*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K285 - Chronic or unspecified gastrojejunal ulcer with perforation - as a primary diagnosis code | K285 - Chronic or unspecified gastrojejunal ulcer with perforation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.75 | |
| Readmission Rate (%) | 24.18 | |
| Unplanned Readmission Rate (%) | 11.07 | |
| 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 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 203 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation in DRG | 26.68 | ||||
| Avg LOS at DRG | 12.58 | ||||
| Avg LOS with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 8.95 | ||||
| Readmission Rate at DRG | 30.9 | ||||
| Readmission Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 28.42 | ||||
| Unplanned Readmission Rate at DRG | 16.7 | ||||
| Unplanned Readmission Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 13.68 | ||||
| Total Medicare payments at DRG | $1,415,372,711 | ||||
| Total Medicare payments with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $6,501,830 | ||||
| Total Medicare payment per Day at DRG | $2,820 | ||||
| Total Medicare payment per Day with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $3,580 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,468 | ||||
| Total Medicare payment per Hospitalization with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $32,029 | ||||
| Total Medicare Charges at DRG | $6,367,247,472 | ||||
| Total Medicare Charges with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $21,409,614 | ||||
| Avg Charges at DRG | $159,556 | ||||
| Avg Charges with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $105,466 | ||||
| Mortality Rate at DRG | 9.11 | ||||
| Mortality Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | NA | ||||
| SNF Discharge Rate at DRG | 24.69 | ||||
| SNF Discharge Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 13.79 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 44.33 |
*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) | DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | |||
| Total Hospitalizations with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 65 | |||
| DRG Share of Total Hospitalizations | 0.52 | |||
| % of Total ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation in DRG | 8.54 | |||
| Avg LOS at DRG | 7.24 | |||
| Avg LOS with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 5.75 | |||
| Readmission Rate at DRG | 16.58 | |||
| Readmission Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 16.92 | |||
| Unplanned Readmission Rate at DRG | 10.87 | |||
| Unplanned Readmission Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | NA | |||
| Total Medicare payments at DRG | $2,683,693,576 | |||
| Total Medicare payments with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $978,233 | |||
| Total Medicare payment per Day at DRG | $2,183 | |||
| Total Medicare payment per Day with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $2,616 | |||
| Total Medicare payment per Hospitalization at DRG | $15,798 | |||
| Total Medicare payment per Hospitalization with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $15,050 | |||
| Total Medicare Charges at DRG | $13,978,014,634 | |||
| Total Medicare Charges with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $4,656,772 | |||
| Avg Charges at DRG | $82,282 | |||
| Avg Charges with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $71,643 | |||
| Mortality Rate at DRG | 0.35 | |||
| Mortality Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | NA | |||
| SNF Discharge Rate at DRG | 14.58 | |||
| SNF Discharge Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | NA | |||
| Home Discharge Rate at DRG | 53.56 | |||
| Home Discharge Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 72.31 |
*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 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 K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 409 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation in DRG | 29.83 | ||||
| Avg LOS at DRG | 12.58 | ||||
| Avg LOS with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 9.21 | ||||
| Readmission Rate at DRG | 30.9 | ||||
| Readmission Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 26.06 | ||||
| Unplanned Readmission Rate at DRG | 16.7 | ||||
| Unplanned Readmission Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 13.56 | ||||
| Total Medicare payments at DRG | $1,415,372,711 | ||||
| Total Medicare payments with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $13,556,654 | ||||
| Total Medicare payment per Day at DRG | $2,820 | ||||
| Total Medicare payment per Day with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $3,598 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,468 | ||||
| Total Medicare payment per Hospitalization with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $33,146 | ||||
| Total Medicare Charges at DRG | $6,367,247,472 | ||||
| Total Medicare Charges with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $48,443,863 | ||||
| Avg Charges at DRG | $159,556 | ||||
| Avg Charges with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $118,445 | ||||
| Mortality Rate at DRG | 9.11 | ||||
| Mortality Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 4.4 | ||||
| SNF Discharge Rate at DRG | 24.69 | ||||
| SNF Discharge Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 12.71 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 46.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,061 | ||||
| Total Hospitalizations with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 68 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation in DRG | 4.96 | ||||
| Avg LOS at DRG | 4.08 | ||||
| Avg LOS with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 4.21 | ||||
| Readmission Rate at DRG | 9.45 | ||||
| Readmission Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | NA | ||||
| Unplanned Readmission Rate at DRG | 6.69 | ||||
| Unplanned Readmission Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | NA | ||||
| Total Medicare payments at DRG | $818,105,892 | ||||
| Total Medicare payments with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $671,147 | ||||
| Total Medicare payment per Day at DRG | $2,445 | ||||
| Total Medicare payment per Day with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $2,347 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,969 | ||||
| Total Medicare payment per Hospitalization with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $9,870 | ||||
| Total Medicare Charges at DRG | $4,652,792,838 | ||||
| Total Medicare Charges with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $3,161,294 | ||||
| Avg Charges at DRG | $56,699 | ||||
| Avg Charges with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $46,490 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | NA | ||||
| SNF Discharge Rate at DRG | 4.97 | ||||
| SNF Discharge Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | NA | ||||
| Home Discharge Rate at DRG | 77.96 | ||||
| Home Discharge Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 85.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 22,666 | ||||
| Total Hospitalizations with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 31 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation in DRG | 2.26 | ||||
| Avg LOS at DRG | 3.98 | ||||
| Avg LOS with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 5.81 | ||||
| Readmission Rate at DRG | 20.75 | ||||
| Readmission Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | NA | ||||
| Unplanned Readmission Rate at DRG | 15.25 | ||||
| Unplanned Readmission Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | NA | ||||
| Total Medicare payments at DRG | $150,069,407 | ||||
| Total Medicare payments with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $195,433 | ||||
| Total Medicare payment per Day at DRG | $1,665 | ||||
| Total Medicare payment per Day with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $1,086 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,621 | ||||
| Total Medicare payment per Hospitalization with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $6,304 | ||||
| Total Medicare Charges at DRG | $841,069,885 | ||||
| Total Medicare Charges with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $1,400,634 | ||||
| Avg Charges at DRG | $37,107 | ||||
| Avg Charges with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | $45,182 | ||||
| Mortality Rate at DRG | 0.6 | ||||
| Mortality Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | NA | ||||
| Home Discharge Rate at DRG | 58.25 | ||||
| Home Discharge Rate with ICD K285 - Chronic or unspecified gastrojejunal ulcer with perforation | 70.97 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. VINCENT CARMEL HOSPITAL | 13500 N MERIDIAN ST | CARMEL | IN | 46032 | 14 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 13 |