*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K563 - Gallstone ileus - as a primary diagnosis code | K563 - Gallstone ileus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.49 | |
| Readmission Rate (%) | 17.59 | |
| Unplanned Readmission Rate (%) | 9.39 | |
| 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 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 344: MINOR SMALL AND LARGE BOWEL PROCEDURES 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) | DRG 346: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,732 | ||||
| Total Hospitalizations with ICD K563 - Gallstone ileus | 290 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K563 - Gallstone ileus in DRG | 27.36 | ||||
| Avg LOS at DRG | 5.53 | ||||
| Avg LOS with ICD K563 - Gallstone ileus | 6.78 | ||||
| Readmission Rate at DRG | 19.38 | ||||
| Readmission Rate with ICD K563 - Gallstone ileus | 12.24 | ||||
| Unplanned Readmission Rate at DRG | 13.36 | ||||
| Unplanned Readmission Rate with ICD K563 - Gallstone ileus | 7.69 | ||||
| Total Medicare payments at DRG | $100,062,390 | ||||
| Total Medicare payments with ICD K563 - Gallstone ileus | $3,045,163 | ||||
| Total Medicare payment per Day at DRG | $1,858 | ||||
| Total Medicare payment per Day with ICD K563 - Gallstone ileus | $1,549 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,282 | ||||
| Total Medicare payment per Hospitalization with ICD K563 - Gallstone ileus | $10,501 | ||||
| Total Medicare Charges at DRG | $511,834,570 | ||||
| Total Medicare Charges with ICD K563 - Gallstone ileus | $18,312,407 | ||||
| Avg Charges at DRG | $52,593 | ||||
| Avg Charges with ICD K563 - Gallstone ileus | $63,146 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD K563 - Gallstone ileus | NA | ||||
| SNF Discharge Rate at DRG | 12.85 | ||||
| SNF Discharge Rate with ICD K563 - Gallstone ileus | 17.93 | ||||
| Home Discharge Rate at DRG | 59.69 | ||||
| Home Discharge Rate with ICD K563 - Gallstone ileus | 61.03 |
*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 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD K563 - Gallstone ileus | 61 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD K563 - Gallstone ileus in DRG | 5.75 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD K563 - Gallstone ileus | 4.48 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD K563 - Gallstone ileus | NA | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD K563 - Gallstone ileus | NA | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD K563 - Gallstone ileus | $330,635 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD K563 - Gallstone ileus | $1,211 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD K563 - Gallstone ileus | $5,420 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD K563 - Gallstone ileus | $1,742,237 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD K563 - Gallstone ileus | $28,561 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K563 - Gallstone ileus | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD K563 - Gallstone ileus | NA | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD K563 - Gallstone ileus | 45.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,645 | |||
| Total Hospitalizations with ICD K563 - Gallstone ileus | 28 | |||
| DRG Share of Total Hospitalizations | 0.32 | |||
| % of Total ICD K563 - Gallstone ileus in DRG | 2.64 | |||
| Avg LOS at DRG | 2.86 | |||
| Avg LOS with ICD K563 - Gallstone ileus | 2.89 | |||
| Readmission Rate at DRG | 11.36 | |||
| Readmission Rate with ICD K563 - Gallstone ileus | NA | |||
| Unplanned Readmission Rate at DRG | 8.32 | |||
| Unplanned Readmission Rate with ICD K563 - Gallstone ileus | NA | |||
| Total Medicare payments at DRG | $363,941,412 | |||
| Total Medicare payments with ICD K563 - Gallstone ileus | $107,759 | |||
| Total Medicare payment per Day at DRG | $1,193 | |||
| Total Medicare payment per Day with ICD K563 - Gallstone ileus | $1,330 | |||
| Total Medicare payment per Hospitalization at DRG | $3,413 | |||
| Total Medicare payment per Hospitalization with ICD K563 - Gallstone ileus | $3,849 | |||
| Total Medicare Charges at DRG | $2,140,622,653 | |||
| Total Medicare Charges with ICD K563 - Gallstone ileus | $554,042 | |||
| Avg Charges at DRG | $20,072 | |||
| Avg Charges with ICD K563 - Gallstone ileus | $19,787 | |||
| Mortality Rate at DRG | 0.22 | |||
| Mortality Rate with ICD K563 - Gallstone ileus | NA | |||
| SNF Discharge Rate at DRG | 3.46 | |||
| SNF Discharge Rate with ICD K563 - Gallstone ileus | NA | |||
| Home Discharge Rate at DRG | 85.03 | |||
| Home Discharge Rate with ICD K563 - Gallstone ileus | 71.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 344: MINOR 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 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 | 9,732 | ||||
| Total Hospitalizations with ICD K563 - Gallstone ileus | 300 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K563 - Gallstone ileus in DRG | 15.93 | ||||
| Avg LOS at DRG | 5.53 | ||||
| Avg LOS with ICD K563 - Gallstone ileus | 6.85 | ||||
| Readmission Rate at DRG | 19.38 | ||||
| Readmission Rate with ICD K563 - Gallstone ileus | 12.84 | ||||
| Unplanned Readmission Rate at DRG | 13.36 | ||||
| Unplanned Readmission Rate with ICD K563 - Gallstone ileus | 7.77 | ||||
| Total Medicare payments at DRG | $100,062,390 | ||||
| Total Medicare payments with ICD K563 - Gallstone ileus | $3,148,415 | ||||
| Total Medicare payment per Day at DRG | $1,858 | ||||
| Total Medicare payment per Day with ICD K563 - Gallstone ileus | $1,532 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,282 | ||||
| Total Medicare payment per Hospitalization with ICD K563 - Gallstone ileus | $10,495 | ||||
| Total Medicare Charges at DRG | $511,834,570 | ||||
| Total Medicare Charges with ICD K563 - Gallstone ileus | $19,338,793 | ||||
| Avg Charges at DRG | $52,593 | ||||
| Avg Charges with ICD K563 - Gallstone ileus | $64,463 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD K563 - Gallstone ileus | NA | ||||
| SNF Discharge Rate at DRG | 12.85 | ||||
| SNF Discharge Rate with ICD K563 - Gallstone ileus | 18.0 | ||||
| Home Discharge Rate at DRG | 59.69 | ||||
| Home Discharge Rate with ICD K563 - Gallstone ileus | 61.0 |
*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 346: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD K563 - Gallstone ileus | 78 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD K563 - Gallstone ileus in DRG | 4.14 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD K563 - Gallstone ileus | 5.06 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD K563 - Gallstone ileus | 22.22 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD K563 - Gallstone ileus | NA | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD K563 - Gallstone ileus | $449,333 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD K563 - Gallstone ileus | $1,138 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD K563 - Gallstone ileus | $5,761 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD K563 - Gallstone ileus | $2,884,271 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD K563 - Gallstone ileus | $36,978 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K563 - Gallstone ileus | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD K563 - Gallstone ileus | NA | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD K563 - Gallstone ileus | 48.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,988 | ||||
| Total Hospitalizations with ICD K563 - Gallstone ileus | 50 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K563 - Gallstone ileus in DRG | 2.66 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD K563 - Gallstone ileus | 5.5 | ||||
| Readmission Rate at DRG | 12.05 | ||||
| Readmission Rate with ICD K563 - Gallstone ileus | NA | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD K563 - Gallstone ileus | NA | ||||
| Total Medicare payments at DRG | $665,362,889 | ||||
| Total Medicare payments with ICD K563 - Gallstone ileus | $489,059 | ||||
| Total Medicare payment per Day at DRG | $2,271 | ||||
| Total Medicare payment per Day with ICD K563 - Gallstone ileus | $1,778 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,786 | ||||
| Total Medicare payment per Hospitalization with ICD K563 - Gallstone ileus | $9,781 | ||||
| Total Medicare Charges at DRG | $4,095,369,652 | ||||
| Total Medicare Charges with ICD K563 - Gallstone ileus | $3,315,547 | ||||
| Avg Charges at DRG | $60,237 | ||||
| Avg Charges with ICD K563 - Gallstone ileus | $66,311 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K563 - Gallstone ileus | NA | ||||
| SNF Discharge Rate at DRG | 8.88 | ||||
| SNF Discharge Rate with ICD K563 - Gallstone ileus | NA | ||||
| Home Discharge Rate at DRG | 75.76 | ||||
| Home Discharge Rate with ICD K563 - Gallstone ileus | 68.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 415: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,405 | ||||
| Total Hospitalizations with ICD K563 - Gallstone ileus | 35 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K563 - Gallstone ileus in DRG | 1.86 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD K563 - Gallstone ileus | 7.91 | ||||
| Readmission Rate at DRG | 24.55 | ||||
| Readmission Rate with ICD K563 - Gallstone ileus | NA | ||||
| Unplanned Readmission Rate at DRG | 16.71 | ||||
| Unplanned Readmission Rate with ICD K563 - Gallstone ileus | NA | ||||
| Total Medicare payments at DRG | $413,772,388 | ||||
| Total Medicare payments with ICD K563 - Gallstone ileus | $394,713 | ||||
| Total Medicare payment per Day at DRG | $1,899 | ||||
| Total Medicare payment per Day with ICD K563 - Gallstone ileus | $1,425 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,774 | ||||
| Total Medicare payment per Hospitalization with ICD K563 - Gallstone ileus | $11,278 | ||||
| Total Medicare Charges at DRG | $2,091,472,966 | ||||
| Total Medicare Charges with ICD K563 - Gallstone ileus | $2,268,181 | ||||
| Avg Charges at DRG | $54,458 | ||||
| Avg Charges with ICD K563 - Gallstone ileus | $64,805 | ||||
| Mortality Rate at DRG | 3.2 | ||||
| Mortality Rate with ICD K563 - Gallstone ileus | NA | ||||
| SNF Discharge Rate at DRG | 16.21 | ||||
| SNF Discharge Rate with ICD K563 - Gallstone ileus | 31.43 | ||||
| Home Discharge Rate at DRG | 47.16 | ||||
| Home Discharge Rate with ICD K563 - Gallstone ileus | NA |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |