*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K225 - Diverticulum of esophagus, acquired - as a primary diagnosis code | K225 - Diverticulum of esophagus, acquired - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.53 | |
| Readmission Rate (%) | 21.64 | |
| Unplanned Readmission Rate (%) | 8.71 | |
| 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 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,887 | ||||
| Total Hospitalizations with ICD K225 - Diverticulum of esophagus, acquired | 921 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K225 - Diverticulum of esophagus, acquired in DRG | 32.09 | ||||
| Avg LOS at DRG | 2.85 | ||||
| Avg LOS with ICD K225 - Diverticulum of esophagus, acquired | 2.75 | ||||
| Readmission Rate at DRG | 8.44 | ||||
| Readmission Rate with ICD K225 - Diverticulum of esophagus, acquired | 9.03 | ||||
| Unplanned Readmission Rate at DRG | 5.81 | ||||
| Unplanned Readmission Rate with ICD K225 - Diverticulum of esophagus, acquired | 5.91 | ||||
| Total Medicare payments at DRG | $281,745,159 | ||||
| Total Medicare payments with ICD K225 - Diverticulum of esophagus, acquired | $8,308,395 | ||||
| Total Medicare payment per Day at DRG | $3,206 | ||||
| Total Medicare payment per Day with ICD K225 - Diverticulum of esophagus, acquired | $3,284 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,122 | ||||
| Total Medicare payment per Hospitalization with ICD K225 - Diverticulum of esophagus, acquired | $9,021 | ||||
| Total Medicare Charges at DRG | $1,697,715,246 | ||||
| Total Medicare Charges with ICD K225 - Diverticulum of esophagus, acquired | $41,109,200 | ||||
| Avg Charges at DRG | $54,965 | ||||
| Avg Charges with ICD K225 - Diverticulum of esophagus, acquired | $44,635 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD K225 - Diverticulum of esophagus, acquired | NA | ||||
| SNF Discharge Rate at DRG | 3.76 | ||||
| SNF Discharge Rate with ICD K225 - Diverticulum of esophagus, acquired | 3.26 | ||||
| Home Discharge Rate at DRG | 86.53 | ||||
| Home Discharge Rate with ICD K225 - Diverticulum of esophagus, acquired | 87.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 11,723 | ||
| Total Hospitalizations with ICD K225 - Diverticulum of esophagus, acquired | 20 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD K225 - Diverticulum of esophagus, acquired in DRG | 0.7 | ||
| Avg LOS at DRG | 3.14 | ||
| Avg LOS with ICD K225 - Diverticulum of esophagus, acquired | 2.45 | ||
| Readmission Rate at DRG | 12.89 | ||
| Readmission Rate with ICD K225 - Diverticulum of esophagus, acquired | NA | ||
| Unplanned Readmission Rate at DRG | 7.1 | ||
| Unplanned Readmission Rate with ICD K225 - Diverticulum of esophagus, acquired | NA | ||
| Total Medicare payments at DRG | $122,697,695 | ||
| Total Medicare payments with ICD K225 - Diverticulum of esophagus, acquired | $213,087 | ||
| Total Medicare payment per Day at DRG | $3,328 | ||
| Total Medicare payment per Day with ICD K225 - Diverticulum of esophagus, acquired | $4,349 | ||
| Total Medicare payment per Hospitalization at DRG | $10,466 | ||
| Total Medicare payment per Hospitalization with ICD K225 - Diverticulum of esophagus, acquired | $10,654 | ||
| Total Medicare Charges at DRG | $633,485,759 | ||
| Total Medicare Charges with ICD K225 - Diverticulum of esophagus, acquired | $1,052,625 | ||
| Avg Charges at DRG | $54,038 | ||
| Avg Charges with ICD K225 - Diverticulum of esophagus, acquired | $52,631 | ||
| Mortality Rate at DRG | 0.25 | ||
| Mortality Rate with ICD K225 - Diverticulum of esophagus, acquired | NA | ||
| SNF Discharge Rate at DRG | 9.06 | ||
| SNF Discharge Rate with ICD K225 - Diverticulum of esophagus, acquired | NA | ||
| Home Discharge Rate at DRG | 70.16 | ||
| Home Discharge Rate with ICD K225 - Diverticulum of esophagus, acquired | 85.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 42 |
| STANFORD HEALTHCARE | 300 PASTEUR DR | STANFORD | CA | 94305 | 35 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CLARENCE T SASAKI | 800 HOWARD AVE | NEW HAVEN | CT | 06519 | 29 |
| Dr. EDWARD JOSEPH DAMROSE | 801 WELCH RD | PALO ALTO | CA | 94304 | 28 |
| Dr. DINESH KHATRI CHHETRI | 200 MEDICAL PLAZA | LOS ANGELES | CA | 90095 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CLARENCE T SASAKI | 800 HOWARD AVE | NEW HAVEN | CT | 06519 | 29 |
| Dr. EDWARD JOSEPH DAMROSE | 801 WELCH RD | PALO ALTO | CA | 94304 | 28 |
| Dr. DINESH KHATRI CHHETRI | 200 MEDICAL PLAZA | LOS ANGELES | CA | 90095 | 18 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K225 - Diverticulum of esophagus, acquired | 1,526 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K225 - Diverticulum of esophagus, acquired in DRG | 7.88 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K225 - Diverticulum of esophagus, acquired | 3.52 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K225 - Diverticulum of esophagus, acquired | 15.82 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K225 - Diverticulum of esophagus, acquired | 11.62 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K225 - Diverticulum of esophagus, acquired | $7,067,500 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K225 - Diverticulum of esophagus, acquired | $1,315 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K225 - Diverticulum of esophagus, acquired | $4,631 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K225 - Diverticulum of esophagus, acquired | $53,134,772 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K225 - Diverticulum of esophagus, acquired | $34,820 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K225 - Diverticulum of esophagus, acquired | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K225 - Diverticulum of esophagus, acquired | 14.02 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K225 - Diverticulum of esophagus, acquired | 61.73 |
*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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS 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 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,987 | ||||
| Total Hospitalizations with ICD K225 - Diverticulum of esophagus, acquired | 664 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD K225 - Diverticulum of esophagus, acquired in DRG | 3.43 | ||||
| Avg LOS at DRG | 6.28 | ||||
| Avg LOS with ICD K225 - Diverticulum of esophagus, acquired | 5.41 | ||||
| Readmission Rate at DRG | 18.15 | ||||
| Readmission Rate with ICD K225 - Diverticulum of esophagus, acquired | 13.69 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD K225 - Diverticulum of esophagus, acquired | 8.24 | ||||
| Total Medicare payments at DRG | $704,450,909 | ||||
| Total Medicare payments with ICD K225 - Diverticulum of esophagus, acquired | $10,352,041 | ||||
| Total Medicare payment per Day at DRG | $2,610 | ||||
| Total Medicare payment per Day with ICD K225 - Diverticulum of esophagus, acquired | $2,884 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,388 | ||||
| Total Medicare payment per Hospitalization with ICD K225 - Diverticulum of esophagus, acquired | $15,590 | ||||
| Total Medicare Charges at DRG | $3,447,544,151 | ||||
| Total Medicare Charges with ICD K225 - Diverticulum of esophagus, acquired | $47,094,778 | ||||
| Avg Charges at DRG | $80,200 | ||||
| Avg Charges with ICD K225 - Diverticulum of esophagus, acquired | $70,926 | ||||
| Mortality Rate at DRG | 0.62 | ||||
| Mortality Rate with ICD K225 - Diverticulum of esophagus, acquired | NA | ||||
| SNF Discharge Rate at DRG | 13.32 | ||||
| SNF Discharge Rate with ICD K225 - Diverticulum of esophagus, acquired | 10.54 | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD K225 - Diverticulum of esophagus, acquired | 65.51 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD K225 - Diverticulum of esophagus, acquired | 344 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD K225 - Diverticulum of esophagus, acquired in DRG | 1.78 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD K225 - Diverticulum of esophagus, acquired | 6.56 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD K225 - Diverticulum of esophagus, acquired | 28.04 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD K225 - Diverticulum of esophagus, acquired | 22.43 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD K225 - Diverticulum of esophagus, acquired | $3,311,552 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD K225 - Diverticulum of esophagus, acquired | $1,469 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD K225 - Diverticulum of esophagus, acquired | $9,627 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD K225 - Diverticulum of esophagus, acquired | $16,924,804 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD K225 - Diverticulum of esophagus, acquired | $49,200 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD K225 - Diverticulum of esophagus, acquired | 4.07 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD K225 - Diverticulum of esophagus, acquired | 32.56 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD K225 - Diverticulum of esophagus, acquired | 21.8 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD K225 - Diverticulum of esophagus, acquired | 192 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD K225 - Diverticulum of esophagus, acquired in DRG | 0.99 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD K225 - Diverticulum of esophagus, acquired | 3.55 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD K225 - Diverticulum of esophagus, acquired | 16.3 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD K225 - Diverticulum of esophagus, acquired | 12.5 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD K225 - Diverticulum of esophagus, acquired | $992,117 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD K225 - Diverticulum of esophagus, acquired | $1,457 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD K225 - Diverticulum of esophagus, acquired | $5,167 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD K225 - Diverticulum of esophagus, acquired | $5,978,169 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD K225 - Diverticulum of esophagus, acquired | $31,136 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD K225 - Diverticulum of esophagus, acquired | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD K225 - Diverticulum of esophagus, acquired | 17.71 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD K225 - Diverticulum of esophagus, acquired | 56.77 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 97 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 87 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 76 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CLARENCE T SASAKI | 800 HOWARD AVE | NEW HAVEN | CT | 06519 | 31 |
| Dr. EDWARD JOSEPH DAMROSE | 801 WELCH RD | PALO ALTO | CA | 94304 | 30 |
| Dr. STAVROS NICHOLAS STAVROPOULOS | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CLARENCE T SASAKI | 800 HOWARD AVE | NEW HAVEN | CT | 06519 | 31 |
| Dr. EDWARD JOSEPH DAMROSE | 801 WELCH RD | PALO ALTO | CA | 94304 | 30 |
| Dr. DINESH KHATRI CHHETRI | 200 MEDICAL PLAZA | LOS ANGELES | CA | 90095 | 20 |