*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K315 - Obstruction of duodenum - as a primary diagnosis code | K315 - Obstruction of duodenum - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.83 | |
| Readmission Rate (%) | 27.78 | |
| Unplanned Readmission Rate (%) | 18.31 | |
| 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 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 K315 - Obstruction of duodenum | 1,155 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD K315 - Obstruction of duodenum in DRG | 34.01 | ||||
| Avg LOS at DRG | 3.98 | ||||
| Avg LOS with ICD K315 - Obstruction of duodenum | 4.96 | ||||
| Readmission Rate at DRG | 20.75 | ||||
| Readmission Rate with ICD K315 - Obstruction of duodenum | 25.84 | ||||
| Unplanned Readmission Rate at DRG | 15.25 | ||||
| Unplanned Readmission Rate with ICD K315 - Obstruction of duodenum | 17.68 | ||||
| Total Medicare payments at DRG | $150,069,407 | ||||
| Total Medicare payments with ICD K315 - Obstruction of duodenum | $8,550,174 | ||||
| Total Medicare payment per Day at DRG | $1,665 | ||||
| Total Medicare payment per Day with ICD K315 - Obstruction of duodenum | $1,492 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,621 | ||||
| Total Medicare payment per Hospitalization with ICD K315 - Obstruction of duodenum | $7,403 | ||||
| Total Medicare Charges at DRG | $841,069,885 | ||||
| Total Medicare Charges with ICD K315 - Obstruction of duodenum | $50,597,046 | ||||
| Avg Charges at DRG | $37,107 | ||||
| Avg Charges with ICD K315 - Obstruction of duodenum | $43,807 | ||||
| Mortality Rate at DRG | 0.6 | ||||
| Mortality Rate with ICD K315 - Obstruction of duodenum | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD K315 - Obstruction of duodenum | 10.04 | ||||
| Home Discharge Rate at DRG | 58.25 | ||||
| Home Discharge Rate with ICD K315 - Obstruction of duodenum | 56.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,887 | ||||
| Total Hospitalizations with ICD K315 - Obstruction of duodenum | 97 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K315 - Obstruction of duodenum in DRG | 2.86 | ||||
| Avg LOS at DRG | 2.85 | ||||
| Avg LOS with ICD K315 - Obstruction of duodenum | 5.24 | ||||
| Readmission Rate at DRG | 8.44 | ||||
| Readmission Rate with ICD K315 - Obstruction of duodenum | 13.98 | ||||
| Unplanned Readmission Rate at DRG | 5.81 | ||||
| Unplanned Readmission Rate with ICD K315 - Obstruction of duodenum | NA | ||||
| Total Medicare payments at DRG | $281,745,159 | ||||
| Total Medicare payments with ICD K315 - Obstruction of duodenum | $854,189 | ||||
| Total Medicare payment per Day at DRG | $3,206 | ||||
| Total Medicare payment per Day with ICD K315 - Obstruction of duodenum | $1,681 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,122 | ||||
| Total Medicare payment per Hospitalization with ICD K315 - Obstruction of duodenum | $8,806 | ||||
| Total Medicare Charges at DRG | $1,697,715,246 | ||||
| Total Medicare Charges with ICD K315 - Obstruction of duodenum | $5,078,294 | ||||
| Avg Charges at DRG | $54,965 | ||||
| Avg Charges with ICD K315 - Obstruction of duodenum | $52,354 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD K315 - Obstruction of duodenum | NA | ||||
| SNF Discharge Rate at DRG | 3.76 | ||||
| SNF Discharge Rate with ICD K315 - Obstruction of duodenum | NA | ||||
| Home Discharge Rate at DRG | 86.53 | ||||
| Home Discharge Rate with ICD K315 - Obstruction of duodenum | 82.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,594 | |||
| Total Hospitalizations with ICD K315 - Obstruction of duodenum | 20 | |||
| DRG Share of Total Hospitalizations | 0.05 | |||
| % of Total ICD K315 - Obstruction of duodenum in DRG | 0.59 | |||
| Avg LOS at DRG | 12.13 | |||
| Avg LOS with ICD K315 - Obstruction of duodenum | 13.75 | |||
| Readmission Rate at DRG | 25.35 | |||
| Readmission Rate with ICD K315 - Obstruction of duodenum | NA | |||
| Unplanned Readmission Rate at DRG | 13.98 | |||
| Unplanned Readmission Rate with ICD K315 - Obstruction of duodenum | NA | |||
| Total Medicare payments at DRG | $474,877,451 | |||
| Total Medicare payments with ICD K315 - Obstruction of duodenum | $842,252 | |||
| Total Medicare payment per Day at DRG | $2,226 | |||
| Total Medicare payment per Day with ICD K315 - Obstruction of duodenum | $3,063 | |||
| Total Medicare payment per Hospitalization at DRG | $26,991 | |||
| Total Medicare payment per Hospitalization with ICD K315 - Obstruction of duodenum | $42,113 | |||
| Total Medicare Charges at DRG | $2,299,623,294 | |||
| Total Medicare Charges with ICD K315 - Obstruction of duodenum | $4,281,497 | |||
| Avg Charges at DRG | $130,705 | |||
| Avg Charges with ICD K315 - Obstruction of duodenum | $214,075 | |||
| Mortality Rate at DRG | 6.92 | |||
| Mortality Rate with ICD K315 - Obstruction of duodenum | NA | |||
| SNF Discharge Rate at DRG | 26.1 | |||
| SNF Discharge Rate with ICD K315 - Obstruction of duodenum | NA | |||
| Home Discharge Rate at DRG | 31.48 | |||
| Home Discharge Rate with ICD K315 - Obstruction of duodenum | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 22 |
| BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 16 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 16 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 22,666 | ||||
| Total Hospitalizations with ICD K315 - Obstruction of duodenum | 1,585 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD K315 - Obstruction of duodenum in DRG | 8.74 | ||||
| Avg LOS at DRG | 3.98 | ||||
| Avg LOS with ICD K315 - Obstruction of duodenum | 4.92 | ||||
| Readmission Rate at DRG | 20.75 | ||||
| Readmission Rate with ICD K315 - Obstruction of duodenum | 27.21 | ||||
| Unplanned Readmission Rate at DRG | 15.25 | ||||
| Unplanned Readmission Rate with ICD K315 - Obstruction of duodenum | 18.66 | ||||
| Total Medicare payments at DRG | $150,069,407 | ||||
| Total Medicare payments with ICD K315 - Obstruction of duodenum | $11,697,284 | ||||
| Total Medicare payment per Day at DRG | $1,665 | ||||
| Total Medicare payment per Day with ICD K315 - Obstruction of duodenum | $1,500 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,621 | ||||
| Total Medicare payment per Hospitalization with ICD K315 - Obstruction of duodenum | $7,380 | ||||
| Total Medicare Charges at DRG | $841,069,885 | ||||
| Total Medicare Charges with ICD K315 - Obstruction of duodenum | $70,136,912 | ||||
| Avg Charges at DRG | $37,107 | ||||
| Avg Charges with ICD K315 - Obstruction of duodenum | $44,250 | ||||
| Mortality Rate at DRG | 0.6 | ||||
| Mortality Rate with ICD K315 - Obstruction of duodenum | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD K315 - Obstruction of duodenum | 9.59 | ||||
| Home Discharge Rate at DRG | 58.25 | ||||
| Home Discharge Rate with ICD K315 - Obstruction of duodenum | 57.16 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,987 | ||||
| Total Hospitalizations with ICD K315 - Obstruction of duodenum | 799 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD K315 - Obstruction of duodenum in DRG | 4.41 | ||||
| Avg LOS at DRG | 6.28 | ||||
| Avg LOS with ICD K315 - Obstruction of duodenum | 10.6 | ||||
| Readmission Rate at DRG | 18.15 | ||||
| Readmission Rate with ICD K315 - Obstruction of duodenum | 24.29 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD K315 - Obstruction of duodenum | 16.75 | ||||
| Total Medicare payments at DRG | $704,450,909 | ||||
| Total Medicare payments with ICD K315 - Obstruction of duodenum | $13,794,058 | ||||
| Total Medicare payment per Day at DRG | $2,610 | ||||
| Total Medicare payment per Day with ICD K315 - Obstruction of duodenum | $1,628 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,388 | ||||
| Total Medicare payment per Hospitalization with ICD K315 - Obstruction of duodenum | $17,264 | ||||
| Total Medicare Charges at DRG | $3,447,544,151 | ||||
| Total Medicare Charges with ICD K315 - Obstruction of duodenum | $83,330,843 | ||||
| Avg Charges at DRG | $80,200 | ||||
| Avg Charges with ICD K315 - Obstruction of duodenum | $104,294 | ||||
| Mortality Rate at DRG | 0.62 | ||||
| Mortality Rate with ICD K315 - Obstruction of duodenum | NA | ||||
| SNF Discharge Rate at DRG | 13.32 | ||||
| SNF Discharge Rate with ICD K315 - Obstruction of duodenum | 13.14 | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD K315 - Obstruction of duodenum | 53.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,894 | ||||
| Total Hospitalizations with ICD K315 - Obstruction of duodenum | 371 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD K315 - Obstruction of duodenum in DRG | 2.05 | ||||
| Avg LOS at DRG | 4.56 | ||||
| Avg LOS with ICD K315 - Obstruction of duodenum | 6.18 | ||||
| Readmission Rate at DRG | 28.1 | ||||
| Readmission Rate with ICD K315 - Obstruction of duodenum | 31.37 | ||||
| Unplanned Readmission Rate at DRG | 20.72 | ||||
| Unplanned Readmission Rate with ICD K315 - Obstruction of duodenum | 20.5 | ||||
| Total Medicare payments at DRG | $195,828,532 | ||||
| Total Medicare payments with ICD K315 - Obstruction of duodenum | $3,222,429 | ||||
| Total Medicare payment per Day at DRG | $1,657 | ||||
| Total Medicare payment per Day with ICD K315 - Obstruction of duodenum | $1,407 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,563 | ||||
| Total Medicare payment per Hospitalization with ICD K315 - Obstruction of duodenum | $8,686 | ||||
| Total Medicare Charges at DRG | $1,026,791,842 | ||||
| Total Medicare Charges with ICD K315 - Obstruction of duodenum | $21,887,375 | ||||
| Avg Charges at DRG | $39,654 | ||||
| Avg Charges with ICD K315 - Obstruction of duodenum | $58,996 | ||||
| Mortality Rate at DRG | 5.45 | ||||
| Mortality Rate with ICD K315 - Obstruction of duodenum | 3.23 | ||||
| SNF Discharge Rate at DRG | 9.23 | ||||
| SNF Discharge Rate with ICD K315 - Obstruction of duodenum | 7.55 | ||||
| Home Discharge Rate at DRG | 45.39 | ||||
| Home Discharge Rate with ICD K315 - Obstruction of duodenum | 47.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 384: UNCOMPLICATED PEPTIC ULCER WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 382: COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,399 | ||||
| Total Hospitalizations with ICD K315 - Obstruction of duodenum | 289 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K315 - Obstruction of duodenum in DRG | 1.59 | ||||
| Avg LOS at DRG | 10.08 | ||||
| Avg LOS with ICD K315 - Obstruction of duodenum | 12.97 | ||||
| Readmission Rate at DRG | 30.77 | ||||
| Readmission Rate with ICD K315 - Obstruction of duodenum | 35.27 | ||||
| Unplanned Readmission Rate at DRG | 18.51 | ||||
| Unplanned Readmission Rate with ICD K315 - Obstruction of duodenum | 23.26 | ||||
| Total Medicare payments at DRG | $196,785,449 | ||||
| Total Medicare payments with ICD K315 - Obstruction of duodenum | $8,446,257 | ||||
| Total Medicare payment per Day at DRG | $2,637 | ||||
| Total Medicare payment per Day with ICD K315 - Obstruction of duodenum | $2,253 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,596 | ||||
| Total Medicare payment per Hospitalization with ICD K315 - Obstruction of duodenum | $29,226 | ||||
| Total Medicare Charges at DRG | $810,338,749 | ||||
| Total Medicare Charges with ICD K315 - Obstruction of duodenum | $40,212,885 | ||||
| Avg Charges at DRG | $109,520 | ||||
| Avg Charges with ICD K315 - Obstruction of duodenum | $139,145 | ||||
| Mortality Rate at DRG | 5.53 | ||||
| Mortality Rate with ICD K315 - Obstruction of duodenum | 7.27 | ||||
| SNF Discharge Rate at DRG | 19.87 | ||||
| SNF Discharge Rate with ICD K315 - Obstruction of duodenum | 15.92 | ||||
| Home Discharge Rate at DRG | 31.45 | ||||
| Home Discharge Rate with ICD K315 - Obstruction of duodenum | 28.37 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 142 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 133 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 97 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TEODOR CRISTIAN PITEA | 14416 W MEEKER BLVD BLDG C | SUN CITY WEST | AZ | 85375 | 32 |
| Dr. STUART KEVIN AMATEAU | 12605 E 16TH AVE | AURORA | CO | 80045 | 29 |
| Dr. HANS GERDES | 1275 YORK AVE | NEW YORK | NY | 10021 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KATHERINE MORGAN | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 13 |
| Dr. CHHAVI BANSAL KUMAR | 550 1ST AVE | NEW YORK | NY | 10016 | 13 |
| Dr. TABITHA GORING | 1275 YORK AVE | NEW YORK | NY | 10065 | 13 |