*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K5090 - Crohn's disease, unspecified, without complications - as a primary diagnosis code | K5090 - Crohn's disease, unspecified, without complications - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.6 | |
| Readmission Rate (%) | 25.48 | |
| Unplanned Readmission Rate (%) | 22.05 | |
| 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 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 385: INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,000 | ||||
| Total Hospitalizations with ICD K5090 - Crohn's disease, unspecified, without complications | 3,851 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K5090 - Crohn's disease, unspecified, without complications in DRG | 53.39 | ||||
| Avg LOS at DRG | 4.23 | ||||
| Avg LOS with ICD K5090 - Crohn's disease, unspecified, without complications | 3.88 | ||||
| Readmission Rate at DRG | 22.98 | ||||
| Readmission Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 27.31 | ||||
| Unplanned Readmission Rate at DRG | 17.78 | ||||
| Unplanned Readmission Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 22.14 | ||||
| Total Medicare payments at DRG | $172,301,710 | ||||
| Total Medicare payments with ICD K5090 - Crohn's disease, unspecified, without complications | $22,163,617 | ||||
| Total Medicare payment per Day at DRG | $1,406 | ||||
| Total Medicare payment per Day with ICD K5090 - Crohn's disease, unspecified, without complications | $1,484 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,941 | ||||
| Total Medicare payment per Hospitalization with ICD K5090 - Crohn's disease, unspecified, without complications | $5,755 | ||||
| Total Medicare Charges at DRG | $933,956,738 | ||||
| Total Medicare Charges with ICD K5090 - Crohn's disease, unspecified, without complications | $118,014,840 | ||||
| Avg Charges at DRG | $32,205 | ||||
| Avg Charges with ICD K5090 - Crohn's disease, unspecified, without complications | $30,645 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD K5090 - Crohn's disease, unspecified, without complications | NA | ||||
| SNF Discharge Rate at DRG | 6.28 | ||||
| SNF Discharge Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 4.0 | ||||
| Home Discharge Rate at DRG | 77.02 | ||||
| Home Discharge Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 80.08 |
*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 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,061 | |||
| Total Hospitalizations with ICD K5090 - Crohn's disease, unspecified, without complications | 56 | |||
| DRG Share of Total Hospitalizations | 0.25 | |||
| % of Total ICD K5090 - Crohn's disease, unspecified, without complications in DRG | 0.78 | |||
| Avg LOS at DRG | 4.08 | |||
| Avg LOS with ICD K5090 - Crohn's disease, unspecified, without complications | 4.04 | |||
| Readmission Rate at DRG | 9.45 | |||
| Readmission Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 20.37 | |||
| Unplanned Readmission Rate at DRG | 6.69 | |||
| Unplanned Readmission Rate with ICD K5090 - Crohn's disease, unspecified, without complications | NA | |||
| Total Medicare payments at DRG | $818,105,892 | |||
| Total Medicare payments with ICD K5090 - Crohn's disease, unspecified, without complications | $570,867 | |||
| Total Medicare payment per Day at DRG | $2,445 | |||
| Total Medicare payment per Day with ICD K5090 - Crohn's disease, unspecified, without complications | $2,526 | |||
| Total Medicare payment per Hospitalization at DRG | $9,969 | |||
| Total Medicare payment per Hospitalization with ICD K5090 - Crohn's disease, unspecified, without complications | $10,194 | |||
| Total Medicare Charges at DRG | $4,652,792,838 | |||
| Total Medicare Charges with ICD K5090 - Crohn's disease, unspecified, without complications | $3,595,895 | |||
| Avg Charges at DRG | $56,699 | |||
| Avg Charges with ICD K5090 - Crohn's disease, unspecified, without complications | $64,212 | |||
| Mortality Rate at DRG | 0.07 | |||
| Mortality Rate with ICD K5090 - Crohn's disease, unspecified, without complications | NA | |||
| SNF Discharge Rate at DRG | 4.97 | |||
| SNF Discharge Rate with ICD K5090 - Crohn's disease, unspecified, without complications | NA | |||
| Home Discharge Rate at DRG | 77.96 | |||
| Home Discharge Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 67.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 48 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 36 |
| ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER | 1414 KUHL AVE | ORLANDO | FL | 32806 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES D. EDMONSON | 703 ALCORN DR | CORINTH | MS | 38834 | 27 |
| Dr. WALTER MAITLAND GRAHAM | 1501 HILAND AVE | BURLEY | ID | 83318 | 18 |
| Dr. CARVER A HILLS | 2501 REED ST | PHILADELPHIA | PA | 19146 | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K5090 - Crohn's disease, unspecified, without complications | 8,079 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K5090 - Crohn's disease, unspecified, without complications in DRG | 5.64 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K5090 - Crohn's disease, unspecified, without complications | 6.63 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 29.18 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 20.88 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K5090 - Crohn's disease, unspecified, without complications | $93,539,008 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K5090 - Crohn's disease, unspecified, without complications | $1,746 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K5090 - Crohn's disease, unspecified, without complications | $11,578 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K5090 - Crohn's disease, unspecified, without complications | $492,770,305 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K5090 - Crohn's disease, unspecified, without complications | $60,994 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 9.61 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 21.04 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 33.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD K5090 - Crohn's disease, unspecified, without complications | 3,965 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD K5090 - Crohn's disease, unspecified, without complications in DRG | 2.77 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K5090 - Crohn's disease, unspecified, without complications | 3.77 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 26.25 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 20.18 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD K5090 - Crohn's disease, unspecified, without complications | $21,404,806 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD K5090 - Crohn's disease, unspecified, without complications | $1,432 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD K5090 - Crohn's disease, unspecified, without complications | $5,398 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD K5090 - Crohn's disease, unspecified, without complications | $105,843,731 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD K5090 - Crohn's disease, unspecified, without complications | $26,695 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 0.38 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 11.05 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 63.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD K5090 - Crohn's disease, unspecified, without complications | 2,125 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD K5090 - Crohn's disease, unspecified, without complications in DRG | 1.48 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD K5090 - Crohn's disease, unspecified, without complications | 4.89 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 24.03 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 19.55 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD K5090 - Crohn's disease, unspecified, without complications | $15,266,865 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD K5090 - Crohn's disease, unspecified, without complications | $1,470 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD K5090 - Crohn's disease, unspecified, without complications | $7,184 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD K5090 - Crohn's disease, unspecified, without complications | $78,009,369 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD K5090 - Crohn's disease, unspecified, without complications | $36,710 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 1.18 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 12.14 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 55.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K5090 - Crohn's disease, unspecified, without complications | 1,921 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K5090 - Crohn's disease, unspecified, without complications in DRG | 1.34 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K5090 - Crohn's disease, unspecified, without complications | 3.37 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 21.75 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 17.92 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K5090 - Crohn's disease, unspecified, without complications | $11,343,981 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K5090 - Crohn's disease, unspecified, without complications | $1,754 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K5090 - Crohn's disease, unspecified, without complications | $5,905 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K5090 - Crohn's disease, unspecified, without complications | $59,803,657 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K5090 - Crohn's disease, unspecified, without complications | $31,132 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K5090 - Crohn's disease, unspecified, without complications | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 9.68 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K5090 - Crohn's disease, unspecified, without complications | 71.06 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 495 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 458 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 435 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 71 |
| Dr. SHAKIL S RAHMAN | 3130 N COUNTY ROAD 25A | TROY | OH | 45373 | 24 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 78 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 56 |
| Dr. NAVEED MAHFOOZ | 1525 W CARO RD | CARO | MI | 48723 | 50 |