*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
K253 - Acute gastric ulcer without hemorrhage or perforation - as a primary diagnosis code | K253 - Acute gastric ulcer without hemorrhage or perforation - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.66 | |
Readmission Rate (%) | 23.81 | |
Unplanned Readmission Rate (%) | 13.17 | |
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 384: UNCOMPLICATED PEPTIC ULCER WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 383: UNCOMPLICATED PEPTIC ULCER WITH 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 | 15,838 | |||
Total Hospitalizations with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 1,040 | |||
DRG Share of Total Hospitalizations | 0.05 | |||
% of Total ICD K253 - Acute gastric ulcer without hemorrhage or perforation in DRG | 75.2 | |||
Avg LOS at DRG | 3.16 | |||
Avg LOS with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 3.24 | |||
Readmission Rate at DRG | 15.39 | |||
Readmission Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 15.51 | |||
Unplanned Readmission Rate at DRG | 11.63 | |||
Unplanned Readmission Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 10.54 | |||
Total Medicare payments at DRG | $79,577,907 | |||
Total Medicare payments with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $5,235,737 | |||
Total Medicare payment per Day at DRG | $1,591 | |||
Total Medicare payment per Day with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $1,553 | |||
Total Medicare payment per Hospitalization at DRG | $5,024 | |||
Total Medicare payment per Hospitalization with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $5,034 | |||
Total Medicare Charges at DRG | $498,461,424 | |||
Total Medicare Charges with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $31,587,045 | |||
Avg Charges at DRG | $31,472 | |||
Avg Charges with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $30,372 | |||
Mortality Rate at DRG | 0.11 | |||
Mortality Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | NA | |||
SNF Discharge Rate at DRG | 8.59 | |||
SNF Discharge Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 9.81 | |||
Home Discharge Rate at DRG | 75.58 | |||
Home Discharge Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 76.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 384: UNCOMPLICATED PEPTIC ULCER WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 383: UNCOMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 15,838 | ||||
Total Hospitalizations with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 1,085 | ||||
DRG Share of Total Hospitalizations | 0.05 | ||||
% of Total ICD K253 - Acute gastric ulcer without hemorrhage or perforation in DRG | 16.01 | ||||
Avg LOS at DRG | 3.16 | ||||
Avg LOS with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 3.24 | ||||
Readmission Rate at DRG | 15.39 | ||||
Readmission Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 15.62 | ||||
Unplanned Readmission Rate at DRG | 11.63 | ||||
Unplanned Readmission Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 10.48 | ||||
Total Medicare payments at DRG | $79,577,907 | ||||
Total Medicare payments with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $5,471,792 | ||||
Total Medicare payment per Day at DRG | $1,591 | ||||
Total Medicare payment per Day with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $1,556 | ||||
Total Medicare payment per Hospitalization at DRG | $5,024 | ||||
Total Medicare payment per Hospitalization with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $5,043 | ||||
Total Medicare Charges at DRG | $498,461,424 | ||||
Total Medicare Charges with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $32,959,517 | ||||
Avg Charges at DRG | $31,472 | ||||
Avg Charges with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $30,377 | ||||
Mortality Rate at DRG | 0.11 | ||||
Mortality Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | NA | ||||
SNF Discharge Rate at DRG | 8.59 | ||||
SNF Discharge Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 9.59 | ||||
Home Discharge Rate at DRG | 75.58 | ||||
Home Discharge Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 76.68 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 201,938 | ||||
Total Hospitalizations with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 235 | ||||
DRG Share of Total Hospitalizations | 0.61 | ||||
% of Total ICD K253 - Acute gastric ulcer without hemorrhage or perforation in DRG | 3.47 | ||||
Avg LOS at DRG | 3.4 | ||||
Avg LOS with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 3.19 | ||||
Readmission Rate at DRG | 26.55 | ||||
Readmission Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 10.09 | ||||
Unplanned Readmission Rate at DRG | 21.29 | ||||
Unplanned Readmission Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 7.89 | ||||
Total Medicare payments at DRG | $1,046,791,335 | ||||
Total Medicare payments with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $1,209,850 | ||||
Total Medicare payment per Day at DRG | $1,523 | ||||
Total Medicare payment per Day with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $1,613 | ||||
Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
Total Medicare payment per Hospitalization with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $5,148 | ||||
Total Medicare Charges at DRG | $5,572,284,000 | ||||
Total Medicare Charges with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $7,079,427 | ||||
Avg Charges at DRG | $27,594 | ||||
Avg Charges with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $30,125 | ||||
Mortality Rate at DRG | 0.31 | ||||
Mortality Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | NA | ||||
SNF Discharge Rate at DRG | 12.45 | ||||
SNF Discharge Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 7.66 | ||||
Home Discharge Rate at DRG | 66.72 | ||||
Home Discharge Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 74.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 269,064 | ||||
Total Hospitalizations with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 93 | ||||
DRG Share of Total Hospitalizations | 0.82 | ||||
% of Total ICD K253 - Acute gastric ulcer without hemorrhage or perforation in DRG | 1.37 | ||||
Avg LOS at DRG | 13.18 | ||||
Avg LOS with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 16.68 | ||||
Readmission Rate at DRG | 37.51 | ||||
Readmission Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 38.96 | ||||
Unplanned Readmission Rate at DRG | 18.15 | ||||
Unplanned Readmission Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 15.58 | ||||
Total Medicare payments at DRG | $9,344,186,034 | ||||
Total Medicare payments with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $3,387,046 | ||||
Total Medicare payment per Day at DRG | $2,635 | ||||
Total Medicare payment per Day with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $2,184 | ||||
Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
Total Medicare payment per Hospitalization with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $36,420 | ||||
Total Medicare Charges at DRG | $44,371,117,432 | ||||
Total Medicare Charges with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $17,528,327 | ||||
Avg Charges at DRG | $164,909 | ||||
Avg Charges with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $188,477 | ||||
Mortality Rate at DRG | 14.37 | ||||
Mortality Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 12.9 | ||||
SNF Discharge Rate at DRG | 31.8 | ||||
SNF Discharge Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 43.01 | ||||
Home Discharge Rate at DRG | 14.61 | ||||
Home Discharge Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 15.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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 | 499,133 | ||||
Total Hospitalizations with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 67 | ||||
DRG Share of Total Hospitalizations | 1.52 | ||||
% of Total ICD K253 - Acute gastric ulcer without hemorrhage or perforation in DRG | 0.99 | ||||
Avg LOS at DRG | 4.34 | ||||
Avg LOS with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 5.67 | ||||
Readmission Rate at DRG | 17.57 | ||||
Readmission Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 18.46 | ||||
Unplanned Readmission Rate at DRG | 12.56 | ||||
Unplanned Readmission Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | NA | ||||
Total Medicare payments at DRG | $3,254,711,780 | ||||
Total Medicare payments with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $447,574 | ||||
Total Medicare payment per Day at DRG | $1,504 | ||||
Total Medicare payment per Day with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $1,178 | ||||
Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
Total Medicare payment per Hospitalization with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $6,680 | ||||
Total Medicare Charges at DRG | $16,863,396,143 | ||||
Total Medicare Charges with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $3,094,885 | ||||
Avg Charges at DRG | $33,785 | ||||
Avg Charges with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | $46,192 | ||||
Mortality Rate at DRG | 1.33 | ||||
Mortality Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | NA | ||||
SNF Discharge Rate at DRG | 19.89 | ||||
SNF Discharge Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 20.9 | ||||
Home Discharge Rate at DRG | 49.27 | ||||
Home Discharge Rate with ICD K253 - Acute gastric ulcer without hemorrhage or perforation | 41.79 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
MAIMONIDES MEDICAL CENTER | 4802 10TH AVE | BROOKLYN | NY | 11219 | 68 |
OUR LADY OF THE ANGELS HOSPITAL | 433 PLAZA ST | BOGALUSA | LA | 70427 | 58 |
MOUNTAIN VISTA MEDICAL CENTER | 1301 S CRISMON RD | MESA | AZ | 85209 | 51 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. HAMID HUSSAIN | 433 PLAZA ST | BOGALUSA | LA | 70427 | 70 |
Dr. MOUSTAFA E ALAMY | 16660 PARAMOUNT BLVD | PARAMOUNT | CA | 90723 | 42 |
Dr. JOSE A. LOPEZ GONZALEZ | 1810 S CRISMON RD | MESA | AZ | 85209 | 28 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. HOSSEIN K TABARI | 1616 S. COLUMBIA ST. | BOGALUSA | LA | 70427 | 29 |
Dr. SALEEM MAHMOOD | 8 JORDAN AVE | JERSEY CITY | NJ | 07306 | 12 |