| 28419 - Other pancytopenia - as a primary diagnosis code | 28419 - Other pancytopenia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.3 | |
| Readmission Rate (%) | 32.48 | |
| Unplanned Readmission Rate (%) | 22.68 | |
| 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 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 808: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 810: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 802: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 803: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,496 | ||||
| Total Hospitalizations with ICD 28419 - Other pancytopenia | 6,911 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD 28419 - Other pancytopenia in DRG | 52.93 | ||||
| Avg LOS at DRG | 4.74 | ||||
| Avg LOS with ICD 28419 - Other pancytopenia | 4.43 | ||||
| Readmission Rate at DRG | 30.73 | ||||
| Readmission Rate with ICD 28419 - Other pancytopenia | 33.5 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD 28419 - Other pancytopenia | 23.16 | ||||
| Total Medicare payments at DRG | $292,688,747 | ||||
| Total Medicare payments with ICD 28419 - Other pancytopenia | $53,525,836 | ||||
| Total Medicare payment per Day at DRG | $1,692 | ||||
| Total Medicare payment per Day with ICD 28419 - Other pancytopenia | $1,747 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,020 | ||||
| Total Medicare payment per Hospitalization with ICD 28419 - Other pancytopenia | $7,745 | ||||
| Total Medicare Charges at DRG | $1,305,360,795 | ||||
| Total Medicare Charges with ICD 28419 - Other pancytopenia | $237,256,257 | ||||
| Avg Charges at DRG | $35,767 | ||||
| Avg Charges with ICD 28419 - Other pancytopenia | $34,330 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD 28419 - Other pancytopenia | 1.55 | ||||
| SNF Discharge Rate at DRG | 8.14 | ||||
| SNF Discharge Rate with ICD 28419 - Other pancytopenia | 12.99 | ||||
| Home Discharge Rate at DRG | 67.37 | ||||
| Home Discharge Rate with ICD 28419 - Other pancytopenia | 57.53 |
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 800: SPLENECTOMY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,577 | ||||
| Total Hospitalizations with ICD 28419 - Other pancytopenia | 46 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD 28419 - Other pancytopenia in DRG | 0.35 | ||||
| Avg LOS at DRG | 14.65 | ||||
| Avg LOS with ICD 28419 - Other pancytopenia | 12.46 | ||||
| Readmission Rate at DRG | 37.54 | ||||
| Readmission Rate with ICD 28419 - Other pancytopenia | NA | ||||
| Unplanned Readmission Rate at DRG | 20.58 | ||||
| Unplanned Readmission Rate with ICD 28419 - Other pancytopenia | NA | ||||
| Total Medicare payments at DRG | $1,729,486,111 | ||||
| Total Medicare payments with ICD 28419 - Other pancytopenia | $1,796,446 | ||||
| Total Medicare payment per Day at DRG | $2,430 | ||||
| Total Medicare payment per Day with ICD 28419 - Other pancytopenia | $3,135 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,603 | ||||
| Total Medicare payment per Hospitalization with ICD 28419 - Other pancytopenia | $39,053 | ||||
| Total Medicare Charges at DRG | $7,235,174,566 | ||||
| Total Medicare Charges with ICD 28419 - Other pancytopenia | $7,835,735 | ||||
| Avg Charges at DRG | $148,942 | ||||
| Avg Charges with ICD 28419 - Other pancytopenia | $170,342 | ||||
| Mortality Rate at DRG | 9.66 | ||||
| Mortality Rate with ICD 28419 - Other pancytopenia | NA | ||||
| SNF Discharge Rate at DRG | 30.41 | ||||
| SNF Discharge Rate with ICD 28419 - Other pancytopenia | NA | ||||
| Home Discharge Rate at DRG | 22.89 | ||||
| Home Discharge Rate with ICD 28419 - Other pancytopenia | 32.61 |
| DRG 804: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 1,018 |
| Total Hospitalizations with ICD 28419 - Other pancytopenia | 11 |
| DRG Share of Total Hospitalizations | 0.0 |
| % of Total ICD 28419 - Other pancytopenia in DRG | 0.08 |
| Avg LOS at DRG | 2.97 |
| Avg LOS with ICD 28419 - Other pancytopenia | 5.18 |
| Readmission Rate at DRG | 11.68 |
| Readmission Rate with ICD 28419 - Other pancytopenia | NA |
| Unplanned Readmission Rate at DRG | 7.43 |
| Unplanned Readmission Rate with ICD 28419 - Other pancytopenia | NA |
| Total Medicare payments at DRG | $7,325,038 |
| Total Medicare payments with ICD 28419 - Other pancytopenia | $67,324 |
| Total Medicare payment per Day at DRG | $2,421 |
| Total Medicare payment per Day with ICD 28419 - Other pancytopenia | $1,181 |
| Total Medicare payment per Hospitalization at DRG | $7,196 |
| Total Medicare payment per Hospitalization with ICD 28419 - Other pancytopenia | $6,120 |
| Total Medicare Charges at DRG | $41,037,862 |
| Total Medicare Charges with ICD 28419 - Other pancytopenia | $428,340 |
| Avg Charges at DRG | $40,312 |
| Avg Charges with ICD 28419 - Other pancytopenia | $38,940 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD 28419 - Other pancytopenia | NA |
| SNF Discharge Rate at DRG | 4.13 |
| SNF Discharge Rate with ICD 28419 - Other pancytopenia | NA |
| Home Discharge Rate at DRG | 79.37 |
| Home Discharge Rate with ICD 28419 - Other pancytopenia | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 96 |
| ROSWELL PARK COMPREHENSIVE CANCER CENTER | ELM AND CARLTON ST | BUFFALO | NY | 14263 | 58 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JAIME ALEJANDRO BUSQUETS | LA CORUNA APT 1404 | GUAYNABO | PR | 00969 | 13 |
| Dr. PAWAN K VERMANI | 530 W BADILLO ST | COVINA | CA | 91722 | 11 |
| Dr. ELIZABETH A GRIFFITHS | ELM AND CARLTON ST | BUFFALO | NY | 14263 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JAIME ALEJANDRO BUSQUETS | LA CORUNA APT 1404 | GUAYNABO | PR | 00969 | 17 |
| Dr. ELIZABETH A GRIFFITHS | ELM AND CARLTON ST | BUFFALO | NY | 14263 | 11 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 808: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 28419 - Other pancytopenia | 21,827 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 28419 - Other pancytopenia in DRG | 8.05 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 28419 - Other pancytopenia | 8.34 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 28419 - Other pancytopenia | 30.88 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 28419 - Other pancytopenia | 20.2 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 28419 - Other pancytopenia | $300,336,941 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 28419 - Other pancytopenia | $1,650 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 28419 - Other pancytopenia | $13,760 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 28419 - Other pancytopenia | $1,633,162,778 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 28419 - Other pancytopenia | $74,823 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 28419 - Other pancytopenia | 22.0 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 28419 - Other pancytopenia | 21.35 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 28419 - Other pancytopenia | 22.21 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 28419 - Other pancytopenia | 5,577 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 28419 - Other pancytopenia in DRG | 2.06 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 28419 - Other pancytopenia | 7.98 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 28419 - Other pancytopenia | 32.86 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 28419 - Other pancytopenia | 24.33 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 28419 - Other pancytopenia | $60,147,513 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 28419 - Other pancytopenia | $1,351 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 28419 - Other pancytopenia | $10,785 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 28419 - Other pancytopenia | $325,465,741 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 28419 - Other pancytopenia | $58,359 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 28419 - Other pancytopenia | 7.19 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 28419 - Other pancytopenia | 23.74 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 28419 - Other pancytopenia | 30.95 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD 28419 - Other pancytopenia | 5,105 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 28419 - Other pancytopenia in DRG | 1.88 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD 28419 - Other pancytopenia | 5.95 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD 28419 - Other pancytopenia | 25.82 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD 28419 - Other pancytopenia | 17.5 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD 28419 - Other pancytopenia | $36,973,079 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD 28419 - Other pancytopenia | $1,217 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD 28419 - Other pancytopenia | $7,243 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD 28419 - Other pancytopenia | $218,825,871 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD 28419 - Other pancytopenia | $42,865 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD 28419 - Other pancytopenia | 2.96 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 28419 - Other pancytopenia | 17.81 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD 28419 - Other pancytopenia | 46.82 |
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 166,476 | ||||
| Total Hospitalizations with ICD 28419 - Other pancytopenia | 3,826 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD 28419 - Other pancytopenia in DRG | 1.41 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD 28419 - Other pancytopenia | 3.72 | ||||
| Readmission Rate at DRG | 24.89 | ||||
| Readmission Rate with ICD 28419 - Other pancytopenia | 29.99 | ||||
| Unplanned Readmission Rate at DRG | 18.86 | ||||
| Unplanned Readmission Rate with ICD 28419 - Other pancytopenia | 21.33 | ||||
| Total Medicare payments at DRG | $827,236,531 | ||||
| Total Medicare payments with ICD 28419 - Other pancytopenia | $19,194,594 | ||||
| Total Medicare payment per Day at DRG | $1,454 | ||||
| Total Medicare payment per Day with ICD 28419 - Other pancytopenia | $1,349 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,969 | ||||
| Total Medicare payment per Hospitalization with ICD 28419 - Other pancytopenia | $5,017 | ||||
| Total Medicare Charges at DRG | $3,946,027,775 | ||||
| Total Medicare Charges with ICD 28419 - Other pancytopenia | $108,873,367 | ||||
| Avg Charges at DRG | $23,703 | ||||
| Avg Charges with ICD 28419 - Other pancytopenia | $28,456 | ||||
| Mortality Rate at DRG | 0.45 | ||||
| Mortality Rate with ICD 28419 - Other pancytopenia | 0.99 | ||||
| SNF Discharge Rate at DRG | 14.41 | ||||
| SNF Discharge Rate with ICD 28419 - Other pancytopenia | 13.7 | ||||
| Home Discharge Rate at DRG | 64.74 | ||||
| Home Discharge Rate with ICD 28419 - Other pancytopenia | 62.05 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,567 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 1,256 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 987 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MELISSA LEIGH LARSON | 1725 W HARRISON ST | CHICAGO | IL | 60612 | 75 |
| Dr. JEFFREY E BALL | 506 6TH ST | BROOKLYN | NY | 11215 | 56 |
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 54 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SANJAY PALLEGAR | 6565 FANNIN ST | HOUSTON | TX | 77030 | 131 |
| Dr. RAJAN KAPOOR | 471 N SEMORAN BLVD | WINTER PARK | FL | 32792 | 94 |
| Dr. ALOK GOYAL | 7733 W BURLEIGH ST | MILWAUKEE | WI | 53222 | 88 |