*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D372 - Neoplasm of uncertain behavior of small intestine - as a primary diagnosis code | D372 - Neoplasm of uncertain behavior of small intestine - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.85 | |
| Readmission Rate (%) | 25.64 | |
| Unplanned Readmission Rate (%) | 10.65 | |
| 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 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD D372 - Neoplasm of uncertain behavior of small intestine | 34 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD D372 - Neoplasm of uncertain behavior of small intestine in DRG | 17.99 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD D372 - Neoplasm of uncertain behavior of small intestine | 4.76 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD D372 - Neoplasm of uncertain behavior of small intestine | $522,244 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD D372 - Neoplasm of uncertain behavior of small intestine | $3,224 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD D372 - Neoplasm of uncertain behavior of small intestine | $15,360 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD D372 - Neoplasm of uncertain behavior of small intestine | $1,836,507 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD D372 - Neoplasm of uncertain behavior of small intestine | $54,015 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | 82.35 |
*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 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD D372 - Neoplasm of uncertain behavior of small intestine | 48 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD D372 - Neoplasm of uncertain behavior of small intestine in DRG | 10.02 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD D372 - Neoplasm of uncertain behavior of small intestine | 5.73 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD D372 - Neoplasm of uncertain behavior of small intestine | $736,355 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD D372 - Neoplasm of uncertain behavior of small intestine | $2,678 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD D372 - Neoplasm of uncertain behavior of small intestine | $15,341 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD D372 - Neoplasm of uncertain behavior of small intestine | $2,820,881 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD D372 - Neoplasm of uncertain behavior of small intestine | $58,768 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | 79.17 |
*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 377: G.I. HEMORRHAGE WITH 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) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD D372 - Neoplasm of uncertain behavior of small intestine | 18 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD D372 - Neoplasm of uncertain behavior of small intestine in DRG | 3.76 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD D372 - Neoplasm of uncertain behavior of small intestine | 9.28 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD D372 - Neoplasm of uncertain behavior of small intestine | $568,607 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD D372 - Neoplasm of uncertain behavior of small intestine | $3,405 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD D372 - Neoplasm of uncertain behavior of small intestine | $31,589 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD D372 - Neoplasm of uncertain behavior of small intestine | $2,267,286 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD D372 - Neoplasm of uncertain behavior of small intestine | $125,960 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | 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 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 30,887 |
| Total Hospitalizations with ICD D372 - Neoplasm of uncertain behavior of small intestine | 11 |
| DRG Share of Total Hospitalizations | 0.09 |
| % of Total ICD D372 - Neoplasm of uncertain behavior of small intestine in DRG | 2.3 |
| Avg LOS at DRG | 2.85 |
| Avg LOS with ICD D372 - Neoplasm of uncertain behavior of small intestine | 6.18 |
| Readmission Rate at DRG | 8.44 |
| Readmission Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA |
| Unplanned Readmission Rate at DRG | 5.81 |
| Unplanned Readmission Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA |
| Total Medicare payments at DRG | $281,745,159 |
| Total Medicare payments with ICD D372 - Neoplasm of uncertain behavior of small intestine | $119,091 |
| Total Medicare payment per Day at DRG | $3,206 |
| Total Medicare payment per Day with ICD D372 - Neoplasm of uncertain behavior of small intestine | $1,751 |
| Total Medicare payment per Hospitalization at DRG | $9,122 |
| Total Medicare payment per Hospitalization with ICD D372 - Neoplasm of uncertain behavior of small intestine | $10,826 |
| Total Medicare Charges at DRG | $1,697,715,246 |
| Total Medicare Charges with ICD D372 - Neoplasm of uncertain behavior of small intestine | $831,866 |
| Avg Charges at DRG | $54,965 |
| Avg Charges with ICD D372 - Neoplasm of uncertain behavior of small intestine | $75,624 |
| Mortality Rate at DRG | 0.05 |
| Mortality Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA |
| SNF Discharge Rate at DRG | 3.76 |
| SNF Discharge Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA |
| Home Discharge Rate at DRG | 86.53 |
| Home Discharge Rate with ICD D372 - Neoplasm of uncertain behavior of small intestine | NA |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 2 | I10 | Essential (primary) hypertension |
| 3 | E785 | Hyperlipidemia, unspecified |