*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K263 - Acute duodenal ulcer without hemorrhage or perforation - as a primary diagnosis code | K263 - Acute duodenal ulcer without hemorrhage or perforation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.28 | |
| Readmission Rate (%) | 23.16 | |
| Unplanned Readmission Rate (%) | 12.38 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 15,838 | ||
| Total Hospitalizations with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 646 | ||
| DRG Share of Total Hospitalizations | 0.05 | ||
| % of Total ICD K263 - Acute duodenal ulcer without hemorrhage or perforation in DRG | 74.17 | ||
| Avg LOS at DRG | 3.16 | ||
| Avg LOS with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 3.55 | ||
| Readmission Rate at DRG | 15.39 | ||
| Readmission Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 14.13 | ||
| Unplanned Readmission Rate at DRG | 11.63 | ||
| Unplanned Readmission Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 10.48 | ||
| Total Medicare payments at DRG | $79,577,907 | ||
| Total Medicare payments with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $3,367,563 | ||
| Total Medicare payment per Day at DRG | $1,591 | ||
| Total Medicare payment per Day with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $1,468 | ||
| Total Medicare payment per Hospitalization at DRG | $5,024 | ||
| Total Medicare payment per Hospitalization with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $5,213 | ||
| Total Medicare Charges at DRG | $498,461,424 | ||
| Total Medicare Charges with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $20,030,027 | ||
| Avg Charges at DRG | $31,472 | ||
| Avg Charges with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $31,006 | ||
| Mortality Rate at DRG | 0.11 | ||
| Mortality Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | NA | ||
| SNF Discharge Rate at DRG | 8.59 | ||
| SNF Discharge Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 12.23 | ||
| Home Discharge Rate at DRG | 75.58 | ||
| Home Discharge Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 70.43 |
*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 K263 - Acute duodenal ulcer without hemorrhage or perforation | 692 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD K263 - Acute duodenal ulcer without hemorrhage or perforation in DRG | 19.15 | ||||
| Avg LOS at DRG | 3.16 | ||||
| Avg LOS with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 3.52 | ||||
| Readmission Rate at DRG | 15.39 | ||||
| Readmission Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 14.22 | ||||
| Unplanned Readmission Rate at DRG | 11.63 | ||||
| Unplanned Readmission Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 10.67 | ||||
| Total Medicare payments at DRG | $79,577,907 | ||||
| Total Medicare payments with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $3,584,219 | ||||
| Total Medicare payment per Day at DRG | $1,591 | ||||
| Total Medicare payment per Day with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $1,471 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,024 | ||||
| Total Medicare payment per Hospitalization with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $5,180 | ||||
| Total Medicare Charges at DRG | $498,461,424 | ||||
| Total Medicare Charges with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $21,238,403 | ||||
| Avg Charges at DRG | $31,472 | ||||
| Avg Charges with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $30,691 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | NA | ||||
| SNF Discharge Rate at DRG | 8.59 | ||||
| SNF Discharge Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 12.43 | ||||
| Home Discharge Rate at DRG | 75.58 | ||||
| Home Discharge Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 70.23 |
*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 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 522,791 | ||||
| Total Hospitalizations with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 100 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K263 - Acute duodenal ulcer without hemorrhage or perforation in DRG | 2.77 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 3.3 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 17.02 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 12.77 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $474,089 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $1,437 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $4,741 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $3,022,925 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $30,229 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 14.0 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 68.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 51 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD K263 - Acute duodenal ulcer without hemorrhage or perforation in DRG | 1.41 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 5.14 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | NA | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $301,457 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $1,151 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $5,911 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $1,823,943 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $35,764 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 60.78 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES 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 K263 - Acute duodenal ulcer without hemorrhage or perforation | 35 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD K263 - Acute duodenal ulcer without hemorrhage or perforation in DRG | 0.97 | ||||
| Avg LOS at DRG | 6.28 | ||||
| Avg LOS with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 7.8 | ||||
| Readmission Rate at DRG | 18.15 | ||||
| Readmission Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | NA | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | NA | ||||
| Total Medicare payments at DRG | $704,450,909 | ||||
| Total Medicare payments with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $551,844 | ||||
| Total Medicare payment per Day at DRG | $2,610 | ||||
| Total Medicare payment per Day with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $2,021 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,388 | ||||
| Total Medicare payment per Hospitalization with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $15,767 | ||||
| Total Medicare Charges at DRG | $3,447,544,151 | ||||
| Total Medicare Charges with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $2,538,870 | ||||
| Avg Charges at DRG | $80,200 | ||||
| Avg Charges with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | $72,539 | ||||
| Mortality Rate at DRG | 0.62 | ||||
| Mortality Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | NA | ||||
| SNF Discharge Rate at DRG | 13.32 | ||||
| SNF Discharge Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | NA | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD K263 - Acute duodenal ulcer without hemorrhage or perforation | 77.14 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAIMONIDES MEDICAL CENTER | 4802 10TH AVE | BROOKLYN | NY | 11219 | 51 |
| GLENDALE ADVENTIST MEDICAL CENTER | 1509 WILSON TER | GLENDALE | CA | 91206 | 34 |
| ANDERSON REGIONAL MEDICAL CENTER | 2124 14TH ST | MERIDIAN | MS | 39301 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MOUSTAFA E ALAMY | 16660 PARAMOUNT BLVD | PARAMOUNT | CA | 90723 | 17 |
| Dr. FREDERICK A BOGHOSSIAN | 1560 E CHEVY CHASE DR | GLENDALE | CA | 91206 | 16 |
| Dr. SUNDER VINODKUMAR | 500 LAVERGNE AVE | WILMETTE | IL | 60091 | 15 |