| 9953 - Allergy, unspecified, not elsewhere classified - as a primary diagnosis code | 9953 - Allergy, unspecified, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.98 | |
| Readmission Rate (%) | 17.74 | |
| Unplanned Readmission Rate (%) | 10.48 | |
| 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 916: ALLERGIC REACTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 915: ALLERGIC REACTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 10,118 | |
| Total Hospitalizations with ICD 9953 - Allergy, unspecified, not elsewhere classified | 246 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD 9953 - Allergy, unspecified, not elsewhere classified in DRG | 75.46 | |
| Avg LOS at DRG | 2.08 | |
| Avg LOS with ICD 9953 - Allergy, unspecified, not elsewhere classified | 2.19 | |
| Readmission Rate at DRG | 11.44 | |
| Readmission Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 9.17 | |
| Unplanned Readmission Rate at DRG | 8.76 | |
| Unplanned Readmission Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 7.5 | |
| Total Medicare payments at DRG | $30,392,976 | |
| Total Medicare payments with ICD 9953 - Allergy, unspecified, not elsewhere classified | $717,141 | |
| Total Medicare payment per Day at DRG | $1,445 | |
| Total Medicare payment per Day with ICD 9953 - Allergy, unspecified, not elsewhere classified | $1,333 | |
| Total Medicare payment per Hospitalization at DRG | $3,004 | |
| Total Medicare payment per Hospitalization with ICD 9953 - Allergy, unspecified, not elsewhere classified | $2,915 | |
| Total Medicare Charges at DRG | $161,657,144 | |
| Total Medicare Charges with ICD 9953 - Allergy, unspecified, not elsewhere classified | $3,473,260 | |
| Avg Charges at DRG | $15,977 | |
| Avg Charges with ICD 9953 - Allergy, unspecified, not elsewhere classified | $14,119 | |
| Mortality Rate at DRG | 0.17 | |
| Mortality Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | NA | |
| SNF Discharge Rate at DRG | 5.82 | |
| SNF Discharge Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 4.88 | |
| Home Discharge Rate at DRG | 80.82 | |
| Home Discharge Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 80.89 |
| DRG 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 916: ALLERGIC REACTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 9953 - Allergy, unspecified, not elsewhere classified | 616 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 9953 - Allergy, unspecified, not elsewhere classified in DRG | 8.09 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 9953 - Allergy, unspecified, not elsewhere classified | 11.91 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 23.42 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 11.63 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 9953 - Allergy, unspecified, not elsewhere classified | $4,937,497 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 9953 - Allergy, unspecified, not elsewhere classified | $673 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 9953 - Allergy, unspecified, not elsewhere classified | $8,015 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 9953 - Allergy, unspecified, not elsewhere classified | $14,076,482 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 9953 - Allergy, unspecified, not elsewhere classified | $22,851 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 4.06 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 80.19 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 9953 - Allergy, unspecified, not elsewhere classified | 156 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 9953 - Allergy, unspecified, not elsewhere classified in DRG | 2.05 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 9953 - Allergy, unspecified, not elsewhere classified | 6.1 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 25.35 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 14.79 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 9953 - Allergy, unspecified, not elsewhere classified | $1,772,997 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 9953 - Allergy, unspecified, not elsewhere classified | $1,864 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 9953 - Allergy, unspecified, not elsewhere classified | $11,365 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 9953 - Allergy, unspecified, not elsewhere classified | $7,320,496 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 9953 - Allergy, unspecified, not elsewhere classified | $46,926 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 16.67 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 40.38 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 9953 - Allergy, unspecified, not elsewhere classified | 123 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 9953 - Allergy, unspecified, not elsewhere classified in DRG | 1.62 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 9953 - Allergy, unspecified, not elsewhere classified | 3.5 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 12.71 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 9953 - Allergy, unspecified, not elsewhere classified | $540,319 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 9953 - Allergy, unspecified, not elsewhere classified | $1,257 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 9953 - Allergy, unspecified, not elsewhere classified | $4,393 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 9953 - Allergy, unspecified, not elsewhere classified | $2,617,638 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 9953 - Allergy, unspecified, not elsewhere classified | $21,282 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 79.67 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD 9953 - Allergy, unspecified, not elsewhere classified | 80 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 9953 - Allergy, unspecified, not elsewhere classified in DRG | 1.05 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 9953 - Allergy, unspecified, not elsewhere classified | 4.69 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 23.68 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 18.42 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 9953 - Allergy, unspecified, not elsewhere classified | $508,087 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 9953 - Allergy, unspecified, not elsewhere classified | $1,355 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 9953 - Allergy, unspecified, not elsewhere classified | $6,351 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 9953 - Allergy, unspecified, not elsewhere classified | $1,908,466 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 9953 - Allergy, unspecified, not elsewhere classified | $23,856 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 20.0 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 9953 - Allergy, unspecified, not elsewhere classified | 38.75 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL VISION PARK | 117 VISION PARK BLVD | SHENANDOAH | TX | 77384 | 69 |
| WATERTOWN REGIONAL MEDICAL CENTER | 125 HOSPITAL DR | WATERTOWN | WI | 53098 | 69 |
| HAZARD ARH REGIONAL MEDICAL CENTER | 100 MEDICAL CENTER DR | HAZARD | KY | 41701 | 68 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RICHARD E MOORE | 6156 W EMERALD STREET | BOISE | ID | 83704 | 23 |
| Dr. DENNIS R MCGEE | 6165 W EMERALD STREET | BOISE | ID | 83704 | 13 |
| Dr. WILLIAM C. LENNEN | 2006 HEALTH CAMPUS DR | HARRISONBURG | VA | 22801 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. TRAVIS W HIRD | 1501 RIVER POINTE DR | CONROE | TX | 77304 | 67 |
| Dr. S RAO CHALASANI | 5425 BRITTANY DR | BATON ROUGE | LA | 70808 | 24 |
| Dr. RICHARD E MOORE | 6156 W EMERALD STREET | BOISE | ID | 83704 | 23 |