DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS

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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

Table of Contents

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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DRG Code DRG Description Category Sub Category DRG Group Surgical Category Case Mix Level Total National Projected Hospitalizations - Annualized Total Medicare Hospitalizations - Jan 2017 to Dec 2017 Total Medicare Hospitalizations - Jan 2013 to Dec 2017 Total Medicare Hospitalizations After Exclusion Avg. LOS GMLOS All Cause Readmission Rate (%) Unplanned Readmission Rate (%) Total Medicare Payments Payment per Day Payment per Discharge Total Medicare Charges Avg. Charges Mortality Rate (%) SNF Discharge Rate (%) Home Discharge Rate (%)
382 COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Medicine Peptic Ulcer Complicated Peptic Ulcer Non Surgical 14.42 NA 1,737 8,708 8,304
380 COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) General Medicine Peptic Ulcer Complicated Peptic Ulcer Non Surgical 32.47 NA 5,388 19,607 17,624
381 COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) General Medicine Peptic Ulcer Complicated Peptic Ulcer Non Surgical 53.11 NA 7,727 32,070 30,647

DEMOGRAPHIC DETAILS OF DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 7,426 85.28
Black 777 8.92
Hispanic 197 2.26
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 2,356 27.06
Greater than 84 1,444 16.58
65 to 69 1,375 15.79

TOP ICD DIAGNOSIS CODES FOR DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 2,588 29.72
53081 Esophageal reflux 1,565 17.97
5533 Diaphragmatic hernia without mention of obstruction or gangrene 1,490 17.11

TOP ICD PROCEDURE CODES FOR DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4516 Esophagogastroduodenoscopy [Egd] With Closed Biopsy 2,290 26.3
0DB68ZX Excision of Stomach, Via Natural or Artificial Opening Endoscopic, Diagnostic 1,180 13.55
4513 Other Endoscopy Of Small Intestine 1,078 12.38

TOP HOSPITALS ASSOCIATED WITH DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 39 0.45
Christiana Care Wilmington Hospital 501 W 14TH ST Wilmington DE 19801 28 0.32
University Hospital SUNY Health Science Center 750 E ADAMS ST Syracuse NY 13210 23 0.26

DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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Category Sub Category DRG Group ICD Codes ICD Description National Projected Hospitalizations (Present on Admission - All) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - All) Jan 2013 to Dec 2017 National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - Yes) Jan 2013 to Dec 2017 National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - Not Y) Jan 2013 to Dec 2017 Total Discharges After Exclusion Avg. LOS GMLOS All Cause Readmission Rate (%) Unplanned Readmission Rate (%) Total Medicare Payments Payment per Day Payment per Discharge Total Medicare Charges Avg. Charges Mortality Rate (%) SNF Discharge Rate (%) Home Discharge Rate (%)
General Medicine Peptic Ulcer Complicated Peptic Ulcer 4019 Unspecified essential hypertension NA 2,588
General Medicine Peptic Ulcer Complicated Peptic Ulcer I10 Essential (primary) hypertension 3,132 2,374
General Medicine Peptic Ulcer Complicated Peptic Ulcer K449 Diaphragmatic hernia without obstruction or gangrene 2,316 1,572
General Medicine Peptic Ulcer Complicated Peptic Ulcer 53081 Esophageal reflux NA 1,565
General Medicine Peptic Ulcer Complicated Peptic Ulcer 5533 Diaphragmatic hernia without mention of obstruction or gangrene NA 1,490
General Medicine Peptic Ulcer Complicated Peptic Ulcer 2724 Other and unspecified hyperlipidemia NA 1,471
General Medicine Peptic Ulcer Complicated Peptic Ulcer E785 Hyperlipidemia, unspecified 1,717 1,425
General Medicine Peptic Ulcer Complicated Peptic Ulcer K219 Gastro-esophageal reflux disease without esophagitis 1,763 1,178
General Medicine Peptic Ulcer Complicated Peptic Ulcer K2211 Ulcer of esophagus with bleeding 1,576 1,156
General Medicine Peptic Ulcer Complicated Peptic Ulcer 53021 Ulcer of esophagus with bleeding NA 1,078