| 2638 - Other protein-calorie malnutrition - as a primary diagnosis code | 2638 - Other protein-calorie malnutrition - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.77 | |
| Readmission Rate (%) | 32.86 | |
| Unplanned Readmission Rate (%) | 19.75 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 257,265 | |
| Total Hospitalizations with ICD 2638 - Other protein-calorie malnutrition | 64 | |
| DRG Share of Total Hospitalizations | 1.13 | |
| % of Total ICD 2638 - Other protein-calorie malnutrition in DRG | 75.29 | |
| Avg LOS at DRG | 3.34 | |
| Avg LOS with ICD 2638 - Other protein-calorie malnutrition | 5.8 | |
| Readmission Rate at DRG | 20.42 | |
| Readmission Rate with ICD 2638 - Other protein-calorie malnutrition | 26.23 | |
| Unplanned Readmission Rate at DRG | 13.45 | |
| Unplanned Readmission Rate with ICD 2638 - Other protein-calorie malnutrition | 19.67 | |
| Total Medicare payments at DRG | $1,129,638,166 | |
| Total Medicare payments with ICD 2638 - Other protein-calorie malnutrition | $496,977 | |
| Total Medicare payment per Day at DRG | $1,314 | |
| Total Medicare payment per Day with ICD 2638 - Other protein-calorie malnutrition | $1,340 | |
| Total Medicare payment per Hospitalization at DRG | $4,391 | |
| Total Medicare payment per Hospitalization with ICD 2638 - Other protein-calorie malnutrition | $7,765 | |
| Total Medicare Charges at DRG | $5,148,191,149 | |
| Total Medicare Charges with ICD 2638 - Other protein-calorie malnutrition | $2,041,482 | |
| Avg Charges at DRG | $20,011 | |
| Avg Charges with ICD 2638 - Other protein-calorie malnutrition | $31,898 | |
| Mortality Rate at DRG | 0.85 | |
| Mortality Rate with ICD 2638 - Other protein-calorie malnutrition | NA | |
| SNF Discharge Rate at DRG | 20.19 | |
| SNF Discharge Rate with ICD 2638 - Other protein-calorie malnutrition | 39.06 | |
| Home Discharge Rate at DRG | 51.02 | |
| Home Discharge Rate with ICD 2638 - Other protein-calorie malnutrition | 18.75 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 2638 - Other protein-calorie malnutrition | 1,516 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 2638 - Other protein-calorie malnutrition in DRG | 9.09 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 2638 - Other protein-calorie malnutrition | 10.48 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 2638 - Other protein-calorie malnutrition | 33.75 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 2638 - Other protein-calorie malnutrition | 21.36 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 2638 - Other protein-calorie malnutrition | $24,243,244 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 2638 - Other protein-calorie malnutrition | $1,525 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 2638 - Other protein-calorie malnutrition | $15,992 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 2638 - Other protein-calorie malnutrition | $120,690,294 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 2638 - Other protein-calorie malnutrition | $79,611 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 2638 - Other protein-calorie malnutrition | 16.62 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 2638 - Other protein-calorie malnutrition | 34.96 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 2638 - Other protein-calorie malnutrition | 9.43 |
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 89,944 | ||||
| Total Hospitalizations with ICD 2638 - Other protein-calorie malnutrition | 306 | ||||
| DRG Share of Total Hospitalizations | 0.39 | ||||
| % of Total ICD 2638 - Other protein-calorie malnutrition in DRG | 1.84 | ||||
| Avg LOS at DRG | 21.37 | ||||
| Avg LOS with ICD 2638 - Other protein-calorie malnutrition | 24.67 | ||||
| Readmission Rate at DRG | 40.58 | ||||
| Readmission Rate with ICD 2638 - Other protein-calorie malnutrition | 49.46 | ||||
| Unplanned Readmission Rate at DRG | 20.26 | ||||
| Unplanned Readmission Rate with ICD 2638 - Other protein-calorie malnutrition | 24.73 | ||||
| Total Medicare payments at DRG | $4,108,813,026 | ||||
| Total Medicare payments with ICD 2638 - Other protein-calorie malnutrition | $15,526,901 | ||||
| Total Medicare payment per Day at DRG | $2,137 | ||||
| Total Medicare payment per Day with ICD 2638 - Other protein-calorie malnutrition | $2,057 | ||||
| Total Medicare payment per Hospitalization at DRG | $45,682 | ||||
| Total Medicare payment per Hospitalization with ICD 2638 - Other protein-calorie malnutrition | $50,742 | ||||
| Total Medicare Charges at DRG | $16,393,740,063 | ||||
| Total Medicare Charges with ICD 2638 - Other protein-calorie malnutrition | $64,948,110 | ||||
| Avg Charges at DRG | $182,266 | ||||
| Avg Charges with ICD 2638 - Other protein-calorie malnutrition | $212,249 | ||||
| Mortality Rate at DRG | 28.83 | ||||
| Mortality Rate with ICD 2638 - Other protein-calorie malnutrition | 29.74 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD 2638 - Other protein-calorie malnutrition | 30.72 | ||||
| Home Discharge Rate at DRG | 6.42 | ||||
| Home Discharge Rate with ICD 2638 - Other protein-calorie malnutrition | NA |
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 274,950 | ||||
| Total Hospitalizations with ICD 2638 - Other protein-calorie malnutrition | 283 | ||||
| DRG Share of Total Hospitalizations | 1.2 | ||||
| % of Total ICD 2638 - Other protein-calorie malnutrition in DRG | 1.7 | ||||
| Avg LOS at DRG | 6.96 | ||||
| Avg LOS with ICD 2638 - Other protein-calorie malnutrition | 13.63 | ||||
| Readmission Rate at DRG | 27.13 | ||||
| Readmission Rate with ICD 2638 - Other protein-calorie malnutrition | 31.28 | ||||
| Unplanned Readmission Rate at DRG | 20.24 | ||||
| Unplanned Readmission Rate with ICD 2638 - Other protein-calorie malnutrition | 21.15 | ||||
| Total Medicare payments at DRG | $2,790,739,849 | ||||
| Total Medicare payments with ICD 2638 - Other protein-calorie malnutrition | $5,086,014 | ||||
| Total Medicare payment per Day at DRG | $1,457 | ||||
| Total Medicare payment per Day with ICD 2638 - Other protein-calorie malnutrition | $1,319 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,150 | ||||
| Total Medicare payment per Hospitalization with ICD 2638 - Other protein-calorie malnutrition | $17,972 | ||||
| Total Medicare Charges at DRG | $11,867,056,741 | ||||
| Total Medicare Charges with ICD 2638 - Other protein-calorie malnutrition | $23,362,888 | ||||
| Avg Charges at DRG | $43,161 | ||||
| Avg Charges with ICD 2638 - Other protein-calorie malnutrition | $82,554 | ||||
| Mortality Rate at DRG | 7.44 | ||||
| Mortality Rate with ICD 2638 - Other protein-calorie malnutrition | 13.43 | ||||
| SNF Discharge Rate at DRG | 20.22 | ||||
| SNF Discharge Rate with ICD 2638 - Other protein-calorie malnutrition | 24.73 | ||||
| Home Discharge Rate at DRG | 37.4 | ||||
| Home Discharge Rate with ICD 2638 - Other protein-calorie malnutrition | 19.43 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 2638 - Other protein-calorie malnutrition | 221 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 2638 - Other protein-calorie malnutrition in DRG | 1.33 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 2638 - Other protein-calorie malnutrition | 5.17 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 2638 - Other protein-calorie malnutrition | 30.81 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 2638 - Other protein-calorie malnutrition | 19.91 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 2638 - Other protein-calorie malnutrition | $1,313,302 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 2638 - Other protein-calorie malnutrition | $1,150 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 2638 - Other protein-calorie malnutrition | $5,943 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 2638 - Other protein-calorie malnutrition | $6,409,961 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 2638 - Other protein-calorie malnutrition | $29,004 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 2638 - Other protein-calorie malnutrition | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 2638 - Other protein-calorie malnutrition | 21.72 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 2638 - Other protein-calorie malnutrition | 47.51 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MAIMONIDES MEDICAL CENTER | 4802 10TH AVE | BROOKLYN | NY | 11219 | 776 |
| PARDEE UNC HEALTH CARE | 800 N JUSTICE ST | HENDERSONVILLE | NC | 28791 | 477 |
| HENRY FORD MACOMB HOSPITAL | 15855 19 MILE RD | CLINTON TWP | MI | 48038 | 361 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SHATISHKUMAR Y PATEL | 8200 WEDNESBURY LN | HOUSTON | TX | 77074 | 87 |
| Dr. STEVEN KENNETH LACKEY | 800 N JUSTICE ST | HENDERSONVILLE | NC | 28791 | 54 |
| Dr. JUAN J ALBERTI FLOR | 351 NW 42ND AVE | MIAMI | FL | 33126 | 45 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STEVEN KENNETH LACKEY | 800 N JUSTICE ST | HENDERSONVILLE | NC | 28791 | 234 |
| Dr. SHATISHKUMAR Y PATEL | 8200 WEDNESBURY LN | HOUSTON | TX | 77074 | 146 |
| Dr. GAIL DIANE SOOHOO WILLIAMS | 43555 DALCOMA DR | CLINTON TOWNSHIP | MI | 48038 | 104 |