*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding - as a primary diagnosis code | K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.28 | |
| Readmission Rate (%) | 20.14 | |
| Unplanned Readmission Rate (%) | 11.44 | |
| 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 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) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 1,571 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding in DRG | 74.85 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 3.15 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 13.49 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 9.46 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $7,318,452 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $1,478 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $4,658 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $41,638,444 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $26,504 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 8.59 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 75.24 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 19 |
| HOLY CROSS HOSPITAL | 1500 FOREST GLEN ROAD | SILVER SPRING | MD | 20904 | 15 |
| MUSC HEALTH FLORENCE MEDICAL CENTER | 805 PAMPLICO HWY | FLORENCE | SC | 29505 | 13 |
*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 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 17,931 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding in DRG | 5.44 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 3.64 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 16.56 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 12.94 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $105,473,879 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $1,616 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $5,882 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $613,488,540 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $34,214 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 0.38 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 12.34 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 66.73 |
*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 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 6,794 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding in DRG | 2.06 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 4.5 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 16.6 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 12.06 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $44,120,777 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $1,443 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $6,494 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $252,386,953 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $37,149 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 0.87 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 17.19 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 54.64 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 4,889 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding in DRG | 1.48 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 4.2 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 21.33 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 16.31 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $27,580,624 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $1,342 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $5,641 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $153,222,368 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $31,340 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 0.63 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 20.7 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 50.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 68,111 | ||||
| Total Hospitalizations with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 3,552 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding in DRG | 1.08 | ||||
| Avg LOS at DRG | 2.39 | ||||
| Avg LOS with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 2.53 | ||||
| Readmission Rate at DRG | 11.08 | ||||
| Readmission Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 11.04 | ||||
| Unplanned Readmission Rate at DRG | 8.15 | ||||
| Unplanned Readmission Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 7.99 | ||||
| Total Medicare payments at DRG | $254,469,696 | ||||
| Total Medicare payments with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $13,178,477 | ||||
| Total Medicare payment per Day at DRG | $1,562 | ||||
| Total Medicare payment per Day with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $1,468 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,736 | ||||
| Total Medicare payment per Hospitalization with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $3,710 | ||||
| Total Medicare Charges at DRG | $1,450,920,901 | ||||
| Total Medicare Charges with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $83,557,264 | ||||
| Avg Charges at DRG | $21,302 | ||||
| Avg Charges with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | $23,524 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | NA | ||||
| SNF Discharge Rate at DRG | 7.64 | ||||
| SNF Discharge Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 6.17 | ||||
| Home Discharge Rate at DRG | 75.95 | ||||
| Home Discharge Rate with ICD K5790 - Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding | 80.35 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 1,370 |
| ST. FRANCIS HOSPITAL ROSLYN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 1,247 |
| MUNSON MEDICAL CENTER | 1105 6TH ST | TRAVERSE CITY | MI | 49684 | 1,150 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LIJIAN WANG | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 113 |
| Dr. NHIA KASH VANG | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 112 |
| Dr. LOVE N DALAL | 2809 OLIVE HWY | OROVILLE | CA | 95966 | 81 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WALTER JOSEPH SZYDLOWSKI | 11347 CORTEZ BLVD | BROOKSVILLE | FL | 34613 | 199 |
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 184 |
| Dr. ALKESH C AMIN | 215 OAK DRIVE SOUTH | LAKE JACKSON | TX | 77566 | 141 |