*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation - as a primary diagnosis code | K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.01 | |
| Readmission Rate (%) | 23.96 | |
| Unplanned Readmission Rate (%) | 14.67 | |
| 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 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,838 | |||
| Total Hospitalizations with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 1,877 | |||
| DRG Share of Total Hospitalizations | 0.05 | |||
| % of Total ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation in DRG | 77.47 | |||
| Avg LOS at DRG | 3.16 | |||
| Avg LOS with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 2.63 | |||
| Readmission Rate at DRG | 15.39 | |||
| Readmission Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 17.4 | |||
| Unplanned Readmission Rate at DRG | 11.63 | |||
| Unplanned Readmission Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 12.68 | |||
| Total Medicare payments at DRG | $79,577,907 | |||
| Total Medicare payments with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $9,341,681 | |||
| Total Medicare payment per Day at DRG | $1,591 | |||
| Total Medicare payment per Day with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $1,893 | |||
| Total Medicare payment per Hospitalization at DRG | $5,024 | |||
| Total Medicare payment per Hospitalization with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $4,977 | |||
| Total Medicare Charges at DRG | $498,461,424 | |||
| Total Medicare Charges with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $54,268,570 | |||
| Avg Charges at DRG | $31,472 | |||
| Avg Charges with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $28,912 | |||
| Mortality Rate at DRG | 0.11 | |||
| Mortality Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | NA | |||
| SNF Discharge Rate at DRG | 8.59 | |||
| SNF Discharge Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 6.39 | |||
| Home Discharge Rate at DRG | 75.58 | |||
| Home Discharge Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 76.08 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OROVILLE HOSPITAL | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 22 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 18 |
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GURBIR SINGH ATWAL | 825 DELBON AVE | TURLOCK | CA | 95382 | 15 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 6,356 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation in DRG | 5.14 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 6.96 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 27.7 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 19.0 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $77,667,249 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $1,757 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $12,220 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $413,480,449 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $65,054 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 10.24 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 29.36 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 25.42 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 384: UNCOMPLICATED PEPTIC ULCER WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 3,428 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation in DRG | 2.77 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 5.49 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 30.27 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 22.68 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $32,670,755 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $1,737 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $9,531 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $156,942,376 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $45,782 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 3.3 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 21.62 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 35.41 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 1,623 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation in DRG | 1.31 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 4.77 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 18.1 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 13.16 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $10,959,548 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $1,415 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $6,753 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $63,840,030 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $39,335 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 1.42 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 20.7 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 46.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 1,457 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation in DRG | 1.18 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 6.32 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 31.58 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 22.07 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $14,847,439 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $1,611 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $10,190 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $73,154,821 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | $50,209 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 4.05 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 28.14 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD K279 - Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation | 35.35 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FORT DUNCAN MEDICAL CENTER | 3333 N FOSTER MALDONADO BLVD | EAGLE PASS | TX | 78852 | 881 |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD | 6245 DE LONGPRE AVE | HOLLYWOOD | CA | 90028 | 431 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 368 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 166 |
| Dr. LUIS GUTIERREZ-PERRY | 3406 BOB ROGERS DR. | EAGLE PASS | TX | 78852 | 133 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 90 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 800 |
| Dr. ANIL GUPTA | 409 E MERCED AVE | WEST COVINA | CA | 91790 | 526 |
| Dr. CHARLES JESSE ASWELL | 503 JACK MILLER RD | VILLE PLATTE | LA | 70586 | 338 |