*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K5190 - Ulcerative colitis, unspecified, without complications - as a primary diagnosis code | K5190 - Ulcerative colitis, unspecified, without complications - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.86 | |
| Readmission Rate (%) | 22.99 | |
| Unplanned Readmission Rate (%) | 17.48 | |
| 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 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,000 | ||||
| Total Hospitalizations with ICD K5190 - Ulcerative colitis, unspecified, without complications | 2,968 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K5190 - Ulcerative colitis, unspecified, without complications in DRG | 50.58 | ||||
| Avg LOS at DRG | 4.23 | ||||
| Avg LOS with ICD K5190 - Ulcerative colitis, unspecified, without complications | 4.58 | ||||
| Readmission Rate at DRG | 22.98 | ||||
| Readmission Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 24.32 | ||||
| Unplanned Readmission Rate at DRG | 17.78 | ||||
| Unplanned Readmission Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 18.18 | ||||
| Total Medicare payments at DRG | $172,301,710 | ||||
| Total Medicare payments with ICD K5190 - Ulcerative colitis, unspecified, without complications | $17,901,596 | ||||
| Total Medicare payment per Day at DRG | $1,406 | ||||
| Total Medicare payment per Day with ICD K5190 - Ulcerative colitis, unspecified, without complications | $1,318 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,941 | ||||
| Total Medicare payment per Hospitalization with ICD K5190 - Ulcerative colitis, unspecified, without complications | $6,032 | ||||
| Total Medicare Charges at DRG | $933,956,738 | ||||
| Total Medicare Charges with ICD K5190 - Ulcerative colitis, unspecified, without complications | $103,278,691 | ||||
| Avg Charges at DRG | $32,205 | ||||
| Avg Charges with ICD K5190 - Ulcerative colitis, unspecified, without complications | $34,797 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | NA | ||||
| SNF Discharge Rate at DRG | 6.28 | ||||
| SNF Discharge Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 10.14 | ||||
| Home Discharge Rate at DRG | 77.02 | ||||
| Home Discharge Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 71.87 |
*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 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD K5190 - Ulcerative colitis, unspecified, without complications | 152 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD K5190 - Ulcerative colitis, unspecified, without complications in DRG | 2.59 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD K5190 - Ulcerative colitis, unspecified, without complications | 15.76 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 36.96 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 21.01 | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD K5190 - Ulcerative colitis, unspecified, without complications | $5,254,911 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD K5190 - Ulcerative colitis, unspecified, without complications | $2,194 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD K5190 - Ulcerative colitis, unspecified, without complications | $34,572 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD K5190 - Ulcerative colitis, unspecified, without complications | $27,357,865 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD K5190 - Ulcerative colitis, unspecified, without complications | $179,986 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 8.55 | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 29.61 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 13.82 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 33 |
| LAKELAND REGIONAL MEDICAL CENTER | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 18 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 17 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K5190 - Ulcerative colitis, unspecified, without complications | 4,818 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K5190 - Ulcerative colitis, unspecified, without complications in DRG | 5.58 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K5190 - Ulcerative colitis, unspecified, without complications | 6.94 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 25.57 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 17.75 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K5190 - Ulcerative colitis, unspecified, without complications | $58,921,699 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K5190 - Ulcerative colitis, unspecified, without complications | $1,763 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K5190 - Ulcerative colitis, unspecified, without complications | $12,229 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K5190 - Ulcerative colitis, unspecified, without complications | $317,428,362 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K5190 - Ulcerative colitis, unspecified, without complications | $65,884 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 10.19 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 26.82 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 29.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD K5190 - Ulcerative colitis, unspecified, without complications | 1,808 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD K5190 - Ulcerative colitis, unspecified, without complications in DRG | 2.09 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K5190 - Ulcerative colitis, unspecified, without complications | 3.75 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 22.95 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 17.36 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD K5190 - Ulcerative colitis, unspecified, without complications | $10,111,733 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD K5190 - Ulcerative colitis, unspecified, without complications | $1,491 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD K5190 - Ulcerative colitis, unspecified, without complications | $5,593 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD K5190 - Ulcerative colitis, unspecified, without complications | $48,984,290 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD K5190 - Ulcerative colitis, unspecified, without complications | $27,093 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 15.1 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 60.67 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD K5190 - Ulcerative colitis, unspecified, without complications | 1,454 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD K5190 - Ulcerative colitis, unspecified, without complications in DRG | 1.68 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD K5190 - Ulcerative colitis, unspecified, without complications | 7.01 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 21.09 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 13.82 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD K5190 - Ulcerative colitis, unspecified, without complications | $23,390,419 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD K5190 - Ulcerative colitis, unspecified, without complications | $2,296 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD K5190 - Ulcerative colitis, unspecified, without complications | $16,087 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD K5190 - Ulcerative colitis, unspecified, without complications | $124,861,540 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD K5190 - Ulcerative colitis, unspecified, without complications | $85,875 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 8.6 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 50.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD K5190 - Ulcerative colitis, unspecified, without complications | 1,054 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD K5190 - Ulcerative colitis, unspecified, without complications in DRG | 1.22 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD K5190 - Ulcerative colitis, unspecified, without complications | 3.7 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 22.95 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 16.77 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD K5190 - Ulcerative colitis, unspecified, without complications | $5,146,954 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K5190 - Ulcerative colitis, unspecified, without complications | $1,321 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD K5190 - Ulcerative colitis, unspecified, without complications | $4,883 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD K5190 - Ulcerative colitis, unspecified, without complications | $27,553,855 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD K5190 - Ulcerative colitis, unspecified, without complications | $26,142 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 21.54 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD K5190 - Ulcerative colitis, unspecified, without complications | 49.81 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 441 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 343 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 310 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ERNEST C REHNKE | 1615 PASADENA AVE S | SOUTH PASADENA | FL | 33707 | 26 |
| Dr. PHILLIP ROBERT FLESHNER | 8737 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 17 |
| Dr. FEZA H REMZI | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ERNEST C REHNKE | 1615 PASADENA AVE S | SOUTH PASADENA | FL | 33707 | 30 |
| Dr. KUNADI S REDDY | 414 PERRY RD | GRAND BLANC | MI | 48439 | 25 |
| Dr. FREDERIC A. HUMPHREY | 4727 STATE ROUTE 60 | MARIETTA | OH | 45750 | 22 |