*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K2990 - Gastroduodenitis, unspecified, without bleeding - as a primary diagnosis code | K2990 - Gastroduodenitis, unspecified, without bleeding - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.24 | |
| Readmission Rate (%) | 23.49 | |
| Unplanned Readmission Rate (%) | 15.51 | |
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 522,791 | |
| Total Hospitalizations with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 388 | |
| DRG Share of Total Hospitalizations | 1.59 | |
| % of Total ICD K2990 - Gastroduodenitis, unspecified, without bleeding in DRG | 73.62 | |
| Avg LOS at DRG | 3.14 | |
| Avg LOS with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 3.26 | |
| Readmission Rate at DRG | 17.1 | |
| Readmission Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 17.02 | |
| Unplanned Readmission Rate at DRG | 12.62 | |
| Unplanned Readmission Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 13.56 | |
| Total Medicare payments at DRG | $2,290,151,156 | |
| Total Medicare payments with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $1,665,253 | |
| Total Medicare payment per Day at DRG | $1,394 | |
| Total Medicare payment per Day with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $1,316 | |
| Total Medicare payment per Hospitalization at DRG | $4,381 | |
| Total Medicare payment per Hospitalization with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $4,292 | |
| Total Medicare Charges at DRG | $13,619,287,561 | |
| Total Medicare Charges with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $11,601,707 | |
| Avg Charges at DRG | $26,051 | |
| Avg Charges with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $29,901 | |
| Mortality Rate at DRG | 0.18 | |
| Mortality Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | NA | |
| SNF Discharge Rate at DRG | 8.57 | |
| SNF Discharge Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 8.51 | |
| Home Discharge Rate at DRG | 72.49 | |
| Home Discharge Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 78.61 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 689 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K2990 - Gastroduodenitis, unspecified, without bleeding in DRG | 12.39 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 3.67 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 17.17 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 13.86 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $3,125,243 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $1,235 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $4,536 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $23,741,125 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $34,457 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 9.58 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 74.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 384: UNCOMPLICATED PEPTIC ULCER WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 129 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD K2990 - Gastroduodenitis, unspecified, without bleeding in DRG | 2.32 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 4.06 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 19.2 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 12.0 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $728,881 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $1,391 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $5,650 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $4,769,661 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $36,974 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 17.05 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 62.02 |
*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 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 71 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD K2990 - Gastroduodenitis, unspecified, without bleeding in DRG | 1.28 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 8.2 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 23.08 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 16.92 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $703,999 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $1,210 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $9,915 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $4,628,638 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $65,192 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 28.17 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 36.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 84,943 | ||||
| Total Hospitalizations with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 58 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K2990 - Gastroduodenitis, unspecified, without bleeding in DRG | 1.04 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 4.78 | ||||
| Readmission Rate at DRG | 29.98 | ||||
| Readmission Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 31.03 | ||||
| Unplanned Readmission Rate at DRG | 23.75 | ||||
| Unplanned Readmission Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 25.86 | ||||
| Total Medicare payments at DRG | $730,869,349 | ||||
| Total Medicare payments with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $480,236 | ||||
| Total Medicare payment per Day at DRG | $1,782 | ||||
| Total Medicare payment per Day with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $1,734 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,604 | ||||
| Total Medicare payment per Hospitalization with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $8,280 | ||||
| Total Medicare Charges at DRG | $3,626,959,517 | ||||
| Total Medicare Charges with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $2,335,497 | ||||
| Avg Charges at DRG | $42,699 | ||||
| Avg Charges with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | $40,267 | ||||
| Mortality Rate at DRG | 2.39 | ||||
| Mortality Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 20.54 | ||||
| SNF Discharge Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 20.69 | ||||
| Home Discharge Rate at DRG | 49.17 | ||||
| Home Discharge Rate with ICD K2990 - Gastroduodenitis, unspecified, without bleeding | 62.07 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SANFORD BEMIDJI MEDICAL CENTER | 1300 ANNE ST NW | BEMIDJI | MN | 56601 | 55 |
| BEAUMONT HOSPITAL - FARMINGTON HILLS | 28050 GRAND RIVER AVE | FARMINGTON HILLS | MI | 48336 | 50 |
| OROVILLE HOSPITAL | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MOHAMMAD E HOQUE | 1625 N GEORGE MASON DR | ARLINGTON | VA | 22205 | 38 |
| Dr. WILLIAM R RAMINICK | 28080 GRAND RIVER AVE | FARMINGTON HILLS | MI | 48336 | 33 |
| Dr. MUHAMMAD ASIM | 609 MEDICAL CENTER DR | DECATUR | TX | 76234 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAMUEL MASSOUD | 1 TECH PARK DR | JOHNSTOWN | PA | 15901 | 12 |
| Dr. NAGASAMUDRA SHAMARAO ASHOK | 229 W 7TH STREET | SAN JACINTO | CA | 92583 | 11 |