*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E8801 - Alpha-1-antitrypsin deficiency - as a primary diagnosis code | E8801 - Alpha-1-antitrypsin deficiency - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.04 | |
| Readmission Rate (%) | 28.21 | |
| Unplanned Readmission Rate (%) | 17.07 | |
| 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 | DRG 007: LUNG TRANSPLANT | |
|---|---|---|
| Total Hospitalizations at DRG | 6,630 | |
| Total Hospitalizations with ICD E8801 - Alpha-1-antitrypsin deficiency | 79 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD E8801 - Alpha-1-antitrypsin deficiency in DRG | 60.77 | |
| Avg LOS at DRG | 4.34 | |
| Avg LOS with ICD E8801 - Alpha-1-antitrypsin deficiency | 4.62 | |
| Readmission Rate at DRG | 29.08 | |
| Readmission Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 30.14 | |
| Unplanned Readmission Rate at DRG | 20.62 | |
| Unplanned Readmission Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 21.92 | |
| Total Medicare payments at DRG | $58,740,768 | |
| Total Medicare payments with ICD E8801 - Alpha-1-antitrypsin deficiency | $665,862 | |
| Total Medicare payment per Day at DRG | $2,041 | |
| Total Medicare payment per Day with ICD E8801 - Alpha-1-antitrypsin deficiency | $1,824 | |
| Total Medicare payment per Hospitalization at DRG | $8,860 | |
| Total Medicare payment per Hospitalization with ICD E8801 - Alpha-1-antitrypsin deficiency | $8,429 | |
| Total Medicare Charges at DRG | $286,238,695 | |
| Total Medicare Charges with ICD E8801 - Alpha-1-antitrypsin deficiency | $2,879,581 | |
| Avg Charges at DRG | $43,173 | |
| Avg Charges with ICD E8801 - Alpha-1-antitrypsin deficiency | $36,450 | |
| Mortality Rate at DRG | 0.65 | |
| Mortality Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | NA | |
| SNF Discharge Rate at DRG | 12.99 | |
| SNF Discharge Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | NA | |
| Home Discharge Rate at DRG | 61.03 | |
| Home Discharge Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 60.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD E8801 - Alpha-1-antitrypsin deficiency | 1,378 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD E8801 - Alpha-1-antitrypsin deficiency in DRG | 10.18 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD E8801 - Alpha-1-antitrypsin deficiency | 5.01 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 24.83 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 19.06 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD E8801 - Alpha-1-antitrypsin deficiency | $9,709,648 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD E8801 - Alpha-1-antitrypsin deficiency | $1,406 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD E8801 - Alpha-1-antitrypsin deficiency | $7,046 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD E8801 - Alpha-1-antitrypsin deficiency | $50,390,188 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD E8801 - Alpha-1-antitrypsin deficiency | $36,568 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 1.16 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 6.89 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 62.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | 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 | 144,444 | ||||
| Total Hospitalizations with ICD E8801 - Alpha-1-antitrypsin deficiency | 323 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD E8801 - Alpha-1-antitrypsin deficiency in DRG | 2.39 | ||||
| Avg LOS at DRG | 2.99 | ||||
| Avg LOS with ICD E8801 - Alpha-1-antitrypsin deficiency | 3.25 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 20.2 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 12.91 | ||||
| Total Medicare payments at DRG | $639,377,802 | ||||
| Total Medicare payments with ICD E8801 - Alpha-1-antitrypsin deficiency | $1,406,028 | ||||
| Total Medicare payment per Day at DRG | $1,479 | ||||
| Total Medicare payment per Day with ICD E8801 - Alpha-1-antitrypsin deficiency | $1,340 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,426 | ||||
| Total Medicare payment per Hospitalization with ICD E8801 - Alpha-1-antitrypsin deficiency | $4,353 | ||||
| Total Medicare Charges at DRG | $2,994,885,256 | ||||
| Total Medicare Charges with ICD E8801 - Alpha-1-antitrypsin deficiency | $7,611,901 | ||||
| Avg Charges at DRG | $20,734 | ||||
| Avg Charges with ICD E8801 - Alpha-1-antitrypsin deficiency | $23,566 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | NA | ||||
| SNF Discharge Rate at DRG | 6.05 | ||||
| SNF Discharge Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 3.41 | ||||
| Home Discharge Rate at DRG | 72.34 | ||||
| Home Discharge Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 75.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD E8801 - Alpha-1-antitrypsin deficiency | 190 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD E8801 - Alpha-1-antitrypsin deficiency in DRG | 1.4 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD E8801 - Alpha-1-antitrypsin deficiency | 5.51 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 31.74 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 25.15 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD E8801 - Alpha-1-antitrypsin deficiency | $1,749,873 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD E8801 - Alpha-1-antitrypsin deficiency | $1,673 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD E8801 - Alpha-1-antitrypsin deficiency | $9,210 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD E8801 - Alpha-1-antitrypsin deficiency | $7,871,574 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD E8801 - Alpha-1-antitrypsin deficiency | $41,429 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 12.63 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 37.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD E8801 - Alpha-1-antitrypsin deficiency | 126 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD E8801 - Alpha-1-antitrypsin deficiency in DRG | 0.93 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD E8801 - Alpha-1-antitrypsin deficiency | 21.89 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 43.68 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | NA | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD E8801 - Alpha-1-antitrypsin deficiency | $5,444,560 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD E8801 - Alpha-1-antitrypsin deficiency | $1,974 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD E8801 - Alpha-1-antitrypsin deficiency | $43,211 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD E8801 - Alpha-1-antitrypsin deficiency | $27,423,680 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD E8801 - Alpha-1-antitrypsin deficiency | $217,648 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 21.43 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 17.46 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD E8801 - Alpha-1-antitrypsin deficiency | 11.9 |
| 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 | 89 |
| INTEGRIS BAPTIST MEDICAL CENTER | 3300 NW EXPRESSWAY ST | OKLAHOMA CITY | OK | 73112 | 83 |
| UNIVERSITY OF MINNESOTA MEDICAL CENTER | 2450 RIVERSIDE AVE | MINNEAPOLIS | MN | 55454 | 75 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD J CASH | 800 BIESTERFIELD RD | ELK GROVE VILLAGE | IL | 60007 | 11 |
| Dr. WILLIAM WESLEY COOK | 3366 NW EXPRESSWAY | OKLAHOMA CITY | OK | 73112 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM WESLEY COOK | 3366 NW EXPRESSWAY | OKLAHOMA CITY | OK | 73112 | 25 |
| Dr. DAVID C MARES | 2101 JACKSON ST | ANDERSON | IN | 46016 | 20 |
| Dr. VINH D NGUYEN | 5116 BISSONNET ST | BELLAIRE | TX | 77401 | 19 |