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K316 - ICD 10 Diagnosis Code - Fistula of stomach and duodenum - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to K316 - Fistula of stomach and duodenum

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

K316 - Fistula of stomach and duodenum - as a primary diagnosis code K316 - Fistula of stomach and duodenum - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 14.85
Readmission Rate (%) 35.58
Unplanned Readmission Rate (%) 17.27
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

Top DRGs Associated With K316 - Fistula of stomach and duodenum - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 42,987
Total Hospitalizations with ICD K316 - Fistula of stomach and duodenum 326
DRG Share of Total Hospitalizations 0.13
% of Total ICD K316 - Fistula of stomach and duodenum in DRG 21.5
Avg LOS at DRG 6.28
Avg LOS with ICD K316 - Fistula of stomach and duodenum 6.97
Readmission Rate at DRG 18.15
Readmission Rate with ICD K316 - Fistula of stomach and duodenum 20.38
Unplanned Readmission Rate at DRG 12.13
Unplanned Readmission Rate with ICD K316 - Fistula of stomach and duodenum 14.33
Total Medicare payments at DRG $704,450,909
Total Medicare payments with ICD K316 - Fistula of stomach and duodenum $5,081,773
Total Medicare payment per Day at DRG $2,610
Total Medicare payment per Day with ICD K316 - Fistula of stomach and duodenum $2,238
Total Medicare payment per Hospitalization at DRG $16,388
Total Medicare payment per Hospitalization with ICD K316 - Fistula of stomach and duodenum $15,588
Total Medicare Charges at DRG $3,447,544,151
Total Medicare Charges with ICD K316 - Fistula of stomach and duodenum $23,696,589
Avg Charges at DRG $80,200
Avg Charges with ICD K316 - Fistula of stomach and duodenum $72,689
Mortality Rate at DRG 0.62
Mortality Rate with ICD K316 - Fistula of stomach and duodenum NA
SNF Discharge Rate at DRG 13.32
SNF Discharge Rate with ICD K316 - Fistula of stomach and duodenum 17.48
Home Discharge Rate at DRG 59.56
Home Discharge Rate with ICD K316 - Fistula of stomach and duodenum 48.16

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH 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)
Total Hospitalizations at DRG 23,795
Total Hospitalizations with ICD K316 - Fistula of stomach and duodenum 43
DRG Share of Total Hospitalizations 0.07
% of Total ICD K316 - Fistula of stomach and duodenum in DRG 2.84
Avg LOS at DRG 5.76
Avg LOS with ICD K316 - Fistula of stomach and duodenum 5.84
Readmission Rate at DRG 22.8
Readmission Rate with ICD K316 - Fistula of stomach and duodenum NA
Unplanned Readmission Rate at DRG 15.79
Unplanned Readmission Rate with ICD K316 - Fistula of stomach and duodenum NA
Total Medicare payments at DRG $318,968,562
Total Medicare payments with ICD K316 - Fistula of stomach and duodenum $555,204
Total Medicare payment per Day at DRG $2,326
Total Medicare payment per Day with ICD K316 - Fistula of stomach and duodenum $2,212
Total Medicare payment per Hospitalization at DRG $13,405
Total Medicare payment per Hospitalization with ICD K316 - Fistula of stomach and duodenum $12,912
Total Medicare Charges at DRG $1,616,786,200
Total Medicare Charges with ICD K316 - Fistula of stomach and duodenum $3,066,638
Avg Charges at DRG $67,946
Avg Charges with ICD K316 - Fistula of stomach and duodenum $71,317
Mortality Rate at DRG 1.17
Mortality Rate with ICD K316 - Fistula of stomach and duodenum NA
SNF Discharge Rate at DRG 14.59
SNF Discharge Rate with ICD K316 - Fistula of stomach and duodenum NA
Home Discharge Rate at DRG 56.77
Home Discharge Rate with ICD K316 - Fistula of stomach and duodenum 44.19

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 30,689
Total Hospitalizations with ICD K316 - Fistula of stomach and duodenum 17
DRG Share of Total Hospitalizations 0.09
% of Total ICD K316 - Fistula of stomach and duodenum in DRG 1.12
Avg LOS at DRG 7.62
Avg LOS with ICD K316 - Fistula of stomach and duodenum 3.94
Readmission Rate at DRG 15.2
Readmission Rate with ICD K316 - Fistula of stomach and duodenum NA
Unplanned Readmission Rate at DRG 10.41
Unplanned Readmission Rate with ICD K316 - Fistula of stomach and duodenum NA
Total Medicare payments at DRG $451,870,690
Total Medicare payments with ICD K316 - Fistula of stomach and duodenum $236,503
Total Medicare payment per Day at DRG $1,931
Total Medicare payment per Day with ICD K316 - Fistula of stomach and duodenum $3,530
Total Medicare payment per Hospitalization at DRG $14,724
Total Medicare payment per Hospitalization with ICD K316 - Fistula of stomach and duodenum $13,912
Total Medicare Charges at DRG $2,328,618,768
Total Medicare Charges with ICD K316 - Fistula of stomach and duodenum $1,204,418
Avg Charges at DRG $75,878
Avg Charges with ICD K316 - Fistula of stomach and duodenum $70,848
Mortality Rate at DRG 0.31
Mortality Rate with ICD K316 - Fistula of stomach and duodenum NA
SNF Discharge Rate at DRG 13.82
SNF Discharge Rate with ICD K316 - Fistula of stomach and duodenum NA
Home Discharge Rate at DRG 61.62
Home Discharge Rate with ICD K316 - Fistula of stomach and duodenum 82.35

Top Hospitals Associated With K316 - Fistula of stomach and duodenum - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
UNIVERSITY OF VIRGINIA HEALTH SYSTEM UNIVERSITY HOSPITAL 1215 LEE ST PFS CHARLOTTESVILLE VA 22908 18
OHIO STATE UNIVERSITY HOSPITAL 410 W 10TH AVE COLUMBUS OH 43210 13
ADVENTHEALTH ORLANDO 601 E ROLLINS ST ORLANDO FL 32803 11

Top DRGs Associated With K316 - Fistula of stomach and duodenum - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH 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 39,906
Total Hospitalizations with ICD K316 - Fistula of stomach and duodenum 1,038
DRG Share of Total Hospitalizations 0.12
% of Total ICD K316 - Fistula of stomach and duodenum in DRG 11.05
Avg LOS at DRG 12.58
Avg LOS with ICD K316 - Fistula of stomach and duodenum 18.76
Readmission Rate at DRG 30.9
Readmission Rate with ICD K316 - Fistula of stomach and duodenum 38.61
Unplanned Readmission Rate at DRG 16.7
Unplanned Readmission Rate with ICD K316 - Fistula of stomach and duodenum 19.63
Total Medicare payments at DRG $1,415,372,711
Total Medicare payments with ICD K316 - Fistula of stomach and duodenum $40,443,638
Total Medicare payment per Day at DRG $2,820
Total Medicare payment per Day with ICD K316 - Fistula of stomach and duodenum $2,077
Total Medicare payment per Hospitalization at DRG $35,468
Total Medicare payment per Hospitalization with ICD K316 - Fistula of stomach and duodenum $38,963
Total Medicare Charges at DRG $6,367,247,472
Total Medicare Charges with ICD K316 - Fistula of stomach and duodenum $218,379,220
Avg Charges at DRG $159,556
Avg Charges with ICD K316 - Fistula of stomach and duodenum $210,385
Mortality Rate at DRG 9.11
Mortality Rate with ICD K316 - Fistula of stomach and duodenum 6.84
SNF Discharge Rate at DRG 24.69
SNF Discharge Rate with ICD K316 - Fistula of stomach and duodenum 28.61
Home Discharge Rate at DRG 27.39
Home Discharge Rate with ICD K316 - Fistula of stomach and duodenum 19.27

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 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 378: G.I. HEMORRHAGE 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 130,303
Total Hospitalizations with ICD K316 - Fistula of stomach and duodenum 309
DRG Share of Total Hospitalizations 0.4
% of Total ICD K316 - Fistula of stomach and duodenum in DRG 3.29
Avg LOS at DRG 3.94
Avg LOS with ICD K316 - Fistula of stomach and duodenum 7.34
Readmission Rate at DRG 20.31
Readmission Rate with ICD K316 - Fistula of stomach and duodenum 38.19
Unplanned Readmission Rate at DRG 14.61
Unplanned Readmission Rate with ICD K316 - Fistula of stomach and duodenum 24.31
Total Medicare payments at DRG $778,992,768
Total Medicare payments with ICD K316 - Fistula of stomach and duodenum $2,391,389
Total Medicare payment per Day at DRG $1,517
Total Medicare payment per Day with ICD K316 - Fistula of stomach and duodenum $1,054
Total Medicare payment per Hospitalization at DRG $5,978
Total Medicare payment per Hospitalization with ICD K316 - Fistula of stomach and duodenum $7,739
Total Medicare Charges at DRG $4,222,655,144
Total Medicare Charges with ICD K316 - Fistula of stomach and duodenum $16,673,599
Avg Charges at DRG $32,406
Avg Charges with ICD K316 - Fistula of stomach and duodenum $53,960
Mortality Rate at DRG 0.93
Mortality Rate with ICD K316 - Fistula of stomach and duodenum NA
SNF Discharge Rate at DRG 14.17
SNF Discharge Rate with ICD K316 - Fistula of stomach and duodenum 25.57
Home Discharge Rate at DRG 60.3
Home Discharge Rate with ICD K316 - Fistula of stomach and duodenum 28.8

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 48,449
Total Hospitalizations with ICD K316 - Fistula of stomach and duodenum 171
DRG Share of Total Hospitalizations 0.15
% of Total ICD K316 - Fistula of stomach and duodenum in DRG 1.82
Avg LOS at DRG 29.97
Avg LOS with ICD K316 - Fistula of stomach and duodenum 63.68
Readmission Rate at DRG 76.3
Readmission Rate with ICD K316 - Fistula of stomach and duodenum 72.81
Unplanned Readmission Rate at DRG 6.46
Unplanned Readmission Rate with ICD K316 - Fistula of stomach and duodenum 10.53
Total Medicare payments at DRG $6,190,071,785
Total Medicare payments with ICD K316 - Fistula of stomach and duodenum $30,557,534
Total Medicare payment per Day at DRG $4,263
Total Medicare payment per Day with ICD K316 - Fistula of stomach and duodenum $2,806
Total Medicare payment per Hospitalization at DRG $127,765
Total Medicare payment per Hospitalization with ICD K316 - Fistula of stomach and duodenum $178,699
Total Medicare Charges at DRG $28,754,600,069
Total Medicare Charges with ICD K316 - Fistula of stomach and duodenum $184,234,864
Avg Charges at DRG $593,502
Avg Charges with ICD K316 - Fistula of stomach and duodenum $1,077,397
Mortality Rate at DRG 20.61
Mortality Rate with ICD K316 - Fistula of stomach and duodenum 27.49
SNF Discharge Rate at DRG 12.46
SNF Discharge Rate with ICD K316 - Fistula of stomach and duodenum 15.79
Home Discharge Rate at DRG 2.36
Home Discharge Rate with ICD K316 - Fistula of stomach and duodenum NA

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
Total Hospitalizations at DRG 26,121
Total Hospitalizations with ICD K316 - Fistula of stomach and duodenum 119
DRG Share of Total Hospitalizations 0.08
% of Total ICD K316 - Fistula of stomach and duodenum in DRG 1.27
Avg LOS at DRG 10.36
Avg LOS with ICD K316 - Fistula of stomach and duodenum 20.78
Readmission Rate at DRG 32.93
Readmission Rate with ICD K316 - Fistula of stomach and duodenum 45.19
Unplanned Readmission Rate at DRG 16.39
Unplanned Readmission Rate with ICD K316 - Fistula of stomach and duodenum 19.23
Total Medicare payments at DRG $736,047,335
Total Medicare payments with ICD K316 - Fistula of stomach and duodenum $5,118,921
Total Medicare payment per Day at DRG $2,719
Total Medicare payment per Day with ICD K316 - Fistula of stomach and duodenum $2,070
Total Medicare payment per Hospitalization at DRG $28,178
Total Medicare payment per Hospitalization with ICD K316 - Fistula of stomach and duodenum $43,016
Total Medicare Charges at DRG $3,553,256,627
Total Medicare Charges with ICD K316 - Fistula of stomach and duodenum $31,438,475
Avg Charges at DRG $136,031
Avg Charges with ICD K316 - Fistula of stomach and duodenum $264,189
Mortality Rate at DRG 5.78
Mortality Rate with ICD K316 - Fistula of stomach and duodenum NA
SNF Discharge Rate at DRG 22.6
SNF Discharge Rate with ICD K316 - Fistula of stomach and duodenum 20.17
Home Discharge Rate at DRG 32.22
Home Discharge Rate with ICD K316 - Fistula of stomach and duodenum 17.65

Top Hospitals Associated With K316 - Fistula of stomach and duodenum - as a primary or secondary diagnosis code

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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 81
BARNES JEWISH HOSPITAL 1 BARNES-JEWISH HOSPITAL PLZ SAINT LOUIS MO 63110 58
UNIVERSITY OF VIRGINIA HEALTH SYSTEM UNIVERSITY HOSPITAL 1215 LEE ST PFS CHARLOTTESVILLE VA 22908 50

Top Operating Physicians Associated With K316 - Fistula of stomach and duodenum - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. NECHEMIA B PELEG 4955 VAN NUYS BLVD SHERMAN OAKS CA 91403 16
Dr. BRUCE D. SCHIRMER UVA HOSPITAL CHARLOTTESVILLE VA 22908 13
Dr. CHRISTOPHER C THOMPSON 75 FRANCIS ST BOSTON MA 02115 12

Top Attending Physicians Associated With K316 - Fistula of stomach and duodenum - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. JOHN PRICE 4320 WORNALL RD KANSAS CITY MO 64111 16
Dr. BRUCE D. SCHIRMER UVA HOSPITAL CHARLOTTESVILLE VA 22908 16
Dr. BRIAN JAY KAPLAN 1250 E MARSHALL ST RICHMOND VA 23298 12