*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K769 - Liver disease, unspecified - as a primary diagnosis code | K769 - Liver disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.88 | |
| Readmission Rate (%) | 25.32 | |
| Unplanned Readmission Rate (%) | 20.99 | |
| 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 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||||
| Total Hospitalizations with ICD K769 - Liver disease, unspecified | 327 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K769 - Liver disease, unspecified in DRG | 40.57 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD K769 - Liver disease, unspecified | 3.53 | ||||
| Readmission Rate at DRG | 34.07 | ||||
| Readmission Rate with ICD K769 - Liver disease, unspecified | 26.87 | ||||
| Unplanned Readmission Rate at DRG | 26.53 | ||||
| Unplanned Readmission Rate with ICD K769 - Liver disease, unspecified | 19.05 | ||||
| Total Medicare payments at DRG | $353,726,509 | ||||
| Total Medicare payments with ICD K769 - Liver disease, unspecified | $1,800,281 | ||||
| Total Medicare payment per Day at DRG | $1,519 | ||||
| Total Medicare payment per Day with ICD K769 - Liver disease, unspecified | $1,559 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||||
| Total Medicare payment per Hospitalization with ICD K769 - Liver disease, unspecified | $5,505 | ||||
| Total Medicare Charges at DRG | $1,770,659,000 | ||||
| Total Medicare Charges with ICD K769 - Liver disease, unspecified | $10,061,561 | ||||
| Avg Charges at DRG | $30,969 | ||||
| Avg Charges with ICD K769 - Liver disease, unspecified | $30,769 | ||||
| Mortality Rate at DRG | 1.12 | ||||
| Mortality Rate with ICD K769 - Liver disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.97 | ||||
| SNF Discharge Rate with ICD K769 - Liver disease, unspecified | 8.26 | ||||
| Home Discharge Rate at DRG | 50.7 | ||||
| Home Discharge Rate with ICD K769 - Liver disease, unspecified | 69.11 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 6,779 |
| Total Hospitalizations with ICD K769 - Liver disease, unspecified | 14 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD K769 - Liver disease, unspecified in DRG | 1.74 |
| Avg LOS at DRG | 9.29 |
| Avg LOS with ICD K769 - Liver disease, unspecified | 5.0 |
| Readmission Rate at DRG | 35.9 |
| Readmission Rate with ICD K769 - Liver disease, unspecified | NA |
| Unplanned Readmission Rate at DRG | 25.82 |
| Unplanned Readmission Rate with ICD K769 - Liver disease, unspecified | NA |
| Total Medicare payments at DRG | $181,778,856 |
| Total Medicare payments with ICD K769 - Liver disease, unspecified | $316,898 |
| Total Medicare payment per Day at DRG | $2,886 |
| Total Medicare payment per Day with ICD K769 - Liver disease, unspecified | $4,527 |
| Total Medicare payment per Hospitalization at DRG | $26,815 |
| Total Medicare payment per Hospitalization with ICD K769 - Liver disease, unspecified | $22,636 |
| Total Medicare Charges at DRG | $661,562,226 |
| Total Medicare Charges with ICD K769 - Liver disease, unspecified | $485,386 |
| Avg Charges at DRG | $97,590 |
| Avg Charges with ICD K769 - Liver disease, unspecified | $34,670 |
| Mortality Rate at DRG | 10.8 |
| Mortality Rate with ICD K769 - Liver disease, unspecified | NA |
| SNF Discharge Rate at DRG | 16.7 |
| SNF Discharge Rate with ICD K769 - Liver disease, unspecified | NA |
| Home Discharge Rate at DRG | 36.13 |
| Home Discharge Rate with ICD K769 - Liver disease, unspecified | NA |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K769 - Liver disease, unspecified | 4,007 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K769 - Liver disease, unspecified in DRG | 6.52 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K769 - Liver disease, unspecified | 6.7 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K769 - Liver disease, unspecified | 26.64 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K769 - Liver disease, unspecified | 18.58 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K769 - Liver disease, unspecified | $48,383,806 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K769 - Liver disease, unspecified | $1,803 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K769 - Liver disease, unspecified | $12,075 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K769 - Liver disease, unspecified | $270,383,156 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K769 - Liver disease, unspecified | $67,478 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K769 - Liver disease, unspecified | 12.98 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K769 - Liver disease, unspecified | 24.13 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K769 - Liver disease, unspecified | 27.95 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD K769 - Liver disease, unspecified | 904 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD K769 - Liver disease, unspecified in DRG | 1.47 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD K769 - Liver disease, unspecified | 2.85 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD K769 - Liver disease, unspecified | 10.59 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD K769 - Liver disease, unspecified | 3.76 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD K769 - Liver disease, unspecified | $10,615,958 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD K769 - Liver disease, unspecified | $4,116 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD K769 - Liver disease, unspecified | $11,743 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD K769 - Liver disease, unspecified | $57,844,348 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD K769 - Liver disease, unspecified | $63,987 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD K769 - Liver disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD K769 - Liver disease, unspecified | 28.32 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD K769 - Liver disease, unspecified | 27.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD K769 - Liver disease, unspecified | 772 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD K769 - Liver disease, unspecified in DRG | 1.26 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD K769 - Liver disease, unspecified | 6.34 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD K769 - Liver disease, unspecified | 27.29 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD K769 - Liver disease, unspecified | 19.69 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD K769 - Liver disease, unspecified | $7,802,427 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD K769 - Liver disease, unspecified | $1,593 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD K769 - Liver disease, unspecified | $10,107 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD K769 - Liver disease, unspecified | $40,594,396 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD K769 - Liver disease, unspecified | $52,583 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD K769 - Liver disease, unspecified | 8.42 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD K769 - Liver disease, unspecified | 23.58 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD K769 - Liver disease, unspecified | 34.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD K769 - Liver disease, unspecified | 713 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD K769 - Liver disease, unspecified in DRG | 1.16 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD K769 - Liver disease, unspecified | 4.87 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD K769 - Liver disease, unspecified | 28.3 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD K769 - Liver disease, unspecified | 23.02 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD K769 - Liver disease, unspecified | $4,621,547 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD K769 - Liver disease, unspecified | $1,331 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD K769 - Liver disease, unspecified | $6,482 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD K769 - Liver disease, unspecified | $25,403,948 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD K769 - Liver disease, unspecified | $35,630 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD K769 - Liver disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD K769 - Liver disease, unspecified | 15.29 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD K769 - Liver disease, unspecified | 48.25 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 258 |
| UCHEALTH UNIVERSITY OF COLORADO HOSPITAL | 12605 E 16TH AVE | AURORA | CO | 80045 | 252 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 217 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KRASSIMIR MIRTCHEV | 1980 CROMPOND ROAD | CORTLANDT MANOR | NY | 10567 | 15 |
| Dr. ANTONIO K COIRIN | 1329 SPANOS CT | MODESTO | CA | 95355 | 13 |
| Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUSTAFA RAHIM | 250 STANAFORD RD | BECKLEY | WV | 25801 | 44 |
| Dr. KRASSIMIR MIRTCHEV | 1980 CROMPOND ROAD | CORTLANDT MANOR | NY | 10567 | 35 |
| Dr. STEVEN KENNETH MORGAN | 222 E TENNESSEE AVE | PINEVILLE | KY | 40977 | 34 |