*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K388 - Other specified diseases of appendix - as a primary diagnosis code | K388 - Other specified diseases of appendix - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.63 | |
| Readmission Rate (%) | 14.96 | |
| Unplanned Readmission Rate (%) | 8.65 | |
| 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 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,061 | ||||
| Total Hospitalizations with ICD K388 - Other specified diseases of appendix | 143 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD K388 - Other specified diseases of appendix in DRG | 27.45 | ||||
| Avg LOS at DRG | 4.08 | ||||
| Avg LOS with ICD K388 - Other specified diseases of appendix | 2.57 | ||||
| Readmission Rate at DRG | 9.45 | ||||
| Readmission Rate with ICD K388 - Other specified diseases of appendix | NA | ||||
| Unplanned Readmission Rate at DRG | 6.69 | ||||
| Unplanned Readmission Rate with ICD K388 - Other specified diseases of appendix | NA | ||||
| Total Medicare payments at DRG | $818,105,892 | ||||
| Total Medicare payments with ICD K388 - Other specified diseases of appendix | $1,450,330 | ||||
| Total Medicare payment per Day at DRG | $2,445 | ||||
| Total Medicare payment per Day with ICD K388 - Other specified diseases of appendix | $3,941 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,969 | ||||
| Total Medicare payment per Hospitalization with ICD K388 - Other specified diseases of appendix | $10,142 | ||||
| Total Medicare Charges at DRG | $4,652,792,838 | ||||
| Total Medicare Charges with ICD K388 - Other specified diseases of appendix | $6,541,375 | ||||
| Avg Charges at DRG | $56,699 | ||||
| Avg Charges with ICD K388 - Other specified diseases of appendix | $45,744 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD K388 - Other specified diseases of appendix | NA | ||||
| SNF Discharge Rate at DRG | 4.97 | ||||
| SNF Discharge Rate with ICD K388 - Other specified diseases of appendix | NA | ||||
| Home Discharge Rate at DRG | 77.96 | ||||
| Home Discharge Rate with ICD K388 - Other specified diseases of appendix | 94.41 |
*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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 39,606 | |||
| Total Hospitalizations with ICD K388 - Other specified diseases of appendix | 24 | |||
| DRG Share of Total Hospitalizations | 0.12 | |||
| % of Total ICD K388 - Other specified diseases of appendix in DRG | 4.61 | |||
| Avg LOS at DRG | 2.67 | |||
| Avg LOS with ICD K388 - Other specified diseases of appendix | 1.88 | |||
| Readmission Rate at DRG | 13.3 | |||
| Readmission Rate with ICD K388 - Other specified diseases of appendix | NA | |||
| Unplanned Readmission Rate at DRG | 8.72 | |||
| Unplanned Readmission Rate with ICD K388 - Other specified diseases of appendix | NA | |||
| Total Medicare payments at DRG | $152,080,579 | |||
| Total Medicare payments with ICD K388 - Other specified diseases of appendix | $86,304 | |||
| Total Medicare payment per Day at DRG | $1,436 | |||
| Total Medicare payment per Day with ICD K388 - Other specified diseases of appendix | $1,918 | |||
| Total Medicare payment per Hospitalization at DRG | $3,840 | |||
| Total Medicare payment per Hospitalization with ICD K388 - Other specified diseases of appendix | $3,596 | |||
| Total Medicare Charges at DRG | $921,857,813 | |||
| Total Medicare Charges with ICD K388 - Other specified diseases of appendix | $534,697 | |||
| Avg Charges at DRG | $23,276 | |||
| Avg Charges with ICD K388 - Other specified diseases of appendix | $22,279 | |||
| Mortality Rate at DRG | 0.54 | |||
| Mortality Rate with ICD K388 - Other specified diseases of appendix | NA | |||
| SNF Discharge Rate at DRG | 7.46 | |||
| SNF Discharge Rate with ICD K388 - Other specified diseases of appendix | NA | |||
| Home Discharge Rate at DRG | 75.53 | |||
| Home Discharge Rate with ICD K388 - Other specified diseases of appendix | 87.5 |
*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 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD K388 - Other specified diseases of appendix | 388 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD K388 - Other specified diseases of appendix in DRG | 16.13 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD K388 - Other specified diseases of appendix | 6.49 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD K388 - Other specified diseases of appendix | 13.56 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD K388 - Other specified diseases of appendix | 8.78 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD K388 - Other specified diseases of appendix | $6,042,401 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD K388 - Other specified diseases of appendix | $2,398 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD K388 - Other specified diseases of appendix | $15,573 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD K388 - Other specified diseases of appendix | $29,153,074 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD K388 - Other specified diseases of appendix | $75,137 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD K388 - Other specified diseases of appendix | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD K388 - Other specified diseases of appendix | 10.82 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD K388 - Other specified diseases of appendix | 63.92 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 341: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,689 | ||||
| Total Hospitalizations with ICD K388 - Other specified diseases of appendix | 85 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K388 - Other specified diseases of appendix in DRG | 3.53 | ||||
| Avg LOS at DRG | 7.62 | ||||
| Avg LOS with ICD K388 - Other specified diseases of appendix | 6.45 | ||||
| Readmission Rate at DRG | 15.2 | ||||
| Readmission Rate with ICD K388 - Other specified diseases of appendix | 16.46 | ||||
| Unplanned Readmission Rate at DRG | 10.41 | ||||
| Unplanned Readmission Rate with ICD K388 - Other specified diseases of appendix | 15.19 | ||||
| Total Medicare payments at DRG | $451,870,690 | ||||
| Total Medicare payments with ICD K388 - Other specified diseases of appendix | $1,218,350 | ||||
| Total Medicare payment per Day at DRG | $1,931 | ||||
| Total Medicare payment per Day with ICD K388 - Other specified diseases of appendix | $2,223 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,724 | ||||
| Total Medicare payment per Hospitalization with ICD K388 - Other specified diseases of appendix | $14,334 | ||||
| Total Medicare Charges at DRG | $2,328,618,768 | ||||
| Total Medicare Charges with ICD K388 - Other specified diseases of appendix | $5,915,607 | ||||
| Avg Charges at DRG | $75,878 | ||||
| Avg Charges with ICD K388 - Other specified diseases of appendix | $69,595 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD K388 - Other specified diseases of appendix | NA | ||||
| SNF Discharge Rate at DRG | 13.82 | ||||
| SNF Discharge Rate with ICD K388 - Other specified diseases of appendix | NA | ||||
| Home Discharge Rate at DRG | 61.62 | ||||
| Home Discharge Rate with ICD K388 - Other specified diseases of appendix | 63.53 |
*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 742: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 743: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K388 - Other specified diseases of appendix | 47 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K388 - Other specified diseases of appendix in DRG | 1.95 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K388 - Other specified diseases of appendix | 3.36 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K388 - Other specified diseases of appendix | 26.19 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K388 - Other specified diseases of appendix | NA | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K388 - Other specified diseases of appendix | $270,035 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K388 - Other specified diseases of appendix | $1,709 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K388 - Other specified diseases of appendix | $5,745 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K388 - Other specified diseases of appendix | $1,335,983 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K388 - Other specified diseases of appendix | $28,425 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K388 - Other specified diseases of appendix | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K388 - Other specified diseases of appendix | NA | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K388 - Other specified diseases of appendix | 72.34 |
*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 339: APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 737: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 419: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K388 - Other specified diseases of appendix | 29 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K388 - Other specified diseases of appendix in DRG | 1.21 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K388 - Other specified diseases of appendix | 7.62 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K388 - Other specified diseases of appendix | NA | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K388 - Other specified diseases of appendix | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K388 - Other specified diseases of appendix | $384,523 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K388 - Other specified diseases of appendix | $1,740 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K388 - Other specified diseases of appendix | $13,259 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K388 - Other specified diseases of appendix | $1,769,749 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K388 - Other specified diseases of appendix | $61,026 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K388 - Other specified diseases of appendix | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K388 - Other specified diseases of appendix | 37.93 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K388 - Other specified diseases of appendix | 37.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 26 |
| ADVOCATE GOOD SHEPHERD HOSPITAL | 450 W IL ROUTE 22 | BARRINGTON | IL | 60010 | 26 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID P ONDRULA | 802 FOX GLN | BARRINGTON | IL | 60010 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID P ONDRULA | 802 FOX GLN | BARRINGTON | IL | 60010 | 11 |