*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K209 - Esophagitis, unspecified - as a primary diagnosis code | K209 - Esophagitis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.77 | |
| Readmission Rate (%) | 26.66 | |
| Unplanned Readmission Rate (%) | 17.06 | |
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K209 - Esophagitis, unspecified | 3,627 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K209 - Esophagitis, unspecified in DRG | 64.23 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K209 - Esophagitis, unspecified | 3.13 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K209 - Esophagitis, unspecified | 19.47 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K209 - Esophagitis, unspecified | 15.05 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K209 - Esophagitis, unspecified | $16,446,396 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K209 - Esophagitis, unspecified | $1,449 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K209 - Esophagitis, unspecified | $4,534 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K209 - Esophagitis, unspecified | $115,801,112 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K209 - Esophagitis, unspecified | $31,928 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K209 - Esophagitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K209 - Esophagitis, unspecified | 13.9 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K209 - Esophagitis, unspecified | 66.42 |
*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 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 42,987 | ||
| Total Hospitalizations with ICD K209 - Esophagitis, unspecified | 24 | ||
| DRG Share of Total Hospitalizations | 0.13 | ||
| % of Total ICD K209 - Esophagitis, unspecified in DRG | 0.43 | ||
| Avg LOS at DRG | 6.28 | ||
| Avg LOS with ICD K209 - Esophagitis, unspecified | 5.29 | ||
| Readmission Rate at DRG | 18.15 | ||
| Readmission Rate with ICD K209 - Esophagitis, unspecified | NA | ||
| Unplanned Readmission Rate at DRG | 12.13 | ||
| Unplanned Readmission Rate with ICD K209 - Esophagitis, unspecified | NA | ||
| Total Medicare payments at DRG | $704,450,909 | ||
| Total Medicare payments with ICD K209 - Esophagitis, unspecified | $366,150 | ||
| Total Medicare payment per Day at DRG | $2,610 | ||
| Total Medicare payment per Day with ICD K209 - Esophagitis, unspecified | $2,883 | ||
| Total Medicare payment per Hospitalization at DRG | $16,388 | ||
| Total Medicare payment per Hospitalization with ICD K209 - Esophagitis, unspecified | $15,256 | ||
| Total Medicare Charges at DRG | $3,447,544,151 | ||
| Total Medicare Charges with ICD K209 - Esophagitis, unspecified | $1,341,384 | ||
| Avg Charges at DRG | $80,200 | ||
| Avg Charges with ICD K209 - Esophagitis, unspecified | $55,891 | ||
| Mortality Rate at DRG | 0.62 | ||
| Mortality Rate with ICD K209 - Esophagitis, unspecified | NA | ||
| SNF Discharge Rate at DRG | 13.32 | ||
| SNF Discharge Rate with ICD K209 - Esophagitis, unspecified | NA | ||
| Home Discharge Rate at DRG | 59.56 | ||
| Home Discharge Rate with ICD K209 - Esophagitis, unspecified | 50.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 31 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 22 |
| SUNRISE HOSPITAL AND MEDICAL CENTER | 3186 S MARYLAND PKWY | LAS VEGAS | NV | 89109 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SNEHAL DESAI | 2031 MCDANIEL ST | NORTH LAS VEGAS | NV | 89030 | 11 |
| Dr. ANTONIO SERNA | 520 E EUCLID AVE | SAN ANTONIO | TX | 78212 | 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K209 - Esophagitis, unspecified | 13,268 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K209 - Esophagitis, unspecified in DRG | 11.26 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K209 - Esophagitis, unspecified | 3.71 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K209 - Esophagitis, unspecified | 18.91 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K209 - Esophagitis, unspecified | 14.41 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K209 - Esophagitis, unspecified | $80,664,640 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K209 - Esophagitis, unspecified | $1,638 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K209 - Esophagitis, unspecified | $6,080 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K209 - Esophagitis, unspecified | $495,516,535 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K209 - Esophagitis, unspecified | $37,347 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K209 - Esophagitis, unspecified | 0.43 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K209 - Esophagitis, unspecified | 16.39 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K209 - Esophagitis, unspecified | 61.68 |
*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 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD K209 - Esophagitis, unspecified | 2,365 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD K209 - Esophagitis, unspecified in DRG | 2.01 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD K209 - Esophagitis, unspecified | 3.55 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD K209 - Esophagitis, unspecified | 17.47 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD K209 - Esophagitis, unspecified | 13.36 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD K209 - Esophagitis, unspecified | $12,431,561 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD K209 - Esophagitis, unspecified | $1,483 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD K209 - Esophagitis, unspecified | $5,256 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD K209 - Esophagitis, unspecified | $86,285,232 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD K209 - Esophagitis, unspecified | $36,484 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD K209 - Esophagitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD K209 - Esophagitis, unspecified | 14.5 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD K209 - Esophagitis, unspecified | 65.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K209 - Esophagitis, unspecified | 1,313 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K209 - Esophagitis, unspecified in DRG | 1.11 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K209 - Esophagitis, unspecified | 4.28 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K209 - Esophagitis, unspecified | 21.59 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K209 - Esophagitis, unspecified | 15.95 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K209 - Esophagitis, unspecified | $8,012,073 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K209 - Esophagitis, unspecified | $1,424 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K209 - Esophagitis, unspecified | $6,102 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K209 - Esophagitis, unspecified | $55,246,958 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K209 - Esophagitis, unspecified | $42,077 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K209 - Esophagitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K209 - Esophagitis, unspecified | 20.18 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K209 - Esophagitis, unspecified | 56.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 384: UNCOMPLICATED PEPTIC ULCER WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 77,444 | ||||
| Total Hospitalizations with ICD K209 - Esophagitis, unspecified | 1,092 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD K209 - Esophagitis, unspecified in DRG | 0.93 | ||||
| Avg LOS at DRG | 6.72 | ||||
| Avg LOS with ICD K209 - Esophagitis, unspecified | 6.67 | ||||
| Readmission Rate at DRG | 28.36 | ||||
| Readmission Rate with ICD K209 - Esophagitis, unspecified | 26.7 | ||||
| Unplanned Readmission Rate at DRG | 20.29 | ||||
| Unplanned Readmission Rate with ICD K209 - Esophagitis, unspecified | 20.49 | ||||
| Total Medicare payments at DRG | $929,345,247 | ||||
| Total Medicare payments with ICD K209 - Esophagitis, unspecified | $13,060,865 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD K209 - Esophagitis, unspecified | $1,793 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,000 | ||||
| Total Medicare payment per Hospitalization with ICD K209 - Esophagitis, unspecified | $11,960 | ||||
| Total Medicare Charges at DRG | $4,453,573,782 | ||||
| Total Medicare Charges with ICD K209 - Esophagitis, unspecified | $71,173,697 | ||||
| Avg Charges at DRG | $57,507 | ||||
| Avg Charges with ICD K209 - Esophagitis, unspecified | $65,177 | ||||
| Mortality Rate at DRG | 5.64 | ||||
| Mortality Rate with ICD K209 - Esophagitis, unspecified | 2.29 | ||||
| SNF Discharge Rate at DRG | 22.62 | ||||
| SNF Discharge Rate with ICD K209 - Esophagitis, unspecified | 27.2 | ||||
| Home Discharge Rate at DRG | 38.94 | ||||
| Home Discharge Rate with ICD K209 - Esophagitis, unspecified | 40.84 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 517 |
| SINAI-GRACE HOSPITAL | 6071 W OUTER DR | DETROIT | MI | 48235 | 482 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 344 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHIA CHI GEORGE LAI | 500 N GARFIELD AVE | MONTEREY PARK | CA | 91754 | 494 |
| Dr. HERSHEL JACKSON | 3990 JOHN R ST | DETROIT | MI | 48201 | 279 |
| Dr. KAMALESH P PATEL | 405 12TH STREET EXT | PRINCETON | WV | 24740 | 190 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MELVIN MURPHY | 23077 GREENFIELD RD | SOUTHFIELD | MI | 48075 | 112 |
| Dr. JIHAD S MOUKDAD | 1265 PATERSON PLANK RD | SECAUCUS | NJ | 07094 | 57 |
| Dr. BOSHENG QIU | 330 S GARFIELD AVE STE 248 | ALHAMBRA | CA | 91801 | 55 |