*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K37 - Unspecified appendicitis - as a primary diagnosis code | K37 - Unspecified appendicitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.68 | |
| Readmission Rate (%) | 21.92 | |
| Unplanned Readmission Rate (%) | 11.08 | |
| 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 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 342: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K37 - Unspecified appendicitis | 232 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K37 - Unspecified appendicitis in DRG | 27.01 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K37 - Unspecified appendicitis | 3.17 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K37 - Unspecified appendicitis | 21.33 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K37 - Unspecified appendicitis | 15.64 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K37 - Unspecified appendicitis | $1,311,225 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K37 - Unspecified appendicitis | $1,782 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K37 - Unspecified appendicitis | $5,652 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K37 - Unspecified appendicitis | $5,751,790 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K37 - Unspecified appendicitis | $24,792 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K37 - Unspecified appendicitis | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K37 - Unspecified appendicitis | 6.03 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K37 - Unspecified appendicitis | 71.12 |
*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 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 2,182 | |
| Total Hospitalizations with ICD K37 - Unspecified appendicitis | 33 | |
| DRG Share of Total Hospitalizations | 0.01 | |
| % of Total ICD K37 - Unspecified appendicitis in DRG | 3.84 | |
| Avg LOS at DRG | 6.21 | |
| Avg LOS with ICD K37 - Unspecified appendicitis | 4.15 | |
| Readmission Rate at DRG | 19.41 | |
| Readmission Rate with ICD K37 - Unspecified appendicitis | NA | |
| Unplanned Readmission Rate at DRG | 12.09 | |
| Unplanned Readmission Rate with ICD K37 - Unspecified appendicitis | NA | |
| Total Medicare payments at DRG | $32,101,415 | |
| Total Medicare payments with ICD K37 - Unspecified appendicitis | $433,191 | |
| Total Medicare payment per Day at DRG | $2,370 | |
| Total Medicare payment per Day with ICD K37 - Unspecified appendicitis | $3,162 | |
| Total Medicare payment per Hospitalization at DRG | $14,712 | |
| Total Medicare payment per Hospitalization with ICD K37 - Unspecified appendicitis | $13,127 | |
| Total Medicare Charges at DRG | $179,126,491 | |
| Total Medicare Charges with ICD K37 - Unspecified appendicitis | $2,357,317 | |
| Avg Charges at DRG | $82,093 | |
| Avg Charges with ICD K37 - Unspecified appendicitis | $71,434 | |
| Mortality Rate at DRG | 2.11 | |
| Mortality Rate with ICD K37 - Unspecified appendicitis | NA | |
| SNF Discharge Rate at DRG | 12.24 | |
| SNF Discharge Rate with ICD K37 - Unspecified appendicitis | NA | |
| Home Discharge Rate at DRG | 61.96 | |
| Home Discharge Rate with ICD K37 - Unspecified appendicitis | 60.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 343: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K37 - Unspecified appendicitis | 313 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K37 - Unspecified appendicitis in DRG | 8.4 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K37 - Unspecified appendicitis | 8.0 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K37 - Unspecified appendicitis | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K37 - Unspecified appendicitis | 16.81 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K37 - Unspecified appendicitis | $4,283,363 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K37 - Unspecified appendicitis | $1,710 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K37 - Unspecified appendicitis | $13,685 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K37 - Unspecified appendicitis | $26,379,017 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K37 - Unspecified appendicitis | $84,278 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K37 - Unspecified appendicitis | 20.13 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K37 - Unspecified appendicitis | 19.81 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K37 - Unspecified appendicitis | 26.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 342: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,606 | ||||
| Total Hospitalizations with ICD K37 - Unspecified appendicitis | 169 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K37 - Unspecified appendicitis in DRG | 4.53 | ||||
| Avg LOS at DRG | 2.67 | ||||
| Avg LOS with ICD K37 - Unspecified appendicitis | 2.3 | ||||
| Readmission Rate at DRG | 13.3 | ||||
| Readmission Rate with ICD K37 - Unspecified appendicitis | 12.08 | ||||
| Unplanned Readmission Rate at DRG | 8.72 | ||||
| Unplanned Readmission Rate with ICD K37 - Unspecified appendicitis | 8.72 | ||||
| Total Medicare payments at DRG | $152,080,579 | ||||
| Total Medicare payments with ICD K37 - Unspecified appendicitis | $662,208 | ||||
| Total Medicare payment per Day at DRG | $1,436 | ||||
| Total Medicare payment per Day with ICD K37 - Unspecified appendicitis | $1,707 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,840 | ||||
| Total Medicare payment per Hospitalization with ICD K37 - Unspecified appendicitis | $3,918 | ||||
| Total Medicare Charges at DRG | $921,857,813 | ||||
| Total Medicare Charges with ICD K37 - Unspecified appendicitis | $3,088,131 | ||||
| Avg Charges at DRG | $23,276 | ||||
| Avg Charges with ICD K37 - Unspecified appendicitis | $18,273 | ||||
| Mortality Rate at DRG | 0.54 | ||||
| Mortality Rate with ICD K37 - Unspecified appendicitis | NA | ||||
| SNF Discharge Rate at DRG | 7.46 | ||||
| SNF Discharge Rate with ICD K37 - Unspecified appendicitis | NA | ||||
| Home Discharge Rate at DRG | 75.53 | ||||
| Home Discharge Rate with ICD K37 - Unspecified appendicitis | 77.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 016: AUTOLOGOUS BONE MARROW TRANSPLANT WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD K37 - Unspecified appendicitis | 109 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K37 - Unspecified appendicitis in DRG | 2.92 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K37 - Unspecified appendicitis | 5.3 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K37 - Unspecified appendicitis | 22.34 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K37 - Unspecified appendicitis | 14.89 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K37 - Unspecified appendicitis | $763,397 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K37 - Unspecified appendicitis | $1,321 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K37 - Unspecified appendicitis | $7,004 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K37 - Unspecified appendicitis | $5,358,856 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K37 - Unspecified appendicitis | $49,164 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K37 - Unspecified appendicitis | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K37 - Unspecified appendicitis | 16.51 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K37 - Unspecified appendicitis | 46.79 |
*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 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 834: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 808: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,182 | ||||
| Total Hospitalizations with ICD K37 - Unspecified appendicitis | 50 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD K37 - Unspecified appendicitis in DRG | 1.34 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD K37 - Unspecified appendicitis | 5.62 | ||||
| Readmission Rate at DRG | 19.41 | ||||
| Readmission Rate with ICD K37 - Unspecified appendicitis | NA | ||||
| Unplanned Readmission Rate at DRG | 12.09 | ||||
| Unplanned Readmission Rate with ICD K37 - Unspecified appendicitis | NA | ||||
| Total Medicare payments at DRG | $32,101,415 | ||||
| Total Medicare payments with ICD K37 - Unspecified appendicitis | $642,455 | ||||
| Total Medicare payment per Day at DRG | $2,370 | ||||
| Total Medicare payment per Day with ICD K37 - Unspecified appendicitis | $2,286 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,712 | ||||
| Total Medicare payment per Hospitalization with ICD K37 - Unspecified appendicitis | $12,849 | ||||
| Total Medicare Charges at DRG | $179,126,491 | ||||
| Total Medicare Charges with ICD K37 - Unspecified appendicitis | $4,370,811 | ||||
| Avg Charges at DRG | $82,093 | ||||
| Avg Charges with ICD K37 - Unspecified appendicitis | $87,416 | ||||
| Mortality Rate at DRG | 2.11 | ||||
| Mortality Rate with ICD K37 - Unspecified appendicitis | NA | ||||
| SNF Discharge Rate at DRG | 12.24 | ||||
| SNF Discharge Rate with ICD K37 - Unspecified appendicitis | NA | ||||
| Home Discharge Rate at DRG | 61.96 | ||||
| Home Discharge Rate with ICD K37 - Unspecified appendicitis | 58.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 S GREENE STREET | BALTIMORE | MD | 21201 | 17 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 17 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 16 |