*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R231 - Pallor - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.93 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R231 - Pallor | 182 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R231 - Pallor in DRG | 6.64 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R231 - Pallor | 6.15 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R231 - Pallor | 29.32 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R231 - Pallor | 22.56 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R231 - Pallor | $1,989,336 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R231 - Pallor | $1,778 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R231 - Pallor | $10,930 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R231 - Pallor | $9,275,700 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R231 - Pallor | $50,965 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R231 - Pallor | 21.43 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R231 - Pallor | 26.92 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R231 - Pallor | 20.88 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R231 - Pallor | 59 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R231 - Pallor in DRG | 2.15 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R231 - Pallor | 5.59 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R231 - Pallor | 24.53 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R231 - Pallor | 24.53 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R231 - Pallor | $393,240 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R231 - Pallor | $1,192 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R231 - Pallor | $6,665 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R231 - Pallor | $2,148,156 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R231 - Pallor | $36,409 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R231 - Pallor | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R231 - Pallor | NA | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R231 - Pallor | 57.63 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R231 - Pallor | 42 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R231 - Pallor in DRG | 1.53 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R231 - Pallor | 4.76 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R231 - Pallor | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R231 - Pallor | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R231 - Pallor | $286,123 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R231 - Pallor | $1,431 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R231 - Pallor | $6,812 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R231 - Pallor | $1,413,944 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R231 - Pallor | $33,665 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R231 - Pallor | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R231 - Pallor | 26.19 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R231 - Pallor | 40.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES 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 | 84,943 | ||||
| Total Hospitalizations with ICD R231 - Pallor | 30 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD R231 - Pallor in DRG | 1.1 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD R231 - Pallor | 4.1 | ||||
| Readmission Rate at DRG | 29.98 | ||||
| Readmission Rate with ICD R231 - Pallor | NA | ||||
| Unplanned Readmission Rate at DRG | 23.75 | ||||
| Unplanned Readmission Rate with ICD R231 - Pallor | NA | ||||
| Total Medicare payments at DRG | $730,869,349 | ||||
| Total Medicare payments with ICD R231 - Pallor | $250,069 | ||||
| Total Medicare payment per Day at DRG | $1,782 | ||||
| Total Medicare payment per Day with ICD R231 - Pallor | $2,033 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,604 | ||||
| Total Medicare payment per Hospitalization with ICD R231 - Pallor | $8,336 | ||||
| Total Medicare Charges at DRG | $3,626,959,517 | ||||
| Total Medicare Charges with ICD R231 - Pallor | $952,238 | ||||
| Avg Charges at DRG | $42,699 | ||||
| Avg Charges with ICD R231 - Pallor | $31,741 | ||||
| Mortality Rate at DRG | 2.39 | ||||
| Mortality Rate with ICD R231 - Pallor | NA | ||||
| SNF Discharge Rate at DRG | 20.54 | ||||
| SNF Discharge Rate with ICD R231 - Pallor | NA | ||||
| Home Discharge Rate at DRG | 49.17 | ||||
| Home Discharge Rate with ICD R231 - Pallor | 43.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DECATUR MEMORIAL HOSPITAL | 2300 N. EDWARD ST. | DECATUR | IL | 62526 | 289 |
| SAINT AGNES MEDICAL CENTER | 1303 E HERNDON AVE | FRESNO | CA | 93720 | 42 |
| UMASSMEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL | 60 HOSPITAL RD | LEOMINSTER | MA | 01453 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES MARK BRUMIT | 2300 N EDWARD ST | DECATUR | IL | 62526 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HASITHA IDANGODAGE | 1201 11TH AVE SW | MINOT | ND | 58701 | 24 |
| Dr. HEMANTH KUMAR VALLAPU REDDY | 3311 E MURDOCK ST | WICHITA | KS | 67208 | 20 |
| Dr. SATYA A PATEL | 2300 N EDWARD ST | DECATUR | IL | 62526 | 18 |