*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R945 - Abnormal results of liver function studies - as a primary diagnosis code | R945 - Abnormal results of liver function studies - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.88 | |
| Readmission Rate (%) | 23.21 | |
| Unplanned Readmission Rate (%) | 12.65 | |
| 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 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||
| Total Hospitalizations with ICD R945 - Abnormal results of liver function studies | 199 | ||
| DRG Share of Total Hospitalizations | 0.17 | ||
| % of Total ICD R945 - Abnormal results of liver function studies in DRG | 54.82 | ||
| Avg LOS at DRG | 4.07 | ||
| Avg LOS with ICD R945 - Abnormal results of liver function studies | 3.36 | ||
| Readmission Rate at DRG | 34.07 | ||
| Readmission Rate with ICD R945 - Abnormal results of liver function studies | 18.33 | ||
| Unplanned Readmission Rate at DRG | 26.53 | ||
| Unplanned Readmission Rate with ICD R945 - Abnormal results of liver function studies | 12.78 | ||
| Total Medicare payments at DRG | $353,726,509 | ||
| Total Medicare payments with ICD R945 - Abnormal results of liver function studies | $1,242,713 | ||
| Total Medicare payment per Day at DRG | $1,519 | ||
| Total Medicare payment per Day with ICD R945 - Abnormal results of liver function studies | $1,858 | ||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||
| Total Medicare payment per Hospitalization with ICD R945 - Abnormal results of liver function studies | $6,245 | ||
| Total Medicare Charges at DRG | $1,770,659,000 | ||
| Total Medicare Charges with ICD R945 - Abnormal results of liver function studies | $5,747,661 | ||
| Avg Charges at DRG | $30,969 | ||
| Avg Charges with ICD R945 - Abnormal results of liver function studies | $28,883 | ||
| Mortality Rate at DRG | 1.12 | ||
| Mortality Rate with ICD R945 - Abnormal results of liver function studies | NA | ||
| SNF Discharge Rate at DRG | 15.97 | ||
| SNF Discharge Rate with ICD R945 - Abnormal results of liver function studies | 8.54 | ||
| Home Discharge Rate at DRG | 50.7 | ||
| Home Discharge Rate with ICD R945 - Abnormal results of liver function studies | 72.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R945 - Abnormal results of liver function studies | 4,631 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R945 - Abnormal results of liver function studies in DRG | 8.31 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R945 - Abnormal results of liver function studies | 6.55 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R945 - Abnormal results of liver function studies | 23.11 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R945 - Abnormal results of liver function studies | 15.41 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R945 - Abnormal results of liver function studies | $54,592,738 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R945 - Abnormal results of liver function studies | $1,799 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R945 - Abnormal results of liver function studies | $11,789 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R945 - Abnormal results of liver function studies | $281,640,579 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R945 - Abnormal results of liver function studies | $60,816 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R945 - Abnormal results of liver function studies | 13.09 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R945 - Abnormal results of liver function studies | 24.49 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R945 - Abnormal results of liver function studies | 27.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD R945 - Abnormal results of liver function studies | 1,170 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD R945 - Abnormal results of liver function studies in DRG | 2.1 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD R945 - Abnormal results of liver function studies | 5.36 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD R945 - Abnormal results of liver function studies | 27.16 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD R945 - Abnormal results of liver function studies | 12.2 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD R945 - Abnormal results of liver function studies | $6,036,384 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD R945 - Abnormal results of liver function studies | $962 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD R945 - Abnormal results of liver function studies | $5,159 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD R945 - Abnormal results of liver function studies | $20,584,561 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD R945 - Abnormal results of liver function studies | $17,594 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD R945 - Abnormal results of liver function studies | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD R945 - Abnormal results of liver function studies | 3.93 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD R945 - Abnormal results of liver function studies | 82.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD R945 - Abnormal results of liver function studies | 773 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD R945 - Abnormal results of liver function studies in DRG | 1.39 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD R945 - Abnormal results of liver function studies | 4.75 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD R945 - Abnormal results of liver function studies | 26.21 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD R945 - Abnormal results of liver function studies | 17.72 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD R945 - Abnormal results of liver function studies | $5,179,201 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD R945 - Abnormal results of liver function studies | $1,411 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD R945 - Abnormal results of liver function studies | $6,700 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD R945 - Abnormal results of liver function studies | $24,802,956 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD R945 - Abnormal results of liver function studies | $32,087 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD R945 - Abnormal results of liver function studies | 2.72 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD R945 - Abnormal results of liver function studies | 18.24 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD R945 - Abnormal results of liver function studies | 43.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD R945 - Abnormal results of liver function studies | 623 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD R945 - Abnormal results of liver function studies in DRG | 1.12 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD R945 - Abnormal results of liver function studies | 12.22 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD R945 - Abnormal results of liver function studies | 32.31 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD R945 - Abnormal results of liver function studies | 14.53 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD R945 - Abnormal results of liver function studies | $20,142,593 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD R945 - Abnormal results of liver function studies | $2,645 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD R945 - Abnormal results of liver function studies | $32,332 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD R945 - Abnormal results of liver function studies | $96,086,877 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD R945 - Abnormal results of liver function studies | $154,233 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD R945 - Abnormal results of liver function studies | 9.79 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD R945 - Abnormal results of liver function studies | 31.3 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD R945 - Abnormal results of liver function studies | 22.31 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 661 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 275 |
| WILLOUGH AT NAPLES | 9001 TAMIAMI TRL E | NAPLES | FL | 34113 | 267 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 183 |
| Dr. MOHAMMAD ALHABBAL | 119 BELMONT ST | WORCESTER | MA | 01605 | 163 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 161 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 191 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 177 |
| Dr. MOHAMMAD ALHABBAL | 119 BELMONT ST | WORCESTER | MA | 01605 | 155 |