*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I8511 - Secondary esophageal varices with bleeding - as a primary diagnosis code | I8511 - Secondary esophageal varices with bleeding - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.39 | |
| Readmission Rate (%) | 28.35 | |
| Unplanned Readmission Rate (%) | 18.96 | |
| 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 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,971 | ||||
| Total Hospitalizations with ICD I8511 - Secondary esophageal varices with bleeding | 271 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD I8511 - Secondary esophageal varices with bleeding in DRG | 32.46 | ||||
| Avg LOS at DRG | 3.77 | ||||
| Avg LOS with ICD I8511 - Secondary esophageal varices with bleeding | 3.68 | ||||
| Readmission Rate at DRG | 20.17 | ||||
| Readmission Rate with ICD I8511 - Secondary esophageal varices with bleeding | 18.72 | ||||
| Unplanned Readmission Rate at DRG | 15.48 | ||||
| Unplanned Readmission Rate with ICD I8511 - Secondary esophageal varices with bleeding | 16.6 | ||||
| Total Medicare payments at DRG | $78,230,786 | ||||
| Total Medicare payments with ICD I8511 - Secondary esophageal varices with bleeding | $1,737,828 | ||||
| Total Medicare payment per Day at DRG | $1,732 | ||||
| Total Medicare payment per Day with ICD I8511 - Secondary esophageal varices with bleeding | $1,743 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,535 | ||||
| Total Medicare payment per Hospitalization with ICD I8511 - Secondary esophageal varices with bleeding | $6,413 | ||||
| Total Medicare Charges at DRG | $434,695,561 | ||||
| Total Medicare Charges with ICD I8511 - Secondary esophageal varices with bleeding | $9,852,893 | ||||
| Avg Charges at DRG | $36,312 | ||||
| Avg Charges with ICD I8511 - Secondary esophageal varices with bleeding | $36,358 | ||||
| Mortality Rate at DRG | 0.65 | ||||
| Mortality Rate with ICD I8511 - Secondary esophageal varices with bleeding | NA | ||||
| SNF Discharge Rate at DRG | 12.5 | ||||
| SNF Discharge Rate with ICD I8511 - Secondary esophageal varices with bleeding | 8.12 | ||||
| Home Discharge Rate at DRG | 65.36 | ||||
| Home Discharge Rate with ICD I8511 - Secondary esophageal varices with bleeding | 69.0 |
*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 370: MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 42,987 | |
| Total Hospitalizations with ICD I8511 - Secondary esophageal varices with bleeding | 18 | |
| DRG Share of Total Hospitalizations | 0.13 | |
| % of Total ICD I8511 - Secondary esophageal varices with bleeding in DRG | 2.16 | |
| Avg LOS at DRG | 6.28 | |
| Avg LOS with ICD I8511 - Secondary esophageal varices with bleeding | 3.67 | |
| Readmission Rate at DRG | 18.15 | |
| Readmission Rate with ICD I8511 - Secondary esophageal varices with bleeding | NA | |
| Unplanned Readmission Rate at DRG | 12.13 | |
| Unplanned Readmission Rate with ICD I8511 - Secondary esophageal varices with bleeding | NA | |
| Total Medicare payments at DRG | $704,450,909 | |
| Total Medicare payments with ICD I8511 - Secondary esophageal varices with bleeding | $261,662 | |
| Total Medicare payment per Day at DRG | $2,610 | |
| Total Medicare payment per Day with ICD I8511 - Secondary esophageal varices with bleeding | $3,965 | |
| Total Medicare payment per Hospitalization at DRG | $16,388 | |
| Total Medicare payment per Hospitalization with ICD I8511 - Secondary esophageal varices with bleeding | $14,537 | |
| Total Medicare Charges at DRG | $3,447,544,151 | |
| Total Medicare Charges with ICD I8511 - Secondary esophageal varices with bleeding | $825,253 | |
| Avg Charges at DRG | $80,200 | |
| Avg Charges with ICD I8511 - Secondary esophageal varices with bleeding | $45,847 | |
| Mortality Rate at DRG | 0.62 | |
| Mortality Rate with ICD I8511 - Secondary esophageal varices with bleeding | NA | |
| SNF Discharge Rate at DRG | 13.32 | |
| SNF Discharge Rate with ICD I8511 - Secondary esophageal varices with bleeding | NA | |
| Home Discharge Rate at DRG | 59.56 | |
| Home Discharge Rate with ICD I8511 - Secondary esophageal varices with bleeding | 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 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,596 | ||||
| Total Hospitalizations with ICD I8511 - Secondary esophageal varices with bleeding | 8,674 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD I8511 - Secondary esophageal varices with bleeding in DRG | 43.46 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD I8511 - Secondary esophageal varices with bleeding | 5.17 | ||||
| Readmission Rate at DRG | 35.54 | ||||
| Readmission Rate with ICD I8511 - Secondary esophageal varices with bleeding | 26.55 | ||||
| Unplanned Readmission Rate at DRG | 27.96 | ||||
| Unplanned Readmission Rate with ICD I8511 - Secondary esophageal varices with bleeding | 20.47 | ||||
| Total Medicare payments at DRG | $491,148,810 | ||||
| Total Medicare payments with ICD I8511 - Secondary esophageal varices with bleeding | $102,213,210 | ||||
| Total Medicare payment per Day at DRG | $1,916 | ||||
| Total Medicare payment per Day with ICD I8511 - Secondary esophageal varices with bleeding | $2,281 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,098 | ||||
| Total Medicare payment per Hospitalization with ICD I8511 - Secondary esophageal varices with bleeding | $11,784 | ||||
| Total Medicare Charges at DRG | $2,425,808,073 | ||||
| Total Medicare Charges with ICD I8511 - Secondary esophageal varices with bleeding | $528,759,168 | ||||
| Avg Charges at DRG | $59,755 | ||||
| Avg Charges with ICD I8511 - Secondary esophageal varices with bleeding | $60,959 | ||||
| Mortality Rate at DRG | 7.58 | ||||
| Mortality Rate with ICD I8511 - Secondary esophageal varices with bleeding | 6.97 | ||||
| SNF Discharge Rate at DRG | 16.9 | ||||
| SNF Discharge Rate with ICD I8511 - Secondary esophageal varices with bleeding | 10.15 | ||||
| Home Discharge Rate at DRG | 42.12 | ||||
| Home Discharge Rate with ICD I8511 - Secondary esophageal varices with bleeding | 57.85 |
*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 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 368: MAJOR ESOPHAGEAL DISORDERS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD I8511 - Secondary esophageal varices with bleeding | 507 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD I8511 - Secondary esophageal varices with bleeding in DRG | 2.54 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD I8511 - Secondary esophageal varices with bleeding | 4.77 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD I8511 - Secondary esophageal varices with bleeding | 26.68 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD I8511 - Secondary esophageal varices with bleeding | 19.95 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD I8511 - Secondary esophageal varices with bleeding | $5,547,310 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD I8511 - Secondary esophageal varices with bleeding | $2,292 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD I8511 - Secondary esophageal varices with bleeding | $10,941 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD I8511 - Secondary esophageal varices with bleeding | $28,092,114 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD I8511 - Secondary esophageal varices with bleeding | $55,409 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD I8511 - Secondary esophageal varices with bleeding | 6.51 | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD I8511 - Secondary esophageal varices with bleeding | 10.45 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD I8511 - Secondary esophageal varices with bleeding | 57.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,783 | ||||
| Total Hospitalizations with ICD I8511 - Secondary esophageal varices with bleeding | 264 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD I8511 - Secondary esophageal varices with bleeding in DRG | 1.32 | ||||
| Avg LOS at DRG | 10.43 | ||||
| Avg LOS with ICD I8511 - Secondary esophageal varices with bleeding | 6.78 | ||||
| Readmission Rate at DRG | 32.71 | ||||
| Readmission Rate with ICD I8511 - Secondary esophageal varices with bleeding | 30.36 | ||||
| Unplanned Readmission Rate at DRG | 21.41 | ||||
| Unplanned Readmission Rate with ICD I8511 - Secondary esophageal varices with bleeding | 23.66 | ||||
| Total Medicare payments at DRG | $679,252,743 | ||||
| Total Medicare payments with ICD I8511 - Secondary esophageal varices with bleeding | $6,272,045 | ||||
| Total Medicare payment per Day at DRG | $2,526 | ||||
| Total Medicare payment per Day with ICD I8511 - Secondary esophageal varices with bleeding | $3,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,345 | ||||
| Total Medicare payment per Hospitalization with ICD I8511 - Secondary esophageal varices with bleeding | $23,758 | ||||
| Total Medicare Charges at DRG | $3,189,491,346 | ||||
| Total Medicare Charges with ICD I8511 - Secondary esophageal varices with bleeding | $23,502,171 | ||||
| Avg Charges at DRG | $123,705 | ||||
| Avg Charges with ICD I8511 - Secondary esophageal varices with bleeding | $89,023 | ||||
| Mortality Rate at DRG | 9.27 | ||||
| Mortality Rate with ICD I8511 - Secondary esophageal varices with bleeding | 10.61 | ||||
| SNF Discharge Rate at DRG | 24.4 | ||||
| SNF Discharge Rate with ICD I8511 - Secondary esophageal varices with bleeding | 10.23 | ||||
| Home Discharge Rate at DRG | 30.46 | ||||
| Home Discharge Rate with ICD I8511 - Secondary esophageal varices with bleeding | 47.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,116 | ||||
| Total Hospitalizations with ICD I8511 - Secondary esophageal varices with bleeding | 117 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD I8511 - Secondary esophageal varices with bleeding in DRG | 0.59 | ||||
| Avg LOS at DRG | 6.14 | ||||
| Avg LOS with ICD I8511 - Secondary esophageal varices with bleeding | 6.97 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD I8511 - Secondary esophageal varices with bleeding | 24.47 | ||||
| Unplanned Readmission Rate at DRG | 18.3 | ||||
| Unplanned Readmission Rate with ICD I8511 - Secondary esophageal varices with bleeding | 20.21 | ||||
| Total Medicare payments at DRG | $472,915,537 | ||||
| Total Medicare payments with ICD I8511 - Secondary esophageal varices with bleeding | $1,714,011 | ||||
| Total Medicare payment per Day at DRG | $1,921 | ||||
| Total Medicare payment per Day with ICD I8511 - Secondary esophageal varices with bleeding | $2,101 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,789 | ||||
| Total Medicare payment per Hospitalization with ICD I8511 - Secondary esophageal varices with bleeding | $14,650 | ||||
| Total Medicare Charges at DRG | $2,356,079,688 | ||||
| Total Medicare Charges with ICD I8511 - Secondary esophageal varices with bleeding | $9,564,469 | ||||
| Avg Charges at DRG | $58,732 | ||||
| Avg Charges with ICD I8511 - Secondary esophageal varices with bleeding | $81,748 | ||||
| Mortality Rate at DRG | 10.79 | ||||
| Mortality Rate with ICD I8511 - Secondary esophageal varices with bleeding | 18.8 | ||||
| SNF Discharge Rate at DRG | 10.16 | ||||
| SNF Discharge Rate with ICD I8511 - Secondary esophageal varices with bleeding | NA | ||||
| Home Discharge Rate at DRG | 35.89 | ||||
| Home Discharge Rate with ICD I8511 - Secondary esophageal varices with bleeding | 47.01 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HENRY FORD HOSPITAL | 2799 W GRAND BLVD | DETROIT | MI | 48202 | 91 |
| UK HEALTHCARE - ALBERT B. CHANDLER HOSPITAL | 800 ROSE ST | LEXINGTON | KY | 40536 | 90 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 89 |
| 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 | 30 |
| Dr. ANTONIO SERNA | 520 E EUCLID AVE | SAN ANTONIO | TX | 78212 | 27 |
| Dr. MOHAMMAD R TAHERI | 1430 ARMITAGE WAY | MECHANICSBURG | PA | 17050 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KENNETH WAYNE DONOVAN | 365 MONTAUK AVE | NEW LONDON | CT | 06320 | 12 |
| Dr. DAVID GLENN KOCH | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 11 |
| Dr. IRA R WILLNER | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | K766 | Portal hypertension |
| 2 | D62 | Acute posthemorrhagic anemia |