*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K599 - Functional intestinal disorder, unspecified - as a primary diagnosis code | K599 - Functional intestinal disorder, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.25 | |
| Readmission Rate (%) | 25.19 | |
| Unplanned Readmission Rate (%) | 21.37 | |
| 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 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 K599 - Functional intestinal disorder, unspecified | 144 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K599 - Functional intestinal disorder, unspecified in DRG | 59.26 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K599 - Functional intestinal disorder, unspecified | 4.08 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K599 - Functional intestinal disorder, unspecified | 24.64 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K599 - Functional intestinal disorder, unspecified | 21.01 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K599 - Functional intestinal disorder, unspecified | $609,647 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K599 - Functional intestinal disorder, unspecified | $1,037 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K599 - Functional intestinal disorder, unspecified | $4,234 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K599 - Functional intestinal disorder, unspecified | $4,531,251 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K599 - Functional intestinal disorder, unspecified | $31,467 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K599 - Functional intestinal disorder, unspecified | 75.0 |
*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 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K599 - Functional intestinal disorder, unspecified | 253 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K599 - Functional intestinal disorder, unspecified in DRG | 14.92 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K599 - Functional intestinal disorder, unspecified | 4.07 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K599 - Functional intestinal disorder, unspecified | 26.34 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K599 - Functional intestinal disorder, unspecified | 22.63 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K599 - Functional intestinal disorder, unspecified | $1,145,524 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K599 - Functional intestinal disorder, unspecified | $1,112 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K599 - Functional intestinal disorder, unspecified | $4,528 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K599 - Functional intestinal disorder, unspecified | $8,245,618 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K599 - Functional intestinal disorder, unspecified | $32,591 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K599 - Functional intestinal disorder, unspecified | 5.14 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K599 - Functional intestinal disorder, unspecified | 73.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD K599 - Functional intestinal disorder, unspecified | 38 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD K599 - Functional intestinal disorder, unspecified in DRG | 2.24 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD K599 - Functional intestinal disorder, unspecified | 4.89 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD K599 - Functional intestinal disorder, unspecified | $229,599 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD K599 - Functional intestinal disorder, unspecified | $1,234 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD K599 - Functional intestinal disorder, unspecified | $6,042 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD K599 - Functional intestinal disorder, unspecified | $1,483,190 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD K599 - Functional intestinal disorder, unspecified | $39,031 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD K599 - Functional intestinal disorder, unspecified | 60.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD K599 - Functional intestinal disorder, unspecified | 26 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD K599 - Functional intestinal disorder, unspecified in DRG | 1.53 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K599 - Functional intestinal disorder, unspecified | 3.27 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD K599 - Functional intestinal disorder, unspecified | $154,054 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD K599 - Functional intestinal disorder, unspecified | $1,812 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD K599 - Functional intestinal disorder, unspecified | $5,925 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD K599 - Functional intestinal disorder, unspecified | $663,274 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD K599 - Functional intestinal disorder, unspecified | $25,511 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD K599 - Functional intestinal disorder, unspecified | 57.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD K599 - Functional intestinal disorder, unspecified | 22 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD K599 - Functional intestinal disorder, unspecified in DRG | 1.3 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD K599 - Functional intestinal disorder, unspecified | 12.32 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD K599 - Functional intestinal disorder, unspecified | $466,928 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD K599 - Functional intestinal disorder, unspecified | $1,723 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD K599 - Functional intestinal disorder, unspecified | $21,224 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD K599 - Functional intestinal disorder, unspecified | $1,593,240 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD K599 - Functional intestinal disorder, unspecified | $72,420 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD K599 - Functional intestinal disorder, unspecified | NA | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD K599 - Functional intestinal disorder, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PINECREST REHABILITATION HOSPITAL | 5360 LINTON BLVD | DELRAY BEACH | FL | 33484 | 48 |
| SUNRISE HOSPITAL AND MEDICAL CENTER | 3186 S MARYLAND PKWY | LAS VEGAS | NV | 89109 | 47 |
| ASCENSION PROVIDENCE HEALTH CENTER | 6901 MEDICAL PKWY | WACO | TX | 76712 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MINH H NGUYEN | 6955 N DURANGO DR | LAS VEGAS | NV | 89149 | 22 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NICHOLAS DANG | 951 NW 13TH ST | BOCA RATON | FL | 33486 | 46 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 37 |
| Dr. STEVEN M ELWELL | 6901 MEDICAL PARKWAY | WACO | TX | 76712 | 15 |