| 28959 - Other diseases of spleen - as a primary diagnosis code | 28959 - Other diseases of spleen - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.48 | |
| Readmission Rate (%) | 30.26 | |
| Unplanned Readmission Rate (%) | 15.74 | |
| 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 799: SPLENECTOMY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 800: SPLENECTOMY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,472 | ||||
| Total Hospitalizations with ICD 28959 - Other diseases of spleen | 705 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 28959 - Other diseases of spleen in DRG | 32.9 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD 28959 - Other diseases of spleen | 4.23 | ||||
| Readmission Rate at DRG | 24.41 | ||||
| Readmission Rate with ICD 28959 - Other diseases of spleen | 22.71 | ||||
| Unplanned Readmission Rate at DRG | 14.88 | ||||
| Unplanned Readmission Rate with ICD 28959 - Other diseases of spleen | 14.94 | ||||
| Total Medicare payments at DRG | $42,791,790 | ||||
| Total Medicare payments with ICD 28959 - Other diseases of spleen | $4,341,022 | ||||
| Total Medicare payment per Day at DRG | $1,598 | ||||
| Total Medicare payment per Day with ICD 28959 - Other diseases of spleen | $1,456 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,612 | ||||
| Total Medicare payment per Hospitalization with ICD 28959 - Other diseases of spleen | $6,157 | ||||
| Total Medicare Charges at DRG | $195,521,168 | ||||
| Total Medicare Charges with ICD 28959 - Other diseases of spleen | $22,743,235 | ||||
| Avg Charges at DRG | $30,210 | ||||
| Avg Charges with ICD 28959 - Other diseases of spleen | $32,260 | ||||
| Mortality Rate at DRG | 0.9 | ||||
| Mortality Rate with ICD 28959 - Other diseases of spleen | 1.7 | ||||
| SNF Discharge Rate at DRG | 16.64 | ||||
| SNF Discharge Rate with ICD 28959 - Other diseases of spleen | 9.5 | ||||
| Home Discharge Rate at DRG | 55.39 | ||||
| Home Discharge Rate with ICD 28959 - Other diseases of spleen | 64.11 |
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 801: SPLENECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 802: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,577 | ||||
| Total Hospitalizations with ICD 28959 - Other diseases of spleen | 52 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD 28959 - Other diseases of spleen in DRG | 2.43 | ||||
| Avg LOS at DRG | 14.65 | ||||
| Avg LOS with ICD 28959 - Other diseases of spleen | 11.27 | ||||
| Readmission Rate at DRG | 37.54 | ||||
| Readmission Rate with ICD 28959 - Other diseases of spleen | 34.04 | ||||
| Unplanned Readmission Rate at DRG | 20.58 | ||||
| Unplanned Readmission Rate with ICD 28959 - Other diseases of spleen | NA | ||||
| Total Medicare payments at DRG | $1,729,486,111 | ||||
| Total Medicare payments with ICD 28959 - Other diseases of spleen | $1,664,618 | ||||
| Total Medicare payment per Day at DRG | $2,430 | ||||
| Total Medicare payment per Day with ICD 28959 - Other diseases of spleen | $2,841 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,603 | ||||
| Total Medicare payment per Hospitalization with ICD 28959 - Other diseases of spleen | $32,012 | ||||
| Total Medicare Charges at DRG | $7,235,174,566 | ||||
| Total Medicare Charges with ICD 28959 - Other diseases of spleen | $7,341,896 | ||||
| Avg Charges at DRG | $148,942 | ||||
| Avg Charges with ICD 28959 - Other diseases of spleen | $141,190 | ||||
| Mortality Rate at DRG | 9.66 | ||||
| Mortality Rate with ICD 28959 - Other diseases of spleen | NA | ||||
| SNF Discharge Rate at DRG | 30.41 | ||||
| SNF Discharge Rate with ICD 28959 - Other diseases of spleen | 26.92 | ||||
| Home Discharge Rate at DRG | 22.89 | ||||
| Home Discharge Rate with ICD 28959 - Other diseases of spleen | 32.69 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| SPARKS REGIONAL MEDICAL CENTER | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 11 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 11 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 814: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 799: SPLENECTOMY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 28959 - Other diseases of spleen | 771 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 28959 - Other diseases of spleen in DRG | 5.99 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 28959 - Other diseases of spleen | 9.02 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 28959 - Other diseases of spleen | 37.97 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 28959 - Other diseases of spleen | 23.17 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 28959 - Other diseases of spleen | $11,037,466 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 28959 - Other diseases of spleen | $1,587 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 28959 - Other diseases of spleen | $14,316 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 28959 - Other diseases of spleen | $60,486,886 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 28959 - Other diseases of spleen | $78,453 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 28959 - Other diseases of spleen | 19.71 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 28959 - Other diseases of spleen | 19.46 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 28959 - Other diseases of spleen | 21.4 |
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,583 | ||||
| Total Hospitalizations with ICD 28959 - Other diseases of spleen | 303 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD 28959 - Other diseases of spleen in DRG | 2.35 | ||||
| Avg LOS at DRG | 14.4 | ||||
| Avg LOS with ICD 28959 - Other diseases of spleen | 18.07 | ||||
| Readmission Rate at DRG | 39.61 | ||||
| Readmission Rate with ICD 28959 - Other diseases of spleen | 48.84 | ||||
| Unplanned Readmission Rate at DRG | 17.93 | ||||
| Unplanned Readmission Rate with ICD 28959 - Other diseases of spleen | 20.0 | ||||
| Total Medicare payments at DRG | $4,418,648,842 | ||||
| Total Medicare payments with ICD 28959 - Other diseases of spleen | $13,519,460 | ||||
| Total Medicare payment per Day at DRG | $2,545 | ||||
| Total Medicare payment per Day with ICD 28959 - Other diseases of spleen | $2,470 | ||||
| Total Medicare payment per Hospitalization at DRG | $36,644 | ||||
| Total Medicare payment per Hospitalization with ICD 28959 - Other diseases of spleen | $44,619 | ||||
| Total Medicare Charges at DRG | $18,323,348,541 | ||||
| Total Medicare Charges with ICD 28959 - Other diseases of spleen | $64,817,432 | ||||
| Avg Charges at DRG | $151,956 | ||||
| Avg Charges with ICD 28959 - Other diseases of spleen | $213,919 | ||||
| Mortality Rate at DRG | 13.99 | ||||
| Mortality Rate with ICD 28959 - Other diseases of spleen | 24.09 | ||||
| SNF Discharge Rate at DRG | 33.74 | ||||
| SNF Discharge Rate with ICD 28959 - Other diseases of spleen | 26.07 | ||||
| Home Discharge Rate at DRG | 13.29 | ||||
| Home Discharge Rate with ICD 28959 - Other diseases of spleen | 9.57 |
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 800: SPLENECTOMY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 80,086 | ||||
| Total Hospitalizations with ICD 28959 - Other diseases of spleen | 207 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD 28959 - Other diseases of spleen in DRG | 1.61 | ||||
| Avg LOS at DRG | 14.11 | ||||
| Avg LOS with ICD 28959 - Other diseases of spleen | 17.02 | ||||
| Readmission Rate at DRG | 31.0 | ||||
| Readmission Rate with ICD 28959 - Other diseases of spleen | 36.36 | ||||
| Unplanned Readmission Rate at DRG | 15.31 | ||||
| Unplanned Readmission Rate with ICD 28959 - Other diseases of spleen | 13.94 | ||||
| Total Medicare payments at DRG | $2,732,223,351 | ||||
| Total Medicare payments with ICD 28959 - Other diseases of spleen | $8,295,293 | ||||
| Total Medicare payment per Day at DRG | $2,417 | ||||
| Total Medicare payment per Day with ICD 28959 - Other diseases of spleen | $2,355 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,116 | ||||
| Total Medicare payment per Hospitalization with ICD 28959 - Other diseases of spleen | $40,074 | ||||
| Total Medicare Charges at DRG | $11,473,909,298 | ||||
| Total Medicare Charges with ICD 28959 - Other diseases of spleen | $38,546,061 | ||||
| Avg Charges at DRG | $143,270 | ||||
| Avg Charges with ICD 28959 - Other diseases of spleen | $186,213 | ||||
| Mortality Rate at DRG | 10.85 | ||||
| Mortality Rate with ICD 28959 - Other diseases of spleen | 18.36 | ||||
| SNF Discharge Rate at DRG | 29.09 | ||||
| SNF Discharge Rate with ICD 28959 - Other diseases of spleen | 26.57 | ||||
| Home Discharge Rate at DRG | 20.21 | ||||
| Home Discharge Rate with ICD 28959 - Other diseases of spleen | 15.94 |
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 166,476 | ||||
| Total Hospitalizations with ICD 28959 - Other diseases of spleen | 142 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD 28959 - Other diseases of spleen in DRG | 1.1 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD 28959 - Other diseases of spleen | 5.45 | ||||
| Readmission Rate at DRG | 24.89 | ||||
| Readmission Rate with ICD 28959 - Other diseases of spleen | 40.29 | ||||
| Unplanned Readmission Rate at DRG | 18.86 | ||||
| Unplanned Readmission Rate with ICD 28959 - Other diseases of spleen | 26.62 | ||||
| Total Medicare payments at DRG | $827,236,531 | ||||
| Total Medicare payments with ICD 28959 - Other diseases of spleen | $810,076 | ||||
| Total Medicare payment per Day at DRG | $1,454 | ||||
| Total Medicare payment per Day with ICD 28959 - Other diseases of spleen | $1,047 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,969 | ||||
| Total Medicare payment per Hospitalization with ICD 28959 - Other diseases of spleen | $5,705 | ||||
| Total Medicare Charges at DRG | $3,946,027,775 | ||||
| Total Medicare Charges with ICD 28959 - Other diseases of spleen | $5,443,681 | ||||
| Avg Charges at DRG | $23,703 | ||||
| Avg Charges with ICD 28959 - Other diseases of spleen | $38,336 | ||||
| Mortality Rate at DRG | 0.45 | ||||
| Mortality Rate with ICD 28959 - Other diseases of spleen | NA | ||||
| SNF Discharge Rate at DRG | 14.41 | ||||
| SNF Discharge Rate with ICD 28959 - Other diseases of spleen | NA | ||||
| Home Discharge Rate at DRG | 64.74 | ||||
| Home Discharge Rate with ICD 28959 - Other diseases of spleen | 79.58 |
| 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 | 66 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 61 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 55 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. KEVIENE RUTHERFORD | 10075 JOG ROAD | BOYNTON BEACH | FL | 33437 | 13 |