*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K317 - Polyp of stomach and duodenum - as a primary diagnosis code | K317 - Polyp of stomach and duodenum - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.95 | |
| Readmission Rate (%) | 23.32 | |
| Unplanned Readmission Rate (%) | 15.81 | |
| 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 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES 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 | 130,303 | ||||
| Total Hospitalizations with ICD K317 - Polyp of stomach and duodenum | 1,304 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K317 - Polyp of stomach and duodenum in DRG | 50.43 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K317 - Polyp of stomach and duodenum | 3.7 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K317 - Polyp of stomach and duodenum | 18.37 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K317 - Polyp of stomach and duodenum | 14.64 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K317 - Polyp of stomach and duodenum | $7,476,518 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K317 - Polyp of stomach and duodenum | $1,550 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K317 - Polyp of stomach and duodenum | $5,734 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K317 - Polyp of stomach and duodenum | $51,515,623 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K317 - Polyp of stomach and duodenum | $39,506 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K317 - Polyp of stomach and duodenum | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K317 - Polyp of stomach and duodenum | 9.82 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K317 - Polyp of stomach and duodenum | 71.4 |
*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 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH 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 | 30,887 | |||
| Total Hospitalizations with ICD K317 - Polyp of stomach and duodenum | 58 | |||
| DRG Share of Total Hospitalizations | 0.09 | |||
| % of Total ICD K317 - Polyp of stomach and duodenum in DRG | 2.24 | |||
| Avg LOS at DRG | 2.85 | |||
| Avg LOS with ICD K317 - Polyp of stomach and duodenum | 4.93 | |||
| Readmission Rate at DRG | 8.44 | |||
| Readmission Rate with ICD K317 - Polyp of stomach and duodenum | 19.64 | |||
| Unplanned Readmission Rate at DRG | 5.81 | |||
| Unplanned Readmission Rate with ICD K317 - Polyp of stomach and duodenum | NA | |||
| Total Medicare payments at DRG | $281,745,159 | |||
| Total Medicare payments with ICD K317 - Polyp of stomach and duodenum | $605,892 | |||
| Total Medicare payment per Day at DRG | $3,206 | |||
| Total Medicare payment per Day with ICD K317 - Polyp of stomach and duodenum | $2,119 | |||
| Total Medicare payment per Hospitalization at DRG | $9,122 | |||
| Total Medicare payment per Hospitalization with ICD K317 - Polyp of stomach and duodenum | $10,446 | |||
| Total Medicare Charges at DRG | $1,697,715,246 | |||
| Total Medicare Charges with ICD K317 - Polyp of stomach and duodenum | $2,926,066 | |||
| Avg Charges at DRG | $54,965 | |||
| Avg Charges with ICD K317 - Polyp of stomach and duodenum | $50,449 | |||
| Mortality Rate at DRG | 0.05 | |||
| Mortality Rate with ICD K317 - Polyp of stomach and duodenum | NA | |||
| SNF Discharge Rate at DRG | 3.76 | |||
| SNF Discharge Rate with ICD K317 - Polyp of stomach and duodenum | NA | |||
| Home Discharge Rate at DRG | 86.53 | |||
| Home Discharge Rate with ICD K317 - Polyp of stomach and duodenum | 86.21 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 16 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K317 - Polyp of stomach and duodenum | 11,193 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K317 - Polyp of stomach and duodenum in DRG | 18.3 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K317 - Polyp of stomach and duodenum | 3.81 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K317 - Polyp of stomach and duodenum | 17.66 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K317 - Polyp of stomach and duodenum | 13.52 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K317 - Polyp of stomach and duodenum | $67,703,095 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K317 - Polyp of stomach and duodenum | $1,590 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K317 - Polyp of stomach and duodenum | $6,049 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K317 - Polyp of stomach and duodenum | $417,885,040 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K317 - Polyp of stomach and duodenum | $37,334 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K317 - Polyp of stomach and duodenum | 0.13 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K317 - Polyp of stomach and duodenum | 12.96 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K317 - Polyp of stomach and duodenum | 65.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 379: G.I. HEMORRHAGE 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) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 68,111 | ||||
| Total Hospitalizations with ICD K317 - Polyp of stomach and duodenum | 1,556 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K317 - Polyp of stomach and duodenum in DRG | 2.54 | ||||
| Avg LOS at DRG | 2.39 | ||||
| Avg LOS with ICD K317 - Polyp of stomach and duodenum | 2.74 | ||||
| Readmission Rate at DRG | 11.08 | ||||
| Readmission Rate with ICD K317 - Polyp of stomach and duodenum | 9.97 | ||||
| Unplanned Readmission Rate at DRG | 8.15 | ||||
| Unplanned Readmission Rate with ICD K317 - Polyp of stomach and duodenum | 7.25 | ||||
| Total Medicare payments at DRG | $254,469,696 | ||||
| Total Medicare payments with ICD K317 - Polyp of stomach and duodenum | $5,945,402 | ||||
| Total Medicare payment per Day at DRG | $1,562 | ||||
| Total Medicare payment per Day with ICD K317 - Polyp of stomach and duodenum | $1,394 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,736 | ||||
| Total Medicare payment per Hospitalization with ICD K317 - Polyp of stomach and duodenum | $3,821 | ||||
| Total Medicare Charges at DRG | $1,450,920,901 | ||||
| Total Medicare Charges with ICD K317 - Polyp of stomach and duodenum | $42,956,043 | ||||
| Avg Charges at DRG | $21,302 | ||||
| Avg Charges with ICD K317 - Polyp of stomach and duodenum | $27,607 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD K317 - Polyp of stomach and duodenum | NA | ||||
| SNF Discharge Rate at DRG | 7.64 | ||||
| SNF Discharge Rate with ICD K317 - Polyp of stomach and duodenum | 6.88 | ||||
| Home Discharge Rate at DRG | 75.95 | ||||
| Home Discharge Rate with ICD K317 - Polyp of stomach and duodenum | 82.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD K317 - Polyp of stomach and duodenum | 799 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD K317 - Polyp of stomach and duodenum in DRG | 1.31 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD K317 - Polyp of stomach and duodenum | 7.67 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD K317 - Polyp of stomach and duodenum | 30.26 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD K317 - Polyp of stomach and duodenum | 22.76 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD K317 - Polyp of stomach and duodenum | $8,049,153 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD K317 - Polyp of stomach and duodenum | $1,314 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD K317 - Polyp of stomach and duodenum | $10,074 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD K317 - Polyp of stomach and duodenum | $53,347,915 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD K317 - Polyp of stomach and duodenum | $66,768 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD K317 - Polyp of stomach and duodenum | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD K317 - Polyp of stomach and duodenum | 21.28 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD K317 - Polyp of stomach and duodenum | 41.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 | 43,664 | ||||
| Total Hospitalizations with ICD K317 - Polyp of stomach and duodenum | 525 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD K317 - Polyp of stomach and duodenum in DRG | 0.86 | ||||
| Avg LOS at DRG | 4.85 | ||||
| Avg LOS with ICD K317 - Polyp of stomach and duodenum | 5.12 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD K317 - Polyp of stomach and duodenum | 33.53 | ||||
| Unplanned Readmission Rate at DRG | 18.47 | ||||
| Unplanned Readmission Rate with ICD K317 - Polyp of stomach and duodenum | 13.25 | ||||
| Total Medicare payments at DRG | $359,623,549 | ||||
| Total Medicare payments with ICD K317 - Polyp of stomach and duodenum | $4,139,282 | ||||
| Total Medicare payment per Day at DRG | $1,698 | ||||
| Total Medicare payment per Day with ICD K317 - Polyp of stomach and duodenum | $1,539 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,236 | ||||
| Total Medicare payment per Hospitalization with ICD K317 - Polyp of stomach and duodenum | $7,884 | ||||
| Total Medicare Charges at DRG | $1,799,320,832 | ||||
| Total Medicare Charges with ICD K317 - Polyp of stomach and duodenum | $26,295,895 | ||||
| Avg Charges at DRG | $41,208 | ||||
| Avg Charges with ICD K317 - Polyp of stomach and duodenum | $50,087 | ||||
| Mortality Rate at DRG | 3.31 | ||||
| Mortality Rate with ICD K317 - Polyp of stomach and duodenum | NA | ||||
| SNF Discharge Rate at DRG | 10.13 | ||||
| SNF Discharge Rate with ICD K317 - Polyp of stomach and duodenum | 10.29 | ||||
| Home Discharge Rate at DRG | 48.24 | ||||
| Home Discharge Rate with ICD K317 - Polyp of stomach and duodenum | 57.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 237 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 214 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 186 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HERSHEL JACKSON | 3990 JOHN R ST | DETROIT | MI | 48201 | 140 |
| Dr. ASHOK KUMAR KUMAR DHADUVAI | 2901 US HIGHWAY 301 | ELLENTON | FL | 34222 | 48 |
| Dr. DEB K. MUKHOPADHYAY | 653 N TOWN CENTER DR | LAS VEGAS | NV | 89144 | 43 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MELVIN MURPHY | 23077 GREENFIELD RD | SOUTHFIELD | MI | 48075 | 60 |
| Dr. KEVIN M REID | 425 W GRAND AVE | DAYTON | OH | 45405 | 37 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 30 |