*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I864 - Gastric varices - as a primary diagnosis code | I864 - Gastric varices - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.0 | |
| Readmission Rate (%) | 31.17 | |
| Unplanned Readmission Rate (%) | 21.51 | |
| 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 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,785 | ||||
| Total Hospitalizations with ICD I864 - Gastric varices | 651 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD I864 - Gastric varices in DRG | 29.64 | ||||
| Avg LOS at DRG | 4.3 | ||||
| Avg LOS with ICD I864 - Gastric varices | 3.22 | ||||
| Readmission Rate at DRG | 22.77 | ||||
| Readmission Rate with ICD I864 - Gastric varices | 26.47 | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD I864 - Gastric varices | 18.33 | ||||
| Total Medicare payments at DRG | $659,836,825 | ||||
| Total Medicare payments with ICD I864 - Gastric varices | $3,970,772 | ||||
| Total Medicare payment per Day at DRG | $1,539 | ||||
| Total Medicare payment per Day with ICD I864 - Gastric varices | $1,895 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,613 | ||||
| Total Medicare payment per Hospitalization with ICD I864 - Gastric varices | $6,099 | ||||
| Total Medicare Charges at DRG | $3,175,774,884 | ||||
| Total Medicare Charges with ICD I864 - Gastric varices | $26,276,640 | ||||
| Avg Charges at DRG | $31,826 | ||||
| Avg Charges with ICD I864 - Gastric varices | $40,364 | ||||
| Mortality Rate at DRG | 1.42 | ||||
| Mortality Rate with ICD I864 - Gastric varices | 2.0 | ||||
| SNF Discharge Rate at DRG | 19.41 | ||||
| SNF Discharge Rate with ICD I864 - Gastric varices | 5.07 | ||||
| Home Discharge Rate at DRG | 44.09 | ||||
| Home Discharge Rate with ICD I864 - Gastric varices | 51.77 |
*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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 263: VEIN LIGATION AND STRIPPING | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD I864 - Gastric varices | 29 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD I864 - Gastric varices in DRG | 1.32 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD I864 - Gastric varices | 9.1 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD I864 - Gastric varices | NA | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD I864 - Gastric varices | NA | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD I864 - Gastric varices | $1,118,635 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD I864 - Gastric varices | $4,237 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD I864 - Gastric varices | $38,574 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD I864 - Gastric varices | $4,108,226 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD I864 - Gastric varices | $141,663 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD I864 - Gastric varices | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD I864 - Gastric varices | NA | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD I864 - Gastric varices | 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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 250,159 |
| Total Hospitalizations with ICD I864 - Gastric varices | 11 |
| DRG Share of Total Hospitalizations | 0.76 |
| % of Total ICD I864 - Gastric varices in DRG | 0.5 |
| Avg LOS at DRG | 5.47 |
| Avg LOS with ICD I864 - Gastric varices | 7.64 |
| Readmission Rate at DRG | 27.88 |
| Readmission Rate with ICD I864 - Gastric varices | NA |
| Unplanned Readmission Rate at DRG | 19.94 |
| Unplanned Readmission Rate with ICD I864 - Gastric varices | NA |
| Total Medicare payments at DRG | $2,661,443,545 |
| Total Medicare payments with ICD I864 - Gastric varices | $121,939 |
| Total Medicare payment per Day at DRG | $1,946 |
| Total Medicare payment per Day with ICD I864 - Gastric varices | $1,452 |
| Total Medicare payment per Hospitalization at DRG | $10,639 |
| Total Medicare payment per Hospitalization with ICD I864 - Gastric varices | $11,085 |
| Total Medicare Charges at DRG | $13,270,497,724 |
| Total Medicare Charges with ICD I864 - Gastric varices | $926,434 |
| Avg Charges at DRG | $53,048 |
| Avg Charges with ICD I864 - Gastric varices | $84,221 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD I864 - Gastric varices | NA |
| SNF Discharge Rate at DRG | 21.63 |
| SNF Discharge Rate with ICD I864 - Gastric varices | NA |
| Home Discharge Rate at DRG | 34.87 |
| Home Discharge Rate with ICD I864 - Gastric varices | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HENRY FORD HOSPITAL | 2799 W GRAND BLVD | DETROIT | MI | 48202 | 20 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 17 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 16 |
*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 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD I864 - Gastric varices | 1,494 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD I864 - Gastric varices in DRG | 8.46 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD I864 - Gastric varices | 3.55 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD I864 - Gastric varices | 28.09 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD I864 - Gastric varices | 22.41 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD I864 - Gastric varices | $9,222,399 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD I864 - Gastric varices | $1,737 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD I864 - Gastric varices | $6,173 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD I864 - Gastric varices | $56,242,508 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD I864 - Gastric varices | $37,646 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD I864 - Gastric varices | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD I864 - Gastric varices | 6.96 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD I864 - Gastric varices | 67.4 |
*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 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,515 | ||||
| Total Hospitalizations with ICD I864 - Gastric varices | 632 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD I864 - Gastric varices in DRG | 3.58 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD I864 - Gastric varices | 4.22 | ||||
| Readmission Rate at DRG | 35.39 | ||||
| Readmission Rate with ICD I864 - Gastric varices | 30.59 | ||||
| Unplanned Readmission Rate at DRG | 28.09 | ||||
| Unplanned Readmission Rate with ICD I864 - Gastric varices | 24.48 | ||||
| Total Medicare payments at DRG | $218,331,747 | ||||
| Total Medicare payments with ICD I864 - Gastric varices | $3,866,689 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD I864 - Gastric varices | $1,450 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,326 | ||||
| Total Medicare payment per Hospitalization with ICD I864 - Gastric varices | $6,118 | ||||
| Total Medicare Charges at DRG | $1,184,008,123 | ||||
| Total Medicare Charges with ICD I864 - Gastric varices | $24,669,794 | ||||
| Avg Charges at DRG | $34,304 | ||||
| Avg Charges with ICD I864 - Gastric varices | $39,034 | ||||
| Mortality Rate at DRG | 0.79 | ||||
| Mortality Rate with ICD I864 - Gastric varices | NA | ||||
| SNF Discharge Rate at DRG | 14.95 | ||||
| SNF Discharge Rate with ICD I864 - Gastric varices | 14.72 | ||||
| Home Discharge Rate at DRG | 56.13 | ||||
| Home Discharge Rate with ICD I864 - Gastric varices | 55.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 369: MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 61,098 | ||||
| Total Hospitalizations with ICD I864 - Gastric varices | 475 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD I864 - Gastric varices in DRG | 2.69 | ||||
| Avg LOS at DRG | 5.7 | ||||
| Avg LOS with ICD I864 - Gastric varices | 4.87 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD I864 - Gastric varices | 36.08 | ||||
| Unplanned Readmission Rate at DRG | 18.13 | ||||
| Unplanned Readmission Rate with ICD I864 - Gastric varices | 28.8 | ||||
| Total Medicare payments at DRG | $598,307,989 | ||||
| Total Medicare payments with ICD I864 - Gastric varices | $4,545,276 | ||||
| Total Medicare payment per Day at DRG | $1,718 | ||||
| Total Medicare payment per Day with ICD I864 - Gastric varices | $1,967 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,793 | ||||
| Total Medicare payment per Hospitalization with ICD I864 - Gastric varices | $9,569 | ||||
| Total Medicare Charges at DRG | $2,857,501,478 | ||||
| Total Medicare Charges with ICD I864 - Gastric varices | $33,025,569 | ||||
| Avg Charges at DRG | $46,769 | ||||
| Avg Charges with ICD I864 - Gastric varices | $69,528 | ||||
| Mortality Rate at DRG | 4.95 | ||||
| Mortality Rate with ICD I864 - Gastric varices | 9.89 | ||||
| SNF Discharge Rate at DRG | 20.44 | ||||
| SNF Discharge Rate with ICD I864 - Gastric varices | 10.11 | ||||
| Home Discharge Rate at DRG | 39.23 | ||||
| Home Discharge Rate with ICD I864 - Gastric varices | 38.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 368: MAJOR ESOPHAGEAL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD I864 - Gastric varices | 232 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD I864 - Gastric varices in DRG | 1.31 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD I864 - Gastric varices | 3.3 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD I864 - Gastric varices | 19.52 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD I864 - Gastric varices | 14.76 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD I864 - Gastric varices | $1,264,978 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD I864 - Gastric varices | $1,654 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD I864 - Gastric varices | $5,452 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD I864 - Gastric varices | $7,892,761 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD I864 - Gastric varices | $34,021 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD I864 - Gastric varices | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD I864 - Gastric varices | 8.62 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD I864 - Gastric varices | 71.55 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 90 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 87 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 79 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. IRA R WILLNER | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 16 |
| Dr. ANTONIO SERNA | 520 E EUCLID AVE | SAN ANTONIO | TX | 78212 | 14 |
| Dr. AHMAD HASSAN ABURASHED | 27209 LAHSER RD | SOUTHFIELD | MI | 48034 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID GLENN KOCH | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 19 |
| Dr. IRA R WILLNER | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 12 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 11 |