*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R161 - Splenomegaly, not elsewhere classified - as a primary diagnosis code | R161 - Splenomegaly, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.26 | |
| Readmission Rate (%) | 29.21 | |
| Unplanned Readmission Rate (%) | 16.74 | |
| 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 800: SPLENECTOMY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 801: SPLENECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 799: SPLENECTOMY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 814: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,122 | ||||
| Total Hospitalizations with ICD R161 - Splenomegaly, not elsewhere classified | 241 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD R161 - Splenomegaly, not elsewhere classified in DRG | 34.38 | ||||
| Avg LOS at DRG | 6.07 | ||||
| Avg LOS with ICD R161 - Splenomegaly, not elsewhere classified | 4.94 | ||||
| Readmission Rate at DRG | 22.11 | ||||
| Readmission Rate with ICD R161 - Splenomegaly, not elsewhere classified | 19.57 | ||||
| Unplanned Readmission Rate at DRG | 14.52 | ||||
| Unplanned Readmission Rate with ICD R161 - Splenomegaly, not elsewhere classified | 13.19 | ||||
| Total Medicare payments at DRG | $20,708,977 | ||||
| Total Medicare payments with ICD R161 - Splenomegaly, not elsewhere classified | $4,045,727 | ||||
| Total Medicare payment per Day at DRG | $3,043 | ||||
| Total Medicare payment per Day with ICD R161 - Splenomegaly, not elsewhere classified | $3,400 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,457 | ||||
| Total Medicare payment per Hospitalization with ICD R161 - Splenomegaly, not elsewhere classified | $16,787 | ||||
| Total Medicare Charges at DRG | $104,424,655 | ||||
| Total Medicare Charges with ICD R161 - Splenomegaly, not elsewhere classified | $18,393,967 | ||||
| Avg Charges at DRG | $93,070 | ||||
| Avg Charges with ICD R161 - Splenomegaly, not elsewhere classified | $76,324 | ||||
| Mortality Rate at DRG | 1.6 | ||||
| Mortality Rate with ICD R161 - Splenomegaly, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 9.0 | ||||
| SNF Discharge Rate with ICD R161 - Splenomegaly, not elsewhere classified | 7.88 | ||||
| Home Discharge Rate at DRG | 69.07 | ||||
| Home Discharge Rate with ICD R161 - Splenomegaly, not elsewhere classified | 72.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 2,986 |
| Total Hospitalizations with ICD R161 - Splenomegaly, not elsewhere classified | 34 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD R161 - Splenomegaly, not elsewhere classified in DRG | 4.85 |
| Avg LOS at DRG | 2.72 |
| Avg LOS with ICD R161 - Splenomegaly, not elsewhere classified | 3.09 |
| Readmission Rate at DRG | 17.4 |
| Readmission Rate with ICD R161 - Splenomegaly, not elsewhere classified | NA |
| Unplanned Readmission Rate at DRG | 9.37 |
| Unplanned Readmission Rate with ICD R161 - Splenomegaly, not elsewhere classified | NA |
| Total Medicare payments at DRG | $12,581,153 |
| Total Medicare payments with ICD R161 - Splenomegaly, not elsewhere classified | $142,295 |
| Total Medicare payment per Day at DRG | $1,550 |
| Total Medicare payment per Day with ICD R161 - Splenomegaly, not elsewhere classified | $1,355 |
| Total Medicare payment per Hospitalization at DRG | $4,213 |
| Total Medicare payment per Hospitalization with ICD R161 - Splenomegaly, not elsewhere classified | $4,185 |
| Total Medicare Charges at DRG | $71,751,950 |
| Total Medicare Charges with ICD R161 - Splenomegaly, not elsewhere classified | $900,346 |
| Avg Charges at DRG | $24,029 |
| Avg Charges with ICD R161 - Splenomegaly, not elsewhere classified | $26,481 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD R161 - Splenomegaly, not elsewhere classified | NA |
| SNF Discharge Rate at DRG | 9.51 |
| SNF Discharge Rate with ICD R161 - Splenomegaly, not elsewhere classified | NA |
| Home Discharge Rate at DRG | 69.09 |
| Home Discharge Rate with ICD R161 - Splenomegaly, not elsewhere classified | 82.35 |
*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 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 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R161 - Splenomegaly, not elsewhere classified | 4,326 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R161 - Splenomegaly, not elsewhere classified in DRG | 7.36 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R161 - Splenomegaly, not elsewhere classified | 7.09 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R161 - Splenomegaly, not elsewhere classified | 29.57 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R161 - Splenomegaly, not elsewhere classified | 21.38 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R161 - Splenomegaly, not elsewhere classified | $52,355,927 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R161 - Splenomegaly, not elsewhere classified | $1,707 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R161 - Splenomegaly, not elsewhere classified | $12,103 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R161 - Splenomegaly, not elsewhere classified | $306,088,437 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R161 - Splenomegaly, not elsewhere classified | $70,756 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R161 - Splenomegaly, not elsewhere classified | 10.82 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R161 - Splenomegaly, not elsewhere classified | 19.74 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R161 - Splenomegaly, not elsewhere classified | 32.57 |
*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 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R161 - Splenomegaly, not elsewhere classified | 1,403 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R161 - Splenomegaly, not elsewhere classified in DRG | 2.39 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R161 - Splenomegaly, not elsewhere classified | 4.93 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R161 - Splenomegaly, not elsewhere classified | 22.58 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R161 - Splenomegaly, not elsewhere classified | 16.6 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R161 - Splenomegaly, not elsewhere classified | $9,512,855 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R161 - Splenomegaly, not elsewhere classified | $1,374 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R161 - Splenomegaly, not elsewhere classified | $6,780 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R161 - Splenomegaly, not elsewhere classified | $58,990,542 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R161 - Splenomegaly, not elsewhere classified | $42,046 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R161 - Splenomegaly, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R161 - Splenomegaly, not elsewhere classified | 12.62 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R161 - Splenomegaly, not elsewhere classified | 57.59 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 841: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,646 | ||||
| Total Hospitalizations with ICD R161 - Splenomegaly, not elsewhere classified | 908 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD R161 - Splenomegaly, not elsewhere classified in DRG | 1.55 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD R161 - Splenomegaly, not elsewhere classified | 5.44 | ||||
| Readmission Rate at DRG | 36.28 | ||||
| Readmission Rate with ICD R161 - Splenomegaly, not elsewhere classified | 35.44 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD R161 - Splenomegaly, not elsewhere classified | 21.19 | ||||
| Total Medicare payments at DRG | $299,718,477 | ||||
| Total Medicare payments with ICD R161 - Splenomegaly, not elsewhere classified | $9,876,799 | ||||
| Total Medicare payment per Day at DRG | $2,062 | ||||
| Total Medicare payment per Day with ICD R161 - Splenomegaly, not elsewhere classified | $1,999 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,687 | ||||
| Total Medicare payment per Hospitalization with ICD R161 - Splenomegaly, not elsewhere classified | $10,878 | ||||
| Total Medicare Charges at DRG | $1,432,739,779 | ||||
| Total Medicare Charges with ICD R161 - Splenomegaly, not elsewhere classified | $51,649,852 | ||||
| Avg Charges at DRG | $55,866 | ||||
| Avg Charges with ICD R161 - Splenomegaly, not elsewhere classified | $56,883 | ||||
| Mortality Rate at DRG | 2.6 | ||||
| Mortality Rate with ICD R161 - Splenomegaly, not elsewhere classified | 2.31 | ||||
| SNF Discharge Rate at DRG | 13.23 | ||||
| SNF Discharge Rate with ICD R161 - Splenomegaly, not elsewhere classified | 9.03 | ||||
| Home Discharge Rate at DRG | 49.84 | ||||
| Home Discharge Rate with ICD R161 - Splenomegaly, not elsewhere classified | 56.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD R161 - Splenomegaly, not elsewhere classified | 731 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD R161 - Splenomegaly, not elsewhere classified in DRG | 1.24 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD R161 - Splenomegaly, not elsewhere classified | 3.91 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD R161 - Splenomegaly, not elsewhere classified | 20.99 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD R161 - Splenomegaly, not elsewhere classified | 15.6 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD R161 - Splenomegaly, not elsewhere classified | $3,576,837 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD R161 - Splenomegaly, not elsewhere classified | $1,253 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD R161 - Splenomegaly, not elsewhere classified | $4,893 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD R161 - Splenomegaly, not elsewhere classified | $22,827,376 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD R161 - Splenomegaly, not elsewhere classified | $31,228 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R161 - Splenomegaly, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD R161 - Splenomegaly, not elsewhere classified | 17.51 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD R161 - Splenomegaly, not elsewhere classified | 56.91 |
| 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 | 326 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 291 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 286 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN MCLAIN LEMONS | 3901 RAINBOW BLVD # MS 4032 | KANSAS CITY | KS | 66160 | 17 |
| Dr. ZACHARY SETH COLLINS | UNIVERSITY OF KANSAS MEDICAL CENTER RADIOLOGY | KANSAS CITY | KS | 66160 | 16 |
| Dr. VICTOR LAWRINENKO | 2710 SAINT FRANCIS DR | WATERLOO | IA | 50702 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 30 |
| Dr. STEVEN JOSEPH SCAGLIONE | 9TH AVENUE | HINES | IL | 60141 | 28 |
| Dr. JAMIE L. BERKES | 2160 S 1ST AVE | MAYWOOD | IL | 60153 | 24 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | D696 | Thrombocytopenia, unspecified |
| 2 | R188 | Other ascites |
| 3 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 4 | E039 | Hypothyroidism, unspecified |