| 2731 - Monoclonal paraproteinemia - as a primary diagnosis code | 2731 - Monoclonal paraproteinemia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.67 | |
| Readmission Rate (%) | 25.74 | |
| Unplanned Readmission Rate (%) | 18.52 | |
| 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 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 814: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 6,472 | ||
| Total Hospitalizations with ICD 2731 - Monoclonal paraproteinemia | 100 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD 2731 - Monoclonal paraproteinemia in DRG | 58.82 | ||
| Avg LOS at DRG | 4.14 | ||
| Avg LOS with ICD 2731 - Monoclonal paraproteinemia | 6.15 | ||
| Readmission Rate at DRG | 24.41 | ||
| Readmission Rate with ICD 2731 - Monoclonal paraproteinemia | 35.71 | ||
| Unplanned Readmission Rate at DRG | 14.88 | ||
| Unplanned Readmission Rate with ICD 2731 - Monoclonal paraproteinemia | 19.39 | ||
| Total Medicare payments at DRG | $42,791,790 | ||
| Total Medicare payments with ICD 2731 - Monoclonal paraproteinemia | $689,192 | ||
| Total Medicare payment per Day at DRG | $1,598 | ||
| Total Medicare payment per Day with ICD 2731 - Monoclonal paraproteinemia | $1,121 | ||
| Total Medicare payment per Hospitalization at DRG | $6,612 | ||
| Total Medicare payment per Hospitalization with ICD 2731 - Monoclonal paraproteinemia | $6,892 | ||
| Total Medicare Charges at DRG | $195,521,168 | ||
| Total Medicare Charges with ICD 2731 - Monoclonal paraproteinemia | $4,823,847 | ||
| Avg Charges at DRG | $30,210 | ||
| Avg Charges with ICD 2731 - Monoclonal paraproteinemia | $48,238 | ||
| Mortality Rate at DRG | 0.9 | ||
| Mortality Rate with ICD 2731 - Monoclonal paraproteinemia | NA | ||
| SNF Discharge Rate at DRG | 16.64 | ||
| SNF Discharge Rate with ICD 2731 - Monoclonal paraproteinemia | 22.0 | ||
| Home Discharge Rate at DRG | 55.39 | ||
| Home Discharge Rate with ICD 2731 - Monoclonal paraproteinemia | 46.0 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 2731 - Monoclonal paraproteinemia | 1,808 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 2731 - Monoclonal paraproteinemia in DRG | 4.55 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 2731 - Monoclonal paraproteinemia | 7.6 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 2731 - Monoclonal paraproteinemia | 26.63 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 2731 - Monoclonal paraproteinemia | 19.05 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 2731 - Monoclonal paraproteinemia | $23,148,320 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 2731 - Monoclonal paraproteinemia | $1,685 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 2731 - Monoclonal paraproteinemia | $12,803 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 2731 - Monoclonal paraproteinemia | $105,192,059 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 2731 - Monoclonal paraproteinemia | $58,181 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 2731 - Monoclonal paraproteinemia | 13.66 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 2731 - Monoclonal paraproteinemia | 30.48 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 2731 - Monoclonal paraproteinemia | 25.77 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD 2731 - Monoclonal paraproteinemia | 1,037 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 2731 - Monoclonal paraproteinemia in DRG | 2.61 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 2731 - Monoclonal paraproteinemia | 13.35 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 2731 - Monoclonal paraproteinemia | 19.82 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 2731 - Monoclonal paraproteinemia | 14.84 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 2731 - Monoclonal paraproteinemia | $20,174,410 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 2731 - Monoclonal paraproteinemia | $1,457 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 2731 - Monoclonal paraproteinemia | $19,455 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 2731 - Monoclonal paraproteinemia | $50,947,503 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 2731 - Monoclonal paraproteinemia | $49,130 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 2731 - Monoclonal paraproteinemia | NA | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 2731 - Monoclonal paraproteinemia | 16.39 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 2731 - Monoclonal paraproteinemia | 18.61 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 2731 - Monoclonal paraproteinemia | 585 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 2731 - Monoclonal paraproteinemia in DRG | 1.47 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 2731 - Monoclonal paraproteinemia | 3.82 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 2731 - Monoclonal paraproteinemia | 21.08 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 2731 - Monoclonal paraproteinemia | 16.03 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 2731 - Monoclonal paraproteinemia | $2,719,599 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 2731 - Monoclonal paraproteinemia | $1,216 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 2731 - Monoclonal paraproteinemia | $4,649 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 2731 - Monoclonal paraproteinemia | $14,180,424 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 2731 - Monoclonal paraproteinemia | $24,240 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 2731 - Monoclonal paraproteinemia | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 2731 - Monoclonal paraproteinemia | 10.77 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 2731 - Monoclonal paraproteinemia | 65.98 |
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 2731 - Monoclonal paraproteinemia | 466 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 2731 - Monoclonal paraproteinemia in DRG | 1.17 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 2731 - Monoclonal paraproteinemia | 4.88 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 2731 - Monoclonal paraproteinemia | 20.0 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 2731 - Monoclonal paraproteinemia | 13.7 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 2731 - Monoclonal paraproteinemia | $2,460,673 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 2731 - Monoclonal paraproteinemia | $1,083 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 2731 - Monoclonal paraproteinemia | $5,280 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 2731 - Monoclonal paraproteinemia | $11,977,912 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 2731 - Monoclonal paraproteinemia | $25,704 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 2731 - Monoclonal paraproteinemia | NA | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 2731 - Monoclonal paraproteinemia | 20.82 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 2731 - Monoclonal paraproteinemia | 49.36 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 297 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 195 |
| MAYO CLINIC | 4500 SAN PABLO RD S | JACKSONVILLE | FL | 32224 | 191 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WARREN PIERCE | 1555 BARRINGTON ROAD | HOFFMAN ESTATES | IL | 60169 | 11 |
| Dr. ANNEYAMMA B MANNANCHERIL | 244 WESTCHESTER AVE | WHITE PLAINS | NY | 10604 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JORAM O MOGAKA | 22631 GREATER MACK AVE | SAINT CLAIR SHORES | MI | 48080 | 21 |
| Dr. ADRIAN DUMITRASCU | 4500 SAN PABLO RD S | JACKSONVILLE | FL | 32224 | 17 |
| Dr. JOB L SANDOVAL | 35 WELLS STREET | WESTERLY | RI | 02891 | 15 |