| 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified - as a primary diagnosis code | 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.27 | |
| Readmission Rate (%) | 27.89 | |
| Unplanned Readmission Rate (%) | 15.08 | |
| 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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|
| Total Hospitalizations at DRG | 100,367 |
| Total Hospitalizations with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 1,088 |
| DRG Share of Total Hospitalizations | 0.44 |
| % of Total ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified in DRG | 95.69 |
| Avg LOS at DRG | 10.94 |
| Avg LOS with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 5.94 |
| Readmission Rate at DRG | 20.99 |
| Readmission Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 30.14 |
| Unplanned Readmission Rate at DRG | 12.24 |
| Unplanned Readmission Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 14.92 |
| Total Medicare payments at DRG | $937,263,376 |
| Total Medicare payments with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $7,495,871 |
| Total Medicare payment per Day at DRG | $854 |
| Total Medicare payment per Day with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $1,161 |
| Total Medicare payment per Hospitalization at DRG | $9,338 |
| Total Medicare payment per Hospitalization with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $6,890 |
| Total Medicare Charges at DRG | $2,966,860,937 |
| Total Medicare Charges with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $26,001,014 |
| Avg Charges at DRG | $29,560 |
| Avg Charges with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $23,898 |
| Mortality Rate at DRG | 0.71 |
| Mortality Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | NA |
| SNF Discharge Rate at DRG | 40.39 |
| SNF Discharge Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 28.4 |
| Home Discharge Rate at DRG | 26.25 |
| Home Discharge Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 32.72 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| HSHS ST. JOHN'S HOSPITAL | 800 EAST CARPENTER STREET | SPRINGFIELD | IL | 62769 | 13 |
| ST. ANTHONY'S HOSPITAL | 1200 7TH AVE N | ST PETERSBURG | FL | 33705 | 11 |
| DRG 885: PSYCHOSES | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 6,717 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified in DRG | 8.0 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 13.08 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 29.32 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 14.08 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $65,449,002 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $745 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $9,744 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $218,692,060 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $32,558 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 11.05 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 65.4 |
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 1,712 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified in DRG | 2.04 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 4.82 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 24.1 | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 13.04 | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $9,019,600 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $1,094 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $5,268 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $41,238,385 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $24,088 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 0.64 | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 43.34 | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 19.86 |
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 274,950 | ||||
| Total Hospitalizations with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 1,195 | ||||
| DRG Share of Total Hospitalizations | 1.2 | ||||
| % of Total ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified in DRG | 1.42 | ||||
| Avg LOS at DRG | 6.96 | ||||
| Avg LOS with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 10.5 | ||||
| Readmission Rate at DRG | 27.13 | ||||
| Readmission Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 30.08 | ||||
| Unplanned Readmission Rate at DRG | 20.24 | ||||
| Unplanned Readmission Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 18.11 | ||||
| Total Medicare payments at DRG | $2,790,739,849 | ||||
| Total Medicare payments with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $16,691,635 | ||||
| Total Medicare payment per Day at DRG | $1,457 | ||||
| Total Medicare payment per Day with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $1,330 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,150 | ||||
| Total Medicare payment per Hospitalization with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $13,968 | ||||
| Total Medicare Charges at DRG | $11,867,056,741 | ||||
| Total Medicare Charges with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $69,492,183 | ||||
| Avg Charges at DRG | $43,161 | ||||
| Avg Charges with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $58,152 | ||||
| Mortality Rate at DRG | 7.44 | ||||
| Mortality Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 15.15 | ||||
| SNF Discharge Rate at DRG | 20.22 | ||||
| SNF Discharge Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 30.13 | ||||
| Home Discharge Rate at DRG | 37.4 | ||||
| Home Discharge Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 14.31 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT 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) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 1,000 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified in DRG | 1.19 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 7.77 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 27.68 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 18.02 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $10,555,230 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $1,359 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $10,555 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $50,535,598 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | $50,536 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 13.1 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 33.1 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 3079 - Other and unspecified special symptoms or syndromes, not elsewhere classified | 14.2 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| INOVA FAIRFAX HOSPITAL | 3300 GALLOWS RD | FALLS CHURCH | VA | 22042 | 496 |
| KALEIDA HEALTH | 100 HIGH ST | BUFFALO | NY | 14203 | 494 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 457 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ROHIDAS T. PATIL | 1770 E LAKESHORE DR | DECATUR | IL | 62521 | 124 |
| Dr. VLADIMIR EINISMAN | 2750 BAHIA VISTA ST | SARASOTA | FL | 34239 | 97 |
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 82 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAVI PRAKASH SINGH | 1830 HERITAGE PARK PLZ | MURFREESBORO | TN | 37129 | 268 |
| Dr. JOSE ESTEBAN IGOA | 3600 N 23RD ST | MCALLEN | TX | 78501 | 199 |
| Dr. NADEEM M MIRZA | 404 HAZEN ST | PAW PAW | MI | 49079 | 161 |