*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K228 - Other specified diseases of esophagus - as a primary diagnosis code | K228 - Other specified diseases of esophagus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.34 | |
| Readmission Rate (%) | 23.95 | |
| Unplanned Readmission Rate (%) | 15.42 | |
| 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 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K228 - Other specified diseases of esophagus | 1,098 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K228 - Other specified diseases of esophagus in DRG | 55.29 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K228 - Other specified diseases of esophagus | 3.53 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K228 - Other specified diseases of esophagus | 17.12 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K228 - Other specified diseases of esophagus | 12.65 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K228 - Other specified diseases of esophagus | $5,177,456 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K228 - Other specified diseases of esophagus | $1,335 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K228 - Other specified diseases of esophagus | $4,715 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K228 - Other specified diseases of esophagus | $35,230,447 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K228 - Other specified diseases of esophagus | $32,086 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K228 - Other specified diseases of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K228 - Other specified diseases of esophagus | 18.03 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K228 - Other specified diseases of esophagus | 54.83 |
*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) | |
|---|---|---|
| Total Hospitalizations at DRG | 25,783 | |
| Total Hospitalizations with ICD K228 - Other specified diseases of esophagus | 19 | |
| DRG Share of Total Hospitalizations | 0.08 | |
| % of Total ICD K228 - Other specified diseases of esophagus in DRG | 0.96 | |
| Avg LOS at DRG | 10.43 | |
| Avg LOS with ICD K228 - Other specified diseases of esophagus | 11.37 | |
| Readmission Rate at DRG | 32.71 | |
| Readmission Rate with ICD K228 - Other specified diseases of esophagus | NA | |
| Unplanned Readmission Rate at DRG | 21.41 | |
| Unplanned Readmission Rate with ICD K228 - Other specified diseases of esophagus | NA | |
| Total Medicare payments at DRG | $679,252,743 | |
| Total Medicare payments with ICD K228 - Other specified diseases of esophagus | $543,376 | |
| Total Medicare payment per Day at DRG | $2,526 | |
| Total Medicare payment per Day with ICD K228 - Other specified diseases of esophagus | $2,516 | |
| Total Medicare payment per Hospitalization at DRG | $26,345 | |
| Total Medicare payment per Hospitalization with ICD K228 - Other specified diseases of esophagus | $28,599 | |
| Total Medicare Charges at DRG | $3,189,491,346 | |
| Total Medicare Charges with ICD K228 - Other specified diseases of esophagus | $2,022,357 | |
| Avg Charges at DRG | $123,705 | |
| Avg Charges with ICD K228 - Other specified diseases of esophagus | $106,440 | |
| Mortality Rate at DRG | 9.27 | |
| Mortality Rate with ICD K228 - Other specified diseases of esophagus | NA | |
| SNF Discharge Rate at DRG | 24.4 | |
| SNF Discharge Rate with ICD K228 - Other specified diseases of esophagus | NA | |
| Home Discharge Rate at DRG | 30.46 | |
| Home Discharge Rate with ICD K228 - Other specified diseases of esophagus | NA |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K228 - Other specified diseases of esophagus | 4,575 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K228 - Other specified diseases of esophagus in DRG | 12.12 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K228 - Other specified diseases of esophagus | 3.49 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K228 - Other specified diseases of esophagus | 18.17 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K228 - Other specified diseases of esophagus | 13.55 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K228 - Other specified diseases of esophagus | $21,321,121 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K228 - Other specified diseases of esophagus | $1,336 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K228 - Other specified diseases of esophagus | $4,660 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K228 - Other specified diseases of esophagus | $153,131,495 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K228 - Other specified diseases of esophagus | $33,471 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K228 - Other specified diseases of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K228 - Other specified diseases of esophagus | 19.19 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K228 - Other specified diseases of esophagus | 56.61 |
*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 291: HEART FAILURE AND SHOCK 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 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD K228 - Other specified diseases of esophagus | 1,041 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD K228 - Other specified diseases of esophagus in DRG | 2.76 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD K228 - Other specified diseases of esophagus | 7.55 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD K228 - Other specified diseases of esophagus | 24.89 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD K228 - Other specified diseases of esophagus | 16.31 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD K228 - Other specified diseases of esophagus | $12,395,550 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD K228 - Other specified diseases of esophagus | $1,577 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD K228 - Other specified diseases of esophagus | $11,907 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD K228 - Other specified diseases of esophagus | $65,386,135 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD K228 - Other specified diseases of esophagus | $62,811 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD K228 - Other specified diseases of esophagus | 5.38 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD K228 - Other specified diseases of esophagus | 33.24 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD K228 - Other specified diseases of esophagus | 22.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD K228 - Other specified diseases of esophagus | 487 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD K228 - Other specified diseases of esophagus in DRG | 1.29 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD K228 - Other specified diseases of esophagus | 6.33 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD K228 - Other specified diseases of esophagus | 24.41 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD K228 - Other specified diseases of esophagus | 18.63 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD K228 - Other specified diseases of esophagus | $3,644,967 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD K228 - Other specified diseases of esophagus | $1,182 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD K228 - Other specified diseases of esophagus | $7,485 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD K228 - Other specified diseases of esophagus | $24,183,227 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD K228 - Other specified diseases of esophagus | $49,658 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD K228 - Other specified diseases of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD K228 - Other specified diseases of esophagus | 22.59 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD K228 - Other specified diseases of esophagus | 37.58 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 77,444 | ||||
| Total Hospitalizations with ICD K228 - Other specified diseases of esophagus | 391 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD K228 - Other specified diseases of esophagus in DRG | 1.04 | ||||
| Avg LOS at DRG | 6.72 | ||||
| Avg LOS with ICD K228 - Other specified diseases of esophagus | 6.73 | ||||
| Readmission Rate at DRG | 28.36 | ||||
| Readmission Rate with ICD K228 - Other specified diseases of esophagus | 23.56 | ||||
| Unplanned Readmission Rate at DRG | 20.29 | ||||
| Unplanned Readmission Rate with ICD K228 - Other specified diseases of esophagus | 15.8 | ||||
| Total Medicare payments at DRG | $929,345,247 | ||||
| Total Medicare payments with ICD K228 - Other specified diseases of esophagus | $4,667,323 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD K228 - Other specified diseases of esophagus | $1,773 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,000 | ||||
| Total Medicare payment per Hospitalization with ICD K228 - Other specified diseases of esophagus | $11,937 | ||||
| Total Medicare Charges at DRG | $4,453,573,782 | ||||
| Total Medicare Charges with ICD K228 - Other specified diseases of esophagus | $27,768,458 | ||||
| Avg Charges at DRG | $57,507 | ||||
| Avg Charges with ICD K228 - Other specified diseases of esophagus | $71,019 | ||||
| Mortality Rate at DRG | 5.64 | ||||
| Mortality Rate with ICD K228 - Other specified diseases of esophagus | 4.86 | ||||
| SNF Discharge Rate at DRG | 22.62 | ||||
| SNF Discharge Rate with ICD K228 - Other specified diseases of esophagus | 24.81 | ||||
| Home Discharge Rate at DRG | 38.94 | ||||
| Home Discharge Rate with ICD K228 - Other specified diseases of esophagus | 37.85 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 115 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 115 |
| ASCENSION MACOMB - OAKLAND HOSPITAL | 11800 E 12 MILE RD | WARREN | MI | 48093 | 108 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VED P SINGLA | 11900 TWELVE MILE ROAD | WARREN | MI | 48093 | 66 |
| Dr. MICHAEL KAM | 2700 S ROCHESTER RD | ROCHESTER HILLS | MI | 48307 | 40 |
| Dr. PRESTON PEMBERTON PURDUM | 300 BILLINGSLEY RD STE 200 | CHARLOTTE | NC | 28211 | 40 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 16 |
| Dr. JAMES D LUKETICH | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 14 |
| Dr. RAJEEV GUPTA | 1621 W MORRIS BLVD STE C | MORRISTOWN | TN | 37813 | 13 |