*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R162 - Hepatomegaly with splenomegaly, not elsewhere classified - as a primary diagnosis code | R162 - Hepatomegaly with splenomegaly, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.02 | |
| Readmission Rate (%) | 30.06 | |
| Unplanned Readmission Rate (%) | 19.7 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 57,175 | |
| Total Hospitalizations with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 35 | |
| DRG Share of Total Hospitalizations | 0.17 | |
| % of Total ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified in DRG | 47.95 | |
| Avg LOS at DRG | 4.07 | |
| Avg LOS with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 3.43 | |
| Readmission Rate at DRG | 34.07 | |
| Readmission Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | NA | |
| Unplanned Readmission Rate at DRG | 26.53 | |
| Unplanned Readmission Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | NA | |
| Total Medicare payments at DRG | $353,726,509 | |
| Total Medicare payments with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $180,949 | |
| Total Medicare payment per Day at DRG | $1,519 | |
| Total Medicare payment per Day with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $1,508 | |
| Total Medicare payment per Hospitalization at DRG | $6,187 | |
| Total Medicare payment per Hospitalization with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $5,170 | |
| Total Medicare Charges at DRG | $1,770,659,000 | |
| Total Medicare Charges with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $1,116,680 | |
| Avg Charges at DRG | $30,969 | |
| Avg Charges with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $31,905 | |
| Mortality Rate at DRG | 1.12 | |
| Mortality Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | NA | |
| SNF Discharge Rate at DRG | 15.97 | |
| SNF Discharge Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | NA | |
| Home Discharge Rate at DRG | 50.7 | |
| Home Discharge Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 71.43 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 968 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified in DRG | 8.45 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 7.76 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 28.46 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 17.46 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $12,191,830 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $1,624 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $12,595 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $79,575,003 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $82,206 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 10.74 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 19.52 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 33.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,081 | ||||
| Total Hospitalizations with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 215 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified in DRG | 1.88 | ||||
| Avg LOS at DRG | 9.8 | ||||
| Avg LOS with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 10.13 | ||||
| Readmission Rate at DRG | 37.3 | ||||
| Readmission Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 38.1 | ||||
| Unplanned Readmission Rate at DRG | 22.57 | ||||
| Unplanned Readmission Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 27.38 | ||||
| Total Medicare payments at DRG | $683,745,757 | ||||
| Total Medicare payments with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $5,166,138 | ||||
| Total Medicare payment per Day at DRG | $2,399 | ||||
| Total Medicare payment per Day with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $2,371 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,512 | ||||
| Total Medicare payment per Hospitalization with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $24,029 | ||||
| Total Medicare Charges at DRG | $3,049,100,784 | ||||
| Total Medicare Charges with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $27,597,314 | ||||
| Avg Charges at DRG | $104,849 | ||||
| Avg Charges with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $128,360 | ||||
| Mortality Rate at DRG | 13.07 | ||||
| Mortality Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 14.42 | ||||
| SNF Discharge Rate at DRG | 16.93 | ||||
| SNF Discharge Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 18.6 | ||||
| Home Discharge Rate at DRG | 29.4 | ||||
| Home Discharge Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 32.09 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 841: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 174 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified in DRG | 1.52 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 5.31 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 25.47 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 20.5 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $1,241,944 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $1,344 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $7,138 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $7,862,848 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $45,189 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 15.52 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 54.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,432 | ||||
| Total Hospitalizations with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 158 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified in DRG | 1.38 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 5.3 | ||||
| Readmission Rate at DRG | 30.74 | ||||
| Readmission Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 30.99 | ||||
| Unplanned Readmission Rate at DRG | 18.94 | ||||
| Unplanned Readmission Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 17.61 | ||||
| Total Medicare payments at DRG | $376,347,273 | ||||
| Total Medicare payments with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $1,459,295 | ||||
| Total Medicare payment per Day at DRG | $1,873 | ||||
| Total Medicare payment per Day with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $1,741 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,284 | ||||
| Total Medicare payment per Hospitalization with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $9,236 | ||||
| Total Medicare Charges at DRG | $1,794,383,177 | ||||
| Total Medicare Charges with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $8,436,892 | ||||
| Avg Charges at DRG | $39,496 | ||||
| Avg Charges with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | $53,398 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 7.48 | ||||
| SNF Discharge Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 67.79 | ||||
| Home Discharge Rate with ICD R162 - Hepatomegaly with splenomegaly, not elsewhere classified | 62.03 |
| 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 | 105 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 54 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PARVIN ZAWAHIR | 41 E 11TH ST | NEW YORK | NY | 10003 | 11 |
| Dr. SURAYIA T HASAN | 224 PROFESSIONAL PARK | BECKLEY | WV | 25801 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | R188 | Other ascites |
| 2 | I10 | Essential (primary) hypertension |
| 3 | K7460 | Unspecified cirrhosis of liver |