*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R700 - Elevated erythrocyte sedimentation rate - as a primary diagnosis code | R700 - Elevated erythrocyte sedimentation rate - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.27 | |
| Readmission Rate (%) | 22.42 | |
| 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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 160,950 |
| Total Hospitalizations with ICD R700 - Elevated erythrocyte sedimentation rate | 14 |
| DRG Share of Total Hospitalizations | 0.49 |
| % of Total ICD R700 - Elevated erythrocyte sedimentation rate in DRG | 93.33 |
| Avg LOS at DRG | 4.98 |
| Avg LOS with ICD R700 - Elevated erythrocyte sedimentation rate | 2.86 |
| Readmission Rate at DRG | 20.85 |
| Readmission Rate with ICD R700 - Elevated erythrocyte sedimentation rate | NA |
| Unplanned Readmission Rate at DRG | 13.4 |
| Unplanned Readmission Rate with ICD R700 - Elevated erythrocyte sedimentation rate | NA |
| Total Medicare payments at DRG | $1,184,949,733 |
| Total Medicare payments with ICD R700 - Elevated erythrocyte sedimentation rate | $73,791 |
| Total Medicare payment per Day at DRG | $1,477 |
| Total Medicare payment per Day with ICD R700 - Elevated erythrocyte sedimentation rate | $1,845 |
| Total Medicare payment per Hospitalization at DRG | $7,362 |
| Total Medicare payment per Hospitalization with ICD R700 - Elevated erythrocyte sedimentation rate | $5,271 |
| Total Medicare Charges at DRG | $4,222,078,897 |
| Total Medicare Charges with ICD R700 - Elevated erythrocyte sedimentation rate | $315,450 |
| Avg Charges at DRG | $26,232 |
| Avg Charges with ICD R700 - Elevated erythrocyte sedimentation rate | $22,532 |
| Mortality Rate at DRG | 0.67 |
| Mortality Rate with ICD R700 - Elevated erythrocyte sedimentation rate | NA |
| SNF Discharge Rate at DRG | 22.29 |
| SNF Discharge Rate with ICD R700 - Elevated erythrocyte sedimentation rate | NA |
| Home Discharge Rate at DRG | 35.46 |
| Home Discharge Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD R700 - Elevated erythrocyte sedimentation rate | 402 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R700 - Elevated erythrocyte sedimentation rate in DRG | 4.5 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD R700 - Elevated erythrocyte sedimentation rate | 4.26 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 15.24 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 10.7 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD R700 - Elevated erythrocyte sedimentation rate | $2,242,854 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD R700 - Elevated erythrocyte sedimentation rate | $1,311 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD R700 - Elevated erythrocyte sedimentation rate | $5,579 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD R700 - Elevated erythrocyte sedimentation rate | $9,764,622 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD R700 - Elevated erythrocyte sedimentation rate | $24,290 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD R700 - Elevated erythrocyte sedimentation rate | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 17.41 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 51.99 |
*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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 864: FEVER | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD R700 - Elevated erythrocyte sedimentation rate | 137 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD R700 - Elevated erythrocyte sedimentation rate in DRG | 1.53 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD R700 - Elevated erythrocyte sedimentation rate | 4.62 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 17.83 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 9.3 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD R700 - Elevated erythrocyte sedimentation rate | $819,063 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD R700 - Elevated erythrocyte sedimentation rate | $1,294 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD R700 - Elevated erythrocyte sedimentation rate | $5,979 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD R700 - Elevated erythrocyte sedimentation rate | $4,522,069 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD R700 - Elevated erythrocyte sedimentation rate | $33,008 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD R700 - Elevated erythrocyte sedimentation rate | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 16.79 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 50.36 |
*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 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD R700 - Elevated erythrocyte sedimentation rate | 123 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD R700 - Elevated erythrocyte sedimentation rate in DRG | 1.38 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD R700 - Elevated erythrocyte sedimentation rate | 10.8 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 13.27 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD R700 - Elevated erythrocyte sedimentation rate | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD R700 - Elevated erythrocyte sedimentation rate | $2,158,421 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD R700 - Elevated erythrocyte sedimentation rate | $1,624 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD R700 - Elevated erythrocyte sedimentation rate | $17,548 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD R700 - Elevated erythrocyte sedimentation rate | $11,204,757 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD R700 - Elevated erythrocyte sedimentation rate | $91,096 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD R700 - Elevated erythrocyte sedimentation rate | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 17.07 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 24.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,543 | ||||
| Total Hospitalizations with ICD R700 - Elevated erythrocyte sedimentation rate | 107 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD R700 - Elevated erythrocyte sedimentation rate in DRG | 1.2 | ||||
| Avg LOS at DRG | 4.54 | ||||
| Avg LOS with ICD R700 - Elevated erythrocyte sedimentation rate | 3.42 | ||||
| Readmission Rate at DRG | 18.05 | ||||
| Readmission Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 12.0 | ||||
| Unplanned Readmission Rate at DRG | 10.73 | ||||
| Unplanned Readmission Rate with ICD R700 - Elevated erythrocyte sedimentation rate | NA | ||||
| Total Medicare payments at DRG | $293,427,765 | ||||
| Total Medicare payments with ICD R700 - Elevated erythrocyte sedimentation rate | $520,368 | ||||
| Total Medicare payment per Day at DRG | $1,485 | ||||
| Total Medicare payment per Day with ICD R700 - Elevated erythrocyte sedimentation rate | $1,422 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
| Total Medicare payment per Hospitalization with ICD R700 - Elevated erythrocyte sedimentation rate | $4,863 | ||||
| Total Medicare Charges at DRG | $1,161,067,318 | ||||
| Total Medicare Charges with ICD R700 - Elevated erythrocyte sedimentation rate | $2,716,149 | ||||
| Avg Charges at DRG | $26,665 | ||||
| Avg Charges with ICD R700 - Elevated erythrocyte sedimentation rate | $25,385 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD R700 - Elevated erythrocyte sedimentation rate | NA | ||||
| SNF Discharge Rate at DRG | 27.91 | ||||
| SNF Discharge Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 25.23 | ||||
| Home Discharge Rate at DRG | 35.39 | ||||
| Home Discharge Rate with ICD R700 - Elevated erythrocyte sedimentation rate | 50.47 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PLANTATION GENERAL HOSPITAL | 3663 S MIAMI AVE | MIAMI | FL | 33133 | 207 |
| PALOS HEALTH | 12251 S 80TH AVE | PALOS HEIGHTS | IL | 60463 | 85 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 81 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TERENCE PEPPARD | 3663 S MIAMI AVE | MIAMI | FL | 33133 | 186 |
| Dr. DENNIS MICHAEL BLANKENSHIP | 422 BEECH ST | TEXARKANA | AR | 71854 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TERENCE PEPPARD | 3663 S MIAMI AVE | MIAMI | FL | 33133 | 204 |
| Dr. DENNIS MICHAEL BLANKENSHIP | 422 BEECH ST | TEXARKANA | AR | 71854 | 84 |
| Dr. SUBHASH C SAHAI | 1610 COLLINS ST | WEBSTER CITY | IA | 50595 | 26 |