| 261 - Nutritional marasmus - as a primary diagnosis code | 261 - Nutritional marasmus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.53 | |
| Readmission Rate (%) | 33.31 | |
| Unplanned Readmission Rate (%) | 19.86 | |
| 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 | ||
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 257,265 | |||
| Total Hospitalizations with ICD 261 - Nutritional marasmus | 588 | |||
| DRG Share of Total Hospitalizations | 1.13 | |||
| % of Total ICD 261 - Nutritional marasmus in DRG | 51.76 | |||
| Avg LOS at DRG | 3.34 | |||
| Avg LOS with ICD 261 - Nutritional marasmus | 7.49 | |||
| Readmission Rate at DRG | 20.42 | |||
| Readmission Rate with ICD 261 - Nutritional marasmus | 30.24 | |||
| Unplanned Readmission Rate at DRG | 13.45 | |||
| Unplanned Readmission Rate with ICD 261 - Nutritional marasmus | 18.76 | |||
| Total Medicare payments at DRG | $1,129,638,166 | |||
| Total Medicare payments with ICD 261 - Nutritional marasmus | $3,854,368 | |||
| Total Medicare payment per Day at DRG | $1,314 | |||
| Total Medicare payment per Day with ICD 261 - Nutritional marasmus | $875 | |||
| Total Medicare payment per Hospitalization at DRG | $4,391 | |||
| Total Medicare payment per Hospitalization with ICD 261 - Nutritional marasmus | $6,555 | |||
| Total Medicare Charges at DRG | $5,148,191,149 | |||
| Total Medicare Charges with ICD 261 - Nutritional marasmus | $21,362,245 | |||
| Avg Charges at DRG | $20,011 | |||
| Avg Charges with ICD 261 - Nutritional marasmus | $36,330 | |||
| Mortality Rate at DRG | 0.85 | |||
| Mortality Rate with ICD 261 - Nutritional marasmus | 3.06 | |||
| SNF Discharge Rate at DRG | 20.19 | |||
| SNF Discharge Rate with ICD 261 - Nutritional marasmus | 35.2 | |||
| Home Discharge Rate at DRG | 51.02 | |||
| Home Discharge Rate with ICD 261 - Nutritional marasmus | 15.99 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| SELECT SPECIALTY HOSPITAL - OMAHA | 1870 SOUTH 75TH STREET | OMAHA | NE | 68124 | 34 |
| AMG SPECIALTY HOSPITAL - LAFAYETTE | 310 YOUNGSVILLE HWY | LAFAYETTE | LA | 70508 | 19 |
| COMMUNITY SPECIALTY HOSPITAL | 254 CLEVELAND AVE | AMHERST | OH | 44001 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STEPHEN BUDD | 800 MERCY DR | COUNCIL BLUFFS | IA | 51503 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STEPHEN BUDD | 800 MERCY DR | COUNCIL BLUFFS | IA | 51503 | 29 |
| Dr. NESTOR G. GAYOMALI | 5311 MEADOW LANE CT | ELYRIA | OH | 44035 | 12 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 261 - Nutritional marasmus | 12,182 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 261 - Nutritional marasmus in DRG | 13.08 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 261 - Nutritional marasmus | 9.46 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 261 - Nutritional marasmus | 30.12 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 261 - Nutritional marasmus | 18.12 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 261 - Nutritional marasmus | $169,629,069 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 261 - Nutritional marasmus | $1,472 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 261 - Nutritional marasmus | $13,925 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 261 - Nutritional marasmus | $858,212,889 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 261 - Nutritional marasmus | $70,449 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 261 - Nutritional marasmus | 20.72 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 261 - Nutritional marasmus | 31.28 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 261 - Nutritional marasmus | 8.6 |
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,583 | ||||
| Total Hospitalizations with ICD 261 - Nutritional marasmus | 2,939 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD 261 - Nutritional marasmus in DRG | 3.15 | ||||
| Avg LOS at DRG | 14.4 | ||||
| Avg LOS with ICD 261 - Nutritional marasmus | 18.61 | ||||
| Readmission Rate at DRG | 39.61 | ||||
| Readmission Rate with ICD 261 - Nutritional marasmus | 47.94 | ||||
| Unplanned Readmission Rate at DRG | 17.93 | ||||
| Unplanned Readmission Rate with ICD 261 - Nutritional marasmus | 19.24 | ||||
| Total Medicare payments at DRG | $4,418,648,842 | ||||
| Total Medicare payments with ICD 261 - Nutritional marasmus | $119,934,709 | ||||
| Total Medicare payment per Day at DRG | $2,545 | ||||
| Total Medicare payment per Day with ICD 261 - Nutritional marasmus | $2,193 | ||||
| Total Medicare payment per Hospitalization at DRG | $36,644 | ||||
| Total Medicare payment per Hospitalization with ICD 261 - Nutritional marasmus | $40,808 | ||||
| Total Medicare Charges at DRG | $18,323,348,541 | ||||
| Total Medicare Charges with ICD 261 - Nutritional marasmus | $545,639,840 | ||||
| Avg Charges at DRG | $151,956 | ||||
| Avg Charges with ICD 261 - Nutritional marasmus | $185,655 | ||||
| Mortality Rate at DRG | 13.99 | ||||
| Mortality Rate with ICD 261 - Nutritional marasmus | 18.2 | ||||
| SNF Discharge Rate at DRG | 33.74 | ||||
| SNF Discharge Rate with ICD 261 - Nutritional marasmus | 32.39 | ||||
| Home Discharge Rate at DRG | 13.29 | ||||
| Home Discharge Rate with ICD 261 - Nutritional marasmus | 5.31 |
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 72,734 | ||||
| Total Hospitalizations with ICD 261 - Nutritional marasmus | 1,665 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD 261 - Nutritional marasmus in DRG | 1.79 | ||||
| Avg LOS at DRG | 15.55 | ||||
| Avg LOS with ICD 261 - Nutritional marasmus | 17.83 | ||||
| Readmission Rate at DRG | 41.51 | ||||
| Readmission Rate with ICD 261 - Nutritional marasmus | 43.66 | ||||
| Unplanned Readmission Rate at DRG | 18.87 | ||||
| Unplanned Readmission Rate with ICD 261 - Nutritional marasmus | 17.97 | ||||
| Total Medicare payments at DRG | $3,073,561,577 | ||||
| Total Medicare payments with ICD 261 - Nutritional marasmus | $73,527,987 | ||||
| Total Medicare payment per Day at DRG | $2,717 | ||||
| Total Medicare payment per Day with ICD 261 - Nutritional marasmus | $2,477 | ||||
| Total Medicare payment per Hospitalization at DRG | $42,258 | ||||
| Total Medicare payment per Hospitalization with ICD 261 - Nutritional marasmus | $44,161 | ||||
| Total Medicare Charges at DRG | $13,191,940,014 | ||||
| Total Medicare Charges with ICD 261 - Nutritional marasmus | $346,213,693 | ||||
| Avg Charges at DRG | $181,372 | ||||
| Avg Charges with ICD 261 - Nutritional marasmus | $207,936 | ||||
| Mortality Rate at DRG | 36.0 | ||||
| Mortality Rate with ICD 261 - Nutritional marasmus | 41.8 | ||||
| SNF Discharge Rate at DRG | 25.65 | ||||
| SNF Discharge Rate with ICD 261 - Nutritional marasmus | 21.86 | ||||
| Home Discharge Rate at DRG | 5.1 | ||||
| Home Discharge Rate with ICD 261 - Nutritional marasmus | 2.88 |
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 305,326 | ||||
| Total Hospitalizations with ICD 261 - Nutritional marasmus | 1,321 | ||||
| DRG Share of Total Hospitalizations | 1.34 | ||||
| % of Total ICD 261 - Nutritional marasmus in DRG | 1.42 | ||||
| Avg LOS at DRG | 5.11 | ||||
| Avg LOS with ICD 261 - Nutritional marasmus | 6.78 | ||||
| Readmission Rate at DRG | 24.58 | ||||
| Readmission Rate with ICD 261 - Nutritional marasmus | 28.83 | ||||
| Unplanned Readmission Rate at DRG | 18.98 | ||||
| Unplanned Readmission Rate with ICD 261 - Nutritional marasmus | 21.7 | ||||
| Total Medicare payments at DRG | $2,231,748,038 | ||||
| Total Medicare payments with ICD 261 - Nutritional marasmus | $11,612,018 | ||||
| Total Medicare payment per Day at DRG | $1,430 | ||||
| Total Medicare payment per Day with ICD 261 - Nutritional marasmus | $1,297 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
| Total Medicare payment per Hospitalization with ICD 261 - Nutritional marasmus | $8,790 | ||||
| Total Medicare Charges at DRG | $10,098,826,638 | ||||
| Total Medicare Charges with ICD 261 - Nutritional marasmus | $51,591,006 | ||||
| Avg Charges at DRG | $33,076 | ||||
| Avg Charges with ICD 261 - Nutritional marasmus | $39,055 | ||||
| Mortality Rate at DRG | 1.47 | ||||
| Mortality Rate with ICD 261 - Nutritional marasmus | 4.47 | ||||
| SNF Discharge Rate at DRG | 14.55 | ||||
| SNF Discharge Rate with ICD 261 - Nutritional marasmus | 21.65 | ||||
| Home Discharge Rate at DRG | 53.12 | ||||
| Home Discharge Rate with ICD 261 - Nutritional marasmus | 34.07 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 925 |
| CHINO VALLEY MEDICAL CENTER | 5451 WALNUT AVE | CHINO | CA | 91710 | 617 |
| CAROLINA EAST MEDICAL CENTER | 2000 NEUSE BLVD | NEW BERN | NC | 28560 | 598 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STEPHEN BUDD | 800 MERCY DR | COUNCIL BLUFFS | IA | 51503 | 184 |
| Dr. ROBERT BENJAMIN POWERS | 5728 MAJOR BLVD | ORLANDO | FL | 32819 | 165 |
| Dr. JAMES M LALLY | 13193 CENTRAL AVE | CHINO | CA | 91710 | 112 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JAMES M LALLY | 13193 CENTRAL AVE | CHINO | CA | 91710 | 443 |
| Dr. STEPHEN BUDD | 800 MERCY DR | COUNCIL BLUFFS | IA | 51503 | 375 |
| Dr. ROBERT BENJAMIN POWERS | 5728 MAJOR BLVD | ORLANDO | FL | 32819 | 230 |