*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K581 - Irritable bowel syndrome with constipation - as a primary diagnosis code | K581 - Irritable bowel syndrome with constipation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.81 | |
| Readmission Rate (%) | 19.05 | |
| Unplanned Readmission Rate (%) | 12.46 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 522,791 | |
| Total Hospitalizations with ICD K581 - Irritable bowel syndrome with constipation | 751 | |
| DRG Share of Total Hospitalizations | 1.59 | |
| % of Total ICD K581 - Irritable bowel syndrome with constipation in DRG | 82.71 | |
| Avg LOS at DRG | 3.14 | |
| Avg LOS with ICD K581 - Irritable bowel syndrome with constipation | 3.12 | |
| Readmission Rate at DRG | 17.1 | |
| Readmission Rate with ICD K581 - Irritable bowel syndrome with constipation | 14.04 | |
| Unplanned Readmission Rate at DRG | 12.62 | |
| Unplanned Readmission Rate with ICD K581 - Irritable bowel syndrome with constipation | 11.52 | |
| Total Medicare payments at DRG | $2,290,151,156 | |
| Total Medicare payments with ICD K581 - Irritable bowel syndrome with constipation | $3,299,935 | |
| Total Medicare payment per Day at DRG | $1,394 | |
| Total Medicare payment per Day with ICD K581 - Irritable bowel syndrome with constipation | $1,408 | |
| Total Medicare payment per Hospitalization at DRG | $4,381 | |
| Total Medicare payment per Hospitalization with ICD K581 - Irritable bowel syndrome with constipation | $4,394 | |
| Total Medicare Charges at DRG | $13,619,287,561 | |
| Total Medicare Charges with ICD K581 - Irritable bowel syndrome with constipation | $21,460,075 | |
| Avg Charges at DRG | $26,051 | |
| Avg Charges with ICD K581 - Irritable bowel syndrome with constipation | $28,575 | |
| Mortality Rate at DRG | 0.18 | |
| Mortality Rate with ICD K581 - Irritable bowel syndrome with constipation | NA | |
| SNF Discharge Rate at DRG | 8.57 | |
| SNF Discharge Rate with ICD K581 - Irritable bowel syndrome with constipation | 7.06 | |
| Home Discharge Rate at DRG | 72.49 | |
| Home Discharge Rate with ICD K581 - Irritable bowel syndrome with constipation | 74.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 14 |
*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 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K581 - Irritable bowel syndrome with constipation | 1,742 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K581 - Irritable bowel syndrome with constipation in DRG | 10.24 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K581 - Irritable bowel syndrome with constipation | 3.3 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K581 - Irritable bowel syndrome with constipation | 15.11 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K581 - Irritable bowel syndrome with constipation | 11.76 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K581 - Irritable bowel syndrome with constipation | $7,595,900 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K581 - Irritable bowel syndrome with constipation | $1,321 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K581 - Irritable bowel syndrome with constipation | $4,360 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K581 - Irritable bowel syndrome with constipation | $48,950,496 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K581 - Irritable bowel syndrome with constipation | $28,100 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K581 - Irritable bowel syndrome with constipation | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K581 - Irritable bowel syndrome with constipation | 7.35 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K581 - Irritable bowel syndrome with constipation | 74.97 |
*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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD K581 - Irritable bowel syndrome with constipation | 293 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD K581 - Irritable bowel syndrome with constipation in DRG | 1.72 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD K581 - Irritable bowel syndrome with constipation | 3.81 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD K581 - Irritable bowel syndrome with constipation | 16.97 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD K581 - Irritable bowel syndrome with constipation | 13.28 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD K581 - Irritable bowel syndrome with constipation | $1,371,927 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K581 - Irritable bowel syndrome with constipation | $1,230 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD K581 - Irritable bowel syndrome with constipation | $4,682 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD K581 - Irritable bowel syndrome with constipation | $8,419,134 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD K581 - Irritable bowel syndrome with constipation | $28,734 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD K581 - Irritable bowel syndrome with constipation | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD K581 - Irritable bowel syndrome with constipation | 22.53 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD K581 - Irritable bowel syndrome with constipation | 45.39 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K581 - Irritable bowel syndrome with constipation | 243 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K581 - Irritable bowel syndrome with constipation in DRG | 1.43 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K581 - Irritable bowel syndrome with constipation | 3.73 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K581 - Irritable bowel syndrome with constipation | 14.73 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K581 - Irritable bowel syndrome with constipation | 9.82 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K581 - Irritable bowel syndrome with constipation | $1,371,853 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K581 - Irritable bowel syndrome with constipation | $1,514 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K581 - Irritable bowel syndrome with constipation | $5,645 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K581 - Irritable bowel syndrome with constipation | $7,736,685 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K581 - Irritable bowel syndrome with constipation | $31,838 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K581 - Irritable bowel syndrome with constipation | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K581 - Irritable bowel syndrome with constipation | 11.52 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K581 - Irritable bowel syndrome with constipation | 64.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K581 - Irritable bowel syndrome with constipation | 196 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K581 - Irritable bowel syndrome with constipation in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K581 - Irritable bowel syndrome with constipation | 4.08 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K581 - Irritable bowel syndrome with constipation | 14.05 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K581 - Irritable bowel syndrome with constipation | 8.11 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K581 - Irritable bowel syndrome with constipation | $1,090,748 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K581 - Irritable bowel syndrome with constipation | $1,363 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K581 - Irritable bowel syndrome with constipation | $5,565 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K581 - Irritable bowel syndrome with constipation | $6,576,931 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K581 - Irritable bowel syndrome with constipation | $33,556 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K581 - Irritable bowel syndrome with constipation | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K581 - Irritable bowel syndrome with constipation | 14.29 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K581 - Irritable bowel syndrome with constipation | 68.37 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SOUTHWEST GENERAL HEALTH CENTER | 18697 BAGLEY RD | CLEVELAND | OH | 44130 | 82 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 69 |
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 68 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEROLD P GURLEY | 7215 OLD OAK BLVD | CLEVELAND | OH | 44130 | 28 |
| Dr. NAINESH M PATEL | 207 SUNSET DR | BECKLEY | WV | 25801 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEROLD P GURLEY | 7215 OLD OAK BLVD | CLEVELAND | OH | 44130 | 29 |
| Dr. RICHARD MICHAEL RUCKER | 10931 CHERRY ST | LOS ALAMITOS | CA | 90720 | 23 |
| Dr. VALJI MUNJAPARA | 7255 OLD OAK BLVD STE 209 | CLEVELAND | OH | 44130 | 20 |