*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A0471 - Enterocolitis due to Clostridium difficile, recurrent - as a primary diagnosis code | A0471 - Enterocolitis due to Clostridium difficile, recurrent - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.82 | |
| Readmission Rate (%) | 31.4 | |
| Unplanned Readmission Rate (%) | 22.45 | |
| 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 | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. 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 | 92,661 | ||||
| Total Hospitalizations with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 5,105 | ||||
| DRG Share of Total Hospitalizations | 0.28 | ||||
| % of Total ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent in DRG | 51.82 | ||||
| Avg LOS at DRG | 4.93 | ||||
| Avg LOS with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 5.12 | ||||
| Readmission Rate at DRG | 24.56 | ||||
| Readmission Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 26.15 | ||||
| Unplanned Readmission Rate at DRG | 18.67 | ||||
| Unplanned Readmission Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 20.92 | ||||
| Total Medicare payments at DRG | $643,680,830 | ||||
| Total Medicare payments with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $36,190,090 | ||||
| Total Medicare payment per Day at DRG | $1,410 | ||||
| Total Medicare payment per Day with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $1,386 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,947 | ||||
| Total Medicare payment per Hospitalization with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $7,089 | ||||
| Total Medicare Charges at DRG | $3,014,820,022 | ||||
| Total Medicare Charges with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $173,785,829 | ||||
| Avg Charges at DRG | $32,536 | ||||
| Avg Charges with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $34,042 | ||||
| Mortality Rate at DRG | 0.44 | ||||
| Mortality Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 0.37 | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 21.29 | ||||
| Home Discharge Rate at DRG | 52.04 | ||||
| Home Discharge Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 46.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | |||
| Total Hospitalizations with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 43 | |||
| DRG Share of Total Hospitalizations | 0.32 | |||
| % of Total ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent in DRG | 0.44 | |||
| Avg LOS at DRG | 13.16 | |||
| Avg LOS with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 19.58 | |||
| Readmission Rate at DRG | 30.28 | |||
| Readmission Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 46.88 | |||
| Unplanned Readmission Rate at DRG | 15.8 | |||
| Unplanned Readmission Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | NA | |||
| Total Medicare payments at DRG | $3,545,118,598 | |||
| Total Medicare payments with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $1,555,283 | |||
| Total Medicare payment per Day at DRG | $2,523 | |||
| Total Medicare payment per Day with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $1,847 | |||
| Total Medicare payment per Hospitalization at DRG | $33,200 | |||
| Total Medicare payment per Hospitalization with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $36,169 | |||
| Total Medicare Charges at DRG | $16,714,197,313 | |||
| Total Medicare Charges with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $9,288,454 | |||
| Avg Charges at DRG | $156,526 | |||
| Avg Charges with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $216,011 | |||
| Mortality Rate at DRG | 9.42 | |||
| Mortality Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | NA | |||
| SNF Discharge Rate at DRG | 28.14 | |||
| SNF Discharge Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 27.91 | |||
| Home Discharge Rate at DRG | 22.53 | |||
| Home Discharge Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 42 |
| LEE MEMORIAL HOSPITAL | 2776 CLEVELAND AVE | FT MYERS | FL | 33901 | 34 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 92,661 | ||||
| Total Hospitalizations with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 5,124 | ||||
| DRG Share of Total Hospitalizations | 0.28 | ||||
| % of Total ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent in DRG | 21.4 | ||||
| Avg LOS at DRG | 4.93 | ||||
| Avg LOS with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 5.13 | ||||
| Readmission Rate at DRG | 24.56 | ||||
| Readmission Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 26.16 | ||||
| Unplanned Readmission Rate at DRG | 18.67 | ||||
| Unplanned Readmission Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 20.95 | ||||
| Total Medicare payments at DRG | $643,680,830 | ||||
| Total Medicare payments with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $36,359,392 | ||||
| Total Medicare payment per Day at DRG | $1,410 | ||||
| Total Medicare payment per Day with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $1,384 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,947 | ||||
| Total Medicare payment per Hospitalization with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $7,096 | ||||
| Total Medicare Charges at DRG | $3,014,820,022 | ||||
| Total Medicare Charges with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $174,477,000 | ||||
| Avg Charges at DRG | $32,536 | ||||
| Avg Charges with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $34,051 | ||||
| Mortality Rate at DRG | 0.44 | ||||
| Mortality Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 0.37 | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 21.25 | ||||
| Home Discharge Rate at DRG | 52.04 | ||||
| Home Discharge Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 46.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 471 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent in DRG | 1.97 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 19.03 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 45.68 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 25.35 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $18,485,460 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $2,062 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $39,247 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $100,910,834 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $214,248 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 18.05 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 37.79 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 5.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 192 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent in DRG | 0.8 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 5.39 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 30.59 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 24.71 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $1,327,635 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $1,284 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $6,915 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $6,539,223 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $34,058 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 28.65 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 34.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 148 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent in DRG | 0.62 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 23.55 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 50.0 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 34.38 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $5,866,009 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $1,683 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $39,635 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $33,859,598 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | $228,781 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 10.14 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 41.22 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD A0471 - Enterocolitis due to Clostridium difficile, recurrent | 17.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 88 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 87 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 66 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LIVIU RAPPAPORT | 508 HAMBURG TURNPIKE | WAYNE | NJ | 07470 | 13 |
| Dr. ANURADHA BHAMIDI | 1001 S GEORGE ST | YORK | PA | 17403 | 13 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 13 |