*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding - as a primary diagnosis code | K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.27 | |
| Readmission Rate (%) | 22.47 | |
| Unplanned Readmission Rate (%) | 11.56 | |
| 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 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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 29,190 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding in DRG | 49.89 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 4.5 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 18.16 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 11.69 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $130,997,064 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $997 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $4,488 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $901,395,638 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $30,880 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 0.28 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 5.71 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 77.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,732 | ||||
| Total Hospitalizations with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 339 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding in DRG | 0.58 | ||||
| Avg LOS at DRG | 5.53 | ||||
| Avg LOS with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 6.29 | ||||
| Readmission Rate at DRG | 19.38 | ||||
| Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 25.45 | ||||
| Unplanned Readmission Rate at DRG | 13.36 | ||||
| Unplanned Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 13.47 | ||||
| Total Medicare payments at DRG | $100,062,390 | ||||
| Total Medicare payments with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $3,244,459 | ||||
| Total Medicare payment per Day at DRG | $1,858 | ||||
| Total Medicare payment per Day with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $1,523 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,282 | ||||
| Total Medicare payment per Hospitalization with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $9,571 | ||||
| Total Medicare Charges at DRG | $511,834,570 | ||||
| Total Medicare Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $16,696,992 | ||||
| Avg Charges at DRG | $52,593 | ||||
| Avg Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $49,254 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 12.85 | ||||
| SNF Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 10.32 | ||||
| Home Discharge Rate at DRG | 59.69 | ||||
| Home Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 66.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 344: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,117 | ||||
| Total Hospitalizations with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 76 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding in DRG | 0.13 | ||||
| Avg LOS at DRG | 9.46 | ||||
| Avg LOS with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 10.47 | ||||
| Readmission Rate at DRG | 30.77 | ||||
| Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 22.86 | ||||
| Unplanned Readmission Rate at DRG | 21.23 | ||||
| Unplanned Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | NA | ||||
| Total Medicare payments at DRG | $108,269,262 | ||||
| Total Medicare payments with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $1,633,539 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $2,052 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,159 | ||||
| Total Medicare payment per Hospitalization with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $21,494 | ||||
| Total Medicare Charges at DRG | $483,726,294 | ||||
| Total Medicare Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $6,907,383 | ||||
| Avg Charges at DRG | $94,533 | ||||
| Avg Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $90,887 | ||||
| Mortality Rate at DRG | 5.41 | ||||
| Mortality Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 22.61 | ||||
| SNF Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | NA | ||||
| Home Discharge Rate at DRG | 37.35 | ||||
| Home Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 34.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 342: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,249 | ||||
| Total Hospitalizations with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 39 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding in DRG | 0.07 | ||||
| Avg LOS at DRG | 5.41 | ||||
| Avg LOS with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 5.28 | ||||
| Readmission Rate at DRG | 15.24 | ||||
| Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | NA | ||||
| Unplanned Readmission Rate at DRG | 9.83 | ||||
| Unplanned Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | NA | ||||
| Total Medicare payments at DRG | $32,618,281 | ||||
| Total Medicare payments with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $520,201 | ||||
| Total Medicare payment per Day at DRG | $2,679 | ||||
| Total Medicare payment per Day with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $2,525 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,503 | ||||
| Total Medicare payment per Hospitalization with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $13,338 | ||||
| Total Medicare Charges at DRG | $159,075,251 | ||||
| Total Medicare Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $2,563,736 | ||||
| Avg Charges at DRG | $70,732 | ||||
| Avg Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $65,737 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 14.23 | ||||
| SNF Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | NA | ||||
| Home Discharge Rate at DRG | 57.09 | ||||
| Home Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 79.49 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 201 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 199 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 175 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HANI B BARADI | 3433 NW 56TH ST | OKLAHOMA CITY | OK | 73112 | 48 |
| Dr. AMIT P SAHA | 4200 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 47 |
| Dr. SANKAR NAIDU ADUSUMILLI | 2501 ATRIUM DR | RALEIGH | NC | 27607 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AMIT P SAHA | 4200 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 47 |
| Dr. HANI B BARADI | 3433 NW 56TH ST | OKLAHOMA CITY | OK | 73112 | 38 |
| Dr. DAVID E RIVADENEIRA | 48 ROUTE 25A | SMITHTOWN | NY | 11787 | 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 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) | 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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 29,359 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding in DRG | 35.84 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 4.5 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 18.19 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 11.71 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $131,838,858 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $998 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $4,491 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $907,363,839 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $30,906 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 0.28 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 5.72 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 77.1 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 499,133 | ||||
| Total Hospitalizations with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 3,319 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding in DRG | 4.05 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 5.83 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 23.4 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 16.08 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $21,361,377 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $1,104 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $6,436 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $147,683,661 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $44,496 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 1.51 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 11.15 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 59.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 654: MAJOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 414 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding in DRG | 0.51 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 34.49 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 82.08 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | NA | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $52,652,317 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $3,688 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $127,180 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $246,856,715 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $596,272 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 18.6 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 12.8 | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,689 | ||||
| Total Hospitalizations with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 238 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding in DRG | 0.29 | ||||
| Avg LOS at DRG | 7.62 | ||||
| Avg LOS with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 7.46 | ||||
| Readmission Rate at DRG | 15.2 | ||||
| Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 20.09 | ||||
| Unplanned Readmission Rate at DRG | 10.41 | ||||
| Unplanned Readmission Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 15.38 | ||||
| Total Medicare payments at DRG | $451,870,690 | ||||
| Total Medicare payments with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $3,359,014 | ||||
| Total Medicare payment per Day at DRG | $1,931 | ||||
| Total Medicare payment per Day with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $1,892 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,724 | ||||
| Total Medicare payment per Hospitalization with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $14,114 | ||||
| Total Medicare Charges at DRG | $2,328,618,768 | ||||
| Total Medicare Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $17,416,022 | ||||
| Avg Charges at DRG | $75,878 | ||||
| Avg Charges with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | $73,177 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 13.82 | ||||
| SNF Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 13.45 | ||||
| Home Discharge Rate at DRG | 61.62 | ||||
| Home Discharge Rate with ICD K5720 - Diverticulitis of large intestine with perforation and abscess without bleeding | 60.92 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 305 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 243 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 238 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AMIT P SAHA | 4200 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 55 |
| Dr. HANI B BARADI | 3433 NW 56TH ST | OKLAHOMA CITY | OK | 73112 | 53 |
| Dr. SANKAR NAIDU ADUSUMILLI | 2501 ATRIUM DR | RALEIGH | NC | 27607 | 37 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AMIT P SAHA | 4200 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 53 |
| Dr. DAVID E RIVADENEIRA | 48 ROUTE 25A | SMITHTOWN | NY | 11787 | 41 |
| Dr. HANI B BARADI | 3433 NW 56TH ST | OKLAHOMA CITY | OK | 73112 | 40 |