*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K5100 - Ulcerative (chronic) pancolitis without complications - as a primary diagnosis code | K5100 - Ulcerative (chronic) pancolitis without complications - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.65 | |
| Readmission Rate (%) | 24.98 | |
| Unplanned Readmission Rate (%) | 16.27 | |
| 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 385: INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 K5100 - Ulcerative (chronic) pancolitis without complications | 1,861 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K5100 - Ulcerative (chronic) pancolitis without complications in DRG | 50.79 | ||||
| Avg LOS at DRG | 4.23 | ||||
| Avg LOS with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 4.49 | ||||
| Readmission Rate at DRG | 22.98 | ||||
| Readmission Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 20.88 | ||||
| Unplanned Readmission Rate at DRG | 17.78 | ||||
| Unplanned Readmission Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 16.77 | ||||
| Total Medicare payments at DRG | $172,301,710 | ||||
| Total Medicare payments with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $11,527,332 | ||||
| Total Medicare payment per Day at DRG | $1,406 | ||||
| Total Medicare payment per Day with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $1,380 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,941 | ||||
| Total Medicare payment per Hospitalization with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $6,194 | ||||
| Total Medicare Charges at DRG | $933,956,738 | ||||
| Total Medicare Charges with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $67,316,944 | ||||
| Avg Charges at DRG | $32,205 | ||||
| Avg Charges with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $36,172 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | NA | ||||
| SNF Discharge Rate at DRG | 6.28 | ||||
| SNF Discharge Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 8.97 | ||||
| Home Discharge Rate at DRG | 77.02 | ||||
| Home Discharge Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 70.39 |
*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 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 82,061 | |
| Total Hospitalizations with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 62 | |
| DRG Share of Total Hospitalizations | 0.25 | |
| % of Total ICD K5100 - Ulcerative (chronic) pancolitis without complications in DRG | 1.69 | |
| Avg LOS at DRG | 4.08 | |
| Avg LOS with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 4.74 | |
| Readmission Rate at DRG | 9.45 | |
| Readmission Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 24.59 | |
| Unplanned Readmission Rate at DRG | 6.69 | |
| Unplanned Readmission Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | NA | |
| Total Medicare payments at DRG | $818,105,892 | |
| Total Medicare payments with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $650,162 | |
| Total Medicare payment per Day at DRG | $2,445 | |
| Total Medicare payment per Day with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $2,211 | |
| Total Medicare payment per Hospitalization at DRG | $9,969 | |
| Total Medicare payment per Hospitalization with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $10,486 | |
| Total Medicare Charges at DRG | $4,652,792,838 | |
| Total Medicare Charges with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $4,426,495 | |
| Avg Charges at DRG | $56,699 | |
| Avg Charges with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $71,395 | |
| Mortality Rate at DRG | 0.07 | |
| Mortality Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | NA | |
| SNF Discharge Rate at DRG | 4.97 | |
| SNF Discharge Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | NA | |
| Home Discharge Rate at DRG | 77.96 | |
| Home Discharge Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 38.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 27 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 22 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 20 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 385: INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,000 | ||||
| Total Hospitalizations with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 1,912 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K5100 - Ulcerative (chronic) pancolitis without complications in DRG | 16.15 | ||||
| Avg LOS at DRG | 4.23 | ||||
| Avg LOS with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 4.52 | ||||
| Readmission Rate at DRG | 22.98 | ||||
| Readmission Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 20.94 | ||||
| Unplanned Readmission Rate at DRG | 17.78 | ||||
| Unplanned Readmission Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 16.83 | ||||
| Total Medicare payments at DRG | $172,301,710 | ||||
| Total Medicare payments with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $11,868,913 | ||||
| Total Medicare payment per Day at DRG | $1,406 | ||||
| Total Medicare payment per Day with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $1,374 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,941 | ||||
| Total Medicare payment per Hospitalization with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $6,208 | ||||
| Total Medicare Charges at DRG | $933,956,738 | ||||
| Total Medicare Charges with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $69,872,976 | ||||
| Avg Charges at DRG | $32,205 | ||||
| Avg Charges with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $36,544 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | NA | ||||
| SNF Discharge Rate at DRG | 6.28 | ||||
| SNF Discharge Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 8.73 | ||||
| Home Discharge Rate at DRG | 77.02 | ||||
| Home Discharge Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 70.97 |
*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 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS 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 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 746 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K5100 - Ulcerative (chronic) pancolitis without complications in DRG | 6.3 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 5.61 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 17.51 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 13.2 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $5,075,593 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $1,214 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $6,804 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $34,532,950 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $46,291 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 3.35 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 20.11 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 51.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 148 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD K5100 - Ulcerative (chronic) pancolitis without complications in DRG | 1.25 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 16.42 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 42.86 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 20.17 | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $5,624,509 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $2,315 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $38,003 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $28,666,421 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $193,692 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 15.54 | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 25.68 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 10.14 |
*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 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,422 | ||||
| Total Hospitalizations with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 78 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD K5100 - Ulcerative (chronic) pancolitis without complications in DRG | 0.66 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 6.95 | ||||
| Readmission Rate at DRG | 26.98 | ||||
| Readmission Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 37.31 | ||||
| Unplanned Readmission Rate at DRG | 20.97 | ||||
| Unplanned Readmission Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 31.34 | ||||
| Total Medicare payments at DRG | $1,078,703,587 | ||||
| Total Medicare payments with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $700,042 | ||||
| Total Medicare payment per Day at DRG | $1,614 | ||||
| Total Medicare payment per Day with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $1,292 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,025 | ||||
| Total Medicare payment per Hospitalization with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $8,975 | ||||
| Total Medicare Charges at DRG | $5,564,930,414 | ||||
| Total Medicare Charges with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $5,038,487 | ||||
| Avg Charges at DRG | $41,399 | ||||
| Avg Charges with ICD K5100 - Ulcerative (chronic) pancolitis without complications | $64,596 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | NA | ||||
| SNF Discharge Rate at DRG | 16.97 | ||||
| SNF Discharge Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 15.38 | ||||
| Home Discharge Rate at DRG | 52.45 | ||||
| Home Discharge Rate with ICD K5100 - Ulcerative (chronic) pancolitis without complications | 50.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 77 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 63 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 58 |