*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K220 - Achalasia of cardia - as a primary diagnosis code | K220 - Achalasia of cardia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.2 | |
| Readmission Rate (%) | 23.66 | |
| Unplanned Readmission Rate (%) | 10.92 | |
| 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 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL 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 K220 - Achalasia of cardia | 1,787 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K220 - Achalasia of cardia in DRG | 29.33 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K220 - Achalasia of cardia | 4.03 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K220 - Achalasia of cardia | 22.51 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K220 - Achalasia of cardia | 15.63 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K220 - Achalasia of cardia | $8,851,774 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K220 - Achalasia of cardia | $1,229 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K220 - Achalasia of cardia | $4,953 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K220 - Achalasia of cardia | $63,305,073 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K220 - Achalasia of cardia | $35,425 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K220 - Achalasia of cardia | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K220 - Achalasia of cardia | 14.16 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K220 - Achalasia of cardia | 58.98 |
*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 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 25,783 | ||
| Total Hospitalizations with ICD K220 - Achalasia of cardia | 15 | ||
| DRG Share of Total Hospitalizations | 0.08 | ||
| % of Total ICD K220 - Achalasia of cardia in DRG | 0.25 | ||
| Avg LOS at DRG | 10.43 | ||
| Avg LOS with ICD K220 - Achalasia of cardia | 16.93 | ||
| Readmission Rate at DRG | 32.71 | ||
| Readmission Rate with ICD K220 - Achalasia of cardia | NA | ||
| Unplanned Readmission Rate at DRG | 21.41 | ||
| Unplanned Readmission Rate with ICD K220 - Achalasia of cardia | NA | ||
| Total Medicare payments at DRG | $679,252,743 | ||
| Total Medicare payments with ICD K220 - Achalasia of cardia | $479,065 | ||
| Total Medicare payment per Day at DRG | $2,526 | ||
| Total Medicare payment per Day with ICD K220 - Achalasia of cardia | $1,886 | ||
| Total Medicare payment per Hospitalization at DRG | $26,345 | ||
| Total Medicare payment per Hospitalization with ICD K220 - Achalasia of cardia | $31,938 | ||
| Total Medicare Charges at DRG | $3,189,491,346 | ||
| Total Medicare Charges with ICD K220 - Achalasia of cardia | $2,596,738 | ||
| Avg Charges at DRG | $123,705 | ||
| Avg Charges with ICD K220 - Achalasia of cardia | $173,116 | ||
| Mortality Rate at DRG | 9.27 | ||
| Mortality Rate with ICD K220 - Achalasia of cardia | NA | ||
| SNF Discharge Rate at DRG | 24.4 | ||
| SNF Discharge Rate with ICD K220 - Achalasia of cardia | NA | ||
| Home Discharge Rate at DRG | 30.46 | ||
| Home Discharge Rate with ICD K220 - Achalasia of cardia | NA |
| 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 | 81 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 77 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 62 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STAVROS NICHOLAS STAVROPOULOS | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 50 |
| Dr. SIVA RAJA | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 46 |
| Dr. VIC VELANOVICH | 2 TAMPA GENERAL CIR | TAMPA | FL | 33606 | 45 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SIVA RAJA | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 48 |
| Dr. VIC VELANOVICH | 2 TAMPA GENERAL CIR | TAMPA | FL | 33606 | 45 |
| Dr. STAVROS NICHOLAS STAVROPOULOS | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 35 |
*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 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K220 - Achalasia of cardia | 2,863 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K220 - Achalasia of cardia in DRG | 10.12 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K220 - Achalasia of cardia | 3.92 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K220 - Achalasia of cardia | 22.64 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K220 - Achalasia of cardia | 16.08 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K220 - Achalasia of cardia | $13,950,504 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K220 - Achalasia of cardia | $1,243 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K220 - Achalasia of cardia | $4,873 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K220 - Achalasia of cardia | $99,605,205 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K220 - Achalasia of cardia | $34,791 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K220 - Achalasia of cardia | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K220 - Achalasia of cardia | 12.89 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K220 - Achalasia of cardia | 61.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD K220 - Achalasia of cardia | 1,014 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD K220 - Achalasia of cardia in DRG | 3.58 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD K220 - Achalasia of cardia | 7.52 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD K220 - Achalasia of cardia | 27.8 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD K220 - Achalasia of cardia | 20.71 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD K220 - Achalasia of cardia | $12,252,851 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD K220 - Achalasia of cardia | $1,608 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD K220 - Achalasia of cardia | $12,084 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD K220 - Achalasia of cardia | $61,501,698 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD K220 - Achalasia of cardia | $60,653 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD K220 - Achalasia of cardia | 5.92 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD K220 - Achalasia of cardia | 30.67 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD K220 - Achalasia of cardia | 21.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K220 - Achalasia of cardia | 377 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K220 - Achalasia of cardia in DRG | 1.33 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K220 - Achalasia of cardia | 3.89 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K220 - Achalasia of cardia | 18.94 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K220 - Achalasia of cardia | 14.21 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K220 - Achalasia of cardia | $2,298,432 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K220 - Achalasia of cardia | $1,568 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K220 - Achalasia of cardia | $6,097 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K220 - Achalasia of cardia | $12,823,725 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K220 - Achalasia of cardia | $34,015 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K220 - Achalasia of cardia | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K220 - Achalasia of cardia | 16.98 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K220 - Achalasia of cardia | 57.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD K220 - Achalasia of cardia | 290 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD K220 - Achalasia of cardia in DRG | 1.03 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD K220 - Achalasia of cardia | 4.59 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD K220 - Achalasia of cardia | 21.58 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD K220 - Achalasia of cardia | 14.39 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD K220 - Achalasia of cardia | $1,854,583 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD K220 - Achalasia of cardia | $1,392 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD K220 - Achalasia of cardia | $6,395 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD K220 - Achalasia of cardia | $9,975,141 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD K220 - Achalasia of cardia | $34,397 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD K220 - Achalasia of cardia | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD K220 - Achalasia of cardia | 24.14 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD K220 - Achalasia of cardia | 42.07 |
| 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 | 151 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 151 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 136 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STAVROS NICHOLAS STAVROPOULOS | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 62 |
| Dr. SIVA RAJA | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 56 |
| Dr. VIC VELANOVICH | 2 TAMPA GENERAL CIR | TAMPA | FL | 33606 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SIVA RAJA | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 59 |
| Dr. VIC VELANOVICH | 2 TAMPA GENERAL CIR | TAMPA | FL | 33606 | 54 |
| Dr. STAVROS NICHOLAS STAVROPOULOS | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 45 |