*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R791 - Abnormal coagulation profile - as a primary diagnosis code | R791 - Abnormal coagulation profile - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.79 | |
| Readmission Rate (%) | 25.84 | |
| Unplanned Readmission Rate (%) | 17.05 | |
| 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) | DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD R791 - Abnormal coagulation profile | 5,082 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD R791 - Abnormal coagulation profile in DRG | 73.77 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD R791 - Abnormal coagulation profile | 3.07 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD R791 - Abnormal coagulation profile | 21.84 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD R791 - Abnormal coagulation profile | 14.99 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD R791 - Abnormal coagulation profile | $23,691,373 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD R791 - Abnormal coagulation profile | $1,520 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD R791 - Abnormal coagulation profile | $4,662 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD R791 - Abnormal coagulation profile | $110,815,323 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD R791 - Abnormal coagulation profile | $21,805 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD R791 - Abnormal coagulation profile | 0.37 | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD R791 - Abnormal coagulation profile | 13.28 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD R791 - Abnormal coagulation profile | 54.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 38,773 |
| Total Hospitalizations with ICD R791 - Abnormal coagulation profile | 17 |
| DRG Share of Total Hospitalizations | 0.12 |
| % of Total ICD R791 - Abnormal coagulation profile in DRG | 0.25 |
| Avg LOS at DRG | 11.96 |
| Avg LOS with ICD R791 - Abnormal coagulation profile | 4.47 |
| Readmission Rate at DRG | 18.12 |
| Readmission Rate with ICD R791 - Abnormal coagulation profile | NA |
| Unplanned Readmission Rate at DRG | 14.28 |
| Unplanned Readmission Rate with ICD R791 - Abnormal coagulation profile | NA |
| Total Medicare payments at DRG | $739,082,714 |
| Total Medicare payments with ICD R791 - Abnormal coagulation profile | $124,536 |
| Total Medicare payment per Day at DRG | $1,594 |
| Total Medicare payment per Day with ICD R791 - Abnormal coagulation profile | $1,639 |
| Total Medicare payment per Hospitalization at DRG | $19,062 |
| Total Medicare payment per Hospitalization with ICD R791 - Abnormal coagulation profile | $7,326 |
| Total Medicare Charges at DRG | $2,416,011,805 |
| Total Medicare Charges with ICD R791 - Abnormal coagulation profile | $746,633 |
| Avg Charges at DRG | $62,312 |
| Avg Charges with ICD R791 - Abnormal coagulation profile | $43,920 |
| Mortality Rate at DRG | 0.2 |
| Mortality Rate with ICD R791 - Abnormal coagulation profile | NA |
| SNF Discharge Rate at DRG | 17.34 |
| SNF Discharge Rate with ICD R791 - Abnormal coagulation profile | NA |
| Home Discharge Rate at DRG | 21.02 |
| Home Discharge Rate with ICD R791 - Abnormal coagulation profile | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF WASHINGTON MEDICAL CENTER | 1959 NE PACIFIC ST | SEATTLE | WA | 98195 | 57 |
| OCHSNER MEDICAL CENTER | 1516 JEFFERSON HWY | NEW ORLEANS | LA | 70121 | 47 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 38 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SOURIN BANERJI | 4755 OGLETOWN STANTON ROAD | NEWARK | DE | 19718 | 16 |
| Dr. SELIM RAMZI KRIM | 1514 JEFFERSON HWY | NEW ORLEANS | LA | 70121 | 14 |
| Dr. JOHN M RANSOM | 9601 LILE DR | LITTLE ROCK | AR | 72205 | 12 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R791 - Abnormal coagulation profile | 28,689 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R791 - Abnormal coagulation profile in DRG | 7.52 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R791 - Abnormal coagulation profile | 6.54 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R791 - Abnormal coagulation profile | 25.58 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R791 - Abnormal coagulation profile | 17.85 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R791 - Abnormal coagulation profile | $339,136,808 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R791 - Abnormal coagulation profile | $1,808 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R791 - Abnormal coagulation profile | $11,821 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R791 - Abnormal coagulation profile | $1,753,072,747 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R791 - Abnormal coagulation profile | $61,106 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R791 - Abnormal coagulation profile | 15.86 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R791 - Abnormal coagulation profile | 29.33 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R791 - Abnormal coagulation profile | 19.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD R791 - Abnormal coagulation profile | 7,132 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD R791 - Abnormal coagulation profile in DRG | 1.87 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD R791 - Abnormal coagulation profile | 5.79 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD R791 - Abnormal coagulation profile | 23.46 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD R791 - Abnormal coagulation profile | 17.66 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD R791 - Abnormal coagulation profile | $62,307,732 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD R791 - Abnormal coagulation profile | $1,509 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD R791 - Abnormal coagulation profile | $8,736 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD R791 - Abnormal coagulation profile | $310,928,039 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD R791 - Abnormal coagulation profile | $43,596 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD R791 - Abnormal coagulation profile | 4.92 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD R791 - Abnormal coagulation profile | 25.27 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD R791 - Abnormal coagulation profile | 35.53 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD R791 - Abnormal coagulation profile | 5,787 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD R791 - Abnormal coagulation profile in DRG | 1.52 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD R791 - Abnormal coagulation profile | 4.16 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD R791 - Abnormal coagulation profile | 16.71 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD R791 - Abnormal coagulation profile | 11.72 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD R791 - Abnormal coagulation profile | $35,333,846 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD R791 - Abnormal coagulation profile | $1,469 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD R791 - Abnormal coagulation profile | $6,106 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD R791 - Abnormal coagulation profile | $163,770,096 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD R791 - Abnormal coagulation profile | $28,300 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD R791 - Abnormal coagulation profile | 1.24 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD R791 - Abnormal coagulation profile | 18.52 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD R791 - Abnormal coagulation profile | 48.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R791 - Abnormal coagulation profile | 4,576 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R791 - Abnormal coagulation profile in DRG | 1.2 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R791 - Abnormal coagulation profile | 3.74 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R791 - Abnormal coagulation profile | 21.7 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R791 - Abnormal coagulation profile | 16.01 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R791 - Abnormal coagulation profile | $21,217,761 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R791 - Abnormal coagulation profile | $1,240 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R791 - Abnormal coagulation profile | $4,637 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R791 - Abnormal coagulation profile | $129,568,235 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R791 - Abnormal coagulation profile | $28,315 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R791 - Abnormal coagulation profile | 0.39 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R791 - Abnormal coagulation profile | 14.2 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R791 - Abnormal coagulation profile | 58.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 1,808 |
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 1,528 |
| MCLAREN MACOMB | 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 48043 | 1,283 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 148 |
| Dr. MICHAEL D. C. LAMSON | 260 26TH ST | PRAIRIE DU SAC | WI | 53578 | 86 |
| Dr. KENNETH P. FRANCKOWIAK | 50 N PERRY ST | PONTIAC | MI | 48342 | 74 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 357 |
| Dr. CRISTA BROUTIN | 1000 HARINGTON BLVD. | MT. CLEMENS | MI | 48043 | 156 |
| Dr. DHEERAJ THAMMINENI | 50505 SCHOENHERR RD | SHELBY TOWNSHIP | MI | 48315 | 144 |