*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E889 - Metabolic disorder, unspecified - as a primary diagnosis code | E889 - Metabolic disorder, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.7 | |
| Readmission Rate (%) | 31.56 | |
| Unplanned Readmission Rate (%) | 15.28 | |
| 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 E889 - Metabolic disorder, unspecified | 162 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD E889 - Metabolic disorder, unspecified in DRG | 95.86 |
| Avg LOS at DRG | 4.34 |
| Avg LOS with ICD E889 - Metabolic disorder, unspecified | 6.56 |
| Readmission Rate at DRG | 29.08 |
| Readmission Rate with ICD E889 - Metabolic disorder, unspecified | 19.57 |
| Unplanned Readmission Rate at DRG | 20.62 |
| Unplanned Readmission Rate with ICD E889 - Metabolic disorder, unspecified | 15.94 |
| Total Medicare payments at DRG | $58,740,768 |
| Total Medicare payments with ICD E889 - Metabolic disorder, unspecified | $1,868,556 |
| Total Medicare payment per Day at DRG | $2,041 |
| Total Medicare payment per Day with ICD E889 - Metabolic disorder, unspecified | $1,759 |
| Total Medicare payment per Hospitalization at DRG | $8,860 |
| Total Medicare payment per Hospitalization with ICD E889 - Metabolic disorder, unspecified | $11,534 |
| Total Medicare Charges at DRG | $286,238,695 |
| Total Medicare Charges with ICD E889 - Metabolic disorder, unspecified | $5,837,936 |
| Avg Charges at DRG | $43,173 |
| Avg Charges with ICD E889 - Metabolic disorder, unspecified | $36,037 |
| Mortality Rate at DRG | 0.65 |
| Mortality Rate with ICD E889 - Metabolic disorder, unspecified | NA |
| SNF Discharge Rate at DRG | 12.99 |
| SNF Discharge Rate with ICD E889 - Metabolic disorder, unspecified | 16.05 |
| Home Discharge Rate at DRG | 61.03 |
| Home Discharge Rate with ICD E889 - Metabolic disorder, unspecified | 33.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAPTIST HEALTH MEDICAL CENTER | 3333 SPRINGHILL DR | NORTH LITTLE ROCK | AR | 72117 | 27 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TREASURE COAST | 1600 37TH ST | VERO BEACH | FL | 32960 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMIE CHARLOTTE PINTO | 11001 EXECUTIVE CENTER DR | LITTLE ROCK | AR | 72211 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMIE CHARLOTTE PINTO | 11001 EXECUTIVE CENTER DR | LITTLE ROCK | AR | 72211 | 27 |
| Dr. JIMMY WAYNE LOCKHART | 1600 37TH STREET | VERO BEACH | FL | 32960 | 12 |
*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 642: INBORN AND OTHER DISORDERS OF METABOLISM | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E889 - Metabolic disorder, unspecified | 298 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E889 - Metabolic disorder, unspecified in DRG | 5.62 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E889 - Metabolic disorder, unspecified | 6.88 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E889 - Metabolic disorder, unspecified | 30.86 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E889 - Metabolic disorder, unspecified | 20.99 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E889 - Metabolic disorder, unspecified | $3,688,446 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E889 - Metabolic disorder, unspecified | $1,798 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E889 - Metabolic disorder, unspecified | $12,377 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E889 - Metabolic disorder, unspecified | $19,281,488 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E889 - Metabolic disorder, unspecified | $64,703 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E889 - Metabolic disorder, unspecified | 11.07 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E889 - Metabolic disorder, unspecified | 22.48 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E889 - Metabolic disorder, unspecified | 28.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD E889 - Metabolic disorder, unspecified | 144 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD E889 - Metabolic disorder, unspecified in DRG | 2.71 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD E889 - Metabolic disorder, unspecified | 10.44 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD E889 - Metabolic disorder, unspecified | 22.5 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD E889 - Metabolic disorder, unspecified | 16.67 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD E889 - Metabolic disorder, unspecified | $2,558,404 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD E889 - Metabolic disorder, unspecified | $1,701 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD E889 - Metabolic disorder, unspecified | $17,767 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD E889 - Metabolic disorder, unspecified | $6,004,014 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD E889 - Metabolic disorder, unspecified | $41,695 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD E889 - Metabolic disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD E889 - Metabolic disorder, unspecified | 15.28 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD E889 - Metabolic disorder, unspecified | 13.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD E889 - Metabolic disorder, unspecified | 79 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD E889 - Metabolic disorder, unspecified in DRG | 1.49 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD E889 - Metabolic disorder, unspecified | 4.7 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD E889 - Metabolic disorder, unspecified | 38.89 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD E889 - Metabolic disorder, unspecified | 31.94 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD E889 - Metabolic disorder, unspecified | $909,113 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD E889 - Metabolic disorder, unspecified | $2,450 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD E889 - Metabolic disorder, unspecified | $11,508 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD E889 - Metabolic disorder, unspecified | $3,935,377 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD E889 - Metabolic disorder, unspecified | $49,815 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD E889 - Metabolic disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD E889 - Metabolic disorder, unspecified | 16.46 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD E889 - Metabolic disorder, unspecified | 53.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD E889 - Metabolic disorder, unspecified | 61 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD E889 - Metabolic disorder, unspecified in DRG | 1.15 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD E889 - Metabolic disorder, unspecified | 12.52 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD E889 - Metabolic disorder, unspecified | 44.23 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD E889 - Metabolic disorder, unspecified | 23.08 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD E889 - Metabolic disorder, unspecified | $2,000,162 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD E889 - Metabolic disorder, unspecified | $2,618 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD E889 - Metabolic disorder, unspecified | $32,790 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD E889 - Metabolic disorder, unspecified | $8,482,949 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD E889 - Metabolic disorder, unspecified | $139,065 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD E889 - Metabolic disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD E889 - Metabolic disorder, unspecified | 26.23 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD E889 - Metabolic disorder, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 111 |
| BAPTIST HEALTH MEDICAL CENTER | 3333 SPRINGHILL DR | NORTH LITTLE ROCK | AR | 72117 | 109 |
| LOS ROBLES HOSPITAL & MEDICAL CENTER | 215 W JANSS RD | THOUSAND OAKS | CA | 91360 | 102 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMIE CHARLOTTE PINTO | 11001 EXECUTIVE CENTER DR | LITTLE ROCK | AR | 72211 | 104 |
| Dr. DONALD SULLIVAN | 4100 AUSTIN PEAY HWY | MEMPHIS | TN | 38128 | 21 |
| Dr. BILAL AZIZ | 1373 E BOONE ST | TAHLEQUAH | OK | 74464 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMIE CHARLOTTE PINTO | 11001 EXECUTIVE CENTER DR | LITTLE ROCK | AR | 72211 | 104 |
| Dr. MARK H BUSSELL | 6116 OAKBEND TRAIL | FT WORTH | TX | 76132 | 35 |
| Dr. DONALD SULLIVAN | 4100 AUSTIN PEAY HWY | MEMPHIS | TN | 38128 | 32 |