*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K5904 - Chronic idiopathic constipation - as a primary diagnosis code | K5904 - Chronic idiopathic constipation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.17 | |
| Readmission Rate (%) | 22.22 | |
| Unplanned Readmission Rate (%) | 18.73 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||
| Total Hospitalizations with ICD K5904 - Chronic idiopathic constipation | 231 | ||
| DRG Share of Total Hospitalizations | 1.59 | ||
| % of Total ICD K5904 - Chronic idiopathic constipation in DRG | 69.58 | ||
| Avg LOS at DRG | 3.14 | ||
| Avg LOS with ICD K5904 - Chronic idiopathic constipation | 3.07 | ||
| Readmission Rate at DRG | 17.1 | ||
| Readmission Rate with ICD K5904 - Chronic idiopathic constipation | 19.47 | ||
| Unplanned Readmission Rate at DRG | 12.62 | ||
| Unplanned Readmission Rate with ICD K5904 - Chronic idiopathic constipation | 16.81 | ||
| Total Medicare payments at DRG | $2,290,151,156 | ||
| Total Medicare payments with ICD K5904 - Chronic idiopathic constipation | $1,034,122 | ||
| Total Medicare payment per Day at DRG | $1,394 | ||
| Total Medicare payment per Day with ICD K5904 - Chronic idiopathic constipation | $1,457 | ||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||
| Total Medicare payment per Hospitalization with ICD K5904 - Chronic idiopathic constipation | $4,477 | ||
| Total Medicare Charges at DRG | $13,619,287,561 | ||
| Total Medicare Charges with ICD K5904 - Chronic idiopathic constipation | $5,423,079 | ||
| Avg Charges at DRG | $26,051 | ||
| Avg Charges with ICD K5904 - Chronic idiopathic constipation | $23,477 | ||
| Mortality Rate at DRG | 0.18 | ||
| Mortality Rate with ICD K5904 - Chronic idiopathic constipation | NA | ||
| SNF Discharge Rate at DRG | 8.57 | ||
| SNF Discharge Rate with ICD K5904 - Chronic idiopathic constipation | 11.26 | ||
| Home Discharge Rate at DRG | 72.49 | ||
| Home Discharge Rate with ICD K5904 - Chronic idiopathic constipation | 65.37 |
*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 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) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K5904 - Chronic idiopathic constipation | 492 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K5904 - Chronic idiopathic constipation in DRG | 6.43 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K5904 - Chronic idiopathic constipation | 3.4 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K5904 - Chronic idiopathic constipation | 18.18 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K5904 - Chronic idiopathic constipation | 15.22 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K5904 - Chronic idiopathic constipation | $2,219,780 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K5904 - Chronic idiopathic constipation | $1,328 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K5904 - Chronic idiopathic constipation | $4,512 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K5904 - Chronic idiopathic constipation | $12,242,909 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K5904 - Chronic idiopathic constipation | $24,884 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K5904 - Chronic idiopathic constipation | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K5904 - Chronic idiopathic constipation | 9.96 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K5904 - Chronic idiopathic constipation | 65.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD K5904 - Chronic idiopathic constipation | 162 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD K5904 - Chronic idiopathic constipation in DRG | 2.12 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD K5904 - Chronic idiopathic constipation | 4.23 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD K5904 - Chronic idiopathic constipation | 22.88 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD K5904 - Chronic idiopathic constipation | 15.69 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD K5904 - Chronic idiopathic constipation | $845,129 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K5904 - Chronic idiopathic constipation | $1,234 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD K5904 - Chronic idiopathic constipation | $5,217 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD K5904 - Chronic idiopathic constipation | $4,320,088 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD K5904 - Chronic idiopathic constipation | $26,667 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD K5904 - Chronic idiopathic constipation | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD K5904 - Chronic idiopathic constipation | 34.57 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD K5904 - Chronic idiopathic constipation | 32.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K5904 - Chronic idiopathic constipation | 117 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K5904 - Chronic idiopathic constipation in DRG | 1.53 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K5904 - Chronic idiopathic constipation | 3.33 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K5904 - Chronic idiopathic constipation | 15.6 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K5904 - Chronic idiopathic constipation | 11.93 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K5904 - Chronic idiopathic constipation | $639,930 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K5904 - Chronic idiopathic constipation | $1,641 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K5904 - Chronic idiopathic constipation | $5,469 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K5904 - Chronic idiopathic constipation | $3,524,336 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K5904 - Chronic idiopathic constipation | $30,123 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K5904 - Chronic idiopathic constipation | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K5904 - Chronic idiopathic constipation | 17.95 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K5904 - Chronic idiopathic constipation | 47.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD K5904 - Chronic idiopathic constipation | 91 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD K5904 - Chronic idiopathic constipation in DRG | 1.19 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD K5904 - Chronic idiopathic constipation | 6.43 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD K5904 - Chronic idiopathic constipation | 27.71 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD K5904 - Chronic idiopathic constipation | 21.69 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD K5904 - Chronic idiopathic constipation | $910,637 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD K5904 - Chronic idiopathic constipation | $1,557 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD K5904 - Chronic idiopathic constipation | $10,007 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD K5904 - Chronic idiopathic constipation | $3,729,694 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD K5904 - Chronic idiopathic constipation | $40,986 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD K5904 - Chronic idiopathic constipation | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD K5904 - Chronic idiopathic constipation | 35.16 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD K5904 - Chronic idiopathic constipation | 23.08 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MERCY HOSPITAL OF BUFFALO | 565 ABBOTT RD | BUFFALO | NY | 14220 | 174 |
| BHC HERITAGE OAKS HOSPITAL | 4250 AUBURN BLVD. | SACRAMENTO | CA | 95841 | 114 |
| CENTRASTATE HEALTHCARE SYSTEM | 901 W MAIN ST | FREEHOLD | NJ | 07728 | 80 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. P JEFFREY LEWIS | 550 ORCHARD PARK RD | WEST SENECA | NY | 14224 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ERNEST J. CARAMES | 16 ST JOHNS MEDICAL PARK DR | ST AUGUSTINE | FL | 32086 | 27 |
| Dr. YANA SHUMYATCHER | 18901 LAKE SHORE BLVD | EUCLID | OH | 44119 | 24 |
| Dr. SILPA MADDALA | 405 W JACKSON ST | CARBONDALE | IL | 62901 | 24 |