*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C164 - Malignant neoplasm of pylorus - as a primary diagnosis code | C164 - Malignant neoplasm of pylorus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.69 | |
| Readmission Rate (%) | 31.97 | |
| Unplanned Readmission Rate (%) | 16.12 | |
| 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 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,987 | ||||
| Total Hospitalizations with ICD C164 - Malignant neoplasm of pylorus | 109 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD C164 - Malignant neoplasm of pylorus in DRG | 23.0 | ||||
| Avg LOS at DRG | 6.28 | ||||
| Avg LOS with ICD C164 - Malignant neoplasm of pylorus | 9.5 | ||||
| Readmission Rate at DRG | 18.15 | ||||
| Readmission Rate with ICD C164 - Malignant neoplasm of pylorus | 27.52 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD C164 - Malignant neoplasm of pylorus | 20.18 | ||||
| Total Medicare payments at DRG | $704,450,909 | ||||
| Total Medicare payments with ICD C164 - Malignant neoplasm of pylorus | $1,960,658 | ||||
| Total Medicare payment per Day at DRG | $2,610 | ||||
| Total Medicare payment per Day with ICD C164 - Malignant neoplasm of pylorus | $1,893 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,388 | ||||
| Total Medicare payment per Hospitalization with ICD C164 - Malignant neoplasm of pylorus | $17,988 | ||||
| Total Medicare Charges at DRG | $3,447,544,151 | ||||
| Total Medicare Charges with ICD C164 - Malignant neoplasm of pylorus | $11,704,148 | ||||
| Avg Charges at DRG | $80,200 | ||||
| Avg Charges with ICD C164 - Malignant neoplasm of pylorus | $107,378 | ||||
| Mortality Rate at DRG | 0.62 | ||||
| Mortality Rate with ICD C164 - Malignant neoplasm of pylorus | NA | ||||
| SNF Discharge Rate at DRG | 13.32 | ||||
| SNF Discharge Rate with ICD C164 - Malignant neoplasm of pylorus | 17.43 | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD C164 - Malignant neoplasm of pylorus | 47.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 25,783 |
| Total Hospitalizations with ICD C164 - Malignant neoplasm of pylorus | 16 |
| DRG Share of Total Hospitalizations | 0.08 |
| % of Total ICD C164 - Malignant neoplasm of pylorus in DRG | 3.38 |
| Avg LOS at DRG | 10.43 |
| Avg LOS with ICD C164 - Malignant neoplasm of pylorus | 12.44 |
| Readmission Rate at DRG | 32.71 |
| Readmission Rate with ICD C164 - Malignant neoplasm of pylorus | NA |
| Unplanned Readmission Rate at DRG | 21.41 |
| Unplanned Readmission Rate with ICD C164 - Malignant neoplasm of pylorus | NA |
| Total Medicare payments at DRG | $679,252,743 |
| Total Medicare payments with ICD C164 - Malignant neoplasm of pylorus | $519,279 |
| Total Medicare payment per Day at DRG | $2,526 |
| Total Medicare payment per Day with ICD C164 - Malignant neoplasm of pylorus | $2,609 |
| Total Medicare payment per Hospitalization at DRG | $26,345 |
| Total Medicare payment per Hospitalization with ICD C164 - Malignant neoplasm of pylorus | $32,455 |
| Total Medicare Charges at DRG | $3,189,491,346 |
| Total Medicare Charges with ICD C164 - Malignant neoplasm of pylorus | $2,011,181 |
| Avg Charges at DRG | $123,705 |
| Avg Charges with ICD C164 - Malignant neoplasm of pylorus | $125,699 |
| Mortality Rate at DRG | 9.27 |
| Mortality Rate with ICD C164 - Malignant neoplasm of pylorus | NA |
| SNF Discharge Rate at DRG | 24.4 |
| SNF Discharge Rate with ICD C164 - Malignant neoplasm of pylorus | NA |
| Home Discharge Rate at DRG | 30.46 |
| Home Discharge Rate with ICD C164 - Malignant neoplasm of pylorus | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,987 | ||||
| Total Hospitalizations with ICD C164 - Malignant neoplasm of pylorus | 122 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD C164 - Malignant neoplasm of pylorus in DRG | 16.87 | ||||
| Avg LOS at DRG | 6.28 | ||||
| Avg LOS with ICD C164 - Malignant neoplasm of pylorus | 9.25 | ||||
| Readmission Rate at DRG | 18.15 | ||||
| Readmission Rate with ICD C164 - Malignant neoplasm of pylorus | 26.27 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD C164 - Malignant neoplasm of pylorus | 18.64 | ||||
| Total Medicare payments at DRG | $704,450,909 | ||||
| Total Medicare payments with ICD C164 - Malignant neoplasm of pylorus | $2,166,565 | ||||
| Total Medicare payment per Day at DRG | $2,610 | ||||
| Total Medicare payment per Day with ICD C164 - Malignant neoplasm of pylorus | $1,919 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,388 | ||||
| Total Medicare payment per Hospitalization with ICD C164 - Malignant neoplasm of pylorus | $17,759 | ||||
| Total Medicare Charges at DRG | $3,447,544,151 | ||||
| Total Medicare Charges with ICD C164 - Malignant neoplasm of pylorus | $12,576,301 | ||||
| Avg Charges at DRG | $80,200 | ||||
| Avg Charges with ICD C164 - Malignant neoplasm of pylorus | $103,084 | ||||
| Mortality Rate at DRG | 0.62 | ||||
| Mortality Rate with ICD C164 - Malignant neoplasm of pylorus | NA | ||||
| SNF Discharge Rate at DRG | 13.32 | ||||
| SNF Discharge Rate with ICD C164 - Malignant neoplasm of pylorus | 17.21 | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD C164 - Malignant neoplasm of pylorus | 45.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 25,783 | |
| Total Hospitalizations with ICD C164 - Malignant neoplasm of pylorus | 17 | |
| DRG Share of Total Hospitalizations | 0.08 | |
| % of Total ICD C164 - Malignant neoplasm of pylorus in DRG | 2.35 | |
| Avg LOS at DRG | 10.43 | |
| Avg LOS with ICD C164 - Malignant neoplasm of pylorus | 12.12 | |
| Readmission Rate at DRG | 32.71 | |
| Readmission Rate with ICD C164 - Malignant neoplasm of pylorus | NA | |
| Unplanned Readmission Rate at DRG | 21.41 | |
| Unplanned Readmission Rate with ICD C164 - Malignant neoplasm of pylorus | NA | |
| Total Medicare payments at DRG | $679,252,743 | |
| Total Medicare payments with ICD C164 - Malignant neoplasm of pylorus | $541,632 | |
| Total Medicare payment per Day at DRG | $2,526 | |
| Total Medicare payment per Day with ICD C164 - Malignant neoplasm of pylorus | $2,629 | |
| Total Medicare payment per Hospitalization at DRG | $26,345 | |
| Total Medicare payment per Hospitalization with ICD C164 - Malignant neoplasm of pylorus | $31,861 | |
| Total Medicare Charges at DRG | $3,189,491,346 | |
| Total Medicare Charges with ICD C164 - Malignant neoplasm of pylorus | $2,088,893 | |
| Avg Charges at DRG | $123,705 | |
| Avg Charges with ICD C164 - Malignant neoplasm of pylorus | $122,876 | |
| Mortality Rate at DRG | 9.27 | |
| Mortality Rate with ICD C164 - Malignant neoplasm of pylorus | NA | |
| SNF Discharge Rate at DRG | 24.4 | |
| SNF Discharge Rate with ICD C164 - Malignant neoplasm of pylorus | NA | |
| Home Discharge Rate at DRG | 30.46 | |
| Home Discharge Rate with ICD C164 - Malignant neoplasm of pylorus | NA |