*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K319 - Disease of stomach and duodenum, unspecified - as a primary diagnosis code | K319 - Disease of stomach and duodenum, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.08 | |
| Readmission Rate (%) | 25.65 | |
| Unplanned Readmission Rate (%) | 15.16 | |
| 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 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K319 - Disease of stomach and duodenum, unspecified | 644 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K319 - Disease of stomach and duodenum, unspecified in DRG | 60.98 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K319 - Disease of stomach and duodenum, unspecified | 3.17 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 18.03 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 13.86 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K319 - Disease of stomach and duodenum, unspecified | $2,919,596 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K319 - Disease of stomach and duodenum, unspecified | $1,429 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K319 - Disease of stomach and duodenum, unspecified | $4,534 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K319 - Disease of stomach and duodenum, unspecified | $22,548,026 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K319 - Disease of stomach and duodenum, unspecified | $35,012 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K319 - Disease of stomach and duodenum, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 9.16 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 70.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 | 25,783 | |
| Total Hospitalizations with ICD K319 - Disease of stomach and duodenum, unspecified | 19 | |
| DRG Share of Total Hospitalizations | 0.08 | |
| % of Total ICD K319 - Disease of stomach and duodenum, unspecified in DRG | 1.8 | |
| Avg LOS at DRG | 10.43 | |
| Avg LOS with ICD K319 - Disease of stomach and duodenum, unspecified | 6.63 | |
| Readmission Rate at DRG | 32.71 | |
| Readmission Rate with ICD K319 - Disease of stomach and duodenum, unspecified | NA | |
| Unplanned Readmission Rate at DRG | 21.41 | |
| Unplanned Readmission Rate with ICD K319 - Disease of stomach and duodenum, unspecified | NA | |
| Total Medicare payments at DRG | $679,252,743 | |
| Total Medicare payments with ICD K319 - Disease of stomach and duodenum, unspecified | $496,439 | |
| Total Medicare payment per Day at DRG | $2,526 | |
| Total Medicare payment per Day with ICD K319 - Disease of stomach and duodenum, unspecified | $3,940 | |
| Total Medicare payment per Hospitalization at DRG | $26,345 | |
| Total Medicare payment per Hospitalization with ICD K319 - Disease of stomach and duodenum, unspecified | $26,128 | |
| Total Medicare Charges at DRG | $3,189,491,346 | |
| Total Medicare Charges with ICD K319 - Disease of stomach and duodenum, unspecified | $1,176,449 | |
| Avg Charges at DRG | $123,705 | |
| Avg Charges with ICD K319 - Disease of stomach and duodenum, unspecified | $61,918 | |
| Mortality Rate at DRG | 9.27 | |
| Mortality Rate with ICD K319 - Disease of stomach and duodenum, unspecified | NA | |
| SNF Discharge Rate at DRG | 24.4 | |
| SNF Discharge Rate with ICD K319 - Disease of stomach and duodenum, unspecified | NA | |
| Home Discharge Rate at DRG | 30.46 | |
| Home Discharge Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 68.42 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K319 - Disease of stomach and duodenum, unspecified | 5,682 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K319 - Disease of stomach and duodenum, unspecified in DRG | 15.41 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K319 - Disease of stomach and duodenum, unspecified | 3.58 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 18.79 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 14.5 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K319 - Disease of stomach and duodenum, unspecified | $34,683,201 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K319 - Disease of stomach and duodenum, unspecified | $1,707 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K319 - Disease of stomach and duodenum, unspecified | $6,104 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K319 - Disease of stomach and duodenum, unspecified | $207,150,429 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K319 - Disease of stomach and duodenum, unspecified | $36,457 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 0.25 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 11.62 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 67.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,422 | ||||
| Total Hospitalizations with ICD K319 - Disease of stomach and duodenum, unspecified | 962 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD K319 - Disease of stomach and duodenum, unspecified in DRG | 2.61 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD K319 - Disease of stomach and duodenum, unspecified | 5.21 | ||||
| Readmission Rate at DRG | 26.98 | ||||
| Readmission Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 26.82 | ||||
| Unplanned Readmission Rate at DRG | 20.97 | ||||
| Unplanned Readmission Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 19.87 | ||||
| Total Medicare payments at DRG | $1,078,703,587 | ||||
| Total Medicare payments with ICD K319 - Disease of stomach and duodenum, unspecified | $7,841,239 | ||||
| Total Medicare payment per Day at DRG | $1,614 | ||||
| Total Medicare payment per Day with ICD K319 - Disease of stomach and duodenum, unspecified | $1,565 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,025 | ||||
| Total Medicare payment per Hospitalization with ICD K319 - Disease of stomach and duodenum, unspecified | $8,151 | ||||
| Total Medicare Charges at DRG | $5,564,930,414 | ||||
| Total Medicare Charges with ICD K319 - Disease of stomach and duodenum, unspecified | $47,246,428 | ||||
| Avg Charges at DRG | $41,399 | ||||
| Avg Charges with ICD K319 - Disease of stomach and duodenum, unspecified | $49,113 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 1.46 | ||||
| SNF Discharge Rate at DRG | 16.97 | ||||
| SNF Discharge Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 14.66 | ||||
| Home Discharge Rate at DRG | 52.45 | ||||
| Home Discharge Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 59.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K319 - Disease of stomach and duodenum, unspecified | 445 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K319 - Disease of stomach and duodenum, unspecified in DRG | 1.21 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K319 - Disease of stomach and duodenum, unspecified | 4.39 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 19.71 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 14.6 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K319 - Disease of stomach and duodenum, unspecified | $2,660,464 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K319 - Disease of stomach and duodenum, unspecified | $1,363 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K319 - Disease of stomach and duodenum, unspecified | $5,979 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K319 - Disease of stomach and duodenum, unspecified | $20,149,844 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K319 - Disease of stomach and duodenum, unspecified | $45,281 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K319 - Disease of stomach and duodenum, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 12.13 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 63.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 384: UNCOMPLICATED PEPTIC ULCER WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,838 | ||||
| Total Hospitalizations with ICD K319 - Disease of stomach and duodenum, unspecified | 295 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD K319 - Disease of stomach and duodenum, unspecified in DRG | 0.8 | ||||
| Avg LOS at DRG | 3.16 | ||||
| Avg LOS with ICD K319 - Disease of stomach and duodenum, unspecified | 3.25 | ||||
| Readmission Rate at DRG | 15.39 | ||||
| Readmission Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 17.96 | ||||
| Unplanned Readmission Rate at DRG | 11.63 | ||||
| Unplanned Readmission Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 12.68 | ||||
| Total Medicare payments at DRG | $79,577,907 | ||||
| Total Medicare payments with ICD K319 - Disease of stomach and duodenum, unspecified | $1,516,395 | ||||
| Total Medicare payment per Day at DRG | $1,591 | ||||
| Total Medicare payment per Day with ICD K319 - Disease of stomach and duodenum, unspecified | $1,580 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,024 | ||||
| Total Medicare payment per Hospitalization with ICD K319 - Disease of stomach and duodenum, unspecified | $5,140 | ||||
| Total Medicare Charges at DRG | $498,461,424 | ||||
| Total Medicare Charges with ICD K319 - Disease of stomach and duodenum, unspecified | $10,285,456 | ||||
| Avg Charges at DRG | $31,472 | ||||
| Avg Charges with ICD K319 - Disease of stomach and duodenum, unspecified | $34,866 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD K319 - Disease of stomach and duodenum, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.59 | ||||
| SNF Discharge Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 7.46 | ||||
| Home Discharge Rate at DRG | 75.58 | ||||
| Home Discharge Rate with ICD K319 - Disease of stomach and duodenum, unspecified | 78.31 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FORT DUNCAN MEDICAL CENTER | 3333 N FOSTER MALDONADO BLVD | EAGLE PASS | TX | 78852 | 718 |
| CARILION ROANOKE MEMORIAL HOSPITAL | 1906 BELLEVIEW AVE SE | ROANOKE | VA | 24014 | 242 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 213 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD ROTNICKI | 1100 HOUBOLT RD | JOLIET | IL | 60431 | 93 |
| Dr. FRANK FARIS | 3150 N TENAYA WAY | LAS VEGAS | NV | 89128 | 93 |
| Dr. LUIS GUTIERREZ-PERRY | 3406 BOB ROGERS DR. | EAGLE PASS | TX | 78852 | 93 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 668 |
| Dr. C. DEAN MILNE | 2010 GOLDRING AVE. | LAS VEGAS | NV | 89106 | 31 |
| Dr. RUBEN DE LOS SANTOS | 1955 EAST MAIN ST | EAGLE PASS | TX | 78852 | 30 |