*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D378 - Neoplasm of uncertain behavior of other specified digestive organs - as a primary diagnosis code | D378 - Neoplasm of uncertain behavior of other specified digestive organs - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.33 | |
| Readmission Rate (%) | 24.34 | |
| Unplanned Readmission Rate (%) | 14.42 | |
| 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 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,646 | ||||
| Total Hospitalizations with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 220 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs in DRG | 34.0 | ||||
| Avg LOS at DRG | 7.59 | ||||
| Avg LOS with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 6.09 | ||||
| Readmission Rate at DRG | 28.12 | ||||
| Readmission Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 29.14 | ||||
| Unplanned Readmission Rate at DRG | 19.5 | ||||
| Unplanned Readmission Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 14.29 | ||||
| Total Medicare payments at DRG | $468,044,879 | ||||
| Total Medicare payments with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $2,837,252 | ||||
| Total Medicare payment per Day at DRG | $1,889 | ||||
| Total Medicare payment per Day with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $2,119 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,337 | ||||
| Total Medicare payment per Hospitalization with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $12,897 | ||||
| Total Medicare Charges at DRG | $2,155,025,187 | ||||
| Total Medicare Charges with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $12,430,119 | ||||
| Avg Charges at DRG | $66,012 | ||||
| Avg Charges with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $56,501 | ||||
| Mortality Rate at DRG | 11.79 | ||||
| Mortality Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| SNF Discharge Rate at DRG | 13.92 | ||||
| SNF Discharge Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 14.09 | ||||
| Home Discharge Rate at DRG | 26.98 | ||||
| Home Discharge Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 43.64 |
*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 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 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 D378 - Neoplasm of uncertain behavior of other specified digestive organs | 32 | |||
| DRG Share of Total Hospitalizations | 0.13 | |||
| % of Total ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs in DRG | 4.95 | |||
| Avg LOS at DRG | 6.28 | |||
| Avg LOS with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 10.19 | |||
| Readmission Rate at DRG | 18.15 | |||
| Readmission Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | |||
| Unplanned Readmission Rate at DRG | 12.13 | |||
| Unplanned Readmission Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | |||
| Total Medicare payments at DRG | $704,450,909 | |||
| Total Medicare payments with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $692,328 | |||
| Total Medicare payment per Day at DRG | $2,610 | |||
| Total Medicare payment per Day with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $2,124 | |||
| Total Medicare payment per Hospitalization at DRG | $16,388 | |||
| Total Medicare payment per Hospitalization with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $21,635 | |||
| Total Medicare Charges at DRG | $3,447,544,151 | |||
| Total Medicare Charges with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $4,639,657 | |||
| Avg Charges at DRG | $80,200 | |||
| Avg Charges with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $144,989 | |||
| Mortality Rate at DRG | 0.62 | |||
| Mortality Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | |||
| SNF Discharge Rate at DRG | 13.32 | |||
| SNF Discharge Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | |||
| Home Discharge Rate at DRG | 59.56 | |||
| Home Discharge Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 50.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER | 925 SENECA ST | SEATTLE | WA | 98101 | 17 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,646 | ||||
| Total Hospitalizations with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 229 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs in DRG | 9.77 | ||||
| Avg LOS at DRG | 7.59 | ||||
| Avg LOS with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 6.05 | ||||
| Readmission Rate at DRG | 28.12 | ||||
| Readmission Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 28.8 | ||||
| Unplanned Readmission Rate at DRG | 19.5 | ||||
| Unplanned Readmission Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 14.67 | ||||
| Total Medicare payments at DRG | $468,044,879 | ||||
| Total Medicare payments with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $2,950,716 | ||||
| Total Medicare payment per Day at DRG | $1,889 | ||||
| Total Medicare payment per Day with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $2,129 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,337 | ||||
| Total Medicare payment per Hospitalization with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $12,885 | ||||
| Total Medicare Charges at DRG | $2,155,025,187 | ||||
| Total Medicare Charges with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $12,916,719 | ||||
| Avg Charges at DRG | $66,012 | ||||
| Avg Charges with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $56,405 | ||||
| Mortality Rate at DRG | 11.79 | ||||
| Mortality Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| SNF Discharge Rate at DRG | 13.92 | ||||
| SNF Discharge Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 13.97 | ||||
| Home Discharge Rate at DRG | 26.98 | ||||
| Home Discharge Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 44.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,795 | ||||
| Total Hospitalizations with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 56 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs in DRG | 2.39 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 5.71 | ||||
| Readmission Rate at DRG | 22.8 | ||||
| Readmission Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| Unplanned Readmission Rate at DRG | 15.79 | ||||
| Unplanned Readmission Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| Total Medicare payments at DRG | $318,968,562 | ||||
| Total Medicare payments with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $894,239 | ||||
| Total Medicare payment per Day at DRG | $2,326 | ||||
| Total Medicare payment per Day with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $2,794 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,405 | ||||
| Total Medicare payment per Hospitalization with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $15,969 | ||||
| Total Medicare Charges at DRG | $1,616,786,200 | ||||
| Total Medicare Charges with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $4,527,773 | ||||
| Avg Charges at DRG | $67,946 | ||||
| Avg Charges with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $80,853 | ||||
| Mortality Rate at DRG | 1.17 | ||||
| Mortality Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| SNF Discharge Rate at DRG | 14.59 | ||||
| SNF Discharge Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| Home Discharge Rate at DRG | 56.77 | ||||
| Home Discharge Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 62.5 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,987 | ||||
| Total Hospitalizations with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 37 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs in DRG | 1.58 | ||||
| Avg LOS at DRG | 6.28 | ||||
| Avg LOS with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 9.7 | ||||
| Readmission Rate at DRG | 18.15 | ||||
| Readmission Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| Total Medicare payments at DRG | $704,450,909 | ||||
| Total Medicare payments with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $780,906 | ||||
| Total Medicare payment per Day at DRG | $2,610 | ||||
| Total Medicare payment per Day with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $2,175 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,388 | ||||
| Total Medicare payment per Hospitalization with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $21,106 | ||||
| Total Medicare Charges at DRG | $3,447,544,151 | ||||
| Total Medicare Charges with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $4,957,542 | ||||
| Avg Charges at DRG | $80,200 | ||||
| Avg Charges with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $133,988 | ||||
| Mortality Rate at DRG | 0.62 | ||||
| Mortality Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| SNF Discharge Rate at DRG | 13.32 | ||||
| SNF Discharge Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 56.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 46,074 | ||||
| Total Hospitalizations with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 30 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs in DRG | 1.28 | ||||
| Avg LOS at DRG | 6.4 | ||||
| Avg LOS with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 4.83 | ||||
| Readmission Rate at DRG | 30.1 | ||||
| Readmission Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| Unplanned Readmission Rate at DRG | 22.25 | ||||
| Unplanned Readmission Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| Total Medicare payments at DRG | $521,643,628 | ||||
| Total Medicare payments with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $308,244 | ||||
| Total Medicare payment per Day at DRG | $1,770 | ||||
| Total Medicare payment per Day with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $2,126 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,322 | ||||
| Total Medicare payment per Hospitalization with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $10,275 | ||||
| Total Medicare Charges at DRG | $2,529,558,523 | ||||
| Total Medicare Charges with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $1,195,637 | ||||
| Avg Charges at DRG | $54,902 | ||||
| Avg Charges with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | $39,855 | ||||
| Mortality Rate at DRG | 3.37 | ||||
| Mortality Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | NA | ||||
| Home Discharge Rate at DRG | 56.72 | ||||
| Home Discharge Rate with ICD D378 - Neoplasm of uncertain behavior of other specified digestive organs | 50.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL | 5777 E MAYO BLVD | PHOENIX | AZ | 85054 | 71 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 30 |
| VIRGINIA MASON MEDICAL CENTER | 925 SENECA ST | SEATTLE | WA | 98101 | 29 |