*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C762 - Malignant neoplasm of abdomen - as a primary diagnosis code | C762 - Malignant neoplasm of abdomen - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.98 | |
| Readmission Rate (%) | 27.8 | |
| Unplanned Readmission Rate (%) | 15.63 | |
| 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 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,664 | ||||
| Total Hospitalizations with ICD C762 - Malignant neoplasm of abdomen | 204 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD C762 - Malignant neoplasm of abdomen in DRG | 35.29 | ||||
| Avg LOS at DRG | 4.85 | ||||
| Avg LOS with ICD C762 - Malignant neoplasm of abdomen | 4.11 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD C762 - Malignant neoplasm of abdomen | 26.37 | ||||
| Unplanned Readmission Rate at DRG | 18.47 | ||||
| Unplanned Readmission Rate with ICD C762 - Malignant neoplasm of abdomen | 17.03 | ||||
| Total Medicare payments at DRG | $359,623,549 | ||||
| Total Medicare payments with ICD C762 - Malignant neoplasm of abdomen | $1,499,412 | ||||
| Total Medicare payment per Day at DRG | $1,698 | ||||
| Total Medicare payment per Day with ICD C762 - Malignant neoplasm of abdomen | $1,789 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,236 | ||||
| Total Medicare payment per Hospitalization with ICD C762 - Malignant neoplasm of abdomen | $7,350 | ||||
| Total Medicare Charges at DRG | $1,799,320,832 | ||||
| Total Medicare Charges with ICD C762 - Malignant neoplasm of abdomen | $6,828,127 | ||||
| Avg Charges at DRG | $41,208 | ||||
| Avg Charges with ICD C762 - Malignant neoplasm of abdomen | $33,471 | ||||
| Mortality Rate at DRG | 3.31 | ||||
| Mortality Rate with ICD C762 - Malignant neoplasm of abdomen | NA | ||||
| SNF Discharge Rate at DRG | 10.13 | ||||
| SNF Discharge Rate with ICD C762 - Malignant neoplasm of abdomen | 10.78 | ||||
| Home Discharge Rate at DRG | 48.24 | ||||
| Home Discharge Rate with ICD C762 - Malignant neoplasm of abdomen | 41.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 169,880 | |
| Total Hospitalizations with ICD C762 - Malignant neoplasm of abdomen | 19 | |
| DRG Share of Total Hospitalizations | 0.52 | |
| % of Total ICD C762 - Malignant neoplasm of abdomen in DRG | 3.29 | |
| Avg LOS at DRG | 7.24 | |
| Avg LOS with ICD C762 - Malignant neoplasm of abdomen | 8.16 | |
| Readmission Rate at DRG | 16.58 | |
| Readmission Rate with ICD C762 - Malignant neoplasm of abdomen | NA | |
| Unplanned Readmission Rate at DRG | 10.87 | |
| Unplanned Readmission Rate with ICD C762 - Malignant neoplasm of abdomen | NA | |
| Total Medicare payments at DRG | $2,683,693,576 | |
| Total Medicare payments with ICD C762 - Malignant neoplasm of abdomen | $336,327 | |
| Total Medicare payment per Day at DRG | $2,183 | |
| Total Medicare payment per Day with ICD C762 - Malignant neoplasm of abdomen | $2,170 | |
| Total Medicare payment per Hospitalization at DRG | $15,798 | |
| Total Medicare payment per Hospitalization with ICD C762 - Malignant neoplasm of abdomen | $17,701 | |
| Total Medicare Charges at DRG | $13,978,014,634 | |
| Total Medicare Charges with ICD C762 - Malignant neoplasm of abdomen | $2,248,609 | |
| Avg Charges at DRG | $82,282 | |
| Avg Charges with ICD C762 - Malignant neoplasm of abdomen | $118,348 | |
| Mortality Rate at DRG | 0.35 | |
| Mortality Rate with ICD C762 - Malignant neoplasm of abdomen | NA | |
| SNF Discharge Rate at DRG | 14.58 | |
| SNF Discharge Rate with ICD C762 - Malignant neoplasm of abdomen | NA | |
| Home Discharge Rate at DRG | 53.56 | |
| Home Discharge Rate with ICD C762 - Malignant neoplasm of abdomen | 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 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,664 | ||||
| Total Hospitalizations with ICD C762 - Malignant neoplasm of abdomen | 240 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD C762 - Malignant neoplasm of abdomen in DRG | 12.78 | ||||
| Avg LOS at DRG | 4.85 | ||||
| Avg LOS with ICD C762 - Malignant neoplasm of abdomen | 4.13 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD C762 - Malignant neoplasm of abdomen | 27.83 | ||||
| Unplanned Readmission Rate at DRG | 18.47 | ||||
| Unplanned Readmission Rate with ICD C762 - Malignant neoplasm of abdomen | 18.4 | ||||
| Total Medicare payments at DRG | $359,623,549 | ||||
| Total Medicare payments with ICD C762 - Malignant neoplasm of abdomen | $1,784,963 | ||||
| Total Medicare payment per Day at DRG | $1,698 | ||||
| Total Medicare payment per Day with ICD C762 - Malignant neoplasm of abdomen | $1,801 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,236 | ||||
| Total Medicare payment per Hospitalization with ICD C762 - Malignant neoplasm of abdomen | $7,437 | ||||
| Total Medicare Charges at DRG | $1,799,320,832 | ||||
| Total Medicare Charges with ICD C762 - Malignant neoplasm of abdomen | $8,210,910 | ||||
| Avg Charges at DRG | $41,208 | ||||
| Avg Charges with ICD C762 - Malignant neoplasm of abdomen | $34,212 | ||||
| Mortality Rate at DRG | 3.31 | ||||
| Mortality Rate with ICD C762 - Malignant neoplasm of abdomen | NA | ||||
| SNF Discharge Rate at DRG | 10.13 | ||||
| SNF Discharge Rate with ICD C762 - Malignant neoplasm of abdomen | 9.58 | ||||
| Home Discharge Rate at DRG | 48.24 | ||||
| Home Discharge Rate with ICD C762 - Malignant neoplasm of abdomen | 43.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD C762 - Malignant neoplasm of abdomen | 36 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD C762 - Malignant neoplasm of abdomen in DRG | 1.92 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD C762 - Malignant neoplasm of abdomen | 3.75 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD C762 - Malignant neoplasm of abdomen | NA | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD C762 - Malignant neoplasm of abdomen | NA | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD C762 - Malignant neoplasm of abdomen | $190,416 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD C762 - Malignant neoplasm of abdomen | $1,410 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD C762 - Malignant neoplasm of abdomen | $5,289 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD C762 - Malignant neoplasm of abdomen | $904,670 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD C762 - Malignant neoplasm of abdomen | $25,130 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD C762 - Malignant neoplasm of abdomen | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD C762 - Malignant neoplasm of abdomen | NA | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD C762 - Malignant neoplasm of abdomen | 55.56 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD C762 - Malignant neoplasm of abdomen | 29 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD C762 - Malignant neoplasm of abdomen in DRG | 1.54 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD C762 - Malignant neoplasm of abdomen | 4.17 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD C762 - Malignant neoplasm of abdomen | NA | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD C762 - Malignant neoplasm of abdomen | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD C762 - Malignant neoplasm of abdomen | $153,625 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD C762 - Malignant neoplasm of abdomen | $1,270 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD C762 - Malignant neoplasm of abdomen | $5,297 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD C762 - Malignant neoplasm of abdomen | $1,011,405 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD C762 - Malignant neoplasm of abdomen | $34,876 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD C762 - Malignant neoplasm of abdomen | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD C762 - Malignant neoplasm of abdomen | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD C762 - Malignant neoplasm of abdomen | 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 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD C762 - Malignant neoplasm of abdomen | 23 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD C762 - Malignant neoplasm of abdomen in DRG | 1.22 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD C762 - Malignant neoplasm of abdomen | 2.48 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD C762 - Malignant neoplasm of abdomen | 54.55 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD C762 - Malignant neoplasm of abdomen | NA | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD C762 - Malignant neoplasm of abdomen | $112,977 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD C762 - Malignant neoplasm of abdomen | $1,982 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD C762 - Malignant neoplasm of abdomen | $4,912 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD C762 - Malignant neoplasm of abdomen | $497,089 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD C762 - Malignant neoplasm of abdomen | $21,613 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD C762 - Malignant neoplasm of abdomen | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD C762 - Malignant neoplasm of abdomen | NA | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD C762 - Malignant neoplasm of abdomen | 56.52 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 20 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 15 |