*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M341 - CR(E)ST syndrome - as a primary diagnosis code | M341 - CR(E)ST syndrome - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.04 | |
| Readmission Rate (%) | 26.03 | |
| Unplanned Readmission Rate (%) | 19.45 | |
| 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 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 11,608 | ||
| Total Hospitalizations with ICD M341 - CR(E)ST syndrome | 158 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD M341 - CR(E)ST syndrome in DRG | 43.77 | ||
| Avg LOS at DRG | 8.22 | ||
| Avg LOS with ICD M341 - CR(E)ST syndrome | 9.87 | ||
| Readmission Rate at DRG | 31.98 | ||
| Readmission Rate with ICD M341 - CR(E)ST syndrome | 31.39 | ||
| Unplanned Readmission Rate at DRG | 20.53 | ||
| Unplanned Readmission Rate with ICD M341 - CR(E)ST syndrome | 20.44 | ||
| Total Medicare payments at DRG | $206,660,882 | ||
| Total Medicare payments with ICD M341 - CR(E)ST syndrome | $2,842,396 | ||
| Total Medicare payment per Day at DRG | $2,166 | ||
| Total Medicare payment per Day with ICD M341 - CR(E)ST syndrome | $1,822 | ||
| Total Medicare payment per Hospitalization at DRG | $17,803 | ||
| Total Medicare payment per Hospitalization with ICD M341 - CR(E)ST syndrome | $17,990 | ||
| Total Medicare Charges at DRG | $902,384,310 | ||
| Total Medicare Charges with ICD M341 - CR(E)ST syndrome | $13,812,307 | ||
| Avg Charges at DRG | $77,738 | ||
| Avg Charges with ICD M341 - CR(E)ST syndrome | $87,420 | ||
| Mortality Rate at DRG | 5.53 | ||
| Mortality Rate with ICD M341 - CR(E)ST syndrome | 8.86 | ||
| SNF Discharge Rate at DRG | 19.03 | ||
| SNF Discharge Rate with ICD M341 - CR(E)ST syndrome | 16.46 | ||
| Home Discharge Rate at DRG | 38.57 | ||
| Home Discharge Rate with ICD M341 - CR(E)ST syndrome | 31.65 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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 M341 - CR(E)ST syndrome | 857 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M341 - CR(E)ST syndrome in DRG | 6.49 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M341 - CR(E)ST syndrome | 6.44 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M341 - CR(E)ST syndrome | 26.91 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M341 - CR(E)ST syndrome | 20.18 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M341 - CR(E)ST syndrome | $10,211,591 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M341 - CR(E)ST syndrome | $1,851 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M341 - CR(E)ST syndrome | $11,916 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M341 - CR(E)ST syndrome | $55,612,981 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M341 - CR(E)ST syndrome | $64,893 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M341 - CR(E)ST syndrome | 15.99 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M341 - CR(E)ST syndrome | 18.2 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M341 - CR(E)ST syndrome | 30.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD M341 - CR(E)ST syndrome | 291 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD M341 - CR(E)ST syndrome in DRG | 2.21 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD M341 - CR(E)ST syndrome | 3.33 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD M341 - CR(E)ST syndrome | 24.19 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD M341 - CR(E)ST syndrome | 19.86 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD M341 - CR(E)ST syndrome | $1,675,061 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD M341 - CR(E)ST syndrome | $1,727 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD M341 - CR(E)ST syndrome | $5,756 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD M341 - CR(E)ST syndrome | $9,335,625 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD M341 - CR(E)ST syndrome | $32,081 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD M341 - CR(E)ST syndrome | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD M341 - CR(E)ST syndrome | 9.28 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD M341 - CR(E)ST syndrome | 71.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | ||||
| Total Hospitalizations with ICD M341 - CR(E)ST syndrome | 177 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M341 - CR(E)ST syndrome in DRG | 1.34 | ||||
| Avg LOS at DRG | 5.12 | ||||
| Avg LOS with ICD M341 - CR(E)ST syndrome | 5.23 | ||||
| Readmission Rate at DRG | 23.17 | ||||
| Readmission Rate with ICD M341 - CR(E)ST syndrome | 24.7 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD M341 - CR(E)ST syndrome | 17.47 | ||||
| Total Medicare payments at DRG | $123,348,417 | ||||
| Total Medicare payments with ICD M341 - CR(E)ST syndrome | $1,357,090 | ||||
| Total Medicare payment per Day at DRG | $1,658 | ||||
| Total Medicare payment per Day with ICD M341 - CR(E)ST syndrome | $1,466 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,492 | ||||
| Total Medicare payment per Hospitalization with ICD M341 - CR(E)ST syndrome | $7,667 | ||||
| Total Medicare Charges at DRG | $565,151,481 | ||||
| Total Medicare Charges with ICD M341 - CR(E)ST syndrome | $7,094,018 | ||||
| Avg Charges at DRG | $38,906 | ||||
| Avg Charges with ICD M341 - CR(E)ST syndrome | $40,079 | ||||
| Mortality Rate at DRG | 0.34 | ||||
| Mortality Rate with ICD M341 - CR(E)ST syndrome | NA | ||||
| SNF Discharge Rate at DRG | 16.01 | ||||
| SNF Discharge Rate with ICD M341 - CR(E)ST syndrome | 14.12 | ||||
| Home Discharge Rate at DRG | 53.61 | ||||
| Home Discharge Rate with ICD M341 - CR(E)ST syndrome | 59.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD M341 - CR(E)ST syndrome | 146 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD M341 - CR(E)ST syndrome in DRG | 1.11 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD M341 - CR(E)ST syndrome | 10.05 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD M341 - CR(E)ST syndrome | 33.59 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD M341 - CR(E)ST syndrome | 21.88 | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD M341 - CR(E)ST syndrome | $2,789,537 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD M341 - CR(E)ST syndrome | $1,902 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD M341 - CR(E)ST syndrome | $19,106 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD M341 - CR(E)ST syndrome | $16,428,489 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD M341 - CR(E)ST syndrome | $112,524 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD M341 - CR(E)ST syndrome | NA | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD M341 - CR(E)ST syndrome | 10.27 | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD M341 - CR(E)ST syndrome | 41.78 |
| 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 | 74 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 69 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 58 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NAVEED MAHFOOZ | 1525 W CARO RD | CARO | MI | 48723 | 16 |
| Dr. ANA SILVIA ANDRONE | 984 N BROADWAY | YONKERS | NY | 10701 | 11 |