*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R160 - Hepatomegaly, not elsewhere classified - as a primary diagnosis code | R160 - Hepatomegaly, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.96 | |
| Readmission Rate (%) | 25.69 | |
| Unplanned Readmission Rate (%) | 20.65 | |
| 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 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 407: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||||
| Total Hospitalizations with ICD R160 - Hepatomegaly, not elsewhere classified | 420 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD R160 - Hepatomegaly, not elsewhere classified in DRG | 40.35 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD R160 - Hepatomegaly, not elsewhere classified | 3.51 | ||||
| Readmission Rate at DRG | 34.07 | ||||
| Readmission Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 29.92 | ||||
| Unplanned Readmission Rate at DRG | 26.53 | ||||
| Unplanned Readmission Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 21.56 | ||||
| Total Medicare payments at DRG | $353,726,509 | ||||
| Total Medicare payments with ICD R160 - Hepatomegaly, not elsewhere classified | $2,396,378 | ||||
| Total Medicare payment per Day at DRG | $1,519 | ||||
| Total Medicare payment per Day with ICD R160 - Hepatomegaly, not elsewhere classified | $1,627 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||||
| Total Medicare payment per Hospitalization with ICD R160 - Hepatomegaly, not elsewhere classified | $5,706 | ||||
| Total Medicare Charges at DRG | $1,770,659,000 | ||||
| Total Medicare Charges with ICD R160 - Hepatomegaly, not elsewhere classified | $13,769,529 | ||||
| Avg Charges at DRG | $30,969 | ||||
| Avg Charges with ICD R160 - Hepatomegaly, not elsewhere classified | $32,785 | ||||
| Mortality Rate at DRG | 1.12 | ||||
| Mortality Rate with ICD R160 - Hepatomegaly, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 15.97 | ||||
| SNF Discharge Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 9.76 | ||||
| Home Discharge Rate at DRG | 50.7 | ||||
| Home Discharge Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 63.33 |
*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 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 422: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 5,873 | ||
| Total Hospitalizations with ICD R160 - Hepatomegaly, not elsewhere classified | 19 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD R160 - Hepatomegaly, not elsewhere classified in DRG | 1.83 | ||
| Avg LOS at DRG | 5.01 | ||
| Avg LOS with ICD R160 - Hepatomegaly, not elsewhere classified | 4.58 | ||
| Readmission Rate at DRG | 30.66 | ||
| Readmission Rate with ICD R160 - Hepatomegaly, not elsewhere classified | NA | ||
| Unplanned Readmission Rate at DRG | 22.97 | ||
| Unplanned Readmission Rate with ICD R160 - Hepatomegaly, not elsewhere classified | NA | ||
| Total Medicare payments at DRG | $69,442,380 | ||
| Total Medicare payments with ICD R160 - Hepatomegaly, not elsewhere classified | $234,026 | ||
| Total Medicare payment per Day at DRG | $2,361 | ||
| Total Medicare payment per Day with ICD R160 - Hepatomegaly, not elsewhere classified | $2,690 | ||
| Total Medicare payment per Hospitalization at DRG | $11,824 | ||
| Total Medicare payment per Hospitalization with ICD R160 - Hepatomegaly, not elsewhere classified | $12,317 | ||
| Total Medicare Charges at DRG | $302,628,853 | ||
| Total Medicare Charges with ICD R160 - Hepatomegaly, not elsewhere classified | $1,120,087 | ||
| Avg Charges at DRG | $51,529 | ||
| Avg Charges with ICD R160 - Hepatomegaly, not elsewhere classified | $58,952 | ||
| Mortality Rate at DRG | 0.75 | ||
| Mortality Rate with ICD R160 - Hepatomegaly, not elsewhere classified | NA | ||
| SNF Discharge Rate at DRG | 11.27 | ||
| SNF Discharge Rate with ICD R160 - Hepatomegaly, not elsewhere classified | NA | ||
| Home Discharge Rate at DRG | 60.7 | ||
| Home Discharge Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 84.21 |
*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 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R160 - Hepatomegaly, not elsewhere classified | 3,289 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R160 - Hepatomegaly, not elsewhere classified in DRG | 7.47 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R160 - Hepatomegaly, not elsewhere classified | 7.05 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 25.59 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 17.36 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R160 - Hepatomegaly, not elsewhere classified | $40,514,964 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R160 - Hepatomegaly, not elsewhere classified | $1,748 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R160 - Hepatomegaly, not elsewhere classified | $12,318 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R160 - Hepatomegaly, not elsewhere classified | $239,633,683 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R160 - Hepatomegaly, not elsewhere classified | $72,859 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 13.5 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 21.47 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 27.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,884 | ||||
| Total Hospitalizations with ICD R160 - Hepatomegaly, not elsewhere classified | 793 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD R160 - Hepatomegaly, not elsewhere classified in DRG | 1.8 | ||||
| Avg LOS at DRG | 6.43 | ||||
| Avg LOS with ICD R160 - Hepatomegaly, not elsewhere classified | 5.83 | ||||
| Readmission Rate at DRG | 37.66 | ||||
| Readmission Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 33.39 | ||||
| Unplanned Readmission Rate at DRG | 28.76 | ||||
| Unplanned Readmission Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 26.38 | ||||
| Total Medicare payments at DRG | $726,233,427 | ||||
| Total Medicare payments with ICD R160 - Hepatomegaly, not elsewhere classified | $9,563,622 | ||||
| Total Medicare payment per Day at DRG | $1,987 | ||||
| Total Medicare payment per Day with ICD R160 - Hepatomegaly, not elsewhere classified | $2,069 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,767 | ||||
| Total Medicare payment per Hospitalization with ICD R160 - Hepatomegaly, not elsewhere classified | $12,060 | ||||
| Total Medicare Charges at DRG | $3,363,541,067 | ||||
| Total Medicare Charges with ICD R160 - Hepatomegaly, not elsewhere classified | $42,218,937 | ||||
| Avg Charges at DRG | $59,130 | ||||
| Avg Charges with ICD R160 - Hepatomegaly, not elsewhere classified | $53,240 | ||||
| Mortality Rate at DRG | 9.48 | ||||
| Mortality Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 9.46 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 12.23 | ||||
| Home Discharge Rate at DRG | 33.97 | ||||
| Home Discharge Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 41.61 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD R160 - Hepatomegaly, not elsewhere classified | 595 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R160 - Hepatomegaly, not elsewhere classified in DRG | 1.35 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R160 - Hepatomegaly, not elsewhere classified | 6.56 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 31.27 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 21.91 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R160 - Hepatomegaly, not elsewhere classified | $5,953,411 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R160 - Hepatomegaly, not elsewhere classified | $1,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R160 - Hepatomegaly, not elsewhere classified | $10,006 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R160 - Hepatomegaly, not elsewhere classified | $34,298,848 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R160 - Hepatomegaly, not elsewhere classified | $57,645 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 8.4 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 21.34 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 32.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD R160 - Hepatomegaly, not elsewhere classified | 533 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD R160 - Hepatomegaly, not elsewhere classified in DRG | 1.21 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD R160 - Hepatomegaly, not elsewhere classified | 5.56 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 38.1 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 32.14 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD R160 - Hepatomegaly, not elsewhere classified | $2,730,050 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD R160 - Hepatomegaly, not elsewhere classified | $921 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD R160 - Hepatomegaly, not elsewhere classified | $5,122 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD R160 - Hepatomegaly, not elsewhere classified | $21,850,318 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD R160 - Hepatomegaly, not elsewhere classified | $40,995 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD R160 - Hepatomegaly, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 6.57 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD R160 - Hepatomegaly, not elsewhere classified | 79.92 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 187 |
| COVENANT MEDICAL CENTER | 3615 19TH ST | LUBBOCK | TX | 79410 | 158 |
| JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER | 2740 GRANT ST | CONCORD | CA | 94520 | 152 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES R BARNES | 1455 E BERT KOUN LOOP | SHREVEPORT | LA | 71105 | 65 |
| Dr. DAVID SYN | 3805 22ND PLACE | LUBBOCK | TX | 79410 | 62 |
| Dr. THOMAS E SONNANSTINE | 3773 OLENTANGY RIVER RD. | COLUMBUS | OH | 43214 | 53 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRED JOHN VONSTIEFF | 2481 PACHECO ST | CONCORD | CA | 94520 | 149 |
| Dr. JAMES R BARNES | 1455 E BERT KOUN LOOP | SHREVEPORT | LA | 71105 | 65 |
| Dr. DAVID SYN | 3805 22ND PLACE | LUBBOCK | TX | 79410 | 62 |