*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E8881 - Metabolic syndrome - as a primary diagnosis code | E8881 - Metabolic syndrome - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.09 | |
| Readmission Rate (%) | 21.76 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 620: O.R. PROCEDURES FOR OBESITY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 6,630 | |
| Total Hospitalizations with ICD E8881 - Metabolic syndrome | 56 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD E8881 - Metabolic syndrome in DRG | 50.0 | |
| Avg LOS at DRG | 4.34 | |
| Avg LOS with ICD E8881 - Metabolic syndrome | 3.88 | |
| Readmission Rate at DRG | 29.08 | |
| Readmission Rate with ICD E8881 - Metabolic syndrome | 22.64 | |
| Unplanned Readmission Rate at DRG | 20.62 | |
| Unplanned Readmission Rate with ICD E8881 - Metabolic syndrome | NA | |
| Total Medicare payments at DRG | $58,740,768 | |
| Total Medicare payments with ICD E8881 - Metabolic syndrome | $467,359 | |
| Total Medicare payment per Day at DRG | $2,041 | |
| Total Medicare payment per Day with ICD E8881 - Metabolic syndrome | $2,154 | |
| Total Medicare payment per Hospitalization at DRG | $8,860 | |
| Total Medicare payment per Hospitalization with ICD E8881 - Metabolic syndrome | $8,346 | |
| Total Medicare Charges at DRG | $286,238,695 | |
| Total Medicare Charges with ICD E8881 - Metabolic syndrome | $1,672,380 | |
| Avg Charges at DRG | $43,173 | |
| Avg Charges with ICD E8881 - Metabolic syndrome | $29,864 | |
| Mortality Rate at DRG | 0.65 | |
| Mortality Rate with ICD E8881 - Metabolic syndrome | NA | |
| SNF Discharge Rate at DRG | 12.99 | |
| SNF Discharge Rate with ICD E8881 - Metabolic syndrome | 25.0 | |
| Home Discharge Rate at DRG | 61.03 | |
| Home Discharge Rate with ICD E8881 - Metabolic syndrome | 48.21 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAILEY MEDICAL CENTER | 10502 N 110TH EAST AVE | OWASSO | OK | 74055 | 16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD E8881 - Metabolic syndrome | 2,785 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD E8881 - Metabolic syndrome in DRG | 5.01 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD E8881 - Metabolic syndrome | 2.41 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD E8881 - Metabolic syndrome | 7.17 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD E8881 - Metabolic syndrome | 2.98 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD E8881 - Metabolic syndrome | $31,925,260 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD E8881 - Metabolic syndrome | $4,753 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD E8881 - Metabolic syndrome | $11,463 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD E8881 - Metabolic syndrome | $158,197,821 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD E8881 - Metabolic syndrome | $56,804 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD E8881 - Metabolic syndrome | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD E8881 - Metabolic syndrome | 22.23 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD E8881 - Metabolic syndrome | 33.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD E8881 - Metabolic syndrome | 1,012 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD E8881 - Metabolic syndrome in DRG | 1.82 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD E8881 - Metabolic syndrome | 6.9 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD E8881 - Metabolic syndrome | 29.59 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD E8881 - Metabolic syndrome | 22.12 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD E8881 - Metabolic syndrome | $9,772,797 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD E8881 - Metabolic syndrome | $1,399 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD E8881 - Metabolic syndrome | $9,657 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD E8881 - Metabolic syndrome | $52,487,122 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD E8881 - Metabolic syndrome | $51,865 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD E8881 - Metabolic syndrome | 2.37 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD E8881 - Metabolic syndrome | 18.77 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD E8881 - Metabolic syndrome | 42.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E8881 - Metabolic syndrome | 815 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E8881 - Metabolic syndrome in DRG | 1.47 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E8881 - Metabolic syndrome | 4.25 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E8881 - Metabolic syndrome | 19.18 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E8881 - Metabolic syndrome | 14.71 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E8881 - Metabolic syndrome | $4,537,901 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E8881 - Metabolic syndrome | $1,310 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E8881 - Metabolic syndrome | $5,568 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E8881 - Metabolic syndrome | $24,706,158 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E8881 - Metabolic syndrome | $30,314 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E8881 - Metabolic syndrome | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E8881 - Metabolic syndrome | 10.67 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E8881 - Metabolic syndrome | 58.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD E8881 - Metabolic syndrome | 637 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD E8881 - Metabolic syndrome in DRG | 1.15 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD E8881 - Metabolic syndrome | 7.2 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD E8881 - Metabolic syndrome | 31.85 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD E8881 - Metabolic syndrome | 21.92 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD E8881 - Metabolic syndrome | $6,806,288 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD E8881 - Metabolic syndrome | $1,485 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD E8881 - Metabolic syndrome | $10,685 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD E8881 - Metabolic syndrome | $37,568,359 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD E8881 - Metabolic syndrome | $58,977 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD E8881 - Metabolic syndrome | 3.61 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD E8881 - Metabolic syndrome | 28.73 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD E8881 - Metabolic syndrome | 36.89 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PROVIDENCE SACRED HEART MEDICAL CENTER | 101 W 8TH AVE | SPOKANE | WA | 99204 | 934 |
| CARROLL HOSPITAL CENTER | 200 MEMORIAL AVE | WESTMINSTER | MD | 21157 | 714 |
| ST. FRANCIS HOSPITAL ROSLYN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 696 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VIVEK KHETPAL | 2701 W. UNIVERSITY BLVD | DURANT | OK | 74701 | 65 |
| Dr. JEFFREY LEE LORD | 1717 N E ST | PENSACOLA | FL | 32501 | 62 |
| Dr. MATTHEW DONAVON FORRESTER | 122 W 7TH AVE | SPOKANE | WA | 99204 | 55 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL J SLAVIN | 2710 SAINT FRANCIS DR | WATERLOO | IA | 50702 | 220 |
| Dr. ARASH MILANI | 12830 HESPERIA RD STE D | VICTORVILLE | CA | 92395 | 179 |
| Dr. PUNURU JM REDDY | 2828 HIGHWAY 31 S | DECATUR | AL | 35603 | 177 |