*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R638 - Other symptoms and signs concerning food and fluid intake - as a primary diagnosis code | R638 - Other symptoms and signs concerning food and fluid intake - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.93 | |
| Readmission Rate (%) | 22.01 | |
| 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 R638 - Other symptoms and signs concerning food and fluid intake | 30 |
| DRG Share of Total Hospitalizations | 0.94 |
| % of Total ICD R638 - Other symptoms and signs concerning food and fluid intake in DRG | 76.92 |
| Avg LOS at DRG | 3.19 |
| Avg LOS with ICD R638 - Other symptoms and signs concerning food and fluid intake | 2.97 |
| Readmission Rate at DRG | 20.19 |
| Readmission Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | NA |
| Unplanned Readmission Rate at DRG | 13.62 |
| Unplanned Readmission Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | NA |
| Total Medicare payments at DRG | $1,415,392,709 |
| Total Medicare payments with ICD R638 - Other symptoms and signs concerning food and fluid intake | $186,493 |
| Total Medicare payment per Day at DRG | $1,431 |
| Total Medicare payment per Day with ICD R638 - Other symptoms and signs concerning food and fluid intake | $2,095 |
| Total Medicare payment per Hospitalization at DRG | $4,561 |
| Total Medicare payment per Hospitalization with ICD R638 - Other symptoms and signs concerning food and fluid intake | $6,216 |
| Total Medicare Charges at DRG | $7,113,640,596 |
| Total Medicare Charges with ICD R638 - Other symptoms and signs concerning food and fluid intake | $730,998 |
| Avg Charges at DRG | $22,924 |
| Avg Charges with ICD R638 - Other symptoms and signs concerning food and fluid intake | $24,367 |
| Mortality Rate at DRG | 0.63 |
| Mortality Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | NA |
| SNF Discharge Rate at DRG | 19.76 |
| SNF Discharge Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 40.0 |
| Home Discharge Rate at DRG | 50.47 |
| Home Discharge Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 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 885: PSYCHOSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R638 - Other symptoms and signs concerning food and fluid intake | 285 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R638 - Other symptoms and signs concerning food and fluid intake in DRG | 6.26 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R638 - Other symptoms and signs concerning food and fluid intake | 23.98 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 22.31 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 9.16 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R638 - Other symptoms and signs concerning food and fluid intake | $4,500,129 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R638 - Other symptoms and signs concerning food and fluid intake | $659 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R638 - Other symptoms and signs concerning food and fluid intake | $15,790 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R638 - Other symptoms and signs concerning food and fluid intake | $15,742,741 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R638 - Other symptoms and signs concerning food and fluid intake | $55,238 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 10.88 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 51.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD R638 - Other symptoms and signs concerning food and fluid intake | 135 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD R638 - Other symptoms and signs concerning food and fluid intake in DRG | 2.96 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD R638 - Other symptoms and signs concerning food and fluid intake | 16.09 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 14.05 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 10.74 | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD R638 - Other symptoms and signs concerning food and fluid intake | $2,171,976 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD R638 - Other symptoms and signs concerning food and fluid intake | $1,000 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD R638 - Other symptoms and signs concerning food and fluid intake | $16,089 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD R638 - Other symptoms and signs concerning food and fluid intake | $5,307,147 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD R638 - Other symptoms and signs concerning food and fluid intake | $39,312 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | NA | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 46.67 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 15.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD R638 - Other symptoms and signs concerning food and fluid intake | 83 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD R638 - Other symptoms and signs concerning food and fluid intake in DRG | 1.82 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD R638 - Other symptoms and signs concerning food and fluid intake | 12.71 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | NA | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD R638 - Other symptoms and signs concerning food and fluid intake | $1,606,978 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD R638 - Other symptoms and signs concerning food and fluid intake | $1,523 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD R638 - Other symptoms and signs concerning food and fluid intake | $19,361 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD R638 - Other symptoms and signs concerning food and fluid intake | $3,298,565 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD R638 - Other symptoms and signs concerning food and fluid intake | $39,742 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 13.25 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R638 - Other symptoms and signs concerning food and fluid intake | 65 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R638 - Other symptoms and signs concerning food and fluid intake in DRG | 1.43 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R638 - Other symptoms and signs concerning food and fluid intake | 5.29 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 18.03 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R638 - Other symptoms and signs concerning food and fluid intake | $518,468 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R638 - Other symptoms and signs concerning food and fluid intake | $1,507 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R638 - Other symptoms and signs concerning food and fluid intake | $7,976 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R638 - Other symptoms and signs concerning food and fluid intake | $2,414,815 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R638 - Other symptoms and signs concerning food and fluid intake | $37,151 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 26.15 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R638 - Other symptoms and signs concerning food and fluid intake | 44.62 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 230 |
| TERREBONNE GENERAL MEDICAL CENTER | 8166 MAIN STREET | HOUMA | LA | 70360 | 228 |
| LONG ISLAND JEWISH MEDICAL CENTER | 270-05 76 AVE | NEW HYDE PARK | NY | 11040 | 169 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PATRICK DECOURCY WALKER | 827 BAYOU GARDENS BLVD | HOUMA | LA | 70364 | 43 |
| Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 17 |
| Dr. FADI F ABOU-ISSA | 8120 MAIN ST | HOUMA | LA | 70360 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PATRICK DECOURCY WALKER | 827 BAYOU GARDENS BLVD | HOUMA | LA | 70364 | 67 |
| Dr. MARK J. ZEDAR | 1050 EGGLESTON RD | AURORA | OH | 44202 | 58 |
| Dr. JEFFREY H. GOTTLIEB | 28 CRESCENT ST | MIDDLETOWN | CT | 06457 | 48 |