*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R748 - Abnormal levels of other serum enzymes - as a primary diagnosis code | R748 - Abnormal levels of other serum enzymes - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.02 | |
| Readmission Rate (%) | 24.09 | |
| Unplanned Readmission Rate (%) | 10.21 | |
| 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 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | 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 R748 - Abnormal levels of other serum enzymes | 1,619 | |||
| DRG Share of Total Hospitalizations | 0.49 | |||
| % of Total ICD R748 - Abnormal levels of other serum enzymes in DRG | 82.9 | |||
| Avg LOS at DRG | 4.98 | |||
| Avg LOS with ICD R748 - Abnormal levels of other serum enzymes | 2.11 | |||
| Readmission Rate at DRG | 20.85 | |||
| Readmission Rate with ICD R748 - Abnormal levels of other serum enzymes | 17.19 | |||
| Unplanned Readmission Rate at DRG | 13.4 | |||
| Unplanned Readmission Rate with ICD R748 - Abnormal levels of other serum enzymes | 9.35 | |||
| Total Medicare payments at DRG | $1,184,949,733 | |||
| Total Medicare payments with ICD R748 - Abnormal levels of other serum enzymes | $6,596,594 | |||
| Total Medicare payment per Day at DRG | $1,477 | |||
| Total Medicare payment per Day with ICD R748 - Abnormal levels of other serum enzymes | $1,929 | |||
| Total Medicare payment per Hospitalization at DRG | $7,362 | |||
| Total Medicare payment per Hospitalization with ICD R748 - Abnormal levels of other serum enzymes | $4,074 | |||
| Total Medicare Charges at DRG | $4,222,078,897 | |||
| Total Medicare Charges with ICD R748 - Abnormal levels of other serum enzymes | $35,859,872 | |||
| Avg Charges at DRG | $26,232 | |||
| Avg Charges with ICD R748 - Abnormal levels of other serum enzymes | $22,149 | |||
| Mortality Rate at DRG | 0.67 | |||
| Mortality Rate with ICD R748 - Abnormal levels of other serum enzymes | NA | |||
| SNF Discharge Rate at DRG | 22.29 | |||
| SNF Discharge Rate with ICD R748 - Abnormal levels of other serum enzymes | 13.65 | |||
| Home Discharge Rate at DRG | 35.46 | |||
| Home Discharge Rate with ICD R748 - Abnormal levels of other serum enzymes | 57.94 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNION HOSPITAL OF CECIL COUNTY | 106 BOW ST | ELKTON | MD | 21921 | 15 |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER | 1000 MONTAUK HWY | WEST ISLIP | NY | 11795 | 13 |
| SPECTRUM HEALTH BUTTERWORTH HOSPITAL | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 11 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R748 - Abnormal levels of other serum enzymes | 26,467 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R748 - Abnormal levels of other serum enzymes in DRG | 8.42 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R748 - Abnormal levels of other serum enzymes | 5.87 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R748 - Abnormal levels of other serum enzymes | 23.48 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R748 - Abnormal levels of other serum enzymes | 16.23 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R748 - Abnormal levels of other serum enzymes | $297,452,662 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R748 - Abnormal levels of other serum enzymes | $1,913 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R748 - Abnormal levels of other serum enzymes | $11,239 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R748 - Abnormal levels of other serum enzymes | $1,478,562,983 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R748 - Abnormal levels of other serum enzymes | $55,864 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R748 - Abnormal levels of other serum enzymes | 13.68 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R748 - Abnormal levels of other serum enzymes | 27.04 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R748 - Abnormal levels of other serum enzymes | 23.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD R748 - Abnormal levels of other serum enzymes | 6,460 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R748 - Abnormal levels of other serum enzymes in DRG | 2.06 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R748 - Abnormal levels of other serum enzymes | 5.35 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R748 - Abnormal levels of other serum enzymes | 26.81 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R748 - Abnormal levels of other serum enzymes | 20.2 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R748 - Abnormal levels of other serum enzymes | $59,023,605 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R748 - Abnormal levels of other serum enzymes | $1,708 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R748 - Abnormal levels of other serum enzymes | $9,137 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R748 - Abnormal levels of other serum enzymes | $271,065,808 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R748 - Abnormal levels of other serum enzymes | $41,961 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R748 - Abnormal levels of other serum enzymes | 5.53 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R748 - Abnormal levels of other serum enzymes | 29.41 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R748 - Abnormal levels of other serum enzymes | 31.16 |
*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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD R748 - Abnormal levels of other serum enzymes | 5,267 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD R748 - Abnormal levels of other serum enzymes in DRG | 1.68 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD R748 - Abnormal levels of other serum enzymes | 3.91 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD R748 - Abnormal levels of other serum enzymes | 16.62 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD R748 - Abnormal levels of other serum enzymes | 12.24 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD R748 - Abnormal levels of other serum enzymes | $30,938,216 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD R748 - Abnormal levels of other serum enzymes | $1,503 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD R748 - Abnormal levels of other serum enzymes | $5,874 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD R748 - Abnormal levels of other serum enzymes | $155,117,939 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD R748 - Abnormal levels of other serum enzymes | $29,451 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD R748 - Abnormal levels of other serum enzymes | 1.31 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD R748 - Abnormal levels of other serum enzymes | 19.92 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD R748 - Abnormal levels of other serum enzymes | 47.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 313: CHEST PAIN | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 180,138 | ||||
| Total Hospitalizations with ICD R748 - Abnormal levels of other serum enzymes | 4,244 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD R748 - Abnormal levels of other serum enzymes in DRG | 1.35 | ||||
| Avg LOS at DRG | 1.91 | ||||
| Avg LOS with ICD R748 - Abnormal levels of other serum enzymes | 1.96 | ||||
| Readmission Rate at DRG | 16.98 | ||||
| Readmission Rate with ICD R748 - Abnormal levels of other serum enzymes | 20.52 | ||||
| Unplanned Readmission Rate at DRG | 12.86 | ||||
| Unplanned Readmission Rate with ICD R748 - Abnormal levels of other serum enzymes | 15.3 | ||||
| Total Medicare payments at DRG | $645,443,207 | ||||
| Total Medicare payments with ICD R748 - Abnormal levels of other serum enzymes | $15,874,023 | ||||
| Total Medicare payment per Day at DRG | $1,876 | ||||
| Total Medicare payment per Day with ICD R748 - Abnormal levels of other serum enzymes | $1,905 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,583 | ||||
| Total Medicare payment per Hospitalization with ICD R748 - Abnormal levels of other serum enzymes | $3,740 | ||||
| Total Medicare Charges at DRG | $4,502,159,305 | ||||
| Total Medicare Charges with ICD R748 - Abnormal levels of other serum enzymes | $99,751,140 | ||||
| Avg Charges at DRG | $24,993 | ||||
| Avg Charges with ICD R748 - Abnormal levels of other serum enzymes | $23,504 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD R748 - Abnormal levels of other serum enzymes | 0.28 | ||||
| SNF Discharge Rate at DRG | 7.73 | ||||
| SNF Discharge Rate with ICD R748 - Abnormal levels of other serum enzymes | 9.19 | ||||
| Home Discharge Rate at DRG | 72.82 | ||||
| Home Discharge Rate with ICD R748 - Abnormal levels of other serum enzymes | 67.77 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 2,966 |
| GLENDALE ADVENTIST MEDICAL CENTER | 1509 WILSON TER | GLENDALE | CA | 91206 | 1,606 |
| MIAMI VALLEY HOSPITAL | 1 WYOMING ST | DAYTON | OH | 45409 | 1,279 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TERENCE PEPPARD | 3663 S MIAMI AVE | MIAMI | FL | 33133 | 95 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 94 |
| Dr. OLUWATOYIN JIMMY AGBAOSI | 6637 SUMMER KNOLL CIR | BARTLETT | TN | 38134 | 85 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEFFREY C. WILKINS | 2376 CYPRESS CIR STE 300 | CONWAY | SC | 29526 | 360 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 170 |
| Dr. PATRICK W. ONEIL | 54 HOSPITAL DR | OSAGE BEACH | MO | 65065 | 154 |