*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K633 - Ulcer of intestine - as a primary diagnosis code | K633 - Ulcer of intestine - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.99 | |
| Readmission Rate (%) | 24.21 | |
| Unplanned Readmission Rate (%) | 15.59 | |
| 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 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 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 K633 - Ulcer of intestine | 1,733 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K633 - Ulcer of intestine in DRG | 48.41 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K633 - Ulcer of intestine | 3.9 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K633 - Ulcer of intestine | 18.16 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K633 - Ulcer of intestine | 13.5 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K633 - Ulcer of intestine | $10,211,617 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K633 - Ulcer of intestine | $1,509 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K633 - Ulcer of intestine | $5,892 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K633 - Ulcer of intestine | $68,537,617 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K633 - Ulcer of intestine | $39,549 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K633 - Ulcer of intestine | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K633 - Ulcer of intestine | 11.83 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K633 - Ulcer of intestine | 70.17 |
*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 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 344: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,783 | ||||
| Total Hospitalizations with ICD K633 - Ulcer of intestine | 48 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD K633 - Ulcer of intestine in DRG | 1.34 | ||||
| Avg LOS at DRG | 10.43 | ||||
| Avg LOS with ICD K633 - Ulcer of intestine | 12.08 | ||||
| Readmission Rate at DRG | 32.71 | ||||
| Readmission Rate with ICD K633 - Ulcer of intestine | 38.3 | ||||
| Unplanned Readmission Rate at DRG | 21.41 | ||||
| Unplanned Readmission Rate with ICD K633 - Ulcer of intestine | 25.53 | ||||
| Total Medicare payments at DRG | $679,252,743 | ||||
| Total Medicare payments with ICD K633 - Ulcer of intestine | $1,293,620 | ||||
| Total Medicare payment per Day at DRG | $2,526 | ||||
| Total Medicare payment per Day with ICD K633 - Ulcer of intestine | $2,230 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,345 | ||||
| Total Medicare payment per Hospitalization with ICD K633 - Ulcer of intestine | $26,950 | ||||
| Total Medicare Charges at DRG | $3,189,491,346 | ||||
| Total Medicare Charges with ICD K633 - Ulcer of intestine | $7,581,997 | ||||
| Avg Charges at DRG | $123,705 | ||||
| Avg Charges with ICD K633 - Ulcer of intestine | $157,958 | ||||
| Mortality Rate at DRG | 9.27 | ||||
| Mortality Rate with ICD K633 - Ulcer of intestine | NA | ||||
| SNF Discharge Rate at DRG | 24.4 | ||||
| SNF Discharge Rate with ICD K633 - Ulcer of intestine | 33.33 | ||||
| Home Discharge Rate at DRG | 30.46 | ||||
| Home Discharge Rate with ICD K633 - Ulcer of intestine | 31.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 8,316 |
| Total Hospitalizations with ICD K633 - Ulcer of intestine | 12 |
| DRG Share of Total Hospitalizations | 0.03 |
| % of Total ICD K633 - Ulcer of intestine in DRG | 0.34 |
| Avg LOS at DRG | 4.9 |
| Avg LOS with ICD K633 - Ulcer of intestine | 4.33 |
| Readmission Rate at DRG | 17.02 |
| Readmission Rate with ICD K633 - Ulcer of intestine | NA |
| Unplanned Readmission Rate at DRG | 12.32 |
| Unplanned Readmission Rate with ICD K633 - Ulcer of intestine | NA |
| Total Medicare payments at DRG | $76,401,122 |
| Total Medicare payments with ICD K633 - Ulcer of intestine | $94,139 |
| Total Medicare payment per Day at DRG | $1,873 |
| Total Medicare payment per Day with ICD K633 - Ulcer of intestine | $1,810 |
| Total Medicare payment per Hospitalization at DRG | $9,187 |
| Total Medicare payment per Hospitalization with ICD K633 - Ulcer of intestine | $7,845 |
| Total Medicare Charges at DRG | $416,769,489 |
| Total Medicare Charges with ICD K633 - Ulcer of intestine | $488,590 |
| Avg Charges at DRG | $50,117 |
| Avg Charges with ICD K633 - Ulcer of intestine | $40,716 |
| Mortality Rate at DRG | 0.26 |
| Mortality Rate with ICD K633 - Ulcer of intestine | NA |
| SNF Discharge Rate at DRG | 11.22 |
| SNF Discharge Rate with ICD K633 - Ulcer of intestine | NA |
| Home Discharge Rate at DRG | 64.53 |
| Home Discharge Rate with ICD K633 - Ulcer of intestine | 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 | 19 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 19 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 14 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K633 - Ulcer of intestine | 4,172 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K633 - Ulcer of intestine in DRG | 14.2 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K633 - Ulcer of intestine | 4.2 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K633 - Ulcer of intestine | 16.33 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K633 - Ulcer of intestine | 12.08 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K633 - Ulcer of intestine | $24,379,034 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K633 - Ulcer of intestine | $1,391 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K633 - Ulcer of intestine | $5,843 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K633 - Ulcer of intestine | $164,899,760 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K633 - Ulcer of intestine | $39,525 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K633 - Ulcer of intestine | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K633 - Ulcer of intestine | 11.65 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K633 - Ulcer of intestine | 71.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 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 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD K633 - Ulcer of intestine | 1,449 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD K633 - Ulcer of intestine in DRG | 4.93 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD K633 - Ulcer of intestine | 7.44 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD K633 - Ulcer of intestine | 16.1 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD K633 - Ulcer of intestine | 11.72 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD K633 - Ulcer of intestine | $22,794,362 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD K633 - Ulcer of intestine | $2,115 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD K633 - Ulcer of intestine | $15,731 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD K633 - Ulcer of intestine | $119,916,010 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD K633 - Ulcer of intestine | $82,758 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD K633 - Ulcer of intestine | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD K633 - Ulcer of intestine | 14.56 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD K633 - Ulcer of intestine | 58.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 269,064 | ||||
| Total Hospitalizations with ICD K633 - Ulcer of intestine | 511 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD K633 - Ulcer of intestine in DRG | 1.74 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD K633 - Ulcer of intestine | 19.83 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD K633 - Ulcer of intestine | 44.89 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD K633 - Ulcer of intestine | 19.48 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD K633 - Ulcer of intestine | $23,683,485 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD K633 - Ulcer of intestine | $2,337 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD K633 - Ulcer of intestine | $46,347 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD K633 - Ulcer of intestine | $138,920,648 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD K633 - Ulcer of intestine | $271,860 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD K633 - Ulcer of intestine | 14.09 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD K633 - Ulcer of intestine | 35.62 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD K633 - Ulcer of intestine | 7.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,227 | ||||
| Total Hospitalizations with ICD K633 - Ulcer of intestine | 344 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD K633 - Ulcer of intestine in DRG | 1.17 | ||||
| Avg LOS at DRG | 8.02 | ||||
| Avg LOS with ICD K633 - Ulcer of intestine | 6.4 | ||||
| Readmission Rate at DRG | 30.44 | ||||
| Readmission Rate with ICD K633 - Ulcer of intestine | 19.68 | ||||
| Unplanned Readmission Rate at DRG | 20.14 | ||||
| Unplanned Readmission Rate with ICD K633 - Ulcer of intestine | 12.06 | ||||
| Total Medicare payments at DRG | $641,315,623 | ||||
| Total Medicare payments with ICD K633 - Ulcer of intestine | $5,269,340 | ||||
| Total Medicare payment per Day at DRG | $1,808 | ||||
| Total Medicare payment per Day with ICD K633 - Ulcer of intestine | $2,395 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,501 | ||||
| Total Medicare payment per Hospitalization with ICD K633 - Ulcer of intestine | $15,318 | ||||
| Total Medicare Charges at DRG | $3,055,824,019 | ||||
| Total Medicare Charges with ICD K633 - Ulcer of intestine | $27,044,362 | ||||
| Avg Charges at DRG | $69,094 | ||||
| Avg Charges with ICD K633 - Ulcer of intestine | $78,617 | ||||
| Mortality Rate at DRG | 3.89 | ||||
| Mortality Rate with ICD K633 - Ulcer of intestine | 3.2 | ||||
| SNF Discharge Rate at DRG | 16.17 | ||||
| SNF Discharge Rate with ICD K633 - Ulcer of intestine | 6.4 | ||||
| Home Discharge Rate at DRG | 45.86 | ||||
| Home Discharge Rate with ICD K633 - Ulcer of intestine | 69.77 |
| 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 | 196 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 133 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 109 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SURAJ A. NAIK | 1001 N WALDROP DR | ARLINGTON | TX | 76012 | 23 |
| Dr. CHIA CHI GEORGE LAI | 500 N GARFIELD AVE | MONTEREY PARK | CA | 91754 | 21 |
| Dr. PARVIZ GHOLAMI | 311 HAIGH RD | THOUSAND OAKS | CA | 91320 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 19 |