*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K589 - Irritable bowel syndrome without diarrhea - as a primary diagnosis code | K589 - Irritable bowel syndrome without diarrhea - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.03 | |
| Readmission Rate (%) | 19.24 | |
| Unplanned Readmission Rate (%) | 14.42 | |
| 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 K589 - Irritable bowel syndrome without diarrhea | 1,937 | |
| DRG Share of Total Hospitalizations | 1.59 | |
| % of Total ICD K589 - Irritable bowel syndrome without diarrhea in DRG | 85.78 | |
| Avg LOS at DRG | 3.14 | |
| Avg LOS with ICD K589 - Irritable bowel syndrome without diarrhea | 3.18 | |
| Readmission Rate at DRG | 17.1 | |
| Readmission Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 17.33 | |
| Unplanned Readmission Rate at DRG | 12.62 | |
| Unplanned Readmission Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 13.35 | |
| Total Medicare payments at DRG | $2,290,151,156 | |
| Total Medicare payments with ICD K589 - Irritable bowel syndrome without diarrhea | $8,235,769 | |
| Total Medicare payment per Day at DRG | $1,394 | |
| Total Medicare payment per Day with ICD K589 - Irritable bowel syndrome without diarrhea | $1,338 | |
| Total Medicare payment per Hospitalization at DRG | $4,381 | |
| Total Medicare payment per Hospitalization with ICD K589 - Irritable bowel syndrome without diarrhea | $4,252 | |
| Total Medicare Charges at DRG | $13,619,287,561 | |
| Total Medicare Charges with ICD K589 - Irritable bowel syndrome without diarrhea | $55,287,423 | |
| Avg Charges at DRG | $26,051 | |
| Avg Charges with ICD K589 - Irritable bowel syndrome without diarrhea | $28,543 | |
| Mortality Rate at DRG | 0.18 | |
| Mortality Rate with ICD K589 - Irritable bowel syndrome without diarrhea | NA | |
| SNF Discharge Rate at DRG | 8.57 | |
| SNF Discharge Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 6.3 | |
| Home Discharge Rate at DRG | 72.49 | |
| Home Discharge Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 79.14 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 25 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 18 |
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD K589 - Irritable bowel syndrome without diarrhea | 25,148 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD K589 - Irritable bowel syndrome without diarrhea in DRG | 7.06 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD K589 - Irritable bowel syndrome without diarrhea | 2.54 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 8.99 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 3.49 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD K589 - Irritable bowel syndrome without diarrhea | $288,302,195 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD K589 - Irritable bowel syndrome without diarrhea | $4,522 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD K589 - Irritable bowel syndrome without diarrhea | $11,464 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD K589 - Irritable bowel syndrome without diarrhea | $1,449,649,113 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD K589 - Irritable bowel syndrome without diarrhea | $57,645 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD K589 - Irritable bowel syndrome without diarrhea | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 25.37 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 28.33 |
*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 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD K589 - Irritable bowel syndrome without diarrhea | 5,930 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD K589 - Irritable bowel syndrome without diarrhea in DRG | 1.67 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD K589 - Irritable bowel syndrome without diarrhea | 3.46 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 18.4 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 13.3 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD K589 - Irritable bowel syndrome without diarrhea | $27,263,043 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K589 - Irritable bowel syndrome without diarrhea | $1,329 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD K589 - Irritable bowel syndrome without diarrhea | $4,597 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD K589 - Irritable bowel syndrome without diarrhea | $145,534,571 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD K589 - Irritable bowel syndrome without diarrhea | $24,542 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD K589 - Irritable bowel syndrome without diarrhea | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 22.56 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 49.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD K589 - Irritable bowel syndrome without diarrhea | 4,369 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD K589 - Irritable bowel syndrome without diarrhea in DRG | 1.23 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD K589 - Irritable bowel syndrome without diarrhea | 3.35 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 15.6 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 4.22 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD K589 - Irritable bowel syndrome without diarrhea | $105,103,802 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD K589 - Irritable bowel syndrome without diarrhea | $7,186 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD K589 - Irritable bowel syndrome without diarrhea | $24,057 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD K589 - Irritable bowel syndrome without diarrhea | $503,141,588 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD K589 - Irritable bowel syndrome without diarrhea | $115,162 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD K589 - Irritable bowel syndrome without diarrhea | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 18.49 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 48.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD K589 - Irritable bowel syndrome without diarrhea | 3,675 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD K589 - Irritable bowel syndrome without diarrhea in DRG | 1.03 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD K589 - Irritable bowel syndrome without diarrhea | 11.97 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 16.08 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 9.3 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD K589 - Irritable bowel syndrome without diarrhea | $57,577,687 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD K589 - Irritable bowel syndrome without diarrhea | $1,309 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD K589 - Irritable bowel syndrome without diarrhea | $15,667 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD K589 - Irritable bowel syndrome without diarrhea | $146,996,814 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD K589 - Irritable bowel syndrome without diarrhea | $39,999 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K589 - Irritable bowel syndrome without diarrhea | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 25.71 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD K589 - Irritable bowel syndrome without diarrhea | 28.79 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,674 |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | 620 SKYLINE DR | JACKSON | TN | 38301 | 1,294 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 1,185 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 111 |
| Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 82 |
| Dr. STEVEN M DELLOSE | 1941 LIMESTONE ROAD | WILMINGTON | DE | 19808 | 75 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 143 |
| Dr. VALJI MUNJAPARA | 7255 OLD OAK BLVD STE 209 | CLEVELAND | OH | 44130 | 117 |
| Dr. JIGNA HITESH SHAH | 1000 WATERMAN WAY | TAVARES | FL | 32778 | 93 |