*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K30 - Functional dyspepsia - as a primary diagnosis code | K30 - Functional dyspepsia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.05 | |
| Readmission Rate (%) | 23.5 | |
| Unplanned Readmission Rate (%) | 18.16 | |
| 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) | 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 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K30 - Functional dyspepsia | 1,095 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K30 - Functional dyspepsia in DRG | 73.99 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K30 - Functional dyspepsia | 3.6 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K30 - Functional dyspepsia | 23.4 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K30 - Functional dyspepsia | 17.45 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K30 - Functional dyspepsia | $5,248,815 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K30 - Functional dyspepsia | $1,330 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K30 - Functional dyspepsia | $4,793 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K30 - Functional dyspepsia | $31,658,910 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K30 - Functional dyspepsia | $28,912 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K30 - Functional dyspepsia | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K30 - Functional dyspepsia | 7.95 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K30 - Functional dyspepsia | 73.24 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 19 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 16 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD K30 - Functional dyspepsia | 3,017 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD K30 - Functional dyspepsia in DRG | 7.47 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD K30 - Functional dyspepsia | 15.17 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD K30 - Functional dyspepsia | 26.78 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD K30 - Functional dyspepsia | 11.25 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD K30 - Functional dyspepsia | $33,265,405 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD K30 - Functional dyspepsia | $727 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD K30 - Functional dyspepsia | $11,026 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD K30 - Functional dyspepsia | $107,668,070 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD K30 - Functional dyspepsia | $35,687 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD K30 - Functional dyspepsia | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD K30 - Functional dyspepsia | 6.33 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD K30 - Functional dyspepsia | 81.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD K30 - Functional dyspepsia | 702 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD K30 - Functional dyspepsia in DRG | 1.74 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD K30 - Functional dyspepsia | 16.33 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD K30 - Functional dyspepsia | 13.68 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD K30 - Functional dyspepsia | 10.03 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD K30 - Functional dyspepsia | $14,995,146 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD K30 - Functional dyspepsia | $1,308 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD K30 - Functional dyspepsia | $21,361 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD K30 - Functional dyspepsia | $36,670,105 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD K30 - Functional dyspepsia | $52,237 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K30 - Functional dyspepsia | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD K30 - Functional dyspepsia | 25.07 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD K30 - Functional dyspepsia | 26.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD K30 - Functional dyspepsia | 474 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD K30 - Functional dyspepsia in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD K30 - Functional dyspepsia | 5.81 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD K30 - Functional dyspepsia | 26.67 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD K30 - Functional dyspepsia | 20.44 | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD K30 - Functional dyspepsia | $2,759,707 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD K30 - Functional dyspepsia | $1,003 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD K30 - Functional dyspepsia | $5,822 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD K30 - Functional dyspepsia | $17,311,646 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD K30 - Functional dyspepsia | $36,522 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K30 - Functional dyspepsia | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD K30 - Functional dyspepsia | 11.81 | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD K30 - Functional dyspepsia | 60.55 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,987 | ||||
| Total Hospitalizations with ICD K30 - Functional dyspepsia | 410 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD K30 - Functional dyspepsia in DRG | 1.02 | ||||
| Avg LOS at DRG | 6.28 | ||||
| Avg LOS with ICD K30 - Functional dyspepsia | 10.66 | ||||
| Readmission Rate at DRG | 18.15 | ||||
| Readmission Rate with ICD K30 - Functional dyspepsia | 23.43 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD K30 - Functional dyspepsia | 13.85 | ||||
| Total Medicare payments at DRG | $704,450,909 | ||||
| Total Medicare payments with ICD K30 - Functional dyspepsia | $8,113,578 | ||||
| Total Medicare payment per Day at DRG | $2,610 | ||||
| Total Medicare payment per Day with ICD K30 - Functional dyspepsia | $1,857 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,388 | ||||
| Total Medicare payment per Hospitalization with ICD K30 - Functional dyspepsia | $19,789 | ||||
| Total Medicare Charges at DRG | $3,447,544,151 | ||||
| Total Medicare Charges with ICD K30 - Functional dyspepsia | $46,966,768 | ||||
| Avg Charges at DRG | $80,200 | ||||
| Avg Charges with ICD K30 - Functional dyspepsia | $114,553 | ||||
| Mortality Rate at DRG | 0.62 | ||||
| Mortality Rate with ICD K30 - Functional dyspepsia | NA | ||||
| SNF Discharge Rate at DRG | 13.32 | ||||
| SNF Discharge Rate with ICD K30 - Functional dyspepsia | 8.54 | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD K30 - Functional dyspepsia | 52.44 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SPRING HILL | 12440 CORTEZ BLVD | BROOKSVILLE | FL | 34613 | 434 |
| BUCHANAN GENERAL HOSPITAL | 1535 SLATE CREEK RD | GRUNDY | VA | 24614 | 352 |
| CLARA MAASS MEDICAL CENTER | 1 CLARA MAASS DR | BELLEVILLE | NJ | 07109 | 298 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JASHUBHAI G PATEL | 1520 SLATE CREEK RD | GRUNDY | VA | 24614 | 33 |
| Dr. MANOLITO B FIDEL | 23700 CAMINO DEL SOL | TORRANCE | CA | 90505 | 31 |
| Dr. CLINT HAROLD SALO | 17782 COWAN | IRVINE | CA | 92614 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JASHUBHAI G PATEL | 1520 SLATE CREEK RD | GRUNDY | VA | 24614 | 299 |
| Dr. SYED WAJAHAT ALI | 11451 CORTEZ BLVD | BROOKSVILLE | FL | 34613 | 237 |
| Dr. DAMASO A OLIVA | 343 W HOUSTON ST | SAN ANTONIO | TX | 78205 | 157 |