*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E854 - Organ-limited amyloidosis - as a primary diagnosis code | E854 - Organ-limited amyloidosis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.24 | |
| Readmission Rate (%) | 28.9 | |
| Unplanned Readmission Rate (%) | 12.93 | |
| 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 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 016: AUTOLOGOUS BONE MARROW TRANSPLANT WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,608 | ||||
| Total Hospitalizations with ICD E854 - Organ-limited amyloidosis | 2,612 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD E854 - Organ-limited amyloidosis in DRG | 67.79 | ||||
| Avg LOS at DRG | 8.22 | ||||
| Avg LOS with ICD E854 - Organ-limited amyloidosis | 7.14 | ||||
| Readmission Rate at DRG | 31.98 | ||||
| Readmission Rate with ICD E854 - Organ-limited amyloidosis | 27.56 | ||||
| Unplanned Readmission Rate at DRG | 20.53 | ||||
| Unplanned Readmission Rate with ICD E854 - Organ-limited amyloidosis | 12.89 | ||||
| Total Medicare payments at DRG | $206,660,882 | ||||
| Total Medicare payments with ICD E854 - Organ-limited amyloidosis | $44,717,173 | ||||
| Total Medicare payment per Day at DRG | $2,166 | ||||
| Total Medicare payment per Day with ICD E854 - Organ-limited amyloidosis | $2,397 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,803 | ||||
| Total Medicare payment per Hospitalization with ICD E854 - Organ-limited amyloidosis | $17,120 | ||||
| Total Medicare Charges at DRG | $902,384,310 | ||||
| Total Medicare Charges with ICD E854 - Organ-limited amyloidosis | $176,386,217 | ||||
| Avg Charges at DRG | $77,738 | ||||
| Avg Charges with ICD E854 - Organ-limited amyloidosis | $67,529 | ||||
| Mortality Rate at DRG | 5.53 | ||||
| Mortality Rate with ICD E854 - Organ-limited amyloidosis | 7.24 | ||||
| SNF Discharge Rate at DRG | 19.03 | ||||
| SNF Discharge Rate with ICD E854 - Organ-limited amyloidosis | 22.74 | ||||
| Home Discharge Rate at DRG | 38.57 | ||||
| Home Discharge Rate with ICD E854 - Organ-limited amyloidosis | 27.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,044 | ||||
| Total Hospitalizations with ICD E854 - Organ-limited amyloidosis | 34 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD E854 - Organ-limited amyloidosis in DRG | 0.88 | ||||
| Avg LOS at DRG | 8.82 | ||||
| Avg LOS with ICD E854 - Organ-limited amyloidosis | 11.21 | ||||
| Readmission Rate at DRG | 32.29 | ||||
| Readmission Rate with ICD E854 - Organ-limited amyloidosis | NA | ||||
| Unplanned Readmission Rate at DRG | 14.96 | ||||
| Unplanned Readmission Rate with ICD E854 - Organ-limited amyloidosis | NA | ||||
| Total Medicare payments at DRG | $336,031,207 | ||||
| Total Medicare payments with ICD E854 - Organ-limited amyloidosis | $928,379 | ||||
| Total Medicare payment per Day at DRG | $2,375 | ||||
| Total Medicare payment per Day with ICD E854 - Organ-limited amyloidosis | $2,437 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,944 | ||||
| Total Medicare payment per Hospitalization with ICD E854 - Organ-limited amyloidosis | $27,305 | ||||
| Total Medicare Charges at DRG | $1,654,393,936 | ||||
| Total Medicare Charges with ICD E854 - Organ-limited amyloidosis | $5,715,998 | ||||
| Avg Charges at DRG | $103,116 | ||||
| Avg Charges with ICD E854 - Organ-limited amyloidosis | $168,118 | ||||
| Mortality Rate at DRG | 2.56 | ||||
| Mortality Rate with ICD E854 - Organ-limited amyloidosis | NA | ||||
| SNF Discharge Rate at DRG | 40.52 | ||||
| SNF Discharge Rate with ICD E854 - Organ-limited amyloidosis | 32.35 | ||||
| Home Discharge Rate at DRG | 19.02 | ||||
| Home Discharge Rate with ICD E854 - Organ-limited amyloidosis | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 11,723 |
| Total Hospitalizations with ICD E854 - Organ-limited amyloidosis | 11 |
| DRG Share of Total Hospitalizations | 0.04 |
| % of Total ICD E854 - Organ-limited amyloidosis in DRG | 0.29 |
| Avg LOS at DRG | 3.14 |
| Avg LOS with ICD E854 - Organ-limited amyloidosis | 2.36 |
| Readmission Rate at DRG | 12.89 |
| Readmission Rate with ICD E854 - Organ-limited amyloidosis | NA |
| Unplanned Readmission Rate at DRG | 7.1 |
| Unplanned Readmission Rate with ICD E854 - Organ-limited amyloidosis | NA |
| Total Medicare payments at DRG | $122,697,695 |
| Total Medicare payments with ICD E854 - Organ-limited amyloidosis | $139,618 |
| Total Medicare payment per Day at DRG | $3,328 |
| Total Medicare payment per Day with ICD E854 - Organ-limited amyloidosis | $5,370 |
| Total Medicare payment per Hospitalization at DRG | $10,466 |
| Total Medicare payment per Hospitalization with ICD E854 - Organ-limited amyloidosis | $12,693 |
| Total Medicare Charges at DRG | $633,485,759 |
| Total Medicare Charges with ICD E854 - Organ-limited amyloidosis | $469,106 |
| Avg Charges at DRG | $54,038 |
| Avg Charges with ICD E854 - Organ-limited amyloidosis | $42,646 |
| Mortality Rate at DRG | 0.25 |
| Mortality Rate with ICD E854 - Organ-limited amyloidosis | NA |
| SNF Discharge Rate at DRG | 9.06 |
| SNF Discharge Rate with ICD E854 - Organ-limited amyloidosis | NA |
| Home Discharge Rate at DRG | 70.16 |
| Home Discharge Rate with ICD E854 - Organ-limited amyloidosis | 100.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 80 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 74 |
| NEWYORK PRESBYTERIAN - COLUMBIA UNIVERSITY MEDICAL CENTER | 622 W 168TH ST | NEW YORK | NY | 10032 | 54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD E854 - Organ-limited amyloidosis | 3,757 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD E854 - Organ-limited amyloidosis in DRG | 12.67 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD E854 - Organ-limited amyloidosis | 6.75 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD E854 - Organ-limited amyloidosis | 38.41 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD E854 - Organ-limited amyloidosis | 10.12 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD E854 - Organ-limited amyloidosis | $48,886,438 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD E854 - Organ-limited amyloidosis | $1,928 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD E854 - Organ-limited amyloidosis | $13,012 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD E854 - Organ-limited amyloidosis | $262,657,042 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD E854 - Organ-limited amyloidosis | $69,911 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD E854 - Organ-limited amyloidosis | 13.07 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD E854 - Organ-limited amyloidosis | 29.97 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD E854 - Organ-limited amyloidosis | 10.86 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E854 - Organ-limited amyloidosis | 1,093 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E854 - Organ-limited amyloidosis in DRG | 3.68 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E854 - Organ-limited amyloidosis | 7.81 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E854 - Organ-limited amyloidosis | 28.09 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E854 - Organ-limited amyloidosis | 18.5 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E854 - Organ-limited amyloidosis | $15,107,546 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E854 - Organ-limited amyloidosis | $1,769 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E854 - Organ-limited amyloidosis | $13,822 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E854 - Organ-limited amyloidosis | $81,706,713 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E854 - Organ-limited amyloidosis | $74,755 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E854 - Organ-limited amyloidosis | 16.38 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E854 - Organ-limited amyloidosis | 27.9 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E854 - Organ-limited amyloidosis | 21.32 |
*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 023: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD E854 - Organ-limited amyloidosis | 319 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD E854 - Organ-limited amyloidosis in DRG | 1.08 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD E854 - Organ-limited amyloidosis | 4.13 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD E854 - Organ-limited amyloidosis | 27.24 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD E854 - Organ-limited amyloidosis | 20.6 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD E854 - Organ-limited amyloidosis | $2,030,772 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD E854 - Organ-limited amyloidosis | $1,540 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD E854 - Organ-limited amyloidosis | $6,366 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD E854 - Organ-limited amyloidosis | $9,575,531 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD E854 - Organ-limited amyloidosis | $30,017 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD E854 - Organ-limited amyloidosis | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD E854 - Organ-limited amyloidosis | 19.44 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD E854 - Organ-limited amyloidosis | 47.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD E854 - Organ-limited amyloidosis | 274 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD E854 - Organ-limited amyloidosis in DRG | 0.92 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD E854 - Organ-limited amyloidosis | 5.3 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD E854 - Organ-limited amyloidosis | 29.83 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD E854 - Organ-limited amyloidosis | 21.43 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD E854 - Organ-limited amyloidosis | $2,367,726 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD E854 - Organ-limited amyloidosis | $1,630 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD E854 - Organ-limited amyloidosis | $8,641 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD E854 - Organ-limited amyloidosis | $11,607,502 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD E854 - Organ-limited amyloidosis | $42,363 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD E854 - Organ-limited amyloidosis | 4.38 | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD E854 - Organ-limited amyloidosis | 15.69 | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD E854 - Organ-limited amyloidosis | 42.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 397 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 319 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 287 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 14 |
| Dr. SCOTT STUART BREHAUT | 4290 MIDDLE SETTLEMENT RD | NEW HARTFORD | NY | 13413 | 14 |
| Dr. TIMOTHY GERARD LUKOVITS | 1 MEDICAL CENTER DR | LEBANON | NH | 03756 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BARBARA VOETSCH | 41 MALL RD | BURLINGTON | MA | 01805 | 27 |
| Dr. ENRIQUE C LEIRA | 200 HAWKINS DR | IOWA CITY | IA | 52242 | 25 |
| Dr. MATHEW SHANE MAURER | 622 W 168TH ST | NEW YORK | NY | 10032 | 23 |