*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K229 - Disease of esophagus, unspecified - as a primary diagnosis code | K229 - Disease of esophagus, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.76 | |
| Readmission Rate (%) | 22.68 | |
| Unplanned Readmission Rate (%) | 11.29 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 522,791 | |
| Total Hospitalizations with ICD K229 - Disease of esophagus, unspecified | 154 | |
| DRG Share of Total Hospitalizations | 1.59 | |
| % of Total ICD K229 - Disease of esophagus, unspecified in DRG | 71.3 | |
| Avg LOS at DRG | 3.14 | |
| Avg LOS with ICD K229 - Disease of esophagus, unspecified | 2.62 | |
| Readmission Rate at DRG | 17.1 | |
| Readmission Rate with ICD K229 - Disease of esophagus, unspecified | 19.26 | |
| Unplanned Readmission Rate at DRG | 12.62 | |
| Unplanned Readmission Rate with ICD K229 - Disease of esophagus, unspecified | 9.63 | |
| Total Medicare payments at DRG | $2,290,151,156 | |
| Total Medicare payments with ICD K229 - Disease of esophagus, unspecified | $611,886 | |
| Total Medicare payment per Day at DRG | $1,394 | |
| Total Medicare payment per Day with ICD K229 - Disease of esophagus, unspecified | $1,518 | |
| Total Medicare payment per Hospitalization at DRG | $4,381 | |
| Total Medicare payment per Hospitalization with ICD K229 - Disease of esophagus, unspecified | $3,973 | |
| Total Medicare Charges at DRG | $13,619,287,561 | |
| Total Medicare Charges with ICD K229 - Disease of esophagus, unspecified | $4,322,052 | |
| Avg Charges at DRG | $26,051 | |
| Avg Charges with ICD K229 - Disease of esophagus, unspecified | $28,065 | |
| Mortality Rate at DRG | 0.18 | |
| Mortality Rate with ICD K229 - Disease of esophagus, unspecified | NA | |
| SNF Discharge Rate at DRG | 8.57 | |
| SNF Discharge Rate with ICD K229 - Disease of esophagus, unspecified | NA | |
| Home Discharge Rate at DRG | 72.49 | |
| Home Discharge Rate with ICD K229 - Disease of esophagus, unspecified | 63.64 |
*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 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) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K229 - Disease of esophagus, unspecified | 384 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K229 - Disease of esophagus, unspecified in DRG | 8.11 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K229 - Disease of esophagus, unspecified | 3.2 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K229 - Disease of esophagus, unspecified | 14.37 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K229 - Disease of esophagus, unspecified | 9.48 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K229 - Disease of esophagus, unspecified | $1,596,108 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K229 - Disease of esophagus, unspecified | $1,300 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K229 - Disease of esophagus, unspecified | $4,157 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K229 - Disease of esophagus, unspecified | $11,826,033 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K229 - Disease of esophagus, unspecified | $30,797 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K229 - Disease of esophagus, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K229 - Disease of esophagus, unspecified | 8.85 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K229 - Disease of esophagus, unspecified | 65.36 |
*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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD K229 - Disease of esophagus, unspecified | 97 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD K229 - Disease of esophagus, unspecified in DRG | 2.05 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD K229 - Disease of esophagus, unspecified | 6.48 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD K229 - Disease of esophagus, unspecified | 28.09 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD K229 - Disease of esophagus, unspecified | 21.35 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD K229 - Disease of esophagus, unspecified | $937,230 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD K229 - Disease of esophagus, unspecified | $1,490 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD K229 - Disease of esophagus, unspecified | $9,662 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD K229 - Disease of esophagus, unspecified | $5,135,807 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD K229 - Disease of esophagus, unspecified | $52,946 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD K229 - Disease of esophagus, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD K229 - Disease of esophagus, unspecified | 19.59 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD K229 - Disease of esophagus, unspecified | 35.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD K229 - Disease of esophagus, unspecified | 71 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD K229 - Disease of esophagus, unspecified in DRG | 1.5 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD K229 - Disease of esophagus, unspecified | 5.97 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD K229 - Disease of esophagus, unspecified | 20.31 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD K229 - Disease of esophagus, unspecified | 17.19 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD K229 - Disease of esophagus, unspecified | $604,717 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD K229 - Disease of esophagus, unspecified | $1,426 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD K229 - Disease of esophagus, unspecified | $8,517 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD K229 - Disease of esophagus, unspecified | $3,344,901 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD K229 - Disease of esophagus, unspecified | $47,111 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD K229 - Disease of esophagus, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD K229 - Disease of esophagus, unspecified | 19.72 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD K229 - Disease of esophagus, unspecified | 46.48 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD K229 - Disease of esophagus, unspecified | 55 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD K229 - Disease of esophagus, unspecified in DRG | 1.16 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD K229 - Disease of esophagus, unspecified | 3.71 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD K229 - Disease of esophagus, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD K229 - Disease of esophagus, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD K229 - Disease of esophagus, unspecified | $340,034 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD K229 - Disease of esophagus, unspecified | $1,667 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD K229 - Disease of esophagus, unspecified | $6,182 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD K229 - Disease of esophagus, unspecified | $1,501,151 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD K229 - Disease of esophagus, unspecified | $27,294 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD K229 - Disease of esophagus, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD K229 - Disease of esophagus, unspecified | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD K229 - Disease of esophagus, unspecified | 69.09 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. JOSEPH'S HOSPITAL HEALTH CENTER | 301 PROSPECT AVE | SYRACUSE | NY | 13203 | 24 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 20 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SARA H. MITCHELL | 5112 W TAFT RD | LIVERPOOL | NY | 13088 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | R1310 | Dysphagia, unspecified |
| 2 | I10 | Essential (primary) hypertension |