*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R5381 - Other malaise - as a primary diagnosis code | R5381 - Other malaise - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.28 | |
| Readmission Rate (%) | 26.0 | |
| Unplanned Readmission Rate (%) | 16.06 | |
| 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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD R5381 - Other malaise | 26,434 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD R5381 - Other malaise in DRG | 44.75 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD R5381 - Other malaise | 10.42 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD R5381 - Other malaise | 18.26 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD R5381 - Other malaise | 14.09 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD R5381 - Other malaise | $406,976,764 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD R5381 - Other malaise | $1,477 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD R5381 - Other malaise | $15,396 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD R5381 - Other malaise | $884,460,044 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD R5381 - Other malaise | $33,459 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD R5381 - Other malaise | 0.12 | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD R5381 - Other malaise | 15.76 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD R5381 - Other malaise | 20.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION | DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 8,180 | ||
| Total Hospitalizations with ICD R5381 - Other malaise | 268 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD R5381 - Other malaise in DRG | 0.45 | ||
| Avg LOS at DRG | 6.71 | ||
| Avg LOS with ICD R5381 - Other malaise | 13.97 | ||
| Readmission Rate at DRG | 23.14 | ||
| Readmission Rate with ICD R5381 - Other malaise | 25.0 | ||
| Unplanned Readmission Rate at DRG | 11.83 | ||
| Unplanned Readmission Rate with ICD R5381 - Other malaise | 18.64 | ||
| Total Medicare payments at DRG | $126,050,117 | ||
| Total Medicare payments with ICD R5381 - Other malaise | $5,906,259 | ||
| Total Medicare payment per Day at DRG | $2,297 | ||
| Total Medicare payment per Day with ICD R5381 - Other malaise | $1,577 | ||
| Total Medicare payment per Hospitalization at DRG | $15,410 | ||
| Total Medicare payment per Hospitalization with ICD R5381 - Other malaise | $22,038 | ||
| Total Medicare Charges at DRG | $596,559,916 | ||
| Total Medicare Charges with ICD R5381 - Other malaise | $21,750,033 | ||
| Avg Charges at DRG | $72,929 | ||
| Avg Charges with ICD R5381 - Other malaise | $81,157 | ||
| Mortality Rate at DRG | 0.31 | ||
| Mortality Rate with ICD R5381 - Other malaise | NA | ||
| SNF Discharge Rate at DRG | 23.23 | ||
| SNF Discharge Rate with ICD R5381 - Other malaise | 20.15 | ||
| Home Discharge Rate at DRG | 38.81 | ||
| Home Discharge Rate with ICD R5381 - Other malaise | 11.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MARYLAND REHABILITATION & ORTHOPAEDIC INSTITUTE | 2200 KERNAN DR | BALTIMORE | MD | 21207 | 942 |
| CARDINAL HILL REHABILITATION HOSPITAL | 2050 VERSAILLES RD | LEXINGTON | KY | 40504 | 911 |
| ST. DAVID'S GEORGETOWN HOSPITAL | 2000 SCENIC DRIVE | GEORGETOWN | TX | 78626 | 567 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZELALEM MAKONNEN | 2200 KERNAN DR | BALTIMORE | MD | 21207 | 543 |
| Dr. DEBORAH THOREN MOWERY | 6136 PETERS CREEK RD | ROANOKE | VA | 24019 | 359 |
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 344 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZELALEM MAKONNEN | 2200 KERNAN DR | BALTIMORE | MD | 21207 | 583 |
| Dr. PADMAJA KONDAMURI | 8840 CALUMET AVE | MUNSTER | IN | 46321 | 425 |
| Dr. DEBORAH THOREN MOWERY | 6136 PETERS CREEK RD | ROANOKE | VA | 24019 | 399 |
*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 948: SIGNS AND SYMPTOMS WITHOUT 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 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R5381 - Other malaise | 43,110 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R5381 - Other malaise in DRG | 6.35 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R5381 - Other malaise | 8.28 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R5381 - Other malaise | 28.07 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R5381 - Other malaise | 16.85 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R5381 - Other malaise | $535,265,115 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R5381 - Other malaise | $1,499 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R5381 - Other malaise | $12,416 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R5381 - Other malaise | $2,775,887,710 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R5381 - Other malaise | $64,391 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R5381 - Other malaise | 9.1 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R5381 - Other malaise | 35.85 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R5381 - Other malaise | 12.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD R5381 - Other malaise | 18,056 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD R5381 - Other malaise in DRG | 2.66 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD R5381 - Other malaise | 12.21 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD R5381 - Other malaise | 18.76 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD R5381 - Other malaise | 14.01 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD R5381 - Other malaise | $331,552,049 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD R5381 - Other malaise | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD R5381 - Other malaise | $18,362 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD R5381 - Other malaise | $897,226,714 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD R5381 - Other malaise | $49,691 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD R5381 - Other malaise | 0.49 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD R5381 - Other malaise | 12.85 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD R5381 - Other malaise | 20.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD R5381 - Other malaise | 11,510 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD R5381 - Other malaise in DRG | 1.7 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD R5381 - Other malaise | 7.31 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD R5381 - Other malaise | 25.65 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD R5381 - Other malaise | 15.88 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD R5381 - Other malaise | $112,418,298 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD R5381 - Other malaise | $1,336 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD R5381 - Other malaise | $9,767 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD R5381 - Other malaise | $557,232,739 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD R5381 - Other malaise | $48,413 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD R5381 - Other malaise | 3.69 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD R5381 - Other malaise | 33.98 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD R5381 - Other malaise | 18.76 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD R5381 - Other malaise | 9,446 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD R5381 - Other malaise in DRG | 1.39 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD R5381 - Other malaise | 6.38 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD R5381 - Other malaise | 27.74 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD R5381 - Other malaise | 19.02 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD R5381 - Other malaise | $77,844,849 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD R5381 - Other malaise | $1,292 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD R5381 - Other malaise | $8,241 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD R5381 - Other malaise | $309,320,884 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD R5381 - Other malaise | $32,746 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD R5381 - Other malaise | 1.28 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD R5381 - Other malaise | 28.32 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD R5381 - Other malaise | 20.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 7,291 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 4,055 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HENDERSON | 10301 JEFFREYS ST | HENDERSON | NV | 89052 | 3,838 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 1,178 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 1,165 |
| Dr. AAMIR HASHMAT | 2024 15TH ST FL 2 | MERIDIAN | MS | 39301 | 848 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SOFRONIO SAGUCIO SORIANO | 501 S RANCHO DR | LAS VEGAS | NV | 89106 | 1,950 |
| Dr. FARZIN FARHANG | 2036 GLENVIEW DR | LAS VEGAS | NV | 89134 | 1,564 |
| Dr. ROBERT R GAO | 229 N PECOS RD | HENDERSON | NV | 89074 | 1,420 |