*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I8500 - Esophageal varices without bleeding - as a primary diagnosis code | I8500 - Esophageal varices without bleeding - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.32 | |
| Readmission Rate (%) | 32.37 | |
| Unplanned Readmission Rate (%) | 19.34 | |
| 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 369: MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 368: MAJOR ESOPHAGEAL DISORDERS 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 370: MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,971 | ||||
| Total Hospitalizations with ICD I8500 - Esophageal varices without bleeding | 363 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I8500 - Esophageal varices without bleeding in DRG | 48.72 | ||||
| Avg LOS at DRG | 3.77 | ||||
| Avg LOS with ICD I8500 - Esophageal varices without bleeding | 3.31 | ||||
| Readmission Rate at DRG | 20.17 | ||||
| Readmission Rate with ICD I8500 - Esophageal varices without bleeding | 17.26 | ||||
| Unplanned Readmission Rate at DRG | 15.48 | ||||
| Unplanned Readmission Rate with ICD I8500 - Esophageal varices without bleeding | 14.29 | ||||
| Total Medicare payments at DRG | $78,230,786 | ||||
| Total Medicare payments with ICD I8500 - Esophageal varices without bleeding | $2,280,326 | ||||
| Total Medicare payment per Day at DRG | $1,732 | ||||
| Total Medicare payment per Day with ICD I8500 - Esophageal varices without bleeding | $1,900 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,535 | ||||
| Total Medicare payment per Hospitalization with ICD I8500 - Esophageal varices without bleeding | $6,282 | ||||
| Total Medicare Charges at DRG | $434,695,561 | ||||
| Total Medicare Charges with ICD I8500 - Esophageal varices without bleeding | $12,420,797 | ||||
| Avg Charges at DRG | $36,312 | ||||
| Avg Charges with ICD I8500 - Esophageal varices without bleeding | $34,217 | ||||
| Mortality Rate at DRG | 0.65 | ||||
| Mortality Rate with ICD I8500 - Esophageal varices without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 12.5 | ||||
| SNF Discharge Rate with ICD I8500 - Esophageal varices without bleeding | 7.16 | ||||
| Home Discharge Rate at DRG | 65.36 | ||||
| Home Discharge Rate with ICD I8500 - Esophageal varices without bleeding | 77.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD I8500 - Esophageal varices without bleeding | 5,099 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD I8500 - Esophageal varices without bleeding in DRG | 10.3 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD I8500 - Esophageal varices without bleeding | 3.52 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD I8500 - Esophageal varices without bleeding | 23.21 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD I8500 - Esophageal varices without bleeding | 18.91 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD I8500 - Esophageal varices without bleeding | $30,392,136 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD I8500 - Esophageal varices without bleeding | $1,693 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD I8500 - Esophageal varices without bleeding | $5,960 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD I8500 - Esophageal varices without bleeding | $181,274,429 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD I8500 - Esophageal varices without bleeding | $35,551 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD I8500 - Esophageal varices without bleeding | 0.53 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD I8500 - Esophageal varices without bleeding | 8.71 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD I8500 - Esophageal varices without bleeding | 71.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,515 | ||||
| Total Hospitalizations with ICD I8500 - Esophageal varices without bleeding | 2,038 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD I8500 - Esophageal varices without bleeding in DRG | 4.12 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD I8500 - Esophageal varices without bleeding | 4.45 | ||||
| Readmission Rate at DRG | 35.39 | ||||
| Readmission Rate with ICD I8500 - Esophageal varices without bleeding | 35.31 | ||||
| Unplanned Readmission Rate at DRG | 28.09 | ||||
| Unplanned Readmission Rate with ICD I8500 - Esophageal varices without bleeding | 28.74 | ||||
| Total Medicare payments at DRG | $218,331,747 | ||||
| Total Medicare payments with ICD I8500 - Esophageal varices without bleeding | $12,728,128 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD I8500 - Esophageal varices without bleeding | $1,404 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,326 | ||||
| Total Medicare payment per Hospitalization with ICD I8500 - Esophageal varices without bleeding | $6,245 | ||||
| Total Medicare Charges at DRG | $1,184,008,123 | ||||
| Total Medicare Charges with ICD I8500 - Esophageal varices without bleeding | $80,506,858 | ||||
| Avg Charges at DRG | $34,304 | ||||
| Avg Charges with ICD I8500 - Esophageal varices without bleeding | $39,503 | ||||
| Mortality Rate at DRG | 0.79 | ||||
| Mortality Rate with ICD I8500 - Esophageal varices without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 14.95 | ||||
| SNF Discharge Rate with ICD I8500 - Esophageal varices without bleeding | 13.49 | ||||
| Home Discharge Rate at DRG | 56.13 | ||||
| Home Discharge Rate with ICD I8500 - Esophageal varices without bleeding | 62.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 369: MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD I8500 - Esophageal varices without bleeding | 582 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD I8500 - Esophageal varices without bleeding in DRG | 1.18 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD I8500 - Esophageal varices without bleeding | 7.82 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD I8500 - Esophageal varices without bleeding | 34.02 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD I8500 - Esophageal varices without bleeding | 25.0 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD I8500 - Esophageal varices without bleeding | $6,509,247 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD I8500 - Esophageal varices without bleeding | $1,429 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD I8500 - Esophageal varices without bleeding | $11,184 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD I8500 - Esophageal varices without bleeding | $40,726,869 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD I8500 - Esophageal varices without bleeding | $69,977 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD I8500 - Esophageal varices without bleeding | 7.22 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD I8500 - Esophageal varices without bleeding | 21.31 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD I8500 - Esophageal varices without bleeding | 34.88 |
*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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD I8500 - Esophageal varices without bleeding | 485 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD I8500 - Esophageal varices without bleeding in DRG | 0.98 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD I8500 - Esophageal varices without bleeding | 4.95 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD I8500 - Esophageal varices without bleeding | 32.52 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD I8500 - Esophageal varices without bleeding | 25.17 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD I8500 - Esophageal varices without bleeding | $3,111,570 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD I8500 - Esophageal varices without bleeding | $1,295 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD I8500 - Esophageal varices without bleeding | $6,416 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD I8500 - Esophageal varices without bleeding | $18,845,928 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD I8500 - Esophageal varices without bleeding | $38,858 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I8500 - Esophageal varices without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD I8500 - Esophageal varices without bleeding | 15.46 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD I8500 - Esophageal varices without bleeding | 55.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF KANSAS HOSPITAL | 4000 Cambridge St. | KANSAS CITY | KS | 66160 | 260 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 232 |
| LAHEY HOSPITAL & MEDICAL CENTER | 41 MALL RD | BURLINGTON | MA | 01805 | 205 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 36 |
| Dr. KAMALESH P PATEL | 405 12TH STREET EXT | PRINCETON | WV | 24740 | 35 |
| Dr. THOMAS ALDEN BROWN | 1901 SE 18TH AVE | OCALA | FL | 34471 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FREDRIC D GORDON | 41 MALL RD | BURLINGTON | MA | 01805 | 27 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 26 |
| Dr. AMIR A QAMAR | 41 MALL RD | BURLINGTON | MA | 01805 | 25 |