*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E8889 - Other specified metabolic disorders - as a primary diagnosis code | E8889 - Other specified metabolic disorders - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.5 | |
| Readmission Rate (%) | 30.41 | |
| Unplanned Readmission Rate (%) | 14.83 | |
| 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 E8889 - Other specified metabolic disorders | 219 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD E8889 - Other specified metabolic disorders in DRG | 96.48 |
| Avg LOS at DRG | 4.34 |
| Avg LOS with ICD E8889 - Other specified metabolic disorders | 4.71 |
| Readmission Rate at DRG | 29.08 |
| Readmission Rate with ICD E8889 - Other specified metabolic disorders | 22.55 |
| Unplanned Readmission Rate at DRG | 20.62 |
| Unplanned Readmission Rate with ICD E8889 - Other specified metabolic disorders | 14.71 |
| Total Medicare payments at DRG | $58,740,768 |
| Total Medicare payments with ICD E8889 - Other specified metabolic disorders | $1,882,411 |
| Total Medicare payment per Day at DRG | $2,041 |
| Total Medicare payment per Day with ICD E8889 - Other specified metabolic disorders | $1,824 |
| Total Medicare payment per Hospitalization at DRG | $8,860 |
| Total Medicare payment per Hospitalization with ICD E8889 - Other specified metabolic disorders | $8,595 |
| Total Medicare Charges at DRG | $286,238,695 |
| Total Medicare Charges with ICD E8889 - Other specified metabolic disorders | $7,608,880 |
| Avg Charges at DRG | $43,173 |
| Avg Charges with ICD E8889 - Other specified metabolic disorders | $34,744 |
| Mortality Rate at DRG | 0.65 |
| Mortality Rate with ICD E8889 - Other specified metabolic disorders | NA |
| SNF Discharge Rate at DRG | 12.99 |
| SNF Discharge Rate with ICD E8889 - Other specified metabolic disorders | 23.29 |
| Home Discharge Rate at DRG | 61.03 |
| Home Discharge Rate with ICD E8889 - Other specified metabolic disorders | 44.75 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E8889 - Other specified metabolic disorders | 1,129 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E8889 - Other specified metabolic disorders in DRG | 6.03 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E8889 - Other specified metabolic disorders | 6.95 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E8889 - Other specified metabolic disorders | 29.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E8889 - Other specified metabolic disorders | 19.58 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E8889 - Other specified metabolic disorders | $14,098,898 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E8889 - Other specified metabolic disorders | $1,796 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E8889 - Other specified metabolic disorders | $12,488 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E8889 - Other specified metabolic disorders | $74,667,851 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E8889 - Other specified metabolic disorders | $66,136 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E8889 - Other specified metabolic disorders | 9.03 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E8889 - Other specified metabolic disorders | 23.91 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E8889 - Other specified metabolic disorders | 34.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD E8889 - Other specified metabolic disorders | 388 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD E8889 - Other specified metabolic disorders in DRG | 2.07 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD E8889 - Other specified metabolic disorders | 3.41 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD E8889 - Other specified metabolic disorders | 20.27 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD E8889 - Other specified metabolic disorders | 13.97 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD E8889 - Other specified metabolic disorders | $1,773,341 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD E8889 - Other specified metabolic disorders | $1,340 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD E8889 - Other specified metabolic disorders | $4,570 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD E8889 - Other specified metabolic disorders | $11,591,987 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD E8889 - Other specified metabolic disorders | $29,876 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD E8889 - Other specified metabolic disorders | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD E8889 - Other specified metabolic disorders | 7.47 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD E8889 - Other specified metabolic disorders | 71.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD E8889 - Other specified metabolic disorders | 327 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD E8889 - Other specified metabolic disorders in DRG | 1.75 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD E8889 - Other specified metabolic disorders | 4.78 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD E8889 - Other specified metabolic disorders | 30.43 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD E8889 - Other specified metabolic disorders | 24.75 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD E8889 - Other specified metabolic disorders | $2,842,740 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD E8889 - Other specified metabolic disorders | $1,820 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD E8889 - Other specified metabolic disorders | $8,693 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD E8889 - Other specified metabolic disorders | $12,824,409 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD E8889 - Other specified metabolic disorders | $39,218 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD E8889 - Other specified metabolic disorders | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD E8889 - Other specified metabolic disorders | 16.82 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD E8889 - Other specified metabolic disorders | 57.8 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,630 | ||||
| Total Hospitalizations with ICD E8889 - Other specified metabolic disorders | 229 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD E8889 - Other specified metabolic disorders in DRG | 1.22 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD E8889 - Other specified metabolic disorders | 4.69 | ||||
| Readmission Rate at DRG | 29.08 | ||||
| Readmission Rate with ICD E8889 - Other specified metabolic disorders | 22.64 | ||||
| Unplanned Readmission Rate at DRG | 20.62 | ||||
| Unplanned Readmission Rate with ICD E8889 - Other specified metabolic disorders | 14.62 | ||||
| Total Medicare payments at DRG | $58,740,768 | ||||
| Total Medicare payments with ICD E8889 - Other specified metabolic disorders | $1,952,402 | ||||
| Total Medicare payment per Day at DRG | $2,041 | ||||
| Total Medicare payment per Day with ICD E8889 - Other specified metabolic disorders | $1,818 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,860 | ||||
| Total Medicare payment per Hospitalization with ICD E8889 - Other specified metabolic disorders | $8,526 | ||||
| Total Medicare Charges at DRG | $286,238,695 | ||||
| Total Medicare Charges with ICD E8889 - Other specified metabolic disorders | $7,936,690 | ||||
| Avg Charges at DRG | $43,173 | ||||
| Avg Charges with ICD E8889 - Other specified metabolic disorders | $34,658 | ||||
| Mortality Rate at DRG | 0.65 | ||||
| Mortality Rate with ICD E8889 - Other specified metabolic disorders | NA | ||||
| SNF Discharge Rate at DRG | 12.99 | ||||
| SNF Discharge Rate with ICD E8889 - Other specified metabolic disorders | 23.14 | ||||
| Home Discharge Rate at DRG | 61.03 | ||||
| Home Discharge Rate with ICD E8889 - Other specified metabolic disorders | 44.98 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 810 |
| BAPTIST MEMORIAL HOSPITAL | 6019 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 486 |
| THE MOSES H. CONE MEMORIAL HOSPITAL | 1200 N ELM ST | GREENSBORO | NC | 27401 | 432 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT D SCHERTZ | 309 NEW ST | GREENSBORO | NC | 27405 | 72 |
| Dr. WESAM BALLOUK | 2225 UNION AVE | MEMPHIS | TN | 38104 | 70 |
| Dr. TONY ISSAC | 2401 S 31ST ST | TEMPLE | TX | 76508 | 48 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. IMRAN SHAFIQUE | 600 E TAYLOR ST | SHERMAN | TX | 75090 | 55 |
| Dr. LUIS D TORRES | 6624 DESEO | IRVING | TX | 75039 | 38 |
| Dr. ASHUTOSH MISHRA | 6025 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 37 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E860 | Dehydration |