*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K754 - Autoimmune hepatitis - as a primary diagnosis code | K754 - Autoimmune hepatitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.75 | |
| Readmission Rate (%) | 27.95 | |
| Unplanned Readmission Rate (%) | 20.29 | |
| 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 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) | DRG 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||||
| Total Hospitalizations with ICD K754 - Autoimmune hepatitis | 636 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K754 - Autoimmune hepatitis in DRG | 45.01 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD K754 - Autoimmune hepatitis | 4.75 | ||||
| Readmission Rate at DRG | 34.07 | ||||
| Readmission Rate with ICD K754 - Autoimmune hepatitis | 28.29 | ||||
| Unplanned Readmission Rate at DRG | 26.53 | ||||
| Unplanned Readmission Rate with ICD K754 - Autoimmune hepatitis | 20.13 | ||||
| Total Medicare payments at DRG | $353,726,509 | ||||
| Total Medicare payments with ICD K754 - Autoimmune hepatitis | $4,014,548 | ||||
| Total Medicare payment per Day at DRG | $1,519 | ||||
| Total Medicare payment per Day with ICD K754 - Autoimmune hepatitis | $1,328 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||||
| Total Medicare payment per Hospitalization with ICD K754 - Autoimmune hepatitis | $6,312 | ||||
| Total Medicare Charges at DRG | $1,770,659,000 | ||||
| Total Medicare Charges with ICD K754 - Autoimmune hepatitis | $22,687,342 | ||||
| Avg Charges at DRG | $30,969 | ||||
| Avg Charges with ICD K754 - Autoimmune hepatitis | $35,672 | ||||
| Mortality Rate at DRG | 1.12 | ||||
| Mortality Rate with ICD K754 - Autoimmune hepatitis | NA | ||||
| SNF Discharge Rate at DRG | 15.97 | ||||
| SNF Discharge Rate with ICD K754 - Autoimmune hepatitis | 6.76 | ||||
| Home Discharge Rate at DRG | 50.7 | ||||
| Home Discharge Rate with ICD K754 - Autoimmune hepatitis | 72.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 006: LIVER TRANSPLANT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 5,873 | ||
| Total Hospitalizations with ICD K754 - Autoimmune hepatitis | 18 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD K754 - Autoimmune hepatitis in DRG | 1.27 | ||
| Avg LOS at DRG | 5.01 | ||
| Avg LOS with ICD K754 - Autoimmune hepatitis | 6.17 | ||
| Readmission Rate at DRG | 30.66 | ||
| Readmission Rate with ICD K754 - Autoimmune hepatitis | NA | ||
| Unplanned Readmission Rate at DRG | 22.97 | ||
| Unplanned Readmission Rate with ICD K754 - Autoimmune hepatitis | NA | ||
| Total Medicare payments at DRG | $69,442,380 | ||
| Total Medicare payments with ICD K754 - Autoimmune hepatitis | $241,292 | ||
| Total Medicare payment per Day at DRG | $2,361 | ||
| Total Medicare payment per Day with ICD K754 - Autoimmune hepatitis | $2,174 | ||
| Total Medicare payment per Hospitalization at DRG | $11,824 | ||
| Total Medicare payment per Hospitalization with ICD K754 - Autoimmune hepatitis | $13,405 | ||
| Total Medicare Charges at DRG | $302,628,853 | ||
| Total Medicare Charges with ICD K754 - Autoimmune hepatitis | $927,090 | ||
| Avg Charges at DRG | $51,529 | ||
| Avg Charges with ICD K754 - Autoimmune hepatitis | $51,505 | ||
| Mortality Rate at DRG | 0.75 | ||
| Mortality Rate with ICD K754 - Autoimmune hepatitis | NA | ||
| SNF Discharge Rate at DRG | 11.27 | ||
| SNF Discharge Rate with ICD K754 - Autoimmune hepatitis | NA | ||
| Home Discharge Rate at DRG | 60.7 | ||
| Home Discharge Rate with ICD K754 - Autoimmune hepatitis | 66.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MUSC MEDICAL CENTER | 169 ASHLEY AVE | CHARLESTON | SC | 29403 | 12 |
| EMORY UNIVERSITY HOSPITAL | 1364 CLIFTON RD NE | ATLANTA | GA | 30322 | 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 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) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K754 - Autoimmune hepatitis | 1,627 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K754 - Autoimmune hepatitis in DRG | 6.5 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K754 - Autoimmune hepatitis | 6.46 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K754 - Autoimmune hepatitis | 28.67 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K754 - Autoimmune hepatitis | 21.6 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K754 - Autoimmune hepatitis | $19,492,065 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K754 - Autoimmune hepatitis | $1,855 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K754 - Autoimmune hepatitis | $11,980 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K754 - Autoimmune hepatitis | $104,258,046 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K754 - Autoimmune hepatitis | $64,080 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K754 - Autoimmune hepatitis | 14.69 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K754 - Autoimmune hepatitis | 20.84 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K754 - Autoimmune hepatitis | 28.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD K754 - Autoimmune hepatitis | 528 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K754 - Autoimmune hepatitis in DRG | 2.11 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K754 - Autoimmune hepatitis | 4.81 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K754 - Autoimmune hepatitis | 21.1 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K754 - Autoimmune hepatitis | 16.43 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K754 - Autoimmune hepatitis | $3,490,484 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K754 - Autoimmune hepatitis | $1,374 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K754 - Autoimmune hepatitis | $6,611 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K754 - Autoimmune hepatitis | $19,345,862 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K754 - Autoimmune hepatitis | $36,640 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K754 - Autoimmune hepatitis | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K754 - Autoimmune hepatitis | 14.77 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K754 - Autoimmune hepatitis | 57.77 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD K754 - Autoimmune hepatitis | 362 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD K754 - Autoimmune hepatitis in DRG | 1.45 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD K754 - Autoimmune hepatitis | 5.97 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD K754 - Autoimmune hepatitis | 29.56 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD K754 - Autoimmune hepatitis | 22.96 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD K754 - Autoimmune hepatitis | $3,379,858 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD K754 - Autoimmune hepatitis | $1,564 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD K754 - Autoimmune hepatitis | $9,337 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD K754 - Autoimmune hepatitis | $17,084,147 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD K754 - Autoimmune hepatitis | $47,194 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD K754 - Autoimmune hepatitis | 6.35 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD K754 - Autoimmune hepatitis | 19.34 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD K754 - Autoimmune hepatitis | 37.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,334 | ||||
| Total Hospitalizations with ICD K754 - Autoimmune hepatitis | 268 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K754 - Autoimmune hepatitis in DRG | 1.07 | ||||
| Avg LOS at DRG | 2.99 | ||||
| Avg LOS with ICD K754 - Autoimmune hepatitis | 3.79 | ||||
| Readmission Rate at DRG | 24.53 | ||||
| Readmission Rate with ICD K754 - Autoimmune hepatitis | 19.37 | ||||
| Unplanned Readmission Rate at DRG | 18.0 | ||||
| Unplanned Readmission Rate with ICD K754 - Autoimmune hepatitis | 12.25 | ||||
| Total Medicare payments at DRG | $44,431,658 | ||||
| Total Medicare payments with ICD K754 - Autoimmune hepatitis | $1,225,072 | ||||
| Total Medicare payment per Day at DRG | $1,438 | ||||
| Total Medicare payment per Day with ICD K754 - Autoimmune hepatitis | $1,206 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,300 | ||||
| Total Medicare payment per Hospitalization with ICD K754 - Autoimmune hepatitis | $4,571 | ||||
| Total Medicare Charges at DRG | $240,827,549 | ||||
| Total Medicare Charges with ICD K754 - Autoimmune hepatitis | $7,842,886 | ||||
| Avg Charges at DRG | $23,304 | ||||
| Avg Charges with ICD K754 - Autoimmune hepatitis | $29,265 | ||||
| Mortality Rate at DRG | 0.45 | ||||
| Mortality Rate with ICD K754 - Autoimmune hepatitis | NA | ||||
| SNF Discharge Rate at DRG | 9.02 | ||||
| SNF Discharge Rate with ICD K754 - Autoimmune hepatitis | NA | ||||
| Home Discharge Rate at DRG | 66.37 | ||||
| Home Discharge Rate with ICD K754 - Autoimmune hepatitis | 79.48 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 121 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 115 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 111 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES C.H. SMITH | 401 E CHEVES ST | FLORENCE | SC | 29506 | 28 |
| Dr. SATISHCHANDRA DINAKAR | 6565 FANNIN ST | HOUSTON | TX | 77030 | 23 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 21 |