*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation - as a primary diagnosis code | K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.54 | |
| Readmission Rate (%) | 30.82 | |
| Unplanned Readmission Rate (%) | 16.09 | |
| 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 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 22,666 | ||||
| Total Hospitalizations with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 59 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation in DRG | 21.85 | ||||
| Avg LOS at DRG | 3.98 | ||||
| Avg LOS with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 4.25 | ||||
| Readmission Rate at DRG | 20.75 | ||||
| Readmission Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 42.11 | ||||
| Unplanned Readmission Rate at DRG | 15.25 | ||||
| Unplanned Readmission Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 19.3 | ||||
| Total Medicare payments at DRG | $150,069,407 | ||||
| Total Medicare payments with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $391,246 | ||||
| Total Medicare payment per Day at DRG | $1,665 | ||||
| Total Medicare payment per Day with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $1,559 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,621 | ||||
| Total Medicare payment per Hospitalization with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $6,631 | ||||
| Total Medicare Charges at DRG | $841,069,885 | ||||
| Total Medicare Charges with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $2,153,272 | ||||
| Avg Charges at DRG | $37,107 | ||||
| Avg Charges with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $36,496 | ||||
| Mortality Rate at DRG | 0.6 | ||||
| Mortality Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA | ||||
| Home Discharge Rate at DRG | 58.25 | ||||
| Home Discharge Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 71.19 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 39,906 |
| Total Hospitalizations with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 20 |
| DRG Share of Total Hospitalizations | 0.12 |
| % of Total ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation in DRG | 7.41 |
| Avg LOS at DRG | 12.58 |
| Avg LOS with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 11.4 |
| Readmission Rate at DRG | 30.9 |
| Readmission Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA |
| Unplanned Readmission Rate at DRG | 16.7 |
| Unplanned Readmission Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA |
| Total Medicare payments at DRG | $1,415,372,711 |
| Total Medicare payments with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $698,818 |
| Total Medicare payment per Day at DRG | $2,820 |
| Total Medicare payment per Day with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $3,065 |
| Total Medicare payment per Hospitalization at DRG | $35,468 |
| Total Medicare payment per Hospitalization with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $34,941 |
| Total Medicare Charges at DRG | $6,367,247,472 |
| Total Medicare Charges with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $3,195,349 |
| Avg Charges at DRG | $159,556 |
| Avg Charges with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $159,767 |
| Mortality Rate at DRG | 9.11 |
| Mortality Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA |
| SNF Discharge Rate at DRG | 24.69 |
| SNF Discharge Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA |
| Home Discharge Rate at DRG | 27.39 |
| Home Discharge Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or 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 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 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,987 | ||||
| Total Hospitalizations with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 108 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation in DRG | 14.34 | ||||
| Avg LOS at DRG | 6.28 | ||||
| Avg LOS with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 5.41 | ||||
| Readmission Rate at DRG | 18.15 | ||||
| Readmission Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 17.76 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 14.02 | ||||
| Total Medicare payments at DRG | $704,450,909 | ||||
| Total Medicare payments with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $1,678,910 | ||||
| Total Medicare payment per Day at DRG | $2,610 | ||||
| Total Medicare payment per Day with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $2,875 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,388 | ||||
| Total Medicare payment per Hospitalization with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $15,545 | ||||
| Total Medicare Charges at DRG | $3,447,544,151 | ||||
| Total Medicare Charges with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $8,163,275 | ||||
| Avg Charges at DRG | $80,200 | ||||
| Avg Charges with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $75,586 | ||||
| Mortality Rate at DRG | 0.62 | ||||
| Mortality Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA | ||||
| SNF Discharge Rate at DRG | 13.32 | ||||
| SNF Discharge Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 79.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,303 | ||||
| Total Hospitalizations with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 36 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation in DRG | 4.78 | ||||
| Avg LOS at DRG | 2.87 | ||||
| Avg LOS with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 2.61 | ||||
| Readmission Rate at DRG | 15.46 | ||||
| Readmission Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 31.43 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA | ||||
| Total Medicare payments at DRG | $24,923,815 | ||||
| Total Medicare payments with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $189,357 | ||||
| Total Medicare payment per Day at DRG | $1,637 | ||||
| Total Medicare payment per Day with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $2,014 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,700 | ||||
| Total Medicare payment per Hospitalization with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $5,260 | ||||
| Total Medicare Charges at DRG | $150,084,924 | ||||
| Total Medicare Charges with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $988,903 | ||||
| Avg Charges at DRG | $28,302 | ||||
| Avg Charges with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $27,470 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA | ||||
| SNF Discharge Rate at DRG | 9.33 | ||||
| SNF Discharge Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA | ||||
| Home Discharge Rate at DRG | 74.52 | ||||
| Home Discharge Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 91.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 190,819 | |||
| Total Hospitalizations with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 17 | |||
| DRG Share of Total Hospitalizations | 0.58 | |||
| % of Total ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation in DRG | 2.26 | |||
| Avg LOS at DRG | 5.63 | |||
| Avg LOS with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | 7.47 | |||
| Readmission Rate at DRG | 28.97 | |||
| Readmission Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA | |||
| Unplanned Readmission Rate at DRG | 22.07 | |||
| Unplanned Readmission Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA | |||
| Total Medicare payments at DRG | $2,165,853,817 | |||
| Total Medicare payments with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $185,484 | |||
| Total Medicare payment per Day at DRG | $2,015 | |||
| Total Medicare payment per Day with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $1,461 | |||
| Total Medicare payment per Hospitalization at DRG | $11,350 | |||
| Total Medicare payment per Hospitalization with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $10,911 | |||
| Total Medicare Charges at DRG | $10,686,431,125 | |||
| Total Medicare Charges with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $1,111,767 | |||
| Avg Charges at DRG | $56,003 | |||
| Avg Charges with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | $65,398 | |||
| Mortality Rate at DRG | 5.35 | |||
| Mortality Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA | |||
| SNF Discharge Rate at DRG | 23.91 | |||
| SNF Discharge Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA | |||
| Home Discharge Rate at DRG | 39.51 | |||
| Home Discharge Rate with ICD K287 - Chronic gastrojejunal ulcer without hemorrhage or perforation | NA |