*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K5909 - Other constipation - as a primary diagnosis code | K5909 - Other constipation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.34 | |
| Readmission Rate (%) | 22.76 | |
| Unplanned Readmission Rate (%) | 15.37 | |
| 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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K5909 - Other constipation | 5,505 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K5909 - Other constipation in DRG | 73.04 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K5909 - Other constipation | 3.11 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K5909 - Other constipation | 18.14 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K5909 - Other constipation | 13.97 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K5909 - Other constipation | $25,294,460 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K5909 - Other constipation | $1,479 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K5909 - Other constipation | $4,595 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K5909 - Other constipation | $138,819,851 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K5909 - Other constipation | $25,217 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K5909 - Other constipation | 0.31 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K5909 - Other constipation | 13.21 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K5909 - Other constipation | 62.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,783 | |||
| Total Hospitalizations with ICD K5909 - Other constipation | 29 | |||
| DRG Share of Total Hospitalizations | 0.08 | |||
| % of Total ICD K5909 - Other constipation in DRG | 0.38 | |||
| Avg LOS at DRG | 10.43 | |||
| Avg LOS with ICD K5909 - Other constipation | 9.72 | |||
| Readmission Rate at DRG | 32.71 | |||
| Readmission Rate with ICD K5909 - Other constipation | NA | |||
| Unplanned Readmission Rate at DRG | 21.41 | |||
| Unplanned Readmission Rate with ICD K5909 - Other constipation | NA | |||
| Total Medicare payments at DRG | $679,252,743 | |||
| Total Medicare payments with ICD K5909 - Other constipation | $767,421 | |||
| Total Medicare payment per Day at DRG | $2,526 | |||
| Total Medicare payment per Day with ICD K5909 - Other constipation | $2,721 | |||
| Total Medicare payment per Hospitalization at DRG | $26,345 | |||
| Total Medicare payment per Hospitalization with ICD K5909 - Other constipation | $26,463 | |||
| Total Medicare Charges at DRG | $3,189,491,346 | |||
| Total Medicare Charges with ICD K5909 - Other constipation | $3,553,223 | |||
| Avg Charges at DRG | $123,705 | |||
| Avg Charges with ICD K5909 - Other constipation | $122,525 | |||
| Mortality Rate at DRG | 9.27 | |||
| Mortality Rate with ICD K5909 - Other constipation | NA | |||
| SNF Discharge Rate at DRG | 24.4 | |||
| SNF Discharge Rate with ICD K5909 - Other constipation | NA | |||
| Home Discharge Rate at DRG | 30.46 | |||
| Home Discharge Rate with ICD K5909 - Other constipation | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LAHEY HOSPITAL & MEDICAL CENTER | 41 MALL RD | BURLINGTON | MA | 01805 | 30 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 30 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 28 |
*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 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 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K5909 - Other constipation | 15,209 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K5909 - Other constipation in DRG | 5.46 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K5909 - Other constipation | 6.54 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K5909 - Other constipation | 23.6 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K5909 - Other constipation | 17.35 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K5909 - Other constipation | $178,016,782 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K5909 - Other constipation | $1,790 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K5909 - Other constipation | $11,705 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K5909 - Other constipation | $855,981,121 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K5909 - Other constipation | $56,281 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K5909 - Other constipation | 7.63 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K5909 - Other constipation | 30.21 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K5909 - Other constipation | 24.69 |
*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 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD K5909 - Other constipation | 5,539 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD K5909 - Other constipation in DRG | 1.99 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD K5909 - Other constipation | 3.87 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD K5909 - Other constipation | 19.45 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD K5909 - Other constipation | 13.85 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD K5909 - Other constipation | $28,045,351 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K5909 - Other constipation | $1,310 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD K5909 - Other constipation | $5,063 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD K5909 - Other constipation | $143,761,567 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD K5909 - Other constipation | $25,954 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD K5909 - Other constipation | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD K5909 - Other constipation | 28.42 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD K5909 - Other constipation | 37.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,422 | ||||
| Total Hospitalizations with ICD K5909 - Other constipation | 3,867 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD K5909 - Other constipation in DRG | 1.39 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD K5909 - Other constipation | 5.12 | ||||
| Readmission Rate at DRG | 26.98 | ||||
| Readmission Rate with ICD K5909 - Other constipation | 27.14 | ||||
| Unplanned Readmission Rate at DRG | 20.97 | ||||
| Unplanned Readmission Rate with ICD K5909 - Other constipation | 21.71 | ||||
| Total Medicare payments at DRG | $1,078,703,587 | ||||
| Total Medicare payments with ICD K5909 - Other constipation | $31,330,360 | ||||
| Total Medicare payment per Day at DRG | $1,614 | ||||
| Total Medicare payment per Day with ICD K5909 - Other constipation | $1,583 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,025 | ||||
| Total Medicare payment per Hospitalization with ICD K5909 - Other constipation | $8,102 | ||||
| Total Medicare Charges at DRG | $5,564,930,414 | ||||
| Total Medicare Charges with ICD K5909 - Other constipation | $157,574,041 | ||||
| Avg Charges at DRG | $41,399 | ||||
| Avg Charges with ICD K5909 - Other constipation | $40,748 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD K5909 - Other constipation | 1.73 | ||||
| SNF Discharge Rate at DRG | 16.97 | ||||
| SNF Discharge Rate with ICD K5909 - Other constipation | 20.58 | ||||
| Home Discharge Rate at DRG | 52.45 | ||||
| Home Discharge Rate with ICD K5909 - Other constipation | 46.68 |
*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 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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD K5909 - Other constipation | 3,569 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD K5909 - Other constipation in DRG | 1.28 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD K5909 - Other constipation | 13.1 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD K5909 - Other constipation | 15.26 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD K5909 - Other constipation | 9.42 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD K5909 - Other constipation | $57,345,373 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD K5909 - Other constipation | $1,227 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD K5909 - Other constipation | $16,068 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD K5909 - Other constipation | $155,301,679 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD K5909 - Other constipation | $43,514 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K5909 - Other constipation | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD K5909 - Other constipation | 34.8 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD K5909 - Other constipation | 20.45 |
| 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 | 962 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 936 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 808 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREA H NAYLOR | 416 CONNABLE AVE | PETOSKEY | MI | 49770 | 87 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 63 |
| Dr. PAUL G JOHNSON | 300 LAKE DR E | CHANHASSEN | MN | 55317 | 53 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DONALD QUINN | 119 BOONE RIDGE DR | JOHNSON CITY | TN | 37615 | 226 |
| Dr. DAVID J FAULK | 2712 PARKWOOD DR | BRUNSWICK | GA | 31520 | 199 |
| Dr. MIRELLE' JEANNE FOSTER | 551 HILL COUNTRY DR | KERRVILLE | TX | 78028 | 197 |