*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K5289 - Other specified noninfective gastroenteritis and colitis - as a primary diagnosis code | K5289 - Other specified noninfective gastroenteritis and colitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.14 | |
| Readmission Rate (%) | 22.2 | |
| Unplanned Readmission Rate (%) | 14.39 | |
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 5,370 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K5289 - Other specified noninfective gastroenteritis and colitis in DRG | 74.35 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 3.72 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 15.96 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 12.22 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $25,638,153 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $1,284 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $4,774 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $142,866,798 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $26,605 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 0.28 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 10.67 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 69.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 5,481 | ||
| Total Hospitalizations with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 28 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD K5289 - Other specified noninfective gastroenteritis and colitis in DRG | 0.39 | ||
| Avg LOS at DRG | 5.24 | ||
| Avg LOS with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 3.32 | ||
| Readmission Rate at DRG | 28.86 | ||
| Readmission Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | NA | ||
| Unplanned Readmission Rate at DRG | 21.85 | ||
| Unplanned Readmission Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | NA | ||
| Total Medicare payments at DRG | $53,834,311 | ||
| Total Medicare payments with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $215,854 | ||
| Total Medicare payment per Day at DRG | $1,873 | ||
| Total Medicare payment per Day with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $2,321 | ||
| Total Medicare payment per Hospitalization at DRG | $9,822 | ||
| Total Medicare payment per Hospitalization with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $7,709 | ||
| Total Medicare Charges at DRG | $251,534,261 | ||
| Total Medicare Charges with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $834,723 | ||
| Avg Charges at DRG | $45,892 | ||
| Avg Charges with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $29,812 | ||
| Mortality Rate at DRG | 1.19 | ||
| Mortality Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | NA | ||
| SNF Discharge Rate at DRG | 12.08 | ||
| SNF Discharge Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | NA | ||
| Home Discharge Rate at DRG | 61.69 | ||
| Home Discharge Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 71.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 42 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 34 |
| LONG ISLAND JEWISH MEDICAL CENTER | 270-05 76 AVE | NEW HYDE PARK | NY | 11040 | 33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 6,522 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K5289 - Other specified noninfective gastroenteritis and colitis in DRG | 22.6 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 3.74 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 15.77 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 11.92 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $31,057,257 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $1,273 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $4,762 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $177,694,446 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $27,245 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 0.23 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 10.72 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 69.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 160,071 | ||||
| Total Hospitalizations with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 652 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD K5289 - Other specified noninfective gastroenteritis and colitis in DRG | 2.26 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 4.63 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 17.26 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 14.17 | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $3,522,813 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $1,166 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $5,403 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $22,728,757 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $34,860 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 19.94 | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 52.3 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 397 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD K5289 - Other specified noninfective gastroenteritis and colitis in DRG | 1.38 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 4.28 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 20.74 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 14.63 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $2,125,740 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $1,251 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $5,355 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $11,387,546 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $28,684 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 21.16 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 47.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 291 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD K5289 - Other specified noninfective gastroenteritis and colitis in DRG | 1.01 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 8.98 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 18.31 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 9.86 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $4,953,896 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $1,896 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $17,024 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $26,568,454 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD K5289 - Other specified noninfective gastroenteritis and colitis | $91,301 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 15.12 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD K5289 - Other specified noninfective gastroenteritis and colitis | 45.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 133 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 122 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 112 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MIRZA MAQBOOL ASHRAF | 1001 WEST ST | CARTHAGE | NY | 13619 | 17 |
| Dr. JOSE M ORTEGA VELEZ | 302 CALLE M PEREZ AVILES | ARECIBO | PR | 00612 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARRISON CLAY CARTER | 1126 W 12TH ST | ALMA | GA | 31510 | 22 |
| Dr. GARY KILLEN | 27 OAKFIELD DR SE | ROME | GA | 30161 | 20 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 19 |