*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R601 - Generalized edema - as a primary diagnosis code | R601 - Generalized edema - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.19 | |
| Readmission Rate (%) | 31.83 | |
| Unplanned Readmission Rate (%) | 17.85 | |
| 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 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | |||
| Total Hospitalizations with ICD R601 - Generalized edema | 1,248 | |||
| DRG Share of Total Hospitalizations | 0.49 | |||
| % of Total ICD R601 - Generalized edema in DRG | 76.61 | |||
| Avg LOS at DRG | 4.98 | |||
| Avg LOS with ICD R601 - Generalized edema | 4.21 | |||
| Readmission Rate at DRG | 20.85 | |||
| Readmission Rate with ICD R601 - Generalized edema | 24.83 | |||
| Unplanned Readmission Rate at DRG | 13.4 | |||
| Unplanned Readmission Rate with ICD R601 - Generalized edema | 16.78 | |||
| Total Medicare payments at DRG | $1,184,949,733 | |||
| Total Medicare payments with ICD R601 - Generalized edema | $6,492,658 | |||
| Total Medicare payment per Day at DRG | $1,477 | |||
| Total Medicare payment per Day with ICD R601 - Generalized edema | $1,235 | |||
| Total Medicare payment per Hospitalization at DRG | $7,362 | |||
| Total Medicare payment per Hospitalization with ICD R601 - Generalized edema | $5,202 | |||
| Total Medicare Charges at DRG | $4,222,078,897 | |||
| Total Medicare Charges with ICD R601 - Generalized edema | $32,038,011 | |||
| Avg Charges at DRG | $26,232 | |||
| Avg Charges with ICD R601 - Generalized edema | $25,671 | |||
| Mortality Rate at DRG | 0.67 | |||
| Mortality Rate with ICD R601 - Generalized edema | NA | |||
| SNF Discharge Rate at DRG | 22.29 | |||
| SNF Discharge Rate with ICD R601 - Generalized edema | 17.63 | |||
| Home Discharge Rate at DRG | 35.46 | |||
| Home Discharge Rate with ICD R601 - Generalized edema | 50.96 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R601 - Generalized edema | 3,576 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R601 - Generalized edema in DRG | 7.62 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R601 - Generalized edema | 8.97 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R601 - Generalized edema | 31.14 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R601 - Generalized edema | 19.59 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R601 - Generalized edema | $47,434,966 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R601 - Generalized edema | $1,479 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R601 - Generalized edema | $13,265 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R601 - Generalized edema | $299,744,813 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R601 - Generalized edema | $83,821 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R601 - Generalized edema | 22.73 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R601 - Generalized edema | 28.1 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R601 - Generalized edema | 10.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD R601 - Generalized edema | 1,168 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD R601 - Generalized edema in DRG | 2.49 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD R601 - Generalized edema | 11.4 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD R601 - Generalized edema | 30.62 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD R601 - Generalized edema | 19.0 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD R601 - Generalized edema | $17,143,219 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD R601 - Generalized edema | $1,288 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD R601 - Generalized edema | $14,677 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD R601 - Generalized edema | $94,238,311 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD R601 - Generalized edema | $80,683 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD R601 - Generalized edema | 12.84 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD R601 - Generalized edema | 23.29 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD R601 - Generalized edema | 19.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD R601 - Generalized edema | 723 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R601 - Generalized edema in DRG | 1.54 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD R601 - Generalized edema | 5.48 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD R601 - Generalized edema | 28.36 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD R601 - Generalized edema | 20.26 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD R601 - Generalized edema | $4,397,543 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD R601 - Generalized edema | $1,110 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD R601 - Generalized edema | $6,082 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD R601 - Generalized edema | $23,529,852 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD R601 - Generalized edema | $32,545 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD R601 - Generalized edema | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD R601 - Generalized edema | 25.31 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD R601 - Generalized edema | 38.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH 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) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD R601 - Generalized edema | 534 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD R601 - Generalized edema in DRG | 1.14 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD R601 - Generalized edema | 6.43 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD R601 - Generalized edema | 39.56 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD R601 - Generalized edema | 28.79 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD R601 - Generalized edema | $4,433,785 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD R601 - Generalized edema | $1,291 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD R601 - Generalized edema | $8,303 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD R601 - Generalized edema | $29,310,873 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD R601 - Generalized edema | $54,889 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD R601 - Generalized edema | 6.74 | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD R601 - Generalized edema | 19.66 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD R601 - Generalized edema | 37.64 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 199 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 198 |
| WESLEY REHABILITATION HOSPITAL, AN AFFILIATE OF HEALTHSOUTH | 8338 W 13TH ST N | WICHITA | KS | 67212 | 146 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ENGILBERTO JAVIER RAMOS | 506 E SAN ANTONIO ST | VICTORIA | TX | 77901 | 26 |
| Dr. ROY DENTON | 228 W TYLER AVE | WEST MEMPHIS | AR | 72301 | 25 |
| Dr. MICHAEL T SERLE | 30 MEMORIAL DR | PINEHURST | NC | 28374 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ENGILBERTO JAVIER RAMOS | 506 E SAN ANTONIO ST | VICTORIA | TX | 77901 | 39 |
| Dr. CHARLES E. COTTLE | 9643 HUEBNER RD | SAN ANTONIO | TX | 78240 | 36 |
| Dr. RICHARD ELTON SCOTT | 50 HILLCREST MEDICAL BLVD STE 201 | WACO | TX | 76712 | 35 |