified | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD E849 - Cystic fibrosis, unspecified | 81.08 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 91 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 64 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 53 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOEL H WEINBERG | 5200 CENTRE AVE | PITTSBURGH | PA | 15232 | 20 |
| Dr. FATIMA IQBAL | 3459 5TH AVE | PITTSBURGH | PA | 15213 | 17 |
| Dr. AHMET ULUER | 300 LONGWOOD AVE | BOSTON | MA | 02115 | 16 |