*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z7682 - Awaiting organ transplant status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 22.2 | |
| 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 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,884 | ||||
| Total Hospitalizations with ICD Z7682 - Awaiting organ transplant status | 1,746 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD Z7682 - Awaiting organ transplant status in DRG | 4.65 | ||||
| Avg LOS at DRG | 6.43 | ||||
| Avg LOS with ICD Z7682 - Awaiting organ transplant status | 6.58 | ||||
| Readmission Rate at DRG | 37.66 | ||||
| Readmission Rate with ICD Z7682 - Awaiting organ transplant status | 58.43 | ||||
| Unplanned Readmission Rate at DRG | 28.76 | ||||
| Unplanned Readmission Rate with ICD Z7682 - Awaiting organ transplant status | 41.16 | ||||
| Total Medicare payments at DRG | $726,233,427 | ||||
| Total Medicare payments with ICD Z7682 - Awaiting organ transplant status | $25,996,858 | ||||
| Total Medicare payment per Day at DRG | $1,987 | ||||
| Total Medicare payment per Day with ICD Z7682 - Awaiting organ transplant status | $2,262 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,767 | ||||
| Total Medicare payment per Hospitalization with ICD Z7682 - Awaiting organ transplant status | $14,889 | ||||
| Total Medicare Charges at DRG | $3,363,541,067 | ||||
| Total Medicare Charges with ICD Z7682 - Awaiting organ transplant status | $126,838,673 | ||||
| Avg Charges at DRG | $59,130 | ||||
| Avg Charges with ICD Z7682 - Awaiting organ transplant status | $72,645 | ||||
| Mortality Rate at DRG | 9.48 | ||||
| Mortality Rate with ICD Z7682 - Awaiting organ transplant status | 4.7 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD Z7682 - Awaiting organ transplant status | 9.85 | ||||
| Home Discharge Rate at DRG | 33.97 | ||||
| Home Discharge Rate with ICD Z7682 - Awaiting organ transplant status | 50.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,596 | ||||
| Total Hospitalizations with ICD Z7682 - Awaiting organ transplant status | 902 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD Z7682 - Awaiting organ transplant status in DRG | 2.4 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD Z7682 - Awaiting organ transplant status | 6.76 | ||||
| Readmission Rate at DRG | 35.54 | ||||
| Readmission Rate with ICD Z7682 - Awaiting organ transplant status | 55.72 | ||||
| Unplanned Readmission Rate at DRG | 27.96 | ||||
| Unplanned Readmission Rate with ICD Z7682 - Awaiting organ transplant status | 39.03 | ||||
| Total Medicare payments at DRG | $491,148,810 | ||||
| Total Medicare payments with ICD Z7682 - Awaiting organ transplant status | $13,424,656 | ||||
| Total Medicare payment per Day at DRG | $1,916 | ||||
| Total Medicare payment per Day with ICD Z7682 - Awaiting organ transplant status | $2,200 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,098 | ||||
| Total Medicare payment per Hospitalization with ICD Z7682 - Awaiting organ transplant status | $14,883 | ||||
| Total Medicare Charges at DRG | $2,425,808,073 | ||||
| Total Medicare Charges with ICD Z7682 - Awaiting organ transplant status | $66,307,503 | ||||
| Avg Charges at DRG | $59,755 | ||||
| Avg Charges with ICD Z7682 - Awaiting organ transplant status | $73,512 | ||||
| Mortality Rate at DRG | 7.58 | ||||
| Mortality Rate with ICD Z7682 - Awaiting organ transplant status | 2.99 | ||||
| SNF Discharge Rate at DRG | 16.9 | ||||
| SNF Discharge Rate with ICD Z7682 - Awaiting organ transplant status | 9.2 | ||||
| Home Discharge Rate at DRG | 42.12 | ||||
| Home Discharge Rate with ICD Z7682 - Awaiting organ transplant status | 54.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD Z7682 - Awaiting organ transplant status | 739 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD Z7682 - Awaiting organ transplant status in DRG | 1.97 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD Z7682 - Awaiting organ transplant status | 6.43 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD Z7682 - Awaiting organ transplant status | 34.43 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD Z7682 - Awaiting organ transplant status | 20.51 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD Z7682 - Awaiting organ transplant status | $10,373,011 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD Z7682 - Awaiting organ transplant status | $2,183 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z7682 - Awaiting organ transplant status | $14,037 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD Z7682 - Awaiting organ transplant status | $50,400,595 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD Z7682 - Awaiting organ transplant status | $68,201 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD Z7682 - Awaiting organ transplant status | 2.17 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD Z7682 - Awaiting organ transplant status | 3.65 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD Z7682 - Awaiting organ transplant status | 65.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z7682 - Awaiting organ transplant status | 512 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z7682 - Awaiting organ transplant status in DRG | 1.36 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z7682 - Awaiting organ transplant status | 3.39 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z7682 - Awaiting organ transplant status | 32.0 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z7682 - Awaiting organ transplant status | 16.21 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z7682 - Awaiting organ transplant status | $3,130,756 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z7682 - Awaiting organ transplant status | $1,802 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z7682 - Awaiting organ transplant status | $6,115 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z7682 - Awaiting organ transplant status | $15,171,473 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z7682 - Awaiting organ transplant status | $29,632 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z7682 - Awaiting organ transplant status | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z7682 - Awaiting organ transplant status | 3.52 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z7682 - Awaiting organ transplant status | 77.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 632 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 610 |
| RONALD REAGAN UCLA MEDICAL CENTER | 757 WESTWOOD PLZ | LOS ANGELES | CA | 90095 | 575 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAYED SAJID ALI | 1129 NORTHERN BLVD | MANHASSET | NY | 11030 | 33 |
| Dr. STEVEN ROE POTTER | EAST TEXAS MEDICAL CENTER, DEPT. TRANSPLANT | TYLER | TX | 75701 | 32 |
| Dr. RAFIK MARK GHOBRIAL M.D. | 6550 FANNIN ST | HOUSTON | TX | 77030 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HECTOR CARBAJAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 74 |
| Dr. DAVID CARY WOLF | 100 WOODS RD | VALHALLA | NY | 10595 | 64 |
| Dr. SATISHCHANDRA DINAKAR | 6565 FANNIN ST | HOUSTON | TX | 77030 | 63 |