*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
K5900 - Constipation, unspecified - as a primary diagnosis code | K5900 - Constipation, unspecified - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 7.7 | |
Readmission Rate (%) | 23.79 | |
Unplanned Readmission Rate (%) | 16.0 | |
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 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH 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 K5900 - Constipation, unspecified | 20,788 | ||||
DRG Share of Total Hospitalizations | 1.59 | ||||
% of Total ICD K5900 - Constipation, unspecified in DRG | 76.71 | ||||
Avg LOS at DRG | 3.14 | ||||
Avg LOS with ICD K5900 - Constipation, unspecified | 2.8 | ||||
Readmission Rate at DRG | 17.1 | ||||
Readmission Rate with ICD K5900 - Constipation, unspecified | 19.01 | ||||
Unplanned Readmission Rate at DRG | 12.62 | ||||
Unplanned Readmission Rate with ICD K5900 - Constipation, unspecified | 14.21 | ||||
Total Medicare payments at DRG | $2,290,151,156 | ||||
Total Medicare payments with ICD K5900 - Constipation, unspecified | $92,220,167 | ||||
Total Medicare payment per Day at DRG | $1,394 | ||||
Total Medicare payment per Day with ICD K5900 - Constipation, unspecified | $1,583 | ||||
Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
Total Medicare payment per Hospitalization with ICD K5900 - Constipation, unspecified | $4,436 | ||||
Total Medicare Charges at DRG | $13,619,287,561 | ||||
Total Medicare Charges with ICD K5900 - Constipation, unspecified | $501,010,888 | ||||
Avg Charges at DRG | $26,051 | ||||
Avg Charges with ICD K5900 - Constipation, unspecified | $24,101 | ||||
Mortality Rate at DRG | 0.18 | ||||
Mortality Rate with ICD K5900 - Constipation, unspecified | 0.17 | ||||
SNF Discharge Rate at DRG | 8.57 | ||||
SNF Discharge Rate with ICD K5900 - Constipation, unspecified | 14.56 | ||||
Home Discharge Rate at DRG | 72.49 | ||||
Home Discharge Rate with ICD K5900 - Constipation, unspecified | 61.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 52,726 | ||||
Total Hospitalizations with ICD K5900 - Constipation, unspecified | 52 | ||||
DRG Share of Total Hospitalizations | 0.16 | ||||
% of Total ICD K5900 - Constipation, unspecified in DRG | 0.19 | ||||
Avg LOS at DRG | 6.68 | ||||
Avg LOS with ICD K5900 - Constipation, unspecified | 5.12 | ||||
Readmission Rate at DRG | 24.76 | ||||
Readmission Rate with ICD K5900 - Constipation, unspecified | 36.54 | ||||
Unplanned Readmission Rate at DRG | 14.45 | ||||
Unplanned Readmission Rate with ICD K5900 - Constipation, unspecified | 26.92 | ||||
Total Medicare payments at DRG | $902,862,104 | ||||
Total Medicare payments with ICD K5900 - Constipation, unspecified | $802,079 | ||||
Total Medicare payment per Day at DRG | $2,565 | ||||
Total Medicare payment per Day with ICD K5900 - Constipation, unspecified | $3,015 | ||||
Total Medicare payment per Hospitalization at DRG | $17,124 | ||||
Total Medicare payment per Hospitalization with ICD K5900 - Constipation, unspecified | $15,425 | ||||
Total Medicare Charges at DRG | $4,216,562,728 | ||||
Total Medicare Charges with ICD K5900 - Constipation, unspecified | $3,878,382 | ||||
Avg Charges at DRG | $79,971 | ||||
Avg Charges with ICD K5900 - Constipation, unspecified | $74,584 | ||||
Mortality Rate at DRG | 0.83 | ||||
Mortality Rate with ICD K5900 - Constipation, unspecified | NA | ||||
SNF Discharge Rate at DRG | 22.41 | ||||
SNF Discharge Rate with ICD K5900 - Constipation, unspecified | NA | ||||
Home Discharge Rate at DRG | 43.51 | ||||
Home Discharge Rate with ICD K5900 - Constipation, unspecified | 44.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 4,727 | ||||
Total Hospitalizations with ICD K5900 - Constipation, unspecified | 17 | ||||
DRG Share of Total Hospitalizations | 0.01 | ||||
% of Total ICD K5900 - Constipation, unspecified in DRG | 0.06 | ||||
Avg LOS at DRG | 3.38 | ||||
Avg LOS with ICD K5900 - Constipation, unspecified | 2.12 | ||||
Readmission Rate at DRG | 13.38 | ||||
Readmission Rate with ICD K5900 - Constipation, unspecified | NA | ||||
Unplanned Readmission Rate at DRG | 8.49 | ||||
Unplanned Readmission Rate with ICD K5900 - Constipation, unspecified | NA | ||||
Total Medicare payments at DRG | $39,515,540 | ||||
Total Medicare payments with ICD K5900 - Constipation, unspecified | $109,069 | ||||
Total Medicare payment per Day at DRG | $2,471 | ||||
Total Medicare payment per Day with ICD K5900 - Constipation, unspecified | $3,030 | ||||
Total Medicare payment per Hospitalization at DRG | $8,360 | ||||
Total Medicare payment per Hospitalization with ICD K5900 - Constipation, unspecified | $6,416 | ||||
Total Medicare Charges at DRG | $230,310,609 | ||||
Total Medicare Charges with ICD K5900 - Constipation, unspecified | $664,386 | ||||
Avg Charges at DRG | $48,722 | ||||
Avg Charges with ICD K5900 - Constipation, unspecified | $39,082 | ||||
Mortality Rate at DRG | 0.63 | ||||
Mortality Rate with ICD K5900 - Constipation, unspecified | NA | ||||
SNF Discharge Rate at DRG | 4.59 | ||||
SNF Discharge Rate with ICD K5900 - Constipation, unspecified | NA | ||||
Home Discharge Rate at DRG | 80.18 | ||||
Home Discharge Rate with ICD K5900 - Constipation, unspecified | 76.47 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 215 |
NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 102 |
MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 92 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 22 |
Dr. JOSEPH L PRATT | 121 PRATT DR | CORINTH | MS | 38834 | 15 |
Dr. GERALD WILLIAM BEINHAUER | 11120 LIBBY RD | SPRING HILL | FL | 34609 | 15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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 | 1,808,415 | ||||
Total Hospitalizations with ICD K5900 - Constipation, unspecified | 99,797 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD K5900 - Constipation, unspecified in DRG | 4.78 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD K5900 - Constipation, unspecified | 7.3 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD K5900 - Constipation, unspecified | 24.97 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD K5900 - Constipation, unspecified | 17.6 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD K5900 - Constipation, unspecified | $1,212,535,830 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD K5900 - Constipation, unspecified | $1,663 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD K5900 - Constipation, unspecified | $12,150 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD K5900 - Constipation, unspecified | $6,282,327,441 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD K5900 - Constipation, unspecified | $62,951 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD K5900 - Constipation, unspecified | 7.17 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD K5900 - Constipation, unspecified | 32.29 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD K5900 - Constipation, unspecified | 23.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 188,863 | ||||
Total Hospitalizations with ICD K5900 - Constipation, unspecified | 48,103 | ||||
DRG Share of Total Hospitalizations | 0.57 | ||||
% of Total ICD K5900 - Constipation, unspecified in DRG | 2.3 | ||||
Avg LOS at DRG | 11.75 | ||||
Avg LOS with ICD K5900 - Constipation, unspecified | 12.4 | ||||
Readmission Rate at DRG | 12.14 | ||||
Readmission Rate with ICD K5900 - Constipation, unspecified | 9.69 | ||||
Unplanned Readmission Rate at DRG | 7.97 | ||||
Unplanned Readmission Rate with ICD K5900 - Constipation, unspecified | 6.73 | ||||
Total Medicare payments at DRG | $3,216,901,374 | ||||
Total Medicare payments with ICD K5900 - Constipation, unspecified | $862,944,920 | ||||
Total Medicare payment per Day at DRG | $1,450 | ||||
Total Medicare payment per Day with ICD K5900 - Constipation, unspecified | $1,446 | ||||
Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
Total Medicare payment per Hospitalization with ICD K5900 - Constipation, unspecified | $17,940 | ||||
Total Medicare Charges at DRG | $7,709,712,645 | ||||
Total Medicare Charges with ICD K5900 - Constipation, unspecified | $2,034,896,399 | ||||
Avg Charges at DRG | $40,822 | ||||
Avg Charges with ICD K5900 - Constipation, unspecified | $42,303 | ||||
Mortality Rate at DRG | 0.11 | ||||
Mortality Rate with ICD K5900 - Constipation, unspecified | 0.07 | ||||
SNF Discharge Rate at DRG | 19.54 | ||||
SNF Discharge Rate with ICD K5900 - Constipation, unspecified | 17.96 | ||||
Home Discharge Rate at DRG | 19.47 | ||||
Home Discharge Rate with ICD K5900 - Constipation, unspecified | 20.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 539,642 | ||||
Total Hospitalizations with ICD K5900 - Constipation, unspecified | 30,262 | ||||
DRG Share of Total Hospitalizations | 1.64 | ||||
% of Total ICD K5900 - Constipation, unspecified in DRG | 1.45 | ||||
Avg LOS at DRG | 6.42 | ||||
Avg LOS with ICD K5900 - Constipation, unspecified | 9.04 | ||||
Readmission Rate at DRG | 26.55 | ||||
Readmission Rate with ICD K5900 - Constipation, unspecified | 28.27 | ||||
Unplanned Readmission Rate at DRG | 20.01 | ||||
Unplanned Readmission Rate with ICD K5900 - Constipation, unspecified | 20.49 | ||||
Total Medicare payments at DRG | $5,267,842,463 | ||||
Total Medicare payments with ICD K5900 - Constipation, unspecified | $363,963,601 | ||||
Total Medicare payment per Day at DRG | $1,520 | ||||
Total Medicare payment per Day with ICD K5900 - Constipation, unspecified | $1,331 | ||||
Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
Total Medicare payment per Hospitalization with ICD K5900 - Constipation, unspecified | $12,027 | ||||
Total Medicare Charges at DRG | $25,503,568,329 | ||||
Total Medicare Charges with ICD K5900 - Constipation, unspecified | $1,869,362,007 | ||||
Avg Charges at DRG | $47,260 | ||||
Avg Charges with ICD K5900 - Constipation, unspecified | $61,773 | ||||
Mortality Rate at DRG | 5.62 | ||||
Mortality Rate with ICD K5900 - Constipation, unspecified | 4.9 | ||||
SNF Discharge Rate at DRG | 19.26 | ||||
SNF Discharge Rate with ICD K5900 - Constipation, unspecified | 26.59 | ||||
Home Discharge Rate at DRG | 39.65 | ||||
Home Discharge Rate with ICD K5900 - Constipation, unspecified | 28.51 |
*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 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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 408,103 | ||||
Total Hospitalizations with ICD K5900 - Constipation, unspecified | 23,335 | ||||
DRG Share of Total Hospitalizations | 1.24 | ||||
% of Total ICD K5900 - Constipation, unspecified in DRG | 1.12 | ||||
Avg LOS at DRG | 3.52 | ||||
Avg LOS with ICD K5900 - Constipation, unspecified | 4.06 | ||||
Readmission Rate at DRG | 17.83 | ||||
Readmission Rate with ICD K5900 - Constipation, unspecified | 18.32 | ||||
Unplanned Readmission Rate at DRG | 13.81 | ||||
Unplanned Readmission Rate with ICD K5900 - Constipation, unspecified | 14.21 | ||||
Total Medicare payments at DRG | $2,416,862,532 | ||||
Total Medicare payments with ICD K5900 - Constipation, unspecified | $143,046,729 | ||||
Total Medicare payment per Day at DRG | $1,682 | ||||
Total Medicare payment per Day with ICD K5900 - Constipation, unspecified | $1,511 | ||||
Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
Total Medicare payment per Hospitalization with ICD K5900 - Constipation, unspecified | $6,130 | ||||
Total Medicare Charges at DRG | $13,267,744,847 | ||||
Total Medicare Charges with ICD K5900 - Constipation, unspecified | $811,209,405 | ||||
Avg Charges at DRG | $32,511 | ||||
Avg Charges with ICD K5900 - Constipation, unspecified | $34,764 | ||||
Mortality Rate at DRG | 0.72 | ||||
Mortality Rate with ICD K5900 - Constipation, unspecified | 0.54 | ||||
SNF Discharge Rate at DRG | 14.1 | ||||
SNF Discharge Rate with ICD K5900 - Constipation, unspecified | 19.96 | ||||
Home Discharge Rate at DRG | 62.97 | ||||
Home Discharge Rate with ICD K5900 - Constipation, unspecified | 53.63 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 6,305 |
YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 5,593 |
CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 5,021 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 668 |
Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 546 |
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 542 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ROBERT OLIVER MORTON | 1000 ROLLING HILLS LN | ADA | OK | 74820 | 1,065 |
Dr. TRAVIS W HIRD | 1501 RIVER POINTE DR | CONROE | TX | 77304 | 1,043 |
Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 945 |