*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | Total National Projected Hospitalizations - Annualized (Present on Admission - All) | Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | Total Medicare Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| K5939 | Other megacolon | 19.36 | |||||||||||||
| K593 | Megacolon, not elsewhere classified | 22.75 | |||||||||||||
| K5931 | Toxic megacolon | 17.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | 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 Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| K5939 | Other megacolon | 11.02 | 29.81 | ||||||||||||||||
| K593 | Megacolon, not elsewhere classified | 11.09 | 30.3 | ||||||||||||||||
| K5931 | Toxic megacolon | 14.28 | 41.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K593 - Megacolon, not elsewhere classified | 199 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K593 - Megacolon, not elsewhere classified in DRG | 19.19 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K593 - Megacolon, not elsewhere classified | 5.63 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K593 - Megacolon, not elsewhere classified | 29.17 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K593 - Megacolon, not elsewhere classified | 23.96 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K593 - Megacolon, not elsewhere classified | $1,221,690 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K593 - Megacolon, not elsewhere classified | $1,090 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K593 - Megacolon, not elsewhere classified | $6,139 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K593 - Megacolon, not elsewhere classified | $7,656,150 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K593 - Megacolon, not elsewhere classified | $38,473 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K593 - Megacolon, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K593 - Megacolon, not elsewhere classified | 36.18 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K593 - Megacolon, not elsewhere classified | 41.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 9,732 |
| Total Hospitalizations with ICD K593 - Megacolon, not elsewhere classified | 12 |
| DRG Share of Total Hospitalizations | 0.03 |
| % of Total ICD K593 - Megacolon, not elsewhere classified in DRG | 1.16 |
| Avg LOS at DRG | 5.53 |
| Avg LOS with ICD K593 - Megacolon, not elsewhere classified | 6.92 |
| Readmission Rate at DRG | 19.38 |
| Readmission Rate with ICD K593 - Megacolon, not elsewhere classified | NA |
| Unplanned Readmission Rate at DRG | 13.36 |
| Unplanned Readmission Rate with ICD K593 - Megacolon, not elsewhere classified | NA |
| Total Medicare payments at DRG | $100,062,390 |
| Total Medicare payments with ICD K593 - Megacolon, not elsewhere classified | $115,079 |
| Total Medicare payment per Day at DRG | $1,858 |
| Total Medicare payment per Day with ICD K593 - Megacolon, not elsewhere classified | $1,386 |
| Total Medicare payment per Hospitalization at DRG | $10,282 |
| Total Medicare payment per Hospitalization with ICD K593 - Megacolon, not elsewhere classified | $9,590 |
| Total Medicare Charges at DRG | $511,834,570 |
| Total Medicare Charges with ICD K593 - Megacolon, not elsewhere classified | $465,687 |
| Avg Charges at DRG | $52,593 |
| Avg Charges with ICD K593 - Megacolon, not elsewhere classified | $38,807 |
| Mortality Rate at DRG | 0.4 |
| Mortality Rate with ICD K593 - Megacolon, not elsewhere classified | NA |
| SNF Discharge Rate at DRG | 12.85 |
| SNF Discharge Rate with ICD K593 - Megacolon, not elsewhere classified | NA |
| Home Discharge Rate at DRG | 59.69 |
| Home Discharge Rate with ICD K593 - Megacolon, not elsewhere classified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD K593 - Megacolon, not elsewhere classified | 430 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD K593 - Megacolon, not elsewhere classified in DRG | 5.13 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD K593 - Megacolon, not elsewhere classified | 16.35 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD K593 - Megacolon, not elsewhere classified | 35.34 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD K593 - Megacolon, not elsewhere classified | 17.81 | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD K593 - Megacolon, not elsewhere classified | $14,948,035 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD K593 - Megacolon, not elsewhere classified | $2,126 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD K593 - Megacolon, not elsewhere classified | $34,763 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD K593 - Megacolon, not elsewhere classified | $77,788,822 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD K593 - Megacolon, not elsewhere classified | $180,904 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD K593 - Megacolon, not elsewhere classified | 13.49 | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD K593 - Megacolon, not elsewhere classified | 36.05 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD K593 - Megacolon, not elsewhere classified | 8.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD K593 - Megacolon, not elsewhere classified | 265 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD K593 - Megacolon, not elsewhere classified in DRG | 3.16 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD K593 - Megacolon, not elsewhere classified | 15.66 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD K593 - Megacolon, not elsewhere classified | 47.43 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD K593 - Megacolon, not elsewhere classified | 18.86 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD K593 - Megacolon, not elsewhere classified | $9,837,360 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD K593 - Megacolon, not elsewhere classified | $2,370 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD K593 - Megacolon, not elsewhere classified | $37,122 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD K593 - Megacolon, not elsewhere classified | $53,161,043 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD K593 - Megacolon, not elsewhere classified | $200,608 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD K593 - Megacolon, not elsewhere classified | 30.19 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD K593 - Megacolon, not elsewhere classified | 27.17 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD K593 - Megacolon, not elsewhere classified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD K593 - Megacolon, not elsewhere classified | 55 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K593 - Megacolon, not elsewhere classified in DRG | 0.66 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K593 - Megacolon, not elsewhere classified | 6.51 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K593 - Megacolon, not elsewhere classified | 27.66 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K593 - Megacolon, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K593 - Megacolon, not elsewhere classified | $462,394 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K593 - Megacolon, not elsewhere classified | $1,292 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K593 - Megacolon, not elsewhere classified | $8,407 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K593 - Megacolon, not elsewhere classified | $3,216,094 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K593 - Megacolon, not elsewhere classified | $58,474 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K593 - Megacolon, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K593 - Megacolon, not elsewhere classified | 27.27 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K593 - Megacolon, not elsewhere classified | 29.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 344: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,117 | ||||
| Total Hospitalizations with ICD K593 - Megacolon, not elsewhere classified | 37 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K593 - Megacolon, not elsewhere classified in DRG | 0.44 | ||||
| Avg LOS at DRG | 9.46 | ||||
| Avg LOS with ICD K593 - Megacolon, not elsewhere classified | 11.51 | ||||
| Readmission Rate at DRG | 30.77 | ||||
| Readmission Rate with ICD K593 - Megacolon, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 21.23 | ||||
| Unplanned Readmission Rate with ICD K593 - Megacolon, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $108,269,262 | ||||
| Total Medicare payments with ICD K593 - Megacolon, not elsewhere classified | $995,511 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD K593 - Megacolon, not elsewhere classified | $2,337 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,159 | ||||
| Total Medicare payment per Hospitalization with ICD K593 - Megacolon, not elsewhere classified | $26,906 | ||||
| Total Medicare Charges at DRG | $483,726,294 | ||||
| Total Medicare Charges with ICD K593 - Megacolon, not elsewhere classified | $3,858,103 | ||||
| Avg Charges at DRG | $94,533 | ||||
| Avg Charges with ICD K593 - Megacolon, not elsewhere classified | $104,273 | ||||
| Mortality Rate at DRG | 5.41 | ||||
| Mortality Rate with ICD K593 - Megacolon, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 22.61 | ||||
| SNF Discharge Rate with ICD K593 - Megacolon, not elsewhere classified | 29.73 | ||||
| Home Discharge Rate at DRG | 37.35 | ||||
| Home Discharge Rate with ICD K593 - Megacolon, not elsewhere classified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOLY CROSS HOSPITAL | 1500 FOREST GLEN ROAD | SILVER SPRING | MD | 20904 | 18 |
| SENTARA LEIGH HOSPITAL | 830 KEMPSVILLE RD | NORFOLK | VA | 23502 | 17 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 16 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E876 | Hypokalemia |
| 2 | I10 | Essential (primary) hypertension |