| 7994 - Cachexia - as a primary diagnosis code | 7994 - Cachexia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.42 | |
| Readmission Rate (%) | 27.72 | |
| Unplanned Readmission Rate (%) | 14.68 | |
| 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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 100,276 | |
| Total Hospitalizations with ICD 7994 - Cachexia | 72 | |
| DRG Share of Total Hospitalizations | 0.44 | |
| % of Total ICD 7994 - Cachexia in DRG | 57.6 | |
| Avg LOS at DRG | 3.39 | |
| Avg LOS with ICD 7994 - Cachexia | 4.88 | |
| Readmission Rate at DRG | 21.71 | |
| Readmission Rate with ICD 7994 - Cachexia | 24.59 | |
| Unplanned Readmission Rate at DRG | 13.45 | |
| Unplanned Readmission Rate with ICD 7994 - Cachexia | NA | |
| Total Medicare payments at DRG | $466,195,388 | |
| Total Medicare payments with ICD 7994 - Cachexia | $407,424 | |
| Total Medicare payment per Day at DRG | $1,371 | |
| Total Medicare payment per Day with ICD 7994 - Cachexia | $1,161 | |
| Total Medicare payment per Hospitalization at DRG | $4,649 | |
| Total Medicare payment per Hospitalization with ICD 7994 - Cachexia | $5,659 | |
| Total Medicare Charges at DRG | $2,100,980,417 | |
| Total Medicare Charges with ICD 7994 - Cachexia | $1,807,373 | |
| Avg Charges at DRG | $20,952 | |
| Avg Charges with ICD 7994 - Cachexia | $25,102 | |
| Mortality Rate at DRG | 1.0 | |
| Mortality Rate with ICD 7994 - Cachexia | NA | |
| SNF Discharge Rate at DRG | 24.48 | |
| SNF Discharge Rate with ICD 7994 - Cachexia | 22.22 | |
| Home Discharge Rate at DRG | 41.26 | |
| Home Discharge Rate with ICD 7994 - Cachexia | 30.56 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 7994 - Cachexia | 23,904 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 7994 - Cachexia in DRG | 9.98 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 7994 - Cachexia | 7.65 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 7994 - Cachexia | 26.19 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 7994 - Cachexia | 18.01 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 7994 - Cachexia | $321,728,758 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 7994 - Cachexia | $1,760 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 7994 - Cachexia | $13,459 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 7994 - Cachexia | $1,448,958,436 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 7994 - Cachexia | $60,616 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 7994 - Cachexia | 26.25 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 7994 - Cachexia | 26.33 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 7994 - Cachexia | 10.1 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 7994 - Cachexia | 5,550 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 7994 - Cachexia in DRG | 2.32 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 7994 - Cachexia | 7.44 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 7994 - Cachexia | 28.3 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 7994 - Cachexia | 21.96 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 7994 - Cachexia | $59,443,099 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 7994 - Cachexia | $1,440 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 7994 - Cachexia | $10,710 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 7994 - Cachexia | $283,841,368 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 7994 - Cachexia | $51,143 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 7994 - Cachexia | 15.03 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 7994 - Cachexia | 27.37 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 7994 - Cachexia | 16.16 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 7994 - Cachexia | 3,773 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 7994 - Cachexia in DRG | 1.57 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 7994 - Cachexia | 5.1 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 7994 - Cachexia | 23.96 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 7994 - Cachexia | 18.61 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 7994 - Cachexia | $24,604,572 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 7994 - Cachexia | $1,279 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 7994 - Cachexia | $6,521 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 7994 - Cachexia | $112,592,029 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 7994 - Cachexia | $29,842 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 7994 - Cachexia | 5.43 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 7994 - Cachexia | 29.92 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 7994 - Cachexia | 25.82 |
| DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 102,413 | ||||
| Total Hospitalizations with ICD 7994 - Cachexia | 3,244 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD 7994 - Cachexia in DRG | 1.35 | ||||
| Avg LOS at DRG | 6.1 | ||||
| Avg LOS with ICD 7994 - Cachexia | 6.55 | ||||
| Readmission Rate at DRG | 22.78 | ||||
| Readmission Rate with ICD 7994 - Cachexia | 23.94 | ||||
| Unplanned Readmission Rate at DRG | 16.22 | ||||
| Unplanned Readmission Rate with ICD 7994 - Cachexia | 17.92 | ||||
| Total Medicare payments at DRG | $916,696,949 | ||||
| Total Medicare payments with ICD 7994 - Cachexia | $30,980,261 | ||||
| Total Medicare payment per Day at DRG | $1,468 | ||||
| Total Medicare payment per Day with ICD 7994 - Cachexia | $1,458 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,951 | ||||
| Total Medicare payment per Hospitalization with ICD 7994 - Cachexia | $9,550 | ||||
| Total Medicare Charges at DRG | $3,864,409,951 | ||||
| Total Medicare Charges with ICD 7994 - Cachexia | $132,256,596 | ||||
| Avg Charges at DRG | $37,734 | ||||
| Avg Charges with ICD 7994 - Cachexia | $40,770 | ||||
| Mortality Rate at DRG | 2.77 | ||||
| Mortality Rate with ICD 7994 - Cachexia | 5.27 | ||||
| SNF Discharge Rate at DRG | 31.61 | ||||
| SNF Discharge Rate with ICD 7994 - Cachexia | 29.62 | ||||
| Home Discharge Rate at DRG | 29.31 | ||||
| Home Discharge Rate with ICD 7994 - Cachexia | 23.37 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 1,075 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 1,024 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 958 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SREENIVASA R PATIBANDLA | 1740 EASTCHESTER RD | BRONX | NY | 10461 | 56 |
| Dr. ROMULO CLAVELO | 1325 SW 1ST ST | MIAMI | FL | 33135 | 47 |
| Dr. JOHN I DELGADO | 2919 W SWANN AVE | TAMPA | FL | 33609 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAJENDRA R SHROFF | 1050 M L KING DR | CENTRALIA | IL | 62801 | 137 |
| Dr. ANDREW ZARETSKY | 1379 54TH ST | BROOKLYN | NY | 11219 | 135 |
| Dr. BRADLEY MARK SHORT | 3905 BROOKEN HILL DR | FORT SMITH | AR | 72908 | 125 |