*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K36 - Other appendicitis - as a primary diagnosis code | K36 - Other appendicitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.39 | |
| Readmission Rate (%) | 18.11 | |
| Unplanned Readmission Rate (%) | 10.95 | |
| 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 343: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 342: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K36 - Other appendicitis | 109 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K36 - Other appendicitis in DRG | 19.46 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K36 - Other appendicitis | 3.69 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K36 - Other appendicitis | 15.38 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K36 - Other appendicitis | 12.5 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K36 - Other appendicitis | $731,288 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K36 - Other appendicitis | $1,819 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K36 - Other appendicitis | $6,709 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K36 - Other appendicitis | $3,112,451 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K36 - Other appendicitis | $28,555 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K36 - Other appendicitis | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K36 - Other appendicitis | NA | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K36 - Other appendicitis | 70.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 341: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,182 | ||||
| Total Hospitalizations with ICD K36 - Other appendicitis | 34 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD K36 - Other appendicitis in DRG | 6.07 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD K36 - Other appendicitis | 4.5 | ||||
| Readmission Rate at DRG | 19.41 | ||||
| Readmission Rate with ICD K36 - Other appendicitis | NA | ||||
| Unplanned Readmission Rate at DRG | 12.09 | ||||
| Unplanned Readmission Rate with ICD K36 - Other appendicitis | NA | ||||
| Total Medicare payments at DRG | $32,101,415 | ||||
| Total Medicare payments with ICD K36 - Other appendicitis | $475,539 | ||||
| Total Medicare payment per Day at DRG | $2,370 | ||||
| Total Medicare payment per Day with ICD K36 - Other appendicitis | $3,108 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,712 | ||||
| Total Medicare payment per Hospitalization with ICD K36 - Other appendicitis | $13,986 | ||||
| Total Medicare Charges at DRG | $179,126,491 | ||||
| Total Medicare Charges with ICD K36 - Other appendicitis | $1,823,659 | ||||
| Avg Charges at DRG | $82,093 | ||||
| Avg Charges with ICD K36 - Other appendicitis | $53,637 | ||||
| Mortality Rate at DRG | 2.11 | ||||
| Mortality Rate with ICD K36 - Other appendicitis | NA | ||||
| SNF Discharge Rate at DRG | 12.24 | ||||
| SNF Discharge Rate with ICD K36 - Other appendicitis | NA | ||||
| Home Discharge Rate at DRG | 61.96 | ||||
| Home Discharge Rate with ICD K36 - Other appendicitis | 85.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 16,212 |
| Total Hospitalizations with ICD K36 - Other appendicitis | 15 |
| DRG Share of Total Hospitalizations | 0.05 |
| % of Total ICD K36 - Other appendicitis in DRG | 2.68 |
| Avg LOS at DRG | 4.78 |
| Avg LOS with ICD K36 - Other appendicitis | 2.27 |
| Readmission Rate at DRG | 10.27 |
| Readmission Rate with ICD K36 - Other appendicitis | NA |
| Unplanned Readmission Rate at DRG | 7.42 |
| Unplanned Readmission Rate with ICD K36 - Other appendicitis | NA |
| Total Medicare payments at DRG | $157,263,431 |
| Total Medicare payments with ICD K36 - Other appendicitis | $127,713 |
| Total Medicare payment per Day at DRG | $2,031 |
| Total Medicare payment per Day with ICD K36 - Other appendicitis | $3,756 |
| Total Medicare payment per Hospitalization at DRG | $9,700 |
| Total Medicare payment per Hospitalization with ICD K36 - Other appendicitis | $8,514 |
| Total Medicare Charges at DRG | $886,139,904 |
| Total Medicare Charges with ICD K36 - Other appendicitis | $577,300 |
| Avg Charges at DRG | $54,660 |
| Avg Charges with ICD K36 - Other appendicitis | $38,487 |
| Mortality Rate at DRG | 0.12 |
| Mortality Rate with ICD K36 - Other appendicitis | NA |
| SNF Discharge Rate at DRG | 5.12 |
| SNF Discharge Rate with ICD K36 - Other appendicitis | NA |
| Home Discharge Rate at DRG | 80.24 |
| Home Discharge Rate with ICD K36 - Other appendicitis | 86.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 343: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 342: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD K36 - Other appendicitis | 186 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD K36 - Other appendicitis in DRG | 9.38 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD K36 - Other appendicitis | 7.72 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD K36 - Other appendicitis | 13.26 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD K36 - Other appendicitis | 7.18 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD K36 - Other appendicitis | $2,840,661 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD K36 - Other appendicitis | $1,980 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD K36 - Other appendicitis | $15,272 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD K36 - Other appendicitis | $15,617,559 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD K36 - Other appendicitis | $83,965 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD K36 - Other appendicitis | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD K36 - Other appendicitis | 12.9 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD K36 - Other appendicitis | 58.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES 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 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 341: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,061 | ||||
| Total Hospitalizations with ICD K36 - Other appendicitis | 90 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD K36 - Other appendicitis in DRG | 4.54 | ||||
| Avg LOS at DRG | 4.08 | ||||
| Avg LOS with ICD K36 - Other appendicitis | 4.4 | ||||
| Readmission Rate at DRG | 9.45 | ||||
| Readmission Rate with ICD K36 - Other appendicitis | 12.94 | ||||
| Unplanned Readmission Rate at DRG | 6.69 | ||||
| Unplanned Readmission Rate with ICD K36 - Other appendicitis | NA | ||||
| Total Medicare payments at DRG | $818,105,892 | ||||
| Total Medicare payments with ICD K36 - Other appendicitis | $865,693 | ||||
| Total Medicare payment per Day at DRG | $2,445 | ||||
| Total Medicare payment per Day with ICD K36 - Other appendicitis | $2,186 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,969 | ||||
| Total Medicare payment per Hospitalization with ICD K36 - Other appendicitis | $9,619 | ||||
| Total Medicare Charges at DRG | $4,652,792,838 | ||||
| Total Medicare Charges with ICD K36 - Other appendicitis | $5,583,148 | ||||
| Avg Charges at DRG | $56,699 | ||||
| Avg Charges with ICD K36 - Other appendicitis | $62,035 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD K36 - Other appendicitis | NA | ||||
| SNF Discharge Rate at DRG | 4.97 | ||||
| SNF Discharge Rate with ICD K36 - Other appendicitis | NA | ||||
| Home Discharge Rate at DRG | 77.96 | ||||
| Home Discharge Rate with ICD K36 - Other appendicitis | 84.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 339: APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 77,444 | ||||
| Total Hospitalizations with ICD K36 - Other appendicitis | 56 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD K36 - Other appendicitis in DRG | 2.82 | ||||
| Avg LOS at DRG | 6.72 | ||||
| Avg LOS with ICD K36 - Other appendicitis | 5.8 | ||||
| Readmission Rate at DRG | 28.36 | ||||
| Readmission Rate with ICD K36 - Other appendicitis | 25.93 | ||||
| Unplanned Readmission Rate at DRG | 20.29 | ||||
| Unplanned Readmission Rate with ICD K36 - Other appendicitis | 20.37 | ||||
| Total Medicare payments at DRG | $929,345,247 | ||||
| Total Medicare payments with ICD K36 - Other appendicitis | $701,420 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD K36 - Other appendicitis | $2,158 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,000 | ||||
| Total Medicare payment per Hospitalization with ICD K36 - Other appendicitis | $12,525 | ||||
| Total Medicare Charges at DRG | $4,453,573,782 | ||||
| Total Medicare Charges with ICD K36 - Other appendicitis | $2,886,166 | ||||
| Avg Charges at DRG | $57,507 | ||||
| Avg Charges with ICD K36 - Other appendicitis | $51,539 | ||||
| Mortality Rate at DRG | 5.64 | ||||
| Mortality Rate with ICD K36 - Other appendicitis | NA | ||||
| SNF Discharge Rate at DRG | 22.62 | ||||
| SNF Discharge Rate with ICD K36 - Other appendicitis | NA | ||||
| Home Discharge Rate at DRG | 38.94 | ||||
| Home Discharge Rate with ICD K36 - Other appendicitis | 64.29 |
*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 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 340: APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,594 | ||||
| Total Hospitalizations with ICD K36 - Other appendicitis | 30 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD K36 - Other appendicitis in DRG | 1.51 | ||||
| Avg LOS at DRG | 12.13 | ||||
| Avg LOS with ICD K36 - Other appendicitis | 11.73 | ||||
| Readmission Rate at DRG | 25.35 | ||||
| Readmission Rate with ICD K36 - Other appendicitis | NA | ||||
| Unplanned Readmission Rate at DRG | 13.98 | ||||
| Unplanned Readmission Rate with ICD K36 - Other appendicitis | NA | ||||
| Total Medicare payments at DRG | $474,877,451 | ||||
| Total Medicare payments with ICD K36 - Other appendicitis | $851,452 | ||||
| Total Medicare payment per Day at DRG | $2,226 | ||||
| Total Medicare payment per Day with ICD K36 - Other appendicitis | $2,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,991 | ||||
| Total Medicare payment per Hospitalization with ICD K36 - Other appendicitis | $28,382 | ||||
| Total Medicare Charges at DRG | $2,299,623,294 | ||||
| Total Medicare Charges with ICD K36 - Other appendicitis | $3,481,771 | ||||
| Avg Charges at DRG | $130,705 | ||||
| Avg Charges with ICD K36 - Other appendicitis | $116,059 | ||||
| Mortality Rate at DRG | 6.92 | ||||
| Mortality Rate with ICD K36 - Other appendicitis | NA | ||||
| SNF Discharge Rate at DRG | 26.1 | ||||
| SNF Discharge Rate with ICD K36 - Other appendicitis | NA | ||||
| Home Discharge Rate at DRG | 31.48 | ||||
| Home Discharge Rate with ICD K36 - Other appendicitis | 40.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| EMORY UNIVERSITY HOSPITAL | 1364 CLIFTON RD NE | ATLANTA | GA | 30322 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN GALLOWAY | 1365 CLIFTON RD NE | ATLANTA | GA | 30322 | 11 |