*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R6250 - Unspecified lack of expected normal physiological development in childhood - as a primary diagnosis code | R6250 - Unspecified lack of expected normal physiological development in childhood - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.78 | |
| Readmission Rate (%) | 21.43 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 310,318 |
| Total Hospitalizations with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 16 |
| DRG Share of Total Hospitalizations | 0.94 |
| % of Total ICD R6250 - Unspecified lack of expected normal physiological development in childhood in DRG | 94.12 |
| Avg LOS at DRG | 3.19 |
| Avg LOS with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 6.06 |
| Readmission Rate at DRG | 20.19 |
| Readmission Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | NA |
| Unplanned Readmission Rate at DRG | 13.62 |
| Unplanned Readmission Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | NA |
| Total Medicare payments at DRG | $1,415,392,709 |
| Total Medicare payments with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $89,363 |
| Total Medicare payment per Day at DRG | $1,431 |
| Total Medicare payment per Day with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $921 |
| Total Medicare payment per Hospitalization at DRG | $4,561 |
| Total Medicare payment per Hospitalization with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $5,585 |
| Total Medicare Charges at DRG | $7,113,640,596 |
| Total Medicare Charges with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $382,871 |
| Avg Charges at DRG | $22,924 |
| Avg Charges with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $23,929 |
| Mortality Rate at DRG | 0.63 |
| Mortality Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | NA |
| SNF Discharge Rate at DRG | 19.76 |
| SNF Discharge Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | NA |
| Home Discharge Rate at DRG | 50.47 |
| Home Discharge Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | NA |
*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 885: PSYCHOSES | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 2,533 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R6250 - Unspecified lack of expected normal physiological development in childhood in DRG | 10.88 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 6.74 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 22.04 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 17.25 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $33,099,140 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $1,939 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $13,067 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $168,938,262 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $66,695 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 8.13 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 23.49 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 35.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 472 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD R6250 - Unspecified lack of expected normal physiological development in childhood in DRG | 2.03 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 7.58 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 23.0 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 18.78 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $6,538,972 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $1,828 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $13,854 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $31,827,332 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $67,431 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 4.45 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 22.03 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 34.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH 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) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 316 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD R6250 - Unspecified lack of expected normal physiological development in childhood in DRG | 1.36 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 3.52 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 10.67 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 8.33 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $1,978,753 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $1,778 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $6,262 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $8,596,334 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $27,204 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 14.56 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 59.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES 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) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 271 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD R6250 - Unspecified lack of expected normal physiological development in childhood in DRG | 1.16 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 5.96 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 25.88 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 21.57 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $2,899,379 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $1,796 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $10,699 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $15,348,940 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | $56,638 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 26.2 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD R6250 - Unspecified lack of expected normal physiological development in childhood | 33.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SPECTRUM HEALTH BUTTERWORTH HOSPITAL | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 145 |
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 143 |
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 122 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALBERT M LOERINC | 32 MYLES STANDISH DR | NORTH DARTMOUTH | MA | 02747 | 14 |
| Dr. PREETI V PUNTAMBEKAR | 3131 PRINCETON PIKE | LAWRENCEVILLE | NJ | 08648 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SUREKHA SANTOSHKUMAR VETSA | 1351 SELO DR | SUNNYVALE | CA | 94087 | 34 |
| Dr. ALBERT M LOERINC | 32 MYLES STANDISH DR | NORTH DARTMOUTH | MA | 02747 | 14 |
| Dr. NAVEED MAHFOOZ | 1525 W CARO RD | CARO | MI | 48723 | 14 |