| 99688 - Complications of transplanted organ, stem cell - as a primary diagnosis code | 99688 - Complications of transplanted organ, stem cell - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.88 | |
| Readmission Rate (%) | 35.92 | |
| Unplanned Readmission Rate (%) | 14.69 | |
| 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 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 014: ALLOGENEIC BONE MARROW TRANSPLANT | DRG 999: UNGROUPABLE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,560 | ||||
| Total Hospitalizations with ICD 99688 - Complications of transplanted organ, stem cell | 540 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 99688 - Complications of transplanted organ, stem cell in DRG | 48.74 | ||||
| Avg LOS at DRG | 4.99 | ||||
| Avg LOS with ICD 99688 - Complications of transplanted organ, stem cell | 8.69 | ||||
| Readmission Rate at DRG | 22.31 | ||||
| Readmission Rate with ICD 99688 - Complications of transplanted organ, stem cell | 36.7 | ||||
| Unplanned Readmission Rate at DRG | 12.84 | ||||
| Unplanned Readmission Rate with ICD 99688 - Complications of transplanted organ, stem cell | 13.79 | ||||
| Total Medicare payments at DRG | $238,544,260 | ||||
| Total Medicare payments with ICD 99688 - Complications of transplanted organ, stem cell | $8,371,936 | ||||
| Total Medicare payment per Day at DRG | $1,515 | ||||
| Total Medicare payment per Day with ICD 99688 - Complications of transplanted organ, stem cell | $1,784 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,558 | ||||
| Total Medicare payment per Hospitalization with ICD 99688 - Complications of transplanted organ, stem cell | $15,504 | ||||
| Total Medicare Charges at DRG | $1,044,399,550 | ||||
| Total Medicare Charges with ICD 99688 - Complications of transplanted organ, stem cell | $47,425,639 | ||||
| Avg Charges at DRG | $33,093 | ||||
| Avg Charges with ICD 99688 - Complications of transplanted organ, stem cell | $87,825 | ||||
| Mortality Rate at DRG | 0.44 | ||||
| Mortality Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | ||||
| SNF Discharge Rate at DRG | 14.11 | ||||
| SNF Discharge Rate with ICD 99688 - Complications of transplanted organ, stem cell | 4.07 | ||||
| Home Discharge Rate at DRG | 55.23 | ||||
| Home Discharge Rate with ICD 99688 - Complications of transplanted organ, stem cell | 70.19 |
| DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 18,969 | |
| Total Hospitalizations with ICD 99688 - Complications of transplanted organ, stem cell | 12 | |
| DRG Share of Total Hospitalizations | 0.08 | |
| % of Total ICD 99688 - Complications of transplanted organ, stem cell in DRG | 1.08 | |
| Avg LOS at DRG | 10.86 | |
| Avg LOS with ICD 99688 - Complications of transplanted organ, stem cell | 26.25 | |
| Readmission Rate at DRG | 32.91 | |
| Readmission Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | |
| Unplanned Readmission Rate at DRG | 16.46 | |
| Unplanned Readmission Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | |
| Total Medicare payments at DRG | $524,851,492 | |
| Total Medicare payments with ICD 99688 - Complications of transplanted organ, stem cell | $625,935 | |
| Total Medicare payment per Day at DRG | $2,549 | |
| Total Medicare payment per Day with ICD 99688 - Complications of transplanted organ, stem cell | $1,987 | |
| Total Medicare payment per Hospitalization at DRG | $27,669 | |
| Total Medicare payment per Hospitalization with ICD 99688 - Complications of transplanted organ, stem cell | $52,161 | |
| Total Medicare Charges at DRG | $2,158,062,228 | |
| Total Medicare Charges with ICD 99688 - Complications of transplanted organ, stem cell | $4,201,774 | |
| Avg Charges at DRG | $113,768 | |
| Avg Charges with ICD 99688 - Complications of transplanted organ, stem cell | $350,148 | |
| Mortality Rate at DRG | 4.96 | |
| Mortality Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | |
| SNF Discharge Rate at DRG | 19.71 | |
| SNF Discharge Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | |
| Home Discharge Rate at DRG | 38.37 | |
| Home Discharge Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 49 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 36 |
| CITY OF HOPE DUARTE | 1500 E DUARTE RD | DUARTE | CA | 91010 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHELE L DONATO | 92 2ND ST | HACKENSACK | NJ | 07601 | 13 |
| DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 014: ALLOGENEIC BONE MARROW TRANSPLANT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,560 | ||||
| Total Hospitalizations with ICD 99688 - Complications of transplanted organ, stem cell | 550 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 99688 - Complications of transplanted organ, stem cell in DRG | 11.79 | ||||
| Avg LOS at DRG | 4.99 | ||||
| Avg LOS with ICD 99688 - Complications of transplanted organ, stem cell | 8.6 | ||||
| Readmission Rate at DRG | 22.31 | ||||
| Readmission Rate with ICD 99688 - Complications of transplanted organ, stem cell | 36.07 | ||||
| Unplanned Readmission Rate at DRG | 12.84 | ||||
| Unplanned Readmission Rate with ICD 99688 - Complications of transplanted organ, stem cell | 13.55 | ||||
| Total Medicare payments at DRG | $238,544,260 | ||||
| Total Medicare payments with ICD 99688 - Complications of transplanted organ, stem cell | $8,433,405 | ||||
| Total Medicare payment per Day at DRG | $1,515 | ||||
| Total Medicare payment per Day with ICD 99688 - Complications of transplanted organ, stem cell | $1,783 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,558 | ||||
| Total Medicare payment per Hospitalization with ICD 99688 - Complications of transplanted organ, stem cell | $15,333 | ||||
| Total Medicare Charges at DRG | $1,044,399,550 | ||||
| Total Medicare Charges with ICD 99688 - Complications of transplanted organ, stem cell | $47,754,117 | ||||
| Avg Charges at DRG | $33,093 | ||||
| Avg Charges with ICD 99688 - Complications of transplanted organ, stem cell | $86,826 | ||||
| Mortality Rate at DRG | 0.44 | ||||
| Mortality Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | ||||
| SNF Discharge Rate at DRG | 14.11 | ||||
| SNF Discharge Rate with ICD 99688 - Complications of transplanted organ, stem cell | 4.0 | ||||
| Home Discharge Rate at DRG | 55.23 | ||||
| Home Discharge Rate with ICD 99688 - Complications of transplanted organ, stem cell | 70.36 |
| DRG 016: AUTOLOGOUS BONE MARROW TRANSPLANT WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 834: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,082 | ||||
| Total Hospitalizations with ICD 99688 - Complications of transplanted organ, stem cell | 98 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 99688 - Complications of transplanted organ, stem cell in DRG | 2.1 | ||||
| Avg LOS at DRG | 19.32 | ||||
| Avg LOS with ICD 99688 - Complications of transplanted organ, stem cell | 25.22 | ||||
| Readmission Rate at DRG | 16.72 | ||||
| Readmission Rate with ICD 99688 - Complications of transplanted organ, stem cell | 20.65 | ||||
| Unplanned Readmission Rate at DRG | 6.97 | ||||
| Unplanned Readmission Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | ||||
| Total Medicare payments at DRG | $204,179,984 | ||||
| Total Medicare payments with ICD 99688 - Complications of transplanted organ, stem cell | $6,076,807 | ||||
| Total Medicare payment per Day at DRG | $2,589 | ||||
| Total Medicare payment per Day with ICD 99688 - Complications of transplanted organ, stem cell | $2,458 | ||||
| Total Medicare payment per Hospitalization at DRG | $50,020 | ||||
| Total Medicare payment per Hospitalization with ICD 99688 - Complications of transplanted organ, stem cell | $62,008 | ||||
| Total Medicare Charges at DRG | $828,435,279 | ||||
| Total Medicare Charges with ICD 99688 - Complications of transplanted organ, stem cell | $27,765,545 | ||||
| Avg Charges at DRG | $202,948 | ||||
| Avg Charges with ICD 99688 - Complications of transplanted organ, stem cell | $283,322 | ||||
| Mortality Rate at DRG | 1.76 | ||||
| Mortality Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | ||||
| SNF Discharge Rate at DRG | 2.08 | ||||
| SNF Discharge Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | ||||
| Home Discharge Rate at DRG | 78.37 | ||||
| Home Discharge Rate with ICD 99688 - Complications of transplanted organ, stem cell | 66.33 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 296,720 | ||||
| Total Hospitalizations with ICD 99688 - Complications of transplanted organ, stem cell | 71 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD 99688 - Complications of transplanted organ, stem cell in DRG | 1.52 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD 99688 - Complications of transplanted organ, stem cell | 9.51 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD 99688 - Complications of transplanted organ, stem cell | 21.88 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD 99688 - Complications of transplanted organ, stem cell | $1,322,200 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD 99688 - Complications of transplanted organ, stem cell | $1,959 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD 99688 - Complications of transplanted organ, stem cell | $18,623 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD 99688 - Complications of transplanted organ, stem cell | $6,915,254 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD 99688 - Complications of transplanted organ, stem cell | $97,398 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD 99688 - Complications of transplanted organ, stem cell | 54.93 |
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 99688 - Complications of transplanted organ, stem cell | 55 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 99688 - Complications of transplanted organ, stem cell in DRG | 1.18 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 99688 - Complications of transplanted organ, stem cell | 5.31 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 99688 - Complications of transplanted organ, stem cell | 38.18 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 99688 - Complications of transplanted organ, stem cell | $693,040 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 99688 - Complications of transplanted organ, stem cell | $2,373 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 99688 - Complications of transplanted organ, stem cell | $12,601 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 99688 - Complications of transplanted organ, stem cell | $2,725,020 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 99688 - Complications of transplanted organ, stem cell | $49,546 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 99688 - Complications of transplanted organ, stem cell | NA | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 99688 - Complications of transplanted organ, stem cell | 69.09 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 244 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 209 |
| CITY OF HOPE DUARTE | 1500 E DUARTE RD | DUARTE | CA | 91010 | 199 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHELE L DONATO | 92 2ND ST | HACKENSACK | NJ | 07601 | 15 |
| Dr. THOMAS RICHARD SPITZER | 55 FRUIT ST | BOSTON | MA | 02114 | 14 |
| Dr. JAMES L LIN | 1500 DUARTE RD | DUARTE | CA | 91010 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHELE L DONATO | 92 2ND ST | HACKENSACK | NJ | 07601 | 33 |
| Dr. AUYAPORN NADEMANEE | 1500 E DUARTE RD | DUARTE | CA | 91010 | 28 |
| Dr. ATTAPHOL PAWARODE | 1500 E MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 26 |