*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K223 - Perforation of esophagus - as a primary diagnosis code | K223 - Perforation of esophagus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 13.82 | |
| Readmission Rate (%) | 33.58 | |
| Unplanned Readmission Rate (%) | 13.06 | |
| 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 368: MAJOR ESOPHAGEAL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 369: MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 370: MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,807 | ||||
| Total Hospitalizations with ICD K223 - Perforation of esophagus | 475 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K223 - Perforation of esophagus in DRG | 29.87 | ||||
| Avg LOS at DRG | 6.17 | ||||
| Avg LOS with ICD K223 - Perforation of esophagus | 9.43 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD K223 - Perforation of esophagus | 33.65 | ||||
| Unplanned Readmission Rate at DRG | 21.38 | ||||
| Unplanned Readmission Rate with ICD K223 - Perforation of esophagus | 20.63 | ||||
| Total Medicare payments at DRG | $112,718,368 | ||||
| Total Medicare payments with ICD K223 - Perforation of esophagus | $7,779,256 | ||||
| Total Medicare payment per Day at DRG | $2,073 | ||||
| Total Medicare payment per Day with ICD K223 - Perforation of esophagus | $1,736 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,799 | ||||
| Total Medicare payment per Hospitalization with ICD K223 - Perforation of esophagus | $16,377 | ||||
| Total Medicare Charges at DRG | $564,353,611 | ||||
| Total Medicare Charges with ICD K223 - Perforation of esophagus | $44,451,605 | ||||
| Avg Charges at DRG | $64,080 | ||||
| Avg Charges with ICD K223 - Perforation of esophagus | $93,582 | ||||
| Mortality Rate at DRG | 6.15 | ||||
| Mortality Rate with ICD K223 - Perforation of esophagus | 13.68 | ||||
| SNF Discharge Rate at DRG | 18.84 | ||||
| SNF Discharge Rate with ICD K223 - Perforation of esophagus | 16.21 | ||||
| Home Discharge Rate at DRG | 44.57 | ||||
| Home Discharge Rate with ICD K223 - Perforation of esophagus | 23.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES 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 | 48,449 | ||||
| Total Hospitalizations with ICD K223 - Perforation of esophagus | 58 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD K223 - Perforation of esophagus in DRG | 3.65 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD K223 - Perforation of esophagus | 37.52 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD K223 - Perforation of esophagus | 84.31 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD K223 - Perforation of esophagus | NA | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD K223 - Perforation of esophagus | $7,711,639 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD K223 - Perforation of esophagus | $3,544 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD K223 - Perforation of esophagus | $132,959 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD K223 - Perforation of esophagus | $39,152,789 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD K223 - Perforation of esophagus | $675,048 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD K223 - Perforation of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD K223 - Perforation of esophagus | NA | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD K223 - Perforation of esophagus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 18 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 17 |
| UNIVERSITY OF MINNESOTA MEDICAL CENTER | 2450 RIVERSIDE AVE | MINNEAPOLIS | MN | 55454 | 15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 369: MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,906 | ||||
| Total Hospitalizations with ICD K223 - Perforation of esophagus | 981 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K223 - Perforation of esophagus in DRG | 17.0 | ||||
| Avg LOS at DRG | 12.58 | ||||
| Avg LOS with ICD K223 - Perforation of esophagus | 18.07 | ||||
| Readmission Rate at DRG | 30.9 | ||||
| Readmission Rate with ICD K223 - Perforation of esophagus | 39.81 | ||||
| Unplanned Readmission Rate at DRG | 16.7 | ||||
| Unplanned Readmission Rate with ICD K223 - Perforation of esophagus | 11.65 | ||||
| Total Medicare payments at DRG | $1,415,372,711 | ||||
| Total Medicare payments with ICD K223 - Perforation of esophagus | $44,914,078 | ||||
| Total Medicare payment per Day at DRG | $2,820 | ||||
| Total Medicare payment per Day with ICD K223 - Perforation of esophagus | $2,534 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,468 | ||||
| Total Medicare payment per Hospitalization with ICD K223 - Perforation of esophagus | $45,784 | ||||
| Total Medicare Charges at DRG | $6,367,247,472 | ||||
| Total Medicare Charges with ICD K223 - Perforation of esophagus | $254,070,666 | ||||
| Avg Charges at DRG | $159,556 | ||||
| Avg Charges with ICD K223 - Perforation of esophagus | $258,992 | ||||
| Mortality Rate at DRG | 9.11 | ||||
| Mortality Rate with ICD K223 - Perforation of esophagus | 9.07 | ||||
| SNF Discharge Rate at DRG | 24.69 | ||||
| SNF Discharge Rate with ICD K223 - Perforation of esophagus | 21.41 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD K223 - Perforation of esophagus | 19.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,227 | ||||
| Total Hospitalizations with ICD K223 - Perforation of esophagus | 300 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD K223 - Perforation of esophagus in DRG | 5.2 | ||||
| Avg LOS at DRG | 8.02 | ||||
| Avg LOS with ICD K223 - Perforation of esophagus | 8.78 | ||||
| Readmission Rate at DRG | 30.44 | ||||
| Readmission Rate with ICD K223 - Perforation of esophagus | 19.38 | ||||
| Unplanned Readmission Rate at DRG | 20.14 | ||||
| Unplanned Readmission Rate with ICD K223 - Perforation of esophagus | 10.08 | ||||
| Total Medicare payments at DRG | $641,315,623 | ||||
| Total Medicare payments with ICD K223 - Perforation of esophagus | $4,416,326 | ||||
| Total Medicare payment per Day at DRG | $1,808 | ||||
| Total Medicare payment per Day with ICD K223 - Perforation of esophagus | $1,677 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,501 | ||||
| Total Medicare payment per Hospitalization with ICD K223 - Perforation of esophagus | $14,721 | ||||
| Total Medicare Charges at DRG | $3,055,824,019 | ||||
| Total Medicare Charges with ICD K223 - Perforation of esophagus | $26,783,658 | ||||
| Avg Charges at DRG | $69,094 | ||||
| Avg Charges with ICD K223 - Perforation of esophagus | $89,279 | ||||
| Mortality Rate at DRG | 3.89 | ||||
| Mortality Rate with ICD K223 - Perforation of esophagus | 5.0 | ||||
| SNF Discharge Rate at DRG | 16.17 | ||||
| SNF Discharge Rate with ICD K223 - Perforation of esophagus | 14.0 | ||||
| Home Discharge Rate at DRG | 45.86 | ||||
| Home Discharge Rate with ICD K223 - Perforation of esophagus | 48.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 370: MAJOR ESOPHAGEAL DISORDERS 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,986 | ||||
| Total Hospitalizations with ICD K223 - Perforation of esophagus | 138 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD K223 - Perforation of esophagus in DRG | 2.39 | ||||
| Avg LOS at DRG | 2.64 | ||||
| Avg LOS with ICD K223 - Perforation of esophagus | 3.31 | ||||
| Readmission Rate at DRG | 13.34 | ||||
| Readmission Rate with ICD K223 - Perforation of esophagus | 11.21 | ||||
| Unplanned Readmission Rate at DRG | 10.21 | ||||
| Unplanned Readmission Rate with ICD K223 - Perforation of esophagus | NA | ||||
| Total Medicare payments at DRG | $8,450,468 | ||||
| Total Medicare payments with ICD K223 - Perforation of esophagus | $649,009 | ||||
| Total Medicare payment per Day at DRG | $1,610 | ||||
| Total Medicare payment per Day with ICD K223 - Perforation of esophagus | $1,420 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,255 | ||||
| Total Medicare payment per Hospitalization with ICD K223 - Perforation of esophagus | $4,703 | ||||
| Total Medicare Charges at DRG | $50,941,848 | ||||
| Total Medicare Charges with ICD K223 - Perforation of esophagus | $3,804,862 | ||||
| Avg Charges at DRG | $25,650 | ||||
| Avg Charges with ICD K223 - Perforation of esophagus | $27,571 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD K223 - Perforation of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 8.16 | ||||
| SNF Discharge Rate with ICD K223 - Perforation of esophagus | 8.7 | ||||
| Home Discharge Rate at DRG | 76.03 | ||||
| Home Discharge Rate with ICD K223 - Perforation of esophagus | 61.59 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,276 | ||||
| Total Hospitalizations with ICD K223 - Perforation of esophagus | 70 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD K223 - Perforation of esophagus in DRG | 1.21 | ||||
| Avg LOS at DRG | 12.15 | ||||
| Avg LOS with ICD K223 - Perforation of esophagus | 21.89 | ||||
| Readmission Rate at DRG | 27.64 | ||||
| Readmission Rate with ICD K223 - Perforation of esophagus | 42.59 | ||||
| Unplanned Readmission Rate at DRG | 14.04 | ||||
| Unplanned Readmission Rate with ICD K223 - Perforation of esophagus | NA | ||||
| Total Medicare payments at DRG | $1,238,611,931 | ||||
| Total Medicare payments with ICD K223 - Perforation of esophagus | $3,484,852 | ||||
| Total Medicare payment per Day at DRG | $2,735 | ||||
| Total Medicare payment per Day with ICD K223 - Perforation of esophagus | $2,275 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,228 | ||||
| Total Medicare payment per Hospitalization with ICD K223 - Perforation of esophagus | $49,784 | ||||
| Total Medicare Charges at DRG | $5,969,079,351 | ||||
| Total Medicare Charges with ICD K223 - Perforation of esophagus | $19,740,157 | ||||
| Avg Charges at DRG | $160,132 | ||||
| Avg Charges with ICD K223 - Perforation of esophagus | $282,002 | ||||
| Mortality Rate at DRG | 8.94 | ||||
| Mortality Rate with ICD K223 - Perforation of esophagus | 17.14 | ||||
| SNF Discharge Rate at DRG | 17.97 | ||||
| SNF Discharge Rate with ICD K223 - Perforation of esophagus | 27.14 | ||||
| Home Discharge Rate at DRG | 31.66 | ||||
| Home Discharge Rate with ICD K223 - Perforation of esophagus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 40 |
| UK HEALTHCARE - ALBERT B. CHANDLER HOSPITAL | 800 ROSE ST | LEXINGTON | KY | 40536 | 37 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHADRICK E DENLINGER | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 14 |
| Dr. RACHIT SHAH | 1250 E MARSHALL STREET | RICHMOND | VA | 23298 | 14 |
| Dr. EITAN PODGAETZ | 200 1ST ST SW | ROCHESTER | MN | 55905 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHADRICK E DENLINGER | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 20 |
| Dr. RACHIT SHAH | 1250 E MARSHALL STREET | RICHMOND | VA | 23298 | 15 |
| Dr. RAFAEL SANTIAGO ANDRADE | UNIVERSITY OF MINNESOTA PHYSICIANS | MINNEAPOLIS | MN | 55455 | 11 |