*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D136 - Benign neoplasm of pancreas - as a primary diagnosis code | D136 - Benign neoplasm of pancreas - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.87 | |
| Readmission Rate (%) | 23.27 | |
| Unplanned Readmission Rate (%) | 14.77 | |
| 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 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 407: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,269 | ||||
| Total Hospitalizations with ICD D136 - Benign neoplasm of pancreas | 702 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD D136 - Benign neoplasm of pancreas in DRG | 39.07 | ||||
| Avg LOS at DRG | 6.88 | ||||
| Avg LOS with ICD D136 - Benign neoplasm of pancreas | 7.52 | ||||
| Readmission Rate at DRG | 21.01 | ||||
| Readmission Rate with ICD D136 - Benign neoplasm of pancreas | 23.62 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD D136 - Benign neoplasm of pancreas | 14.64 | ||||
| Total Medicare payments at DRG | $312,725,342 | ||||
| Total Medicare payments with ICD D136 - Benign neoplasm of pancreas | $14,847,082 | ||||
| Total Medicare payment per Day at DRG | $2,975 | ||||
| Total Medicare payment per Day with ICD D136 - Benign neoplasm of pancreas | $2,812 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,481 | ||||
| Total Medicare payment per Hospitalization with ICD D136 - Benign neoplasm of pancreas | $21,150 | ||||
| Total Medicare Charges at DRG | $1,647,470,849 | ||||
| Total Medicare Charges with ICD D136 - Benign neoplasm of pancreas | $78,543,739 | ||||
| Avg Charges at DRG | $107,896 | ||||
| Avg Charges with ICD D136 - Benign neoplasm of pancreas | $111,886 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 9.71 | ||||
| SNF Discharge Rate with ICD D136 - Benign neoplasm of pancreas | 12.11 | ||||
| Home Discharge Rate at DRG | 60.02 | ||||
| Home Discharge Rate with ICD D136 - Benign neoplasm of pancreas | 55.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 50,491 | ||
| Total Hospitalizations with ICD D136 - Benign neoplasm of pancreas | 36 | ||
| DRG Share of Total Hospitalizations | 0.15 | ||
| % of Total ICD D136 - Benign neoplasm of pancreas in DRG | 2.0 | ||
| Avg LOS at DRG | 2.82 | ||
| Avg LOS with ICD D136 - Benign neoplasm of pancreas | 3.03 | ||
| Readmission Rate at DRG | 14.18 | ||
| Readmission Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||
| Unplanned Readmission Rate at DRG | 10.64 | ||
| Unplanned Readmission Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||
| Total Medicare payments at DRG | $182,904,790 | ||
| Total Medicare payments with ICD D136 - Benign neoplasm of pancreas | $130,334 | ||
| Total Medicare payment per Day at DRG | $1,285 | ||
| Total Medicare payment per Day with ICD D136 - Benign neoplasm of pancreas | $1,196 | ||
| Total Medicare payment per Hospitalization at DRG | $3,623 | ||
| Total Medicare payment per Hospitalization with ICD D136 - Benign neoplasm of pancreas | $3,620 | ||
| Total Medicare Charges at DRG | $1,093,059,803 | ||
| Total Medicare Charges with ICD D136 - Benign neoplasm of pancreas | $1,200,287 | ||
| Avg Charges at DRG | $21,649 | ||
| Avg Charges with ICD D136 - Benign neoplasm of pancreas | $33,341 | ||
| Mortality Rate at DRG | 0.08 | ||
| Mortality Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||
| SNF Discharge Rate at DRG | 1.89 | ||
| SNF Discharge Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||
| Home Discharge Rate at DRG | 86.38 | ||
| Home Discharge Rate with ICD D136 - Benign neoplasm of pancreas | 72.22 |
| 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 | 46 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 44 |
| NORTHWEST COMMUNITY HOSPITAL | 800 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MALCOLM M BILIMORIA | 880 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 34 |
| Dr. MICHAEL L KENDRICK | 200 1ST ST SW | ROCHESTER | MN | 55905 | 26 |
| Dr. CARLOS FERNANDEZ-DEL-CASTILLO | 15 PARKMAN ST | BOSTON | MA | 02114 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MALCOLM M BILIMORIA | 880 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 34 |
| Dr. MICHAEL L KENDRICK | 200 1ST ST SW | ROCHESTER | MN | 55905 | 27 |
| Dr. CARLOS FERNANDEZ-DEL-CASTILLO | 15 PARKMAN ST | BOSTON | MA | 02114 | 19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 407: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,269 | ||||
| Total Hospitalizations with ICD D136 - Benign neoplasm of pancreas | 762 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD D136 - Benign neoplasm of pancreas in DRG | 15.34 | ||||
| Avg LOS at DRG | 6.88 | ||||
| Avg LOS with ICD D136 - Benign neoplasm of pancreas | 7.61 | ||||
| Readmission Rate at DRG | 21.01 | ||||
| Readmission Rate with ICD D136 - Benign neoplasm of pancreas | 23.13 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD D136 - Benign neoplasm of pancreas | 14.17 | ||||
| Total Medicare payments at DRG | $312,725,342 | ||||
| Total Medicare payments with ICD D136 - Benign neoplasm of pancreas | $16,303,404 | ||||
| Total Medicare payment per Day at DRG | $2,975 | ||||
| Total Medicare payment per Day with ICD D136 - Benign neoplasm of pancreas | $2,810 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,481 | ||||
| Total Medicare payment per Hospitalization with ICD D136 - Benign neoplasm of pancreas | $21,396 | ||||
| Total Medicare Charges at DRG | $1,647,470,849 | ||||
| Total Medicare Charges with ICD D136 - Benign neoplasm of pancreas | $85,744,607 | ||||
| Avg Charges at DRG | $107,896 | ||||
| Avg Charges with ICD D136 - Benign neoplasm of pancreas | $112,526 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 9.71 | ||||
| SNF Discharge Rate with ICD D136 - Benign neoplasm of pancreas | 12.2 | ||||
| Home Discharge Rate at DRG | 60.02 | ||||
| Home Discharge Rate with ICD D136 - Benign neoplasm of pancreas | 54.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD D136 - Benign neoplasm of pancreas | 167 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D136 - Benign neoplasm of pancreas in DRG | 3.36 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D136 - Benign neoplasm of pancreas | 7.72 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D136 - Benign neoplasm of pancreas | 29.66 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D136 - Benign neoplasm of pancreas | 22.07 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D136 - Benign neoplasm of pancreas | $2,224,963 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D136 - Benign neoplasm of pancreas | $1,726 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D136 - Benign neoplasm of pancreas | $13,323 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D136 - Benign neoplasm of pancreas | $12,446,260 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D136 - Benign neoplasm of pancreas | $74,529 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D136 - Benign neoplasm of pancreas | 7.78 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D136 - Benign neoplasm of pancreas | 23.95 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D136 - Benign neoplasm of pancreas | 34.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD D136 - Benign neoplasm of pancreas | 58 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD D136 - Benign neoplasm of pancreas in DRG | 1.17 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD D136 - Benign neoplasm of pancreas | 4.91 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD D136 - Benign neoplasm of pancreas | $406,699 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD D136 - Benign neoplasm of pancreas | $1,427 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD D136 - Benign neoplasm of pancreas | $7,012 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD D136 - Benign neoplasm of pancreas | $2,288,064 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD D136 - Benign neoplasm of pancreas | $39,449 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD D136 - Benign neoplasm of pancreas | 62.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD D136 - Benign neoplasm of pancreas | 34 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD D136 - Benign neoplasm of pancreas in DRG | 0.68 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD D136 - Benign neoplasm of pancreas | 4.59 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD D136 - Benign neoplasm of pancreas | $239,149 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD D136 - Benign neoplasm of pancreas | $1,533 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD D136 - Benign neoplasm of pancreas | $7,034 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD D136 - Benign neoplasm of pancreas | $1,132,025 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD D136 - Benign neoplasm of pancreas | $33,295 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD D136 - Benign neoplasm of pancreas | NA | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD D136 - Benign neoplasm of pancreas | 67.65 |
| 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 | 167 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 72 |
| MAYO CLINIC HOSPITAL | 5777 E MAYO BLVD | PHOENIX | AZ | 85054 | 68 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MALCOLM M BILIMORIA | 880 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 35 |
| Dr. MICHAEL L KENDRICK | 200 1ST ST SW | ROCHESTER | MN | 55905 | 31 |
| Dr. CARLOS FERNANDEZ-DEL-CASTILLO | 15 PARKMAN ST | BOSTON | MA | 02114 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MALCOLM M BILIMORIA | 880 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 35 |
| Dr. MICHAEL L KENDRICK | 200 1ST ST SW | ROCHESTER | MN | 55905 | 32 |
| Dr. CARLOS FERNANDEZ-DEL-CASTILLO | 15 PARKMAN ST | BOSTON | MA | 02114 | 22 |