34831 - Metabolic encephalopathy - as a primary diagnosis code | 34831 - Metabolic encephalopathy - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 8.99 | |
Readmission Rate (%) | 28.8 | |
Unplanned Readmission Rate (%) | 17.85 | |
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 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 072: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 30,132 | ||||
Total Hospitalizations with ICD 34831 - Metabolic encephalopathy | 13,319 | ||||
DRG Share of Total Hospitalizations | 0.13 | ||||
% of Total ICD 34831 - Metabolic encephalopathy in DRG | 46.77 | ||||
Avg LOS at DRG | 6.81 | ||||
Avg LOS with ICD 34831 - Metabolic encephalopathy | 6.84 | ||||
Readmission Rate at DRG | 29.44 | ||||
Readmission Rate with ICD 34831 - Metabolic encephalopathy | 29.08 | ||||
Unplanned Readmission Rate at DRG | 18.89 | ||||
Unplanned Readmission Rate with ICD 34831 - Metabolic encephalopathy | 20.48 | ||||
Total Medicare payments at DRG | $335,954,597 | ||||
Total Medicare payments with ICD 34831 - Metabolic encephalopathy | $146,165,171 | ||||
Total Medicare payment per Day at DRG | $1,637 | ||||
Total Medicare payment per Day with ICD 34831 - Metabolic encephalopathy | $1,604 | ||||
Total Medicare payment per Hospitalization at DRG | $11,149 | ||||
Total Medicare payment per Hospitalization with ICD 34831 - Metabolic encephalopathy | $10,974 | ||||
Total Medicare Charges at DRG | $1,439,326,406 | ||||
Total Medicare Charges with ICD 34831 - Metabolic encephalopathy | $642,799,428 | ||||
Avg Charges at DRG | $47,767 | ||||
Avg Charges with ICD 34831 - Metabolic encephalopathy | $48,262 | ||||
Mortality Rate at DRG | 5.52 | ||||
Mortality Rate with ICD 34831 - Metabolic encephalopathy | 5.95 | ||||
SNF Discharge Rate at DRG | 35.13 | ||||
SNF Discharge Rate with ICD 34831 - Metabolic encephalopathy | 37.89 | ||||
Home Discharge Rate at DRG | 23.19 | ||||
Home Discharge Rate with ICD 34831 - Metabolic encephalopathy | 20.76 |
DRG 037: EXTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 9,013 | ||||
Total Hospitalizations with ICD 34831 - Metabolic encephalopathy | 98 | ||||
DRG Share of Total Hospitalizations | 0.04 | ||||
% of Total ICD 34831 - Metabolic encephalopathy in DRG | 0.34 | ||||
Avg LOS at DRG | 7.75 | ||||
Avg LOS with ICD 34831 - Metabolic encephalopathy | 10.64 | ||||
Readmission Rate at DRG | 32.02 | ||||
Readmission Rate with ICD 34831 - Metabolic encephalopathy | 42.7 | ||||
Unplanned Readmission Rate at DRG | 13.38 | ||||
Unplanned Readmission Rate with ICD 34831 - Metabolic encephalopathy | 29.21 | ||||
Total Medicare payments at DRG | $191,115,195 | ||||
Total Medicare payments with ICD 34831 - Metabolic encephalopathy | $2,090,864 | ||||
Total Medicare payment per Day at DRG | $2,736 | ||||
Total Medicare payment per Day with ICD 34831 - Metabolic encephalopathy | $2,005 | ||||
Total Medicare payment per Hospitalization at DRG | $21,204 | ||||
Total Medicare payment per Hospitalization with ICD 34831 - Metabolic encephalopathy | $21,335 | ||||
Total Medicare Charges at DRG | $872,017,939 | ||||
Total Medicare Charges with ICD 34831 - Metabolic encephalopathy | $10,053,548 | ||||
Avg Charges at DRG | $96,751 | ||||
Avg Charges with ICD 34831 - Metabolic encephalopathy | $102,587 | ||||
Mortality Rate at DRG | 3.84 | ||||
Mortality Rate with ICD 34831 - Metabolic encephalopathy | NA | ||||
SNF Discharge Rate at DRG | 18.03 | ||||
SNF Discharge Rate with ICD 34831 - Metabolic encephalopathy | 39.8 | ||||
Home Discharge Rate at DRG | 45.09 | ||||
Home Discharge Rate with ICD 34831 - Metabolic encephalopathy | 25.51 |
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 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
---|---|---|---|---|
Total Hospitalizations at DRG | 15,434 | |||
Total Hospitalizations with ICD 34831 - Metabolic encephalopathy | 33 | |||
DRG Share of Total Hospitalizations | 0.07 | |||
% of Total ICD 34831 - Metabolic encephalopathy in DRG | 0.12 | |||
Avg LOS at DRG | 13.22 | |||
Avg LOS with ICD 34831 - Metabolic encephalopathy | 11.15 | |||
Readmission Rate at DRG | 33.5 | |||
Readmission Rate with ICD 34831 - Metabolic encephalopathy | NA | |||
Unplanned Readmission Rate at DRG | 18.81 | |||
Unplanned Readmission Rate with ICD 34831 - Metabolic encephalopathy | NA | |||
Total Medicare payments at DRG | $382,542,088 | |||
Total Medicare payments with ICD 34831 - Metabolic encephalopathy | $613,544 | |||
Total Medicare payment per Day at DRG | $1,874 | |||
Total Medicare payment per Day with ICD 34831 - Metabolic encephalopathy | $1,667 | |||
Total Medicare payment per Hospitalization at DRG | $24,786 | |||
Total Medicare payment per Hospitalization with ICD 34831 - Metabolic encephalopathy | $18,592 | |||
Total Medicare Charges at DRG | $1,564,323,426 | |||
Total Medicare Charges with ICD 34831 - Metabolic encephalopathy | $2,494,717 | |||
Avg Charges at DRG | $101,356 | |||
Avg Charges with ICD 34831 - Metabolic encephalopathy | $75,597 | |||
Mortality Rate at DRG | 6.36 | |||
Mortality Rate with ICD 34831 - Metabolic encephalopathy | NA | |||
SNF Discharge Rate at DRG | 29.41 | |||
SNF Discharge Rate with ICD 34831 - Metabolic encephalopathy | 51.52 | |||
Home Discharge Rate at DRG | 26.0 | |||
Home Discharge Rate with ICD 34831 - Metabolic encephalopathy | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 173 |
ST. JOSEPH MERCY HOSPITAL | 5301 HURON RIVER DRIVE | YPSILANTI | MI | 48197 | 138 |
METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 116 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. GENE WATKINS REID | 10201 W MARKHAM ST | LITTLE ROCK | AR | 72205 | 22 |
Dr. ARTHUR ROBERT SONBERG | 300 PENNY LN | MOREHEAD CITY | NC | 28557 | 13 |
Dr. RAZAAK ALABI ENIOLA | 9733 HEALTHWAY DR | BERLIN | MD | 21811 | 13 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. ARINDER SINGH CHADHA | 327 TOMKO WAY | PLACENTIA | CA | 92870 | 34 |
Dr. LUIS RENE CABRERA | 10300 SW 72ND ST | MIAMI | FL | 33173 | 33 |
Dr. LUCIAN P. BEDNARZ | 5 MORGAN HWY | SCRANTON | PA | 18508 | 31 |
DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH 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 | 901,552 | ||||
Total Hospitalizations with ICD 34831 - Metabolic encephalopathy | 102,983 | ||||
DRG Share of Total Hospitalizations | 3.95 | ||||
% of Total ICD 34831 - Metabolic encephalopathy in DRG | 22.01 | ||||
Avg LOS at DRG | 6.79 | ||||
Avg LOS with ICD 34831 - Metabolic encephalopathy | 7.25 | ||||
Readmission Rate at DRG | 25.38 | ||||
Readmission Rate with ICD 34831 - Metabolic encephalopathy | 25.58 | ||||
Unplanned Readmission Rate at DRG | 17.1 | ||||
Unplanned Readmission Rate with ICD 34831 - Metabolic encephalopathy | 17.2 | ||||
Total Medicare payments at DRG | $11,142,976,193 | ||||
Total Medicare payments with ICD 34831 - Metabolic encephalopathy | $1,253,201,444 | ||||
Total Medicare payment per Day at DRG | $1,821 | ||||
Total Medicare payment per Day with ICD 34831 - Metabolic encephalopathy | $1,679 | ||||
Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
Total Medicare payment per Hospitalization with ICD 34831 - Metabolic encephalopathy | $12,169 | ||||
Total Medicare Charges at DRG | $48,288,426,708 | ||||
Total Medicare Charges with ICD 34831 - Metabolic encephalopathy | $5,757,777,046 | ||||
Avg Charges at DRG | $53,561 | ||||
Avg Charges with ICD 34831 - Metabolic encephalopathy | $55,910 | ||||
Mortality Rate at DRG | 15.16 | ||||
Mortality Rate with ICD 34831 - Metabolic encephalopathy | 14.5 | ||||
SNF Discharge Rate at DRG | 28.41 | ||||
SNF Discharge Rate with ICD 34831 - Metabolic encephalopathy | 37.27 | ||||
Home Discharge Rate at DRG | 23.21 | ||||
Home Discharge Rate with ICD 34831 - Metabolic encephalopathy | 14.43 |
DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 30,132 | ||||
Total Hospitalizations with ICD 34831 - Metabolic encephalopathy | 13,673 | ||||
DRG Share of Total Hospitalizations | 0.13 | ||||
% of Total ICD 34831 - Metabolic encephalopathy in DRG | 2.92 | ||||
Avg LOS at DRG | 6.81 | ||||
Avg LOS with ICD 34831 - Metabolic encephalopathy | 6.86 | ||||
Readmission Rate at DRG | 29.44 | ||||
Readmission Rate with ICD 34831 - Metabolic encephalopathy | 29.09 | ||||
Unplanned Readmission Rate at DRG | 18.89 | ||||
Unplanned Readmission Rate with ICD 34831 - Metabolic encephalopathy | 20.35 | ||||
Total Medicare payments at DRG | $335,954,597 | ||||
Total Medicare payments with ICD 34831 - Metabolic encephalopathy | $150,231,190 | ||||
Total Medicare payment per Day at DRG | $1,637 | ||||
Total Medicare payment per Day with ICD 34831 - Metabolic encephalopathy | $1,601 | ||||
Total Medicare payment per Hospitalization at DRG | $11,149 | ||||
Total Medicare payment per Hospitalization with ICD 34831 - Metabolic encephalopathy | $10,987 | ||||
Total Medicare Charges at DRG | $1,439,326,406 | ||||
Total Medicare Charges with ICD 34831 - Metabolic encephalopathy | $659,983,465 | ||||
Avg Charges at DRG | $47,767 | ||||
Avg Charges with ICD 34831 - Metabolic encephalopathy | $48,269 | ||||
Mortality Rate at DRG | 5.52 | ||||
Mortality Rate with ICD 34831 - Metabolic encephalopathy | 5.86 | ||||
SNF Discharge Rate at DRG | 35.13 | ||||
SNF Discharge Rate with ICD 34831 - Metabolic encephalopathy | 37.8 | ||||
Home Discharge Rate at DRG | 23.19 | ||||
Home Discharge Rate with ICD 34831 - Metabolic encephalopathy | 20.95 |
DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 602,372 | ||||
Total Hospitalizations with ICD 34831 - Metabolic encephalopathy | 11,644 | ||||
DRG Share of Total Hospitalizations | 2.64 | ||||
% of Total ICD 34831 - Metabolic encephalopathy in DRG | 2.49 | ||||
Avg LOS at DRG | 13.11 | ||||
Avg LOS with ICD 34831 - Metabolic encephalopathy | 12.96 | ||||
Readmission Rate at DRG | 15.99 | ||||
Readmission Rate with ICD 34831 - Metabolic encephalopathy | 21.15 | ||||
Unplanned Readmission Rate at DRG | 12.22 | ||||
Unplanned Readmission Rate with ICD 34831 - Metabolic encephalopathy | 17.53 | ||||
Total Medicare payments at DRG | $11,047,686,856 | ||||
Total Medicare payments with ICD 34831 - Metabolic encephalopathy | $219,897,452 | ||||
Total Medicare payment per Day at DRG | $1,399 | ||||
Total Medicare payment per Day with ICD 34831 - Metabolic encephalopathy | $1,457 | ||||
Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
Total Medicare payment per Hospitalization with ICD 34831 - Metabolic encephalopathy | $18,885 | ||||
Total Medicare Charges at DRG | $25,171,736,043 | ||||
Total Medicare Charges with ICD 34831 - Metabolic encephalopathy | $501,043,940 | ||||
Avg Charges at DRG | $41,788 | ||||
Avg Charges with ICD 34831 - Metabolic encephalopathy | $43,030 | ||||
Mortality Rate at DRG | 0.21 | ||||
Mortality Rate with ICD 34831 - Metabolic encephalopathy | 0.3 | ||||
SNF Discharge Rate at DRG | 17.37 | ||||
SNF Discharge Rate with ICD 34831 - Metabolic encephalopathy | 18.1 | ||||
Home Discharge Rate at DRG | 21.02 | ||||
Home Discharge Rate with ICD 34831 - Metabolic encephalopathy | 15.96 |
DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 76,393 | ||||
Total Hospitalizations with ICD 34831 - Metabolic encephalopathy | 7,791 | ||||
DRG Share of Total Hospitalizations | 0.33 | ||||
% of Total ICD 34831 - Metabolic encephalopathy in DRG | 1.66 | ||||
Avg LOS at DRG | 6.52 | ||||
Avg LOS with ICD 34831 - Metabolic encephalopathy | 6.86 | ||||
Readmission Rate at DRG | 27.8 | ||||
Readmission Rate with ICD 34831 - Metabolic encephalopathy | 27.56 | ||||
Unplanned Readmission Rate at DRG | 20.05 | ||||
Unplanned Readmission Rate with ICD 34831 - Metabolic encephalopathy | 20.9 | ||||
Total Medicare payments at DRG | $810,198,003 | ||||
Total Medicare payments with ICD 34831 - Metabolic encephalopathy | $77,687,153 | ||||
Total Medicare payment per Day at DRG | $1,627 | ||||
Total Medicare payment per Day with ICD 34831 - Metabolic encephalopathy | $1,455 | ||||
Total Medicare payment per Hospitalization at DRG | $10,606 | ||||
Total Medicare payment per Hospitalization with ICD 34831 - Metabolic encephalopathy | $9,971 | ||||
Total Medicare Charges at DRG | $3,422,113,136 | ||||
Total Medicare Charges with ICD 34831 - Metabolic encephalopathy | $333,510,063 | ||||
Avg Charges at DRG | $44,796 | ||||
Avg Charges with ICD 34831 - Metabolic encephalopathy | $42,807 | ||||
Mortality Rate at DRG | 3.2 | ||||
Mortality Rate with ICD 34831 - Metabolic encephalopathy | 4.66 | ||||
SNF Discharge Rate at DRG | 32.3 | ||||
SNF Discharge Rate with ICD 34831 - Metabolic encephalopathy | 44.04 | ||||
Home Discharge Rate at DRG | 28.25 | ||||
Home Discharge Rate with ICD 34831 - Metabolic encephalopathy | 13.58 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 2,528 |
HARTFORD HOSPITAL | 80 SEYMOUR ST | HARTFORD | CT | 06102 | 1,834 |
HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 1,662 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. SEREF BORNOVALI | 9633 STONEMASTERS DR | LOVELAND | OH | 45140 | 198 |
Dr. SCOTT PAUL SHISLER | 1100 S VAN DYKE | BAD AXE | MI | 48413 | 146 |
Dr. REZA M TEHRANI | 363 FREMONT ST STE 100 | BATTLE CREEK | MI | 49017 | 136 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. LAURENCE ROSS SABEN | 615 E LEXINGTON AVE | EL CAJON | CA | 92020 | 719 |
Dr. SEREF BORNOVALI | 9633 STONEMASTERS DR | LOVELAND | OH | 45140 | 482 |
Dr. REZA M TEHRANI | 363 FREMONT ST STE 100 | BATTLE CREEK | MI | 49017 | 405 |