*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I8501 - Esophageal varices with bleeding - as a primary diagnosis code | I8501 - Esophageal varices with bleeding - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.24 | |
| Readmission Rate (%) | 27.1 | |
| Unplanned Readmission Rate (%) | 18.42 | |
| 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 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 I8501 - Esophageal varices with bleeding | 1,983 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I8501 - Esophageal varices with bleeding in DRG | 39.81 | ||||
| Avg LOS at DRG | 3.77 | ||||
| Avg LOS with ICD I8501 - Esophageal varices with bleeding | 3.82 | ||||
| Readmission Rate at DRG | 20.17 | ||||
| Readmission Rate with ICD I8501 - Esophageal varices with bleeding | 20.25 | ||||
| Unplanned Readmission Rate at DRG | 15.48 | ||||
| Unplanned Readmission Rate with ICD I8501 - Esophageal varices with bleeding | 16.4 | ||||
| Total Medicare payments at DRG | $78,230,786 | ||||
| Total Medicare payments with ICD I8501 - Esophageal varices with bleeding | $12,836,558 | ||||
| Total Medicare payment per Day at DRG | $1,732 | ||||
| Total Medicare payment per Day with ICD I8501 - Esophageal varices with bleeding | $1,696 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,535 | ||||
| Total Medicare payment per Hospitalization with ICD I8501 - Esophageal varices with bleeding | $6,473 | ||||
| Total Medicare Charges at DRG | $434,695,561 | ||||
| Total Medicare Charges with ICD I8501 - Esophageal varices with bleeding | $79,112,646 | ||||
| Avg Charges at DRG | $36,312 | ||||
| Avg Charges with ICD I8501 - Esophageal varices with bleeding | $39,895 | ||||
| Mortality Rate at DRG | 0.65 | ||||
| Mortality Rate with ICD I8501 - Esophageal varices with bleeding | 1.36 | ||||
| SNF Discharge Rate at DRG | 12.5 | ||||
| SNF Discharge Rate with ICD I8501 - Esophageal varices with bleeding | 6.66 | ||||
| Home Discharge Rate at DRG | 65.36 | ||||
| Home Discharge Rate with ICD I8501 - Esophageal varices with bleeding | 71.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,906 | ||||
| Total Hospitalizations with ICD I8501 - Esophageal varices with bleeding | 87 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD I8501 - Esophageal varices with bleeding in DRG | 1.75 | ||||
| Avg LOS at DRG | 12.58 | ||||
| Avg LOS with ICD I8501 - Esophageal varices with bleeding | 6.44 | ||||
| Readmission Rate at DRG | 30.9 | ||||
| Readmission Rate with ICD I8501 - Esophageal varices with bleeding | 29.58 | ||||
| Unplanned Readmission Rate at DRG | 16.7 | ||||
| Unplanned Readmission Rate with ICD I8501 - Esophageal varices with bleeding | 18.31 | ||||
| Total Medicare payments at DRG | $1,415,372,711 | ||||
| Total Medicare payments with ICD I8501 - Esophageal varices with bleeding | $2,776,718 | ||||
| Total Medicare payment per Day at DRG | $2,820 | ||||
| Total Medicare payment per Day with ICD I8501 - Esophageal varices with bleeding | $4,958 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,468 | ||||
| Total Medicare payment per Hospitalization with ICD I8501 - Esophageal varices with bleeding | $31,916 | ||||
| Total Medicare Charges at DRG | $6,367,247,472 | ||||
| Total Medicare Charges with ICD I8501 - Esophageal varices with bleeding | $8,387,195 | ||||
| Avg Charges at DRG | $159,556 | ||||
| Avg Charges with ICD I8501 - Esophageal varices with bleeding | $96,405 | ||||
| Mortality Rate at DRG | 9.11 | ||||
| Mortality Rate with ICD I8501 - Esophageal varices with bleeding | 16.09 | ||||
| SNF Discharge Rate at DRG | 24.69 | ||||
| SNF Discharge Rate with ICD I8501 - Esophageal varices with bleeding | 16.09 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD I8501 - Esophageal varices with bleeding | 40.23 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 24 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 17 |
| ASANTE ROGUE REGIONAL MEDICAL CENTER | 2825 E BARNETT RD | MEDFORD | OR | 97504 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEEGAR A JAILWALA | 459 E PALMER ST | FRANKLIN | NC | 28734 | 12 |
*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 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,971 | ||||
| Total Hospitalizations with ICD I8501 - Esophageal varices with bleeding | 2,013 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I8501 - Esophageal varices with bleeding in DRG | 22.03 | ||||
| Avg LOS at DRG | 3.77 | ||||
| Avg LOS with ICD I8501 - Esophageal varices with bleeding | 3.81 | ||||
| Readmission Rate at DRG | 20.17 | ||||
| Readmission Rate with ICD I8501 - Esophageal varices with bleeding | 20.13 | ||||
| Unplanned Readmission Rate at DRG | 15.48 | ||||
| Unplanned Readmission Rate with ICD I8501 - Esophageal varices with bleeding | 16.24 | ||||
| Total Medicare payments at DRG | $78,230,786 | ||||
| Total Medicare payments with ICD I8501 - Esophageal varices with bleeding | $13,018,264 | ||||
| Total Medicare payment per Day at DRG | $1,732 | ||||
| Total Medicare payment per Day with ICD I8501 - Esophageal varices with bleeding | $1,696 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,535 | ||||
| Total Medicare payment per Hospitalization with ICD I8501 - Esophageal varices with bleeding | $6,467 | ||||
| Total Medicare Charges at DRG | $434,695,561 | ||||
| Total Medicare Charges with ICD I8501 - Esophageal varices with bleeding | $80,590,718 | ||||
| Avg Charges at DRG | $36,312 | ||||
| Avg Charges with ICD I8501 - Esophageal varices with bleeding | $40,035 | ||||
| Mortality Rate at DRG | 0.65 | ||||
| Mortality Rate with ICD I8501 - Esophageal varices with bleeding | 1.34 | ||||
| SNF Discharge Rate at DRG | 12.5 | ||||
| SNF Discharge Rate with ICD I8501 - Esophageal varices with bleeding | 6.61 | ||||
| Home Discharge Rate at DRG | 65.36 | ||||
| Home Discharge Rate with ICD I8501 - Esophageal varices with bleeding | 71.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD I8501 - Esophageal varices with bleeding | 416 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD I8501 - Esophageal varices with bleeding in DRG | 4.55 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD I8501 - Esophageal varices with bleeding | 8.46 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD I8501 - Esophageal varices with bleeding | 32.65 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD I8501 - Esophageal varices with bleeding | 23.62 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD I8501 - Esophageal varices with bleeding | $13,009,658 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD I8501 - Esophageal varices with bleeding | $3,696 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD I8501 - Esophageal varices with bleeding | $31,273 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD I8501 - Esophageal varices with bleeding | $45,505,019 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD I8501 - Esophageal varices with bleeding | $109,387 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD I8501 - Esophageal varices with bleeding | 12.5 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD I8501 - Esophageal varices with bleeding | 16.59 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD I8501 - Esophageal varices with bleeding | 46.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 370: MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD I8501 - Esophageal varices with bleeding | 147 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD I8501 - Esophageal varices with bleeding in DRG | 1.61 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD I8501 - Esophageal varices with bleeding | 5.82 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD I8501 - Esophageal varices with bleeding | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD I8501 - Esophageal varices with bleeding | 29.06 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD I8501 - Esophageal varices with bleeding | $1,797,656 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD I8501 - Esophageal varices with bleeding | $2,100 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD I8501 - Esophageal varices with bleeding | $12,229 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD I8501 - Esophageal varices with bleeding | $10,440,946 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD I8501 - Esophageal varices with bleeding | $71,027 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD I8501 - Esophageal varices with bleeding | 11.56 | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD I8501 - Esophageal varices with bleeding | 15.65 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD I8501 - Esophageal varices with bleeding | 38.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,336 | ||||
| Total Hospitalizations with ICD I8501 - Esophageal varices with bleeding | 75 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD I8501 - Esophageal varices with bleeding in DRG | 0.82 | ||||
| Avg LOS at DRG | 9.25 | ||||
| Avg LOS with ICD I8501 - Esophageal varices with bleeding | 8.69 | ||||
| Readmission Rate at DRG | 34.8 | ||||
| Readmission Rate with ICD I8501 - Esophageal varices with bleeding | 35.0 | ||||
| Unplanned Readmission Rate at DRG | 18.65 | ||||
| Unplanned Readmission Rate with ICD I8501 - Esophageal varices with bleeding | 25.0 | ||||
| Total Medicare payments at DRG | $1,809,252,224 | ||||
| Total Medicare payments with ICD I8501 - Esophageal varices with bleeding | $2,782,207 | ||||
| Total Medicare payment per Day at DRG | $3,736 | ||||
| Total Medicare payment per Day with ICD I8501 - Esophageal varices with bleeding | $4,267 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,570 | ||||
| Total Medicare payment per Hospitalization with ICD I8501 - Esophageal varices with bleeding | $37,096 | ||||
| Total Medicare Charges at DRG | $9,023,705,730 | ||||
| Total Medicare Charges with ICD I8501 - Esophageal varices with bleeding | $12,257,118 | ||||
| Avg Charges at DRG | $172,419 | ||||
| Avg Charges with ICD I8501 - Esophageal varices with bleeding | $163,428 | ||||
| Mortality Rate at DRG | 16.82 | ||||
| Mortality Rate with ICD I8501 - Esophageal varices with bleeding | NA | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I8501 - Esophageal varices with bleeding | NA | ||||
| Home Discharge Rate at DRG | 28.81 | ||||
| Home Discharge Rate with ICD I8501 - Esophageal varices with bleeding | 49.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 51 |
| MONUMENT HEALTH RAPID CITY HOSPITAL | 353 FAIRMONT BLVD | RAPID CITY | SD | 57701 | 34 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEEGAR A JAILWALA | 459 E PALMER ST | FRANKLIN | NC | 28734 | 22 |
| Dr. ANTONIO SERNA | 520 E EUCLID AVE | SAN ANTONIO | TX | 78212 | 15 |
| Dr. JOSEPH K SUNNY | 1 BARNES JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 12 |