*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation - as a primary diagnosis code | K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.97 | |
| Readmission Rate (%) | 34.01 | |
| Unplanned Readmission Rate (%) | 16.34 | |
| 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 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH 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 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,906 | ||||
| Total Hospitalizations with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 211 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation in DRG | 44.42 | ||||
| Avg LOS at DRG | 12.58 | ||||
| Avg LOS with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 12.96 | ||||
| Readmission Rate at DRG | 30.9 | ||||
| Readmission Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 34.64 | ||||
| Unplanned Readmission Rate at DRG | 16.7 | ||||
| Unplanned Readmission Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 14.38 | ||||
| Total Medicare payments at DRG | $1,415,372,711 | ||||
| Total Medicare payments with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $7,843,886 | ||||
| Total Medicare payment per Day at DRG | $2,820 | ||||
| Total Medicare payment per Day with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $2,868 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,468 | ||||
| Total Medicare payment per Hospitalization with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $37,175 | ||||
| Total Medicare Charges at DRG | $6,367,247,472 | ||||
| Total Medicare Charges with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $41,372,075 | ||||
| Avg Charges at DRG | $159,556 | ||||
| Avg Charges with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $196,076 | ||||
| Mortality Rate at DRG | 9.11 | ||||
| Mortality Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 20.85 | ||||
| SNF Discharge Rate at DRG | 24.69 | ||||
| SNF Discharge Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 22.27 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 16.59 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH 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 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,906 | ||||
| Total Hospitalizations with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 260 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation in DRG | 28.42 | ||||
| Avg LOS at DRG | 12.58 | ||||
| Avg LOS with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 14.17 | ||||
| Readmission Rate at DRG | 30.9 | ||||
| Readmission Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 36.17 | ||||
| Unplanned Readmission Rate at DRG | 16.7 | ||||
| Unplanned Readmission Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 15.43 | ||||
| Total Medicare payments at DRG | $1,415,372,711 | ||||
| Total Medicare payments with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $9,944,644 | ||||
| Total Medicare payment per Day at DRG | $2,820 | ||||
| Total Medicare payment per Day with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $2,700 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,468 | ||||
| Total Medicare payment per Hospitalization with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $38,249 | ||||
| Total Medicare Charges at DRG | $6,367,247,472 | ||||
| Total Medicare Charges with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $52,506,073 | ||||
| Avg Charges at DRG | $159,556 | ||||
| Avg Charges with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $201,946 | ||||
| Mortality Rate at DRG | 9.11 | ||||
| Mortality Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 20.38 | ||||
| SNF Discharge Rate at DRG | 24.69 | ||||
| SNF Discharge Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 22.31 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 16.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 41 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation in DRG | 4.48 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 9.02 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | NA | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $602,578 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $1,629 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $14,697 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $4,224,755 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | $103,043 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | 39.02 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | NA | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K256 - Chronic or unspecified gastric ulcer with both hemorrhage and perforation | NA |