*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K2210 - Ulcer of esophagus without bleeding - as a primary diagnosis code | K2210 - Ulcer of esophagus without bleeding - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.03 | |
| Readmission Rate (%) | 28.57 | |
| Unplanned Readmission Rate (%) | 17.38 | |
| 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 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 22,666 | ||||
| Total Hospitalizations with ICD K2210 - Ulcer of esophagus without bleeding | 4,311 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD K2210 - Ulcer of esophagus without bleeding in DRG | 53.05 | ||||
| Avg LOS at DRG | 3.98 | ||||
| Avg LOS with ICD K2210 - Ulcer of esophagus without bleeding | 3.96 | ||||
| Readmission Rate at DRG | 20.75 | ||||
| Readmission Rate with ICD K2210 - Ulcer of esophagus without bleeding | 22.62 | ||||
| Unplanned Readmission Rate at DRG | 15.25 | ||||
| Unplanned Readmission Rate with ICD K2210 - Ulcer of esophagus without bleeding | 17.09 | ||||
| Total Medicare payments at DRG | $150,069,407 | ||||
| Total Medicare payments with ICD K2210 - Ulcer of esophagus without bleeding | $27,454,229 | ||||
| Total Medicare payment per Day at DRG | $1,665 | ||||
| Total Medicare payment per Day with ICD K2210 - Ulcer of esophagus without bleeding | $1,608 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,621 | ||||
| Total Medicare payment per Hospitalization with ICD K2210 - Ulcer of esophagus without bleeding | $6,368 | ||||
| Total Medicare Charges at DRG | $841,069,885 | ||||
| Total Medicare Charges with ICD K2210 - Ulcer of esophagus without bleeding | $158,173,061 | ||||
| Avg Charges at DRG | $37,107 | ||||
| Avg Charges with ICD K2210 - Ulcer of esophagus without bleeding | $36,691 | ||||
| Mortality Rate at DRG | 0.6 | ||||
| Mortality Rate with ICD K2210 - Ulcer of esophagus without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD K2210 - Ulcer of esophagus without bleeding | 15.82 | ||||
| Home Discharge Rate at DRG | 58.25 | ||||
| Home Discharge Rate with ICD K2210 - Ulcer of esophagus without bleeding | 61.86 |
*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 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,783 | |||
| Total Hospitalizations with ICD K2210 - Ulcer of esophagus without bleeding | 29 | |||
| DRG Share of Total Hospitalizations | 0.08 | |||
| % of Total ICD K2210 - Ulcer of esophagus without bleeding in DRG | 0.36 | |||
| Avg LOS at DRG | 10.43 | |||
| Avg LOS with ICD K2210 - Ulcer of esophagus without bleeding | 11.9 | |||
| Readmission Rate at DRG | 32.71 | |||
| Readmission Rate with ICD K2210 - Ulcer of esophagus without bleeding | 42.31 | |||
| Unplanned Readmission Rate at DRG | 21.41 | |||
| Unplanned Readmission Rate with ICD K2210 - Ulcer of esophagus without bleeding | NA | |||
| Total Medicare payments at DRG | $679,252,743 | |||
| Total Medicare payments with ICD K2210 - Ulcer of esophagus without bleeding | $698,984 | |||
| Total Medicare payment per Day at DRG | $2,526 | |||
| Total Medicare payment per Day with ICD K2210 - Ulcer of esophagus without bleeding | $2,026 | |||
| Total Medicare payment per Hospitalization at DRG | $26,345 | |||
| Total Medicare payment per Hospitalization with ICD K2210 - Ulcer of esophagus without bleeding | $24,103 | |||
| Total Medicare Charges at DRG | $3,189,491,346 | |||
| Total Medicare Charges with ICD K2210 - Ulcer of esophagus without bleeding | $3,630,859 | |||
| Avg Charges at DRG | $123,705 | |||
| Avg Charges with ICD K2210 - Ulcer of esophagus without bleeding | $125,202 | |||
| Mortality Rate at DRG | 9.27 | |||
| Mortality Rate with ICD K2210 - Ulcer of esophagus without bleeding | NA | |||
| SNF Discharge Rate at DRG | 24.4 | |||
| SNF Discharge Rate with ICD K2210 - Ulcer of esophagus without bleeding | NA | |||
| Home Discharge Rate at DRG | 30.46 | |||
| Home Discharge Rate with ICD K2210 - Ulcer of esophagus without bleeding | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 40 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 31 |
| OROVILLE HOSPITAL | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LOVE N DALAL | 2809 OLIVE HWY | OROVILLE | CA | 95966 | 21 |
| Dr. SOVI JOSEPH | 3440 TAMIAMI TRL | PORT CHARLOTTE | FL | 33952 | 20 |
| Dr. CHARLES E JOHNSON | 6701 AIRPORT BLVD | MOBILE | AL | 36608 | 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 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K2210 - Ulcer of esophagus without bleeding | 9,284 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K2210 - Ulcer of esophagus without bleeding in DRG | 11.82 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K2210 - Ulcer of esophagus without bleeding | 3.55 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K2210 - Ulcer of esophagus without bleeding | 18.18 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K2210 - Ulcer of esophagus without bleeding | 14.55 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K2210 - Ulcer of esophagus without bleeding | $55,073,719 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K2210 - Ulcer of esophagus without bleeding | $1,673 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K2210 - Ulcer of esophagus without bleeding | $5,932 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K2210 - Ulcer of esophagus without bleeding | $326,273,929 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K2210 - Ulcer of esophagus without bleeding | $35,144 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K2210 - Ulcer of esophagus without bleeding | 0.32 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K2210 - Ulcer of esophagus without bleeding | 18.18 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K2210 - Ulcer of esophagus without bleeding | 61.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,319 | ||||
| Total Hospitalizations with ICD K2210 - Ulcer of esophagus without bleeding | 2,846 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD K2210 - Ulcer of esophagus without bleeding in DRG | 3.62 | ||||
| Avg LOS at DRG | 6.59 | ||||
| Avg LOS with ICD K2210 - Ulcer of esophagus without bleeding | 6.55 | ||||
| Readmission Rate at DRG | 28.66 | ||||
| Readmission Rate with ICD K2210 - Ulcer of esophagus without bleeding | 28.83 | ||||
| Unplanned Readmission Rate at DRG | 21.15 | ||||
| Unplanned Readmission Rate with ICD K2210 - Ulcer of esophagus without bleeding | 21.89 | ||||
| Total Medicare payments at DRG | $197,795,867 | ||||
| Total Medicare payments with ICD K2210 - Ulcer of esophagus without bleeding | $35,682,103 | ||||
| Total Medicare payment per Day at DRG | $1,958 | ||||
| Total Medicare payment per Day with ICD K2210 - Ulcer of esophagus without bleeding | $1,916 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,912 | ||||
| Total Medicare payment per Hospitalization with ICD K2210 - Ulcer of esophagus without bleeding | $12,538 | ||||
| Total Medicare Charges at DRG | $954,856,437 | ||||
| Total Medicare Charges with ICD K2210 - Ulcer of esophagus without bleeding | $164,058,508 | ||||
| Avg Charges at DRG | $62,332 | ||||
| Avg Charges with ICD K2210 - Ulcer of esophagus without bleeding | $57,645 | ||||
| Mortality Rate at DRG | 4.77 | ||||
| Mortality Rate with ICD K2210 - Ulcer of esophagus without bleeding | 2.25 | ||||
| SNF Discharge Rate at DRG | 24.27 | ||||
| SNF Discharge Rate with ICD K2210 - Ulcer of esophagus without bleeding | 22.45 | ||||
| Home Discharge Rate at DRG | 38.16 | ||||
| Home Discharge Rate with ICD K2210 - Ulcer of esophagus without bleeding | 45.92 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K2210 - Ulcer of esophagus without bleeding | 1,036 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K2210 - Ulcer of esophagus without bleeding in DRG | 1.32 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K2210 - Ulcer of esophagus without bleeding | 3.81 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K2210 - Ulcer of esophagus without bleeding | 15.76 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K2210 - Ulcer of esophagus without bleeding | 11.36 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K2210 - Ulcer of esophagus without bleeding | $5,921,264 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K2210 - Ulcer of esophagus without bleeding | $1,499 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K2210 - Ulcer of esophagus without bleeding | $5,716 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K2210 - Ulcer of esophagus without bleeding | $39,519,695 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K2210 - Ulcer of esophagus without bleeding | $38,146 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K2210 - Ulcer of esophagus without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K2210 - Ulcer of esophagus without bleeding | 17.95 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K2210 - Ulcer of esophagus without bleeding | 59.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD K2210 - Ulcer of esophagus without bleeding | 782 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD K2210 - Ulcer of esophagus without bleeding in DRG | 1.0 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD K2210 - Ulcer of esophagus without bleeding | 8.82 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD K2210 - Ulcer of esophagus without bleeding | 41.08 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD K2210 - Ulcer of esophagus without bleeding | 30.43 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD K2210 - Ulcer of esophagus without bleeding | $8,539,739 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD K2210 - Ulcer of esophagus without bleeding | $1,239 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD K2210 - Ulcer of esophagus without bleeding | $10,920 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD K2210 - Ulcer of esophagus without bleeding | $57,027,356 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD K2210 - Ulcer of esophagus without bleeding | $72,925 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD K2210 - Ulcer of esophagus without bleeding | 4.48 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD K2210 - Ulcer of esophagus without bleeding | 27.37 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD K2210 - Ulcer of esophagus without bleeding | 29.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 303 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 242 |
| MARTIN MEDICAL CENTER | 200 SE HOSPITAL AVE | STUART | FL | 34994 | 184 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MOUSTAFA E ALAMY | 16660 PARAMOUNT BLVD | PARAMOUNT | CA | 90723 | 95 |
| Dr. HERSHEL JACKSON | 3990 JOHN R ST | DETROIT | MI | 48201 | 82 |
| Dr. ROLAND F GARRETSON | 2500 NORTH STATE STREET | JACKSON | MS | 39216 | 78 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 43 |
| Dr. LEE T WIMBERLY | 50 MEDICAL PARK DR E | BIRMINGHAM | AL | 35235 | 40 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 35 |