*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L509 - Urticaria, unspecified - as a primary diagnosis code | L509 - Urticaria, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.47 | |
| Readmission Rate (%) | 20.85 | |
| Unplanned Readmission Rate (%) | 9.92 | |
| 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 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 606: MINOR SKIN DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 19,754 | |
| Total Hospitalizations with ICD L509 - Urticaria, unspecified | 244 | |
| DRG Share of Total Hospitalizations | 0.06 | |
| % of Total ICD L509 - Urticaria, unspecified in DRG | 85.92 | |
| Avg LOS at DRG | 3.82 | |
| Avg LOS with ICD L509 - Urticaria, unspecified | 2.59 | |
| Readmission Rate at DRG | 19.14 | |
| Readmission Rate with ICD L509 - Urticaria, unspecified | 12.89 | |
| Unplanned Readmission Rate at DRG | 13.41 | |
| Unplanned Readmission Rate with ICD L509 - Urticaria, unspecified | 8.0 | |
| Total Medicare payments at DRG | $103,585,947 | |
| Total Medicare payments with ICD L509 - Urticaria, unspecified | $1,078,378 | |
| Total Medicare payment per Day at DRG | $1,373 | |
| Total Medicare payment per Day with ICD L509 - Urticaria, unspecified | $1,704 | |
| Total Medicare payment per Hospitalization at DRG | $5,244 | |
| Total Medicare payment per Hospitalization with ICD L509 - Urticaria, unspecified | $4,420 | |
| Total Medicare Charges at DRG | $499,706,458 | |
| Total Medicare Charges with ICD L509 - Urticaria, unspecified | $4,653,153 | |
| Avg Charges at DRG | $25,296 | |
| Avg Charges with ICD L509 - Urticaria, unspecified | $19,070 | |
| Mortality Rate at DRG | 0.21 | |
| Mortality Rate with ICD L509 - Urticaria, unspecified | NA | |
| SNF Discharge Rate at DRG | 14.6 | |
| SNF Discharge Rate with ICD L509 - Urticaria, unspecified | 5.33 | |
| Home Discharge Rate at DRG | 57.87 | |
| Home Discharge Rate with ICD L509 - Urticaria, unspecified | 77.46 |
*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 885: PSYCHOSES | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L509 - Urticaria, unspecified | 585 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L509 - Urticaria, unspecified in DRG | 5.27 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L509 - Urticaria, unspecified | 7.35 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L509 - Urticaria, unspecified | 22.66 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L509 - Urticaria, unspecified | 15.54 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L509 - Urticaria, unspecified | $7,407,850 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L509 - Urticaria, unspecified | $1,722 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L509 - Urticaria, unspecified | $12,663 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L509 - Urticaria, unspecified | $36,923,021 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L509 - Urticaria, unspecified | $63,116 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L509 - Urticaria, unspecified | 3.25 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L509 - Urticaria, unspecified | 27.01 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L509 - Urticaria, unspecified | 39.83 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD L509 - Urticaria, unspecified | 244 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD L509 - Urticaria, unspecified in DRG | 2.2 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD L509 - Urticaria, unspecified | 5.11 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD L509 - Urticaria, unspecified | 15.95 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD L509 - Urticaria, unspecified | 11.64 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD L509 - Urticaria, unspecified | $1,636,816 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD L509 - Urticaria, unspecified | $1,312 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD L509 - Urticaria, unspecified | $6,708 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD L509 - Urticaria, unspecified | $9,597,085 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD L509 - Urticaria, unspecified | $39,332 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD L509 - Urticaria, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD L509 - Urticaria, unspecified | 17.21 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD L509 - Urticaria, unspecified | 55.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 916: ALLERGIC REACTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,173 | ||||
| Total Hospitalizations with ICD L509 - Urticaria, unspecified | 179 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L509 - Urticaria, unspecified in DRG | 1.61 | ||||
| Avg LOS at DRG | 1.96 | ||||
| Avg LOS with ICD L509 - Urticaria, unspecified | 2.3 | ||||
| Readmission Rate at DRG | 10.54 | ||||
| Readmission Rate with ICD L509 - Urticaria, unspecified | 12.28 | ||||
| Unplanned Readmission Rate at DRG | 8.26 | ||||
| Unplanned Readmission Rate with ICD L509 - Urticaria, unspecified | 8.19 | ||||
| Total Medicare payments at DRG | $44,557,195 | ||||
| Total Medicare payments with ICD L509 - Urticaria, unspecified | $551,669 | ||||
| Total Medicare payment per Day at DRG | $1,600 | ||||
| Total Medicare payment per Day with ICD L509 - Urticaria, unspecified | $1,342 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,144 | ||||
| Total Medicare payment per Hospitalization with ICD L509 - Urticaria, unspecified | $3,082 | ||||
| Total Medicare Charges at DRG | $278,492,872 | ||||
| Total Medicare Charges with ICD L509 - Urticaria, unspecified | $3,734,470 | ||||
| Avg Charges at DRG | $19,650 | ||||
| Avg Charges with ICD L509 - Urticaria, unspecified | $20,863 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD L509 - Urticaria, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.36 | ||||
| SNF Discharge Rate with ICD L509 - Urticaria, unspecified | NA | ||||
| Home Discharge Rate at DRG | 82.28 | ||||
| Home Discharge Rate with ICD L509 - Urticaria, unspecified | 83.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD L509 - Urticaria, unspecified | 124 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD L509 - Urticaria, unspecified in DRG | 1.12 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD L509 - Urticaria, unspecified | 4.59 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD L509 - Urticaria, unspecified | 15.7 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD L509 - Urticaria, unspecified | 13.22 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD L509 - Urticaria, unspecified | $939,125 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD L509 - Urticaria, unspecified | $1,650 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD L509 - Urticaria, unspecified | $7,574 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD L509 - Urticaria, unspecified | $4,330,743 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD L509 - Urticaria, unspecified | $34,925 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD L509 - Urticaria, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD L509 - Urticaria, unspecified | 10.48 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD L509 - Urticaria, unspecified | 65.32 |
| 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 | 54 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 49 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTINE M POST | 115 N CENTER SUITE 202 | NORTHVILLE | MI | 48167 | 15 |