*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K281 - Acute gastrojejunal ulcer with perforation - as a primary diagnosis code | K281 - Acute gastrojejunal ulcer with perforation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.48 | |
| Readmission Rate (%) | 23.62 | |
| 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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,906 | ||||
| Total Hospitalizations with ICD K281 - Acute gastrojejunal ulcer with perforation | 54 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K281 - Acute gastrojejunal ulcer with perforation in DRG | 33.33 | ||||
| Avg LOS at DRG | 12.58 | ||||
| Avg LOS with ICD K281 - Acute gastrojejunal ulcer with perforation | 9.04 | ||||
| Readmission Rate at DRG | 30.9 | ||||
| Readmission Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | 27.45 | ||||
| Unplanned Readmission Rate at DRG | 16.7 | ||||
| Unplanned Readmission Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | 21.57 | ||||
| Total Medicare payments at DRG | $1,415,372,711 | ||||
| Total Medicare payments with ICD K281 - Acute gastrojejunal ulcer with perforation | $1,755,686 | ||||
| Total Medicare payment per Day at DRG | $2,820 | ||||
| Total Medicare payment per Day with ICD K281 - Acute gastrojejunal ulcer with perforation | $3,598 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,468 | ||||
| Total Medicare payment per Hospitalization with ICD K281 - Acute gastrojejunal ulcer with perforation | $32,513 | ||||
| Total Medicare Charges at DRG | $6,367,247,472 | ||||
| Total Medicare Charges with ICD K281 - Acute gastrojejunal ulcer with perforation | $6,157,750 | ||||
| Avg Charges at DRG | $159,556 | ||||
| Avg Charges with ICD K281 - Acute gastrojejunal ulcer with perforation | $114,032 | ||||
| Mortality Rate at DRG | 9.11 | ||||
| Mortality Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | NA | ||||
| SNF Discharge Rate at DRG | 24.69 | ||||
| SNF Discharge Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | 20.37 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | 51.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 169,880 |
| Total Hospitalizations with ICD K281 - Acute gastrojejunal ulcer with perforation | 11 |
| DRG Share of Total Hospitalizations | 0.52 |
| % of Total ICD K281 - Acute gastrojejunal ulcer with perforation in DRG | 6.79 |
| Avg LOS at DRG | 7.24 |
| Avg LOS with ICD K281 - Acute gastrojejunal ulcer with perforation | 5.64 |
| Readmission Rate at DRG | 16.58 |
| Readmission Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | NA |
| Unplanned Readmission Rate at DRG | 10.87 |
| Unplanned Readmission Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | NA |
| Total Medicare payments at DRG | $2,683,693,576 |
| Total Medicare payments with ICD K281 - Acute gastrojejunal ulcer with perforation | $140,658 |
| Total Medicare payment per Day at DRG | $2,183 |
| Total Medicare payment per Day with ICD K281 - Acute gastrojejunal ulcer with perforation | $2,269 |
| Total Medicare payment per Hospitalization at DRG | $15,798 |
| Total Medicare payment per Hospitalization with ICD K281 - Acute gastrojejunal ulcer with perforation | $12,787 |
| Total Medicare Charges at DRG | $13,978,014,634 |
| Total Medicare Charges with ICD K281 - Acute gastrojejunal ulcer with perforation | $702,492 |
| Avg Charges at DRG | $82,282 |
| Avg Charges with ICD K281 - Acute gastrojejunal ulcer with perforation | $63,863 |
| Mortality Rate at DRG | 0.35 |
| Mortality Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | NA |
| SNF Discharge Rate at DRG | 14.58 |
| SNF Discharge Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | NA |
| Home Discharge Rate at DRG | 53.56 |
| Home Discharge Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | NA |
*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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,906 | ||||
| Total Hospitalizations with ICD K281 - Acute gastrojejunal ulcer with perforation | 101 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K281 - Acute gastrojejunal ulcer with perforation in DRG | 34.83 | ||||
| Avg LOS at DRG | 12.58 | ||||
| Avg LOS with ICD K281 - Acute gastrojejunal ulcer with perforation | 9.65 | ||||
| Readmission Rate at DRG | 30.9 | ||||
| Readmission Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | 22.92 | ||||
| Unplanned Readmission Rate at DRG | 16.7 | ||||
| Unplanned Readmission Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | 14.58 | ||||
| Total Medicare payments at DRG | $1,415,372,711 | ||||
| Total Medicare payments with ICD K281 - Acute gastrojejunal ulcer with perforation | $3,254,027 | ||||
| Total Medicare payment per Day at DRG | $2,820 | ||||
| Total Medicare payment per Day with ICD K281 - Acute gastrojejunal ulcer with perforation | $3,337 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,468 | ||||
| Total Medicare payment per Hospitalization with ICD K281 - Acute gastrojejunal ulcer with perforation | $32,218 | ||||
| Total Medicare Charges at DRG | $6,367,247,472 | ||||
| Total Medicare Charges with ICD K281 - Acute gastrojejunal ulcer with perforation | $12,885,960 | ||||
| Avg Charges at DRG | $159,556 | ||||
| Avg Charges with ICD K281 - Acute gastrojejunal ulcer with perforation | $127,584 | ||||
| Mortality Rate at DRG | 9.11 | ||||
| Mortality Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | NA | ||||
| SNF Discharge Rate at DRG | 24.69 | ||||
| SNF Discharge Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | 19.8 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | 50.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 30,887 | |
| Total Hospitalizations with ICD K281 - Acute gastrojejunal ulcer with perforation | 12 | |
| DRG Share of Total Hospitalizations | 0.09 | |
| % of Total ICD K281 - Acute gastrojejunal ulcer with perforation in DRG | 4.14 | |
| Avg LOS at DRG | 2.85 | |
| Avg LOS with ICD K281 - Acute gastrojejunal ulcer with perforation | 4.5 | |
| Readmission Rate at DRG | 8.44 | |
| Readmission Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | NA | |
| Unplanned Readmission Rate at DRG | 5.81 | |
| Unplanned Readmission Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | NA | |
| Total Medicare payments at DRG | $281,745,159 | |
| Total Medicare payments with ICD K281 - Acute gastrojejunal ulcer with perforation | $128,298 | |
| Total Medicare payment per Day at DRG | $3,206 | |
| Total Medicare payment per Day with ICD K281 - Acute gastrojejunal ulcer with perforation | $2,376 | |
| Total Medicare payment per Hospitalization at DRG | $9,122 | |
| Total Medicare payment per Hospitalization with ICD K281 - Acute gastrojejunal ulcer with perforation | $10,692 | |
| Total Medicare Charges at DRG | $1,697,715,246 | |
| Total Medicare Charges with ICD K281 - Acute gastrojejunal ulcer with perforation | $677,464 | |
| Avg Charges at DRG | $54,965 | |
| Avg Charges with ICD K281 - Acute gastrojejunal ulcer with perforation | $56,455 | |
| Mortality Rate at DRG | 0.05 | |
| Mortality Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | NA | |
| SNF Discharge Rate at DRG | 3.76 | |
| SNF Discharge Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | NA | |
| Home Discharge Rate at DRG | 86.53 | |
| Home Discharge Rate with ICD K281 - Acute gastrojejunal ulcer with perforation | NA |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z9884 | Bariatric surgery status |
| 2 | K659 | Peritonitis, unspecified |
| 3 | F17210 | Nicotine dependence, cigarettes, uncomplicated |
| 4 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 5 | Z87891 | Personal history of nicotine dependence |