*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K7681 - Hepatopulmonary syndrome - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 22.66 | |
| 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 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,596 | ||||
| Total Hospitalizations with ICD K7681 - Hepatopulmonary syndrome | 245 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K7681 - Hepatopulmonary syndrome in DRG | 10.37 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD K7681 - Hepatopulmonary syndrome | 8.1 | ||||
| Readmission Rate at DRG | 35.54 | ||||
| Readmission Rate with ICD K7681 - Hepatopulmonary syndrome | 41.97 | ||||
| Unplanned Readmission Rate at DRG | 27.96 | ||||
| Unplanned Readmission Rate with ICD K7681 - Hepatopulmonary syndrome | 25.39 | ||||
| Total Medicare payments at DRG | $491,148,810 | ||||
| Total Medicare payments with ICD K7681 - Hepatopulmonary syndrome | $3,543,591 | ||||
| Total Medicare payment per Day at DRG | $1,916 | ||||
| Total Medicare payment per Day with ICD K7681 - Hepatopulmonary syndrome | $1,786 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,098 | ||||
| Total Medicare payment per Hospitalization with ICD K7681 - Hepatopulmonary syndrome | $14,464 | ||||
| Total Medicare Charges at DRG | $2,425,808,073 | ||||
| Total Medicare Charges with ICD K7681 - Hepatopulmonary syndrome | $19,670,199 | ||||
| Avg Charges at DRG | $59,755 | ||||
| Avg Charges with ICD K7681 - Hepatopulmonary syndrome | $80,287 | ||||
| Mortality Rate at DRG | 7.58 | ||||
| Mortality Rate with ICD K7681 - Hepatopulmonary syndrome | 11.02 | ||||
| SNF Discharge Rate at DRG | 16.9 | ||||
| SNF Discharge Rate with ICD K7681 - Hepatopulmonary syndrome | 11.43 | ||||
| Home Discharge Rate at DRG | 42.12 | ||||
| Home Discharge Rate with ICD K7681 - Hepatopulmonary syndrome | 34.69 |
*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 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 57,175 | ||||
| Total Hospitalizations with ICD K7681 - Hepatopulmonary syndrome | 123 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K7681 - Hepatopulmonary syndrome in DRG | 5.21 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD K7681 - Hepatopulmonary syndrome | 3.85 | ||||
| Readmission Rate at DRG | 34.07 | ||||
| Readmission Rate with ICD K7681 - Hepatopulmonary syndrome | 36.13 | ||||
| Unplanned Readmission Rate at DRG | 26.53 | ||||
| Unplanned Readmission Rate with ICD K7681 - Hepatopulmonary syndrome | 26.89 | ||||
| Total Medicare payments at DRG | $353,726,509 | ||||
| Total Medicare payments with ICD K7681 - Hepatopulmonary syndrome | $843,677 | ||||
| Total Medicare payment per Day at DRG | $1,519 | ||||
| Total Medicare payment per Day with ICD K7681 - Hepatopulmonary syndrome | $1,780 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||||
| Total Medicare payment per Hospitalization with ICD K7681 - Hepatopulmonary syndrome | $6,859 | ||||
| Total Medicare Charges at DRG | $1,770,659,000 | ||||
| Total Medicare Charges with ICD K7681 - Hepatopulmonary syndrome | $4,009,002 | ||||
| Avg Charges at DRG | $30,969 | ||||
| Avg Charges with ICD K7681 - Hepatopulmonary syndrome | $32,594 | ||||
| Mortality Rate at DRG | 1.12 | ||||
| Mortality Rate with ICD K7681 - Hepatopulmonary syndrome | NA | ||||
| SNF Discharge Rate at DRG | 15.97 | ||||
| SNF Discharge Rate with ICD K7681 - Hepatopulmonary syndrome | 12.2 | ||||
| Home Discharge Rate at DRG | 50.7 | ||||
| Home Discharge Rate with ICD K7681 - Hepatopulmonary syndrome | 57.72 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 186: PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD K7681 - Hepatopulmonary syndrome | 31 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD K7681 - Hepatopulmonary syndrome in DRG | 1.31 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD K7681 - Hepatopulmonary syndrome | 5.9 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD K7681 - Hepatopulmonary syndrome | NA | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD K7681 - Hepatopulmonary syndrome | NA | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD K7681 - Hepatopulmonary syndrome | $312,166 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD K7681 - Hepatopulmonary syndrome | $1,706 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD K7681 - Hepatopulmonary syndrome | $10,070 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD K7681 - Hepatopulmonary syndrome | $1,591,760 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD K7681 - Hepatopulmonary syndrome | $51,347 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD K7681 - Hepatopulmonary syndrome | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD K7681 - Hepatopulmonary syndrome | NA | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD K7681 - Hepatopulmonary syndrome | 45.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,779 | ||||
| Total Hospitalizations with ICD K7681 - Hepatopulmonary syndrome | 26 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K7681 - Hepatopulmonary syndrome in DRG | 1.1 | ||||
| Avg LOS at DRG | 9.29 | ||||
| Avg LOS with ICD K7681 - Hepatopulmonary syndrome | 15.08 | ||||
| Readmission Rate at DRG | 35.9 | ||||
| Readmission Rate with ICD K7681 - Hepatopulmonary syndrome | 75.0 | ||||
| Unplanned Readmission Rate at DRG | 25.82 | ||||
| Unplanned Readmission Rate with ICD K7681 - Hepatopulmonary syndrome | NA | ||||
| Total Medicare payments at DRG | $181,778,856 | ||||
| Total Medicare payments with ICD K7681 - Hepatopulmonary syndrome | $861,926 | ||||
| Total Medicare payment per Day at DRG | $2,886 | ||||
| Total Medicare payment per Day with ICD K7681 - Hepatopulmonary syndrome | $2,199 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,815 | ||||
| Total Medicare payment per Hospitalization with ICD K7681 - Hepatopulmonary syndrome | $33,151 | ||||
| Total Medicare Charges at DRG | $661,562,226 | ||||
| Total Medicare Charges with ICD K7681 - Hepatopulmonary syndrome | $4,388,114 | ||||
| Avg Charges at DRG | $97,590 | ||||
| Avg Charges with ICD K7681 - Hepatopulmonary syndrome | $168,774 | ||||
| Mortality Rate at DRG | 10.8 | ||||
| Mortality Rate with ICD K7681 - Hepatopulmonary syndrome | NA | ||||
| SNF Discharge Rate at DRG | 16.7 | ||||
| SNF Discharge Rate with ICD K7681 - Hepatopulmonary syndrome | NA | ||||
| Home Discharge Rate at DRG | 36.13 | ||||
| Home Discharge Rate with ICD K7681 - Hepatopulmonary syndrome | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC | 4500 SAN PABLO RD S | JACKSONVILLE | FL | 32224 | 53 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 49 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 49 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD B. RUBIN | 2545 HEMPSTEAD TPKE | EAST MEADOW | NY | 11554 | 14 |