*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K5939 - Other megacolon - as a primary diagnosis code | K5939 - Other megacolon - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.02 | |
| Readmission Rate (%) | 29.81 | |
| Unplanned Readmission Rate (%) | 19.36 | |
| 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 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 330: MAJOR 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K5939 - Other megacolon | 374 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K5939 - Other megacolon in DRG | 36.07 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K5939 - Other megacolon | 5.37 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K5939 - Other megacolon | 24.5 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K5939 - Other megacolon | 16.43 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K5939 - Other megacolon | $2,413,385 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K5939 - Other megacolon | $1,201 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K5939 - Other megacolon | $6,453 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K5939 - Other megacolon | $14,348,530 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K5939 - Other megacolon | $38,365 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K5939 - Other megacolon | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K5939 - Other megacolon | 34.49 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K5939 - Other megacolon | 35.29 |
*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) | DRG 344: MINOR 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 | 9,732 | ||
| Total Hospitalizations with ICD K5939 - Other megacolon | 47 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD K5939 - Other megacolon in DRG | 4.53 | ||
| Avg LOS at DRG | 5.53 | ||
| Avg LOS with ICD K5939 - Other megacolon | 6.49 | ||
| Readmission Rate at DRG | 19.38 | ||
| Readmission Rate with ICD K5939 - Other megacolon | 34.88 | ||
| Unplanned Readmission Rate at DRG | 13.36 | ||
| Unplanned Readmission Rate with ICD K5939 - Other megacolon | 27.91 | ||
| Total Medicare payments at DRG | $100,062,390 | ||
| Total Medicare payments with ICD K5939 - Other megacolon | $500,084 | ||
| Total Medicare payment per Day at DRG | $1,858 | ||
| Total Medicare payment per Day with ICD K5939 - Other megacolon | $1,640 | ||
| Total Medicare payment per Hospitalization at DRG | $10,282 | ||
| Total Medicare payment per Hospitalization with ICD K5939 - Other megacolon | $10,640 | ||
| Total Medicare Charges at DRG | $511,834,570 | ||
| Total Medicare Charges with ICD K5939 - Other megacolon | $2,559,249 | ||
| Avg Charges at DRG | $52,593 | ||
| Avg Charges with ICD K5939 - Other megacolon | $54,452 | ||
| Mortality Rate at DRG | 0.4 | ||
| Mortality Rate with ICD K5939 - Other megacolon | NA | ||
| SNF Discharge Rate at DRG | 12.85 | ||
| SNF Discharge Rate with ICD K5939 - Other megacolon | 42.55 | ||
| Home Discharge Rate at DRG | 59.69 | ||
| Home Discharge Rate with ICD K5939 - Other megacolon | 27.66 |
*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 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION 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 K5939 - Other megacolon | 883 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD K5939 - Other megacolon in DRG | 10.54 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD K5939 - Other megacolon | 16.11 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD K5939 - Other megacolon | 34.81 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD K5939 - Other megacolon | 16.6 | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD K5939 - Other megacolon | $31,128,656 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD K5939 - Other megacolon | $2,189 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD K5939 - Other megacolon | $35,253 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD K5939 - Other megacolon | $157,394,108 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD K5939 - Other megacolon | $178,249 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD K5939 - Other megacolon | 11.33 | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD K5939 - Other megacolon | 32.5 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD K5939 - Other megacolon | 10.08 |
*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 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD K5939 - Other megacolon | 398 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD K5939 - Other megacolon in DRG | 4.75 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD K5939 - Other megacolon | 16.06 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD K5939 - Other megacolon | 37.32 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD K5939 - Other megacolon | 14.49 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD K5939 - Other megacolon | $16,536,615 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD K5939 - Other megacolon | $2,587 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD K5939 - Other megacolon | $41,549 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD K5939 - Other megacolon | $93,620,341 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD K5939 - Other megacolon | $235,227 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD K5939 - Other megacolon | 26.38 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD K5939 - Other megacolon | 29.65 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD K5939 - Other megacolon | 6.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 344: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH 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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD K5939 - Other megacolon | 135 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD K5939 - Other megacolon in DRG | 1.61 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD K5939 - Other megacolon | 22.3 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD K5939 - Other megacolon | 39.64 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD K5939 - Other megacolon | 19.82 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD K5939 - Other megacolon | $5,071,418 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD K5939 - Other megacolon | $1,685 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD K5939 - Other megacolon | $37,566 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD K5939 - Other megacolon | $28,180,624 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD K5939 - Other megacolon | $208,745 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD K5939 - Other megacolon | 13.33 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD K5939 - Other megacolon | 28.89 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD K5939 - Other megacolon | 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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 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 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD K5939 - Other megacolon | 75 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD K5939 - Other megacolon in DRG | 0.9 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD K5939 - Other megacolon | 18.17 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD K5939 - Other megacolon | 32.76 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD K5939 - Other megacolon | NA | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD K5939 - Other megacolon | $3,305,313 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD K5939 - Other megacolon | $2,425 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD K5939 - Other megacolon | $44,071 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD K5939 - Other megacolon | $15,502,854 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD K5939 - Other megacolon | $206,705 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD K5939 - Other megacolon | 17.33 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD K5939 - Other megacolon | 38.67 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD K5939 - Other megacolon | NA |
| 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 | 42 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 33 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 33 |