*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding - as a primary diagnosis code | K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.83 | |
| Readmission Rate (%) | 19.11 | |
| Unplanned Readmission Rate (%) | 9.43 | |
| 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 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 266 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding in DRG | 49.91 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 3.22 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 10.51 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 8.17 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $1,226,617 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $1,431 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $4,611 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $8,501,596 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $31,961 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 8.65 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 76.32 |
*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 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 82,061 | ||
| Total Hospitalizations with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 16 | ||
| DRG Share of Total Hospitalizations | 0.25 | ||
| % of Total ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding in DRG | 3.0 | ||
| Avg LOS at DRG | 4.08 | ||
| Avg LOS with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 3.94 | ||
| Readmission Rate at DRG | 9.45 | ||
| Readmission Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | NA | ||
| Unplanned Readmission Rate at DRG | 6.69 | ||
| Unplanned Readmission Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | NA | ||
| Total Medicare payments at DRG | $818,105,892 | ||
| Total Medicare payments with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $135,976 | ||
| Total Medicare payment per Day at DRG | $2,445 | ||
| Total Medicare payment per Day with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $2,158 | ||
| Total Medicare payment per Hospitalization at DRG | $9,969 | ||
| Total Medicare payment per Hospitalization with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $8,499 | ||
| Total Medicare Charges at DRG | $4,652,792,838 | ||
| Total Medicare Charges with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $861,172 | ||
| Avg Charges at DRG | $56,699 | ||
| Avg Charges with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $53,823 | ||
| Mortality Rate at DRG | 0.07 | ||
| Mortality Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | NA | ||
| SNF Discharge Rate at DRG | 4.97 | ||
| SNF Discharge Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | NA | ||
| Home Discharge Rate at DRG | 77.96 | ||
| Home Discharge Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 87.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 2,939 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding in DRG | 10.83 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 3.84 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 16.33 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 12.56 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $17,441,398 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $1,547 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $5,934 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $109,216,208 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $37,161 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 12.49 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 65.91 |
*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 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,988 | ||||
| Total Hospitalizations with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 964 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding in DRG | 3.55 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 5.03 | ||||
| Readmission Rate at DRG | 12.05 | ||||
| Readmission Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 11.85 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 9.27 | ||||
| Total Medicare payments at DRG | $665,362,889 | ||||
| Total Medicare payments with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $9,746,944 | ||||
| Total Medicare payment per Day at DRG | $2,271 | ||||
| Total Medicare payment per Day with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $2,011 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,786 | ||||
| Total Medicare payment per Hospitalization with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $10,111 | ||||
| Total Medicare Charges at DRG | $4,095,369,652 | ||||
| Total Medicare Charges with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $72,113,140 | ||||
| Avg Charges at DRG | $60,237 | ||||
| Avg Charges with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $74,806 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 8.88 | ||||
| SNF Discharge Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 8.92 | ||||
| Home Discharge Rate at DRG | 75.76 | ||||
| Home Discharge Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 76.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 419: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 608 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding in DRG | 2.24 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 10.39 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 24.63 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 12.59 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $19,713,717 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $3,121 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $32,424 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $82,433,335 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $135,581 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 7.07 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 28.62 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 27.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 418 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding in DRG | 1.54 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 12.06 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 23.42 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 11.85 | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $13,522,625 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $2,681 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $32,351 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $57,485,745 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | $137,526 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 9.09 | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 29.19 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD K5710 - Diverticulosis of small intestine without perforation or abscess without bleeding | 26.56 |
| 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 | 135 |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 105 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 90 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SOVI JOSEPH | 3440 TAMIAMI TRL | PORT CHARLOTTE | FL | 33952 | 30 |
| Dr. DAVID E. LOREN | 132 S 10TH ST | PHILA | PA | 19107 | 21 |
| Dr. WILLIS G PARSONS | 676 N SAINT CLAIR ST | CHICAGO | IL | 60611 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LOUIS SANG-SOO PARK | 500 S VIRGIL AVE # 502 | LOS ANGELES | CA | 90020 | 17 |
| Dr. WALTER JOSEPH SZYDLOWSKI | 11347 CORTEZ BLVD | BROOKSVILLE | FL | 34613 | 15 |
| Dr. WESLEY BRANCH JONES | 890 W FARIS RD | GREENVILLE | SC | 29605 | 12 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | D62 | Acute posthemorrhagic anemia |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 3 | Z87891 | Personal history of nicotine dependence |
| 4 | E785 | Hyperlipidemia, unspecified |
| 5 | I10 | Essential (primary) hypertension |