*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K257 - Chronic gastric ulcer without hemorrhage or perforation - as a primary diagnosis code | K257 - Chronic gastric ulcer without hemorrhage or perforation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.82 | |
| Readmission Rate (%) | 23.44 | |
| Unplanned Readmission Rate (%) | 11.66 | |
| 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 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 383: UNCOMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,838 | ||||
| Total Hospitalizations with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 310 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD K257 - Chronic gastric ulcer without hemorrhage or perforation in DRG | 58.27 | ||||
| Avg LOS at DRG | 3.16 | ||||
| Avg LOS with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 3.29 | ||||
| Readmission Rate at DRG | 15.39 | ||||
| Readmission Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 14.97 | ||||
| Unplanned Readmission Rate at DRG | 11.63 | ||||
| Unplanned Readmission Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 12.93 | ||||
| Total Medicare payments at DRG | $79,577,907 | ||||
| Total Medicare payments with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $1,669,806 | ||||
| Total Medicare payment per Day at DRG | $1,591 | ||||
| Total Medicare payment per Day with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $1,635 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,024 | ||||
| Total Medicare payment per Hospitalization with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $5,386 | ||||
| Total Medicare Charges at DRG | $498,461,424 | ||||
| Total Medicare Charges with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $9,722,235 | ||||
| Avg Charges at DRG | $31,472 | ||||
| Avg Charges with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $31,362 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | NA | ||||
| SNF Discharge Rate at DRG | 8.59 | ||||
| SNF Discharge Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 9.03 | ||||
| Home Discharge Rate at DRG | 75.58 | ||||
| Home Discharge Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 75.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 384: UNCOMPLICATED PEPTIC ULCER WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT 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 | 408,103 | ||||
| Total Hospitalizations with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 851 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K257 - Chronic gastric ulcer without hemorrhage or perforation in DRG | 12.33 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 3.4 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 17.99 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 15.01 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $5,130,056 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $1,773 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $6,028 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $27,464,252 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $32,273 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 11.87 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 70.27 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,987 | ||||
| Total Hospitalizations with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 195 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD K257 - Chronic gastric ulcer without hemorrhage or perforation in DRG | 2.83 | ||||
| Avg LOS at DRG | 6.28 | ||||
| Avg LOS with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 7.18 | ||||
| Readmission Rate at DRG | 18.15 | ||||
| Readmission Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 16.84 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 6.84 | ||||
| Total Medicare payments at DRG | $704,450,909 | ||||
| Total Medicare payments with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $2,988,138 | ||||
| Total Medicare payment per Day at DRG | $2,610 | ||||
| Total Medicare payment per Day with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $2,133 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,388 | ||||
| Total Medicare payment per Hospitalization with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $15,324 | ||||
| Total Medicare Charges at DRG | $3,447,544,151 | ||||
| Total Medicare Charges with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $15,210,288 | ||||
| Avg Charges at DRG | $80,200 | ||||
| Avg Charges with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $78,001 | ||||
| Mortality Rate at DRG | 0.62 | ||||
| Mortality Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | NA | ||||
| SNF Discharge Rate at DRG | 13.32 | ||||
| SNF Discharge Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 10.26 | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 69.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 383: UNCOMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 115 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD K257 - Chronic gastric ulcer without hemorrhage or perforation in DRG | 1.67 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 3.03 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 16.82 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $1,361,698 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $3,902 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $11,841 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $7,314,405 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $63,604 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 36.52 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 29.57 |
*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 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 70 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K257 - Chronic gastric ulcer without hemorrhage or perforation in DRG | 1.01 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 5.63 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 23.88 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 19.4 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $506,540 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $1,286 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $7,236 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $3,075,798 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | $43,940 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 31.43 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K257 - Chronic gastric ulcer without hemorrhage or perforation | 35.71 |
| 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 | 29 |
| DOCTORS' COMMUNITY HOSPITAL | 8118 GOOD LUCK RD | LANHAM | MD | 20706 | 26 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN ROBERT BRANDENBURG | 1101 SAINT CHRISTOPHER DR | ASHLAND | KY | 41101 | 13 |