*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9081 - Acquired absence of spleen - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 17.39 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z9081 - Acquired absence of spleen | 5,094 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z9081 - Acquired absence of spleen in DRG | 6.9 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z9081 - Acquired absence of spleen | 5.99 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z9081 - Acquired absence of spleen | 25.64 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z9081 - Acquired absence of spleen | 17.56 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z9081 - Acquired absence of spleen | $58,040,702 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z9081 - Acquired absence of spleen | $1,902 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z9081 - Acquired absence of spleen | $11,394 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z9081 - Acquired absence of spleen | $287,224,240 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z9081 - Acquired absence of spleen | $56,385 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z9081 - Acquired absence of spleen | 7.93 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z9081 - Acquired absence of spleen | 16.59 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z9081 - Acquired absence of spleen | 41.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z9081 - Acquired absence of spleen | 1,491 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z9081 - Acquired absence of spleen in DRG | 2.02 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z9081 - Acquired absence of spleen | 4.74 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z9081 - Acquired absence of spleen | 30.03 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z9081 - Acquired absence of spleen | 24.66 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z9081 - Acquired absence of spleen | $13,613,835 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z9081 - Acquired absence of spleen | $1,926 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z9081 - Acquired absence of spleen | $9,131 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z9081 - Acquired absence of spleen | $59,959,500 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z9081 - Acquired absence of spleen | $40,214 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z9081 - Acquired absence of spleen | 2.15 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z9081 - Acquired absence of spleen | 14.82 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z9081 - Acquired absence of spleen | 46.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z9081 - Acquired absence of spleen | 1,021 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z9081 - Acquired absence of spleen in DRG | 1.38 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z9081 - Acquired absence of spleen | 4.41 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z9081 - Acquired absence of spleen | 25.13 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z9081 - Acquired absence of spleen | 19.4 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z9081 - Acquired absence of spleen | $6,958,675 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z9081 - Acquired absence of spleen | $1,545 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z9081 - Acquired absence of spleen | $6,816 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z9081 - Acquired absence of spleen | $34,261,290 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z9081 - Acquired absence of spleen | $33,557 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z9081 - Acquired absence of spleen | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z9081 - Acquired absence of spleen | 9.79 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z9081 - Acquired absence of spleen | 59.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 813: COAGULATION DISORDERS | DRG 885: PSYCHOSES | DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,384 | ||||
| Total Hospitalizations with ICD Z9081 - Acquired absence of spleen | 774 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD Z9081 - Acquired absence of spleen in DRG | 1.05 | ||||
| Avg LOS at DRG | 4.8 | ||||
| Avg LOS with ICD Z9081 - Acquired absence of spleen | 4.6 | ||||
| Readmission Rate at DRG | 25.23 | ||||
| Readmission Rate with ICD Z9081 - Acquired absence of spleen | 28.69 | ||||
| Unplanned Readmission Rate at DRG | 17.62 | ||||
| Unplanned Readmission Rate with ICD Z9081 - Acquired absence of spleen | 19.22 | ||||
| Total Medicare payments at DRG | $631,066,601 | ||||
| Total Medicare payments with ICD Z9081 - Acquired absence of spleen | $10,508,605 | ||||
| Total Medicare payment per Day at DRG | $2,963 | ||||
| Total Medicare payment per Day with ICD Z9081 - Acquired absence of spleen | $2,951 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,218 | ||||
| Total Medicare payment per Hospitalization with ICD Z9081 - Acquired absence of spleen | $13,577 | ||||
| Total Medicare Charges at DRG | $2,703,173,885 | ||||
| Total Medicare Charges with ICD Z9081 - Acquired absence of spleen | $58,040,952 | ||||
| Avg Charges at DRG | $60,904 | ||||
| Avg Charges with ICD Z9081 - Acquired absence of spleen | $74,988 | ||||
| Mortality Rate at DRG | 2.97 | ||||
| Mortality Rate with ICD Z9081 - Acquired absence of spleen | 1.42 | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD Z9081 - Acquired absence of spleen | 7.62 | ||||
| Home Discharge Rate at DRG | 52.04 | ||||
| Home Discharge Rate with ICD Z9081 - Acquired absence of spleen | 71.96 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 345 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 339 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 330 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZACHARY SETH COLLINS | UNIVERSITY OF KANSAS MEDICAL CENTER RADIOLOGY | KANSAS CITY | KS | 66160 | 12 |
| Dr. MICHAEL JEFFREY GOODMAN | 800 BIESTERFIELD RD | ELK GROVE VILLAGE | IL | 60007 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAYAM SHADI | 633 S LA BREA AVE | LOS ANGELES | CA | 90036 | 35 |
| Dr. MATTHEW J WEISS | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 25 |
| Dr. SYED A MAZHER | 1401 BRADEN STREET | JACKSONVILLE | AR | 72076 | 24 |