*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere - as a primary diagnosis code | B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.6 | |
| Readmission Rate (%) | 22.82 | |
| Unplanned Readmission Rate (%) | 18.75 | |
| 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 868: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 869: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 7,414 | ||
| Total Hospitalizations with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 32 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere in DRG | 49.23 | ||
| Avg LOS at DRG | 4.83 | ||
| Avg LOS with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 3.47 | ||
| Readmission Rate at DRG | 15.74 | ||
| Readmission Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | NA | ||
| Unplanned Readmission Rate at DRG | 9.56 | ||
| Unplanned Readmission Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | NA | ||
| Total Medicare payments at DRG | $54,235,213 | ||
| Total Medicare payments with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $199,343 | ||
| Total Medicare payment per Day at DRG | $1,515 | ||
| Total Medicare payment per Day with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $1,796 | ||
| Total Medicare payment per Hospitalization at DRG | $7,315 | ||
| Total Medicare payment per Hospitalization with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $6,229 | ||
| Total Medicare Charges at DRG | $260,425,297 | ||
| Total Medicare Charges with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $849,475 | ||
| Avg Charges at DRG | $35,126 | ||
| Avg Charges with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $26,546 | ||
| Mortality Rate at DRG | 0.4 | ||
| Mortality Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | NA | ||
| SNF Discharge Rate at DRG | 11.65 | ||
| SNF Discharge Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | NA | ||
| Home Discharge Rate at DRG | 60.94 | ||
| Home Discharge Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 81.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 4,176 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere in DRG | 15.79 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 3.96 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 15.68 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 11.72 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $26,314,642 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $1,591 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $6,301 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $153,520,990 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $36,763 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 0.26 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 13.24 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 68.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 384: UNCOMPLICATED PEPTIC ULCER WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 68,111 | ||||
| Total Hospitalizations with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 558 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere in DRG | 2.11 | ||||
| Avg LOS at DRG | 2.39 | ||||
| Avg LOS with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 2.94 | ||||
| Readmission Rate at DRG | 11.08 | ||||
| Readmission Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 12.55 | ||||
| Unplanned Readmission Rate at DRG | 8.15 | ||||
| Unplanned Readmission Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 10.15 | ||||
| Total Medicare payments at DRG | $254,469,696 | ||||
| Total Medicare payments with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $2,368,637 | ||||
| Total Medicare payment per Day at DRG | $1,562 | ||||
| Total Medicare payment per Day with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $1,444 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,736 | ||||
| Total Medicare payment per Hospitalization with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $4,245 | ||||
| Total Medicare Charges at DRG | $1,450,920,901 | ||||
| Total Medicare Charges with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $14,363,068 | ||||
| Avg Charges at DRG | $21,302 | ||||
| Avg Charges with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $25,740 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 7.64 | ||||
| SNF Discharge Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 6.81 | ||||
| Home Discharge Rate at DRG | 75.95 | ||||
| Home Discharge Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 81.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 367 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere in DRG | 1.39 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 7.35 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 29.88 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 23.37 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $4,059,951 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $11,063 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $21,621,068 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $58,913 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 22.62 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 36.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 283 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere in DRG | 1.07 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 4.38 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 22.73 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 15.15 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $1,512,750 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $1,221 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $5,345 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $7,389,838 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | $26,113 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 13.43 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD B9681 - Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere | 55.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH CAROLINA BAPTIST HOSPITAL | MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 144 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 126 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 105 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHESTER D ZAHN | 1026 E LAS TUNAS DRIVE | SAN GABRIEL | CA | 91776 | 29 |
| Dr. CHIA CHI GEORGE LAI | 500 N GARFIELD AVE | MONTEREY PARK | CA | 91754 | 25 |
| Dr. WILLIAM EDRIS BARNES | 141 HOSPITAL DR | SALEM | KY | 42078 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MCCAA HEADLEY | 405 MARKET ST | PORT GIBSON | MS | 39150 | 25 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 21 |
| Dr. AMY FOWLER | 210 BLACK GOLD BLVD | HAZARD | KY | 41701 | 20 |