*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K650 - Generalized (acute) peritonitis - as a primary diagnosis code | K650 - Generalized (acute) peritonitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.75 | |
| Readmission Rate (%) | 35.37 | |
| Unplanned Readmission Rate (%) | 20.06 | |
| 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 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 62,063 | ||||
| Total Hospitalizations with ICD K650 - Generalized (acute) peritonitis | 785 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD K650 - Generalized (acute) peritonitis in DRG | 68.62 | ||||
| Avg LOS at DRG | 7.63 | ||||
| Avg LOS with ICD K650 - Generalized (acute) peritonitis | 6.16 | ||||
| Readmission Rate at DRG | 32.09 | ||||
| Readmission Rate with ICD K650 - Generalized (acute) peritonitis | 30.13 | ||||
| Unplanned Readmission Rate at DRG | 24.3 | ||||
| Unplanned Readmission Rate with ICD K650 - Generalized (acute) peritonitis | 22.13 | ||||
| Total Medicare payments at DRG | $750,841,974 | ||||
| Total Medicare payments with ICD K650 - Generalized (acute) peritonitis | $9,509,553 | ||||
| Total Medicare payment per Day at DRG | $1,586 | ||||
| Total Medicare payment per Day with ICD K650 - Generalized (acute) peritonitis | $1,967 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,098 | ||||
| Total Medicare payment per Hospitalization with ICD K650 - Generalized (acute) peritonitis | $12,114 | ||||
| Total Medicare Charges at DRG | $3,437,442,637 | ||||
| Total Medicare Charges with ICD K650 - Generalized (acute) peritonitis | $38,183,702 | ||||
| Avg Charges at DRG | $55,386 | ||||
| Avg Charges with ICD K650 - Generalized (acute) peritonitis | $48,642 | ||||
| Mortality Rate at DRG | 4.29 | ||||
| Mortality Rate with ICD K650 - Generalized (acute) peritonitis | 5.1 | ||||
| SNF Discharge Rate at DRG | 26.71 | ||||
| SNF Discharge Rate with ICD K650 - Generalized (acute) peritonitis | 5.61 | ||||
| Home Discharge Rate at DRG | 35.88 | ||||
| Home Discharge Rate with ICD K650 - Generalized (acute) peritonitis | 64.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 17,594 | ||
| Total Hospitalizations with ICD K650 - Generalized (acute) peritonitis | 16 | ||
| DRG Share of Total Hospitalizations | 0.05 | ||
| % of Total ICD K650 - Generalized (acute) peritonitis in DRG | 1.4 | ||
| Avg LOS at DRG | 12.13 | ||
| Avg LOS with ICD K650 - Generalized (acute) peritonitis | 17.94 | ||
| Readmission Rate at DRG | 25.35 | ||
| Readmission Rate with ICD K650 - Generalized (acute) peritonitis | NA | ||
| Unplanned Readmission Rate at DRG | 13.98 | ||
| Unplanned Readmission Rate with ICD K650 - Generalized (acute) peritonitis | NA | ||
| Total Medicare payments at DRG | $474,877,451 | ||
| Total Medicare payments with ICD K650 - Generalized (acute) peritonitis | $384,251 | ||
| Total Medicare payment per Day at DRG | $2,226 | ||
| Total Medicare payment per Day with ICD K650 - Generalized (acute) peritonitis | $1,339 | ||
| Total Medicare payment per Hospitalization at DRG | $26,991 | ||
| Total Medicare payment per Hospitalization with ICD K650 - Generalized (acute) peritonitis | $24,016 | ||
| Total Medicare Charges at DRG | $2,299,623,294 | ||
| Total Medicare Charges with ICD K650 - Generalized (acute) peritonitis | $4,028,944 | ||
| Avg Charges at DRG | $130,705 | ||
| Avg Charges with ICD K650 - Generalized (acute) peritonitis | $251,809 | ||
| Mortality Rate at DRG | 6.92 | ||
| Mortality Rate with ICD K650 - Generalized (acute) peritonitis | NA | ||
| SNF Discharge Rate at DRG | 26.1 | ||
| SNF Discharge Rate with ICD K650 - Generalized (acute) peritonitis | NA | ||
| Home Discharge Rate at DRG | 31.48 | ||
| Home Discharge Rate with ICD K650 - Generalized (acute) peritonitis | 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 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 K650 - Generalized (acute) peritonitis | 3,206 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD K650 - Generalized (acute) peritonitis in DRG | 21.66 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD K650 - Generalized (acute) peritonitis | 13.68 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD K650 - Generalized (acute) peritonitis | 39.21 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD K650 - Generalized (acute) peritonitis | 15.03 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD K650 - Generalized (acute) peritonitis | $124,657,357 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD K650 - Generalized (acute) peritonitis | $2,842 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD K650 - Generalized (acute) peritonitis | $38,883 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD K650 - Generalized (acute) peritonitis | $657,332,084 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD K650 - Generalized (acute) peritonitis | $205,032 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD K650 - Generalized (acute) peritonitis | 25.61 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD K650 - Generalized (acute) peritonitis | 27.26 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD K650 - Generalized (acute) peritonitis | 10.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES 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 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K650 - Generalized (acute) peritonitis | 941 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K650 - Generalized (acute) peritonitis in DRG | 6.36 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K650 - Generalized (acute) peritonitis | 7.2 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K650 - Generalized (acute) peritonitis | 32.98 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K650 - Generalized (acute) peritonitis | 21.28 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K650 - Generalized (acute) peritonitis | $12,618,075 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K650 - Generalized (acute) peritonitis | $1,864 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K650 - Generalized (acute) peritonitis | $13,409 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K650 - Generalized (acute) peritonitis | $67,836,491 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K650 - Generalized (acute) peritonitis | $72,090 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K650 - Generalized (acute) peritonitis | 33.26 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K650 - Generalized (acute) peritonitis | 11.9 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K650 - Generalized (acute) peritonitis | 21.36 |
*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 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,783 | ||||
| Total Hospitalizations with ICD K650 - Generalized (acute) peritonitis | 205 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD K650 - Generalized (acute) peritonitis in DRG | 1.39 | ||||
| Avg LOS at DRG | 10.43 | ||||
| Avg LOS with ICD K650 - Generalized (acute) peritonitis | 10.45 | ||||
| Readmission Rate at DRG | 32.71 | ||||
| Readmission Rate with ICD K650 - Generalized (acute) peritonitis | 32.92 | ||||
| Unplanned Readmission Rate at DRG | 21.41 | ||||
| Unplanned Readmission Rate with ICD K650 - Generalized (acute) peritonitis | 20.5 | ||||
| Total Medicare payments at DRG | $679,252,743 | ||||
| Total Medicare payments with ICD K650 - Generalized (acute) peritonitis | $5,204,790 | ||||
| Total Medicare payment per Day at DRG | $2,526 | ||||
| Total Medicare payment per Day with ICD K650 - Generalized (acute) peritonitis | $2,430 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,345 | ||||
| Total Medicare payment per Hospitalization with ICD K650 - Generalized (acute) peritonitis | $25,389 | ||||
| Total Medicare Charges at DRG | $3,189,491,346 | ||||
| Total Medicare Charges with ICD K650 - Generalized (acute) peritonitis | $23,009,455 | ||||
| Avg Charges at DRG | $123,705 | ||||
| Avg Charges with ICD K650 - Generalized (acute) peritonitis | $112,241 | ||||
| Mortality Rate at DRG | 9.27 | ||||
| Mortality Rate with ICD K650 - Generalized (acute) peritonitis | 18.05 | ||||
| SNF Discharge Rate at DRG | 24.4 | ||||
| SNF Discharge Rate with ICD K650 - Generalized (acute) peritonitis | 12.68 | ||||
| Home Discharge Rate at DRG | 30.46 | ||||
| Home Discharge Rate with ICD K650 - Generalized (acute) peritonitis | 40.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 414: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,451 | ||||
| Total Hospitalizations with ICD K650 - Generalized (acute) peritonitis | 86 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K650 - Generalized (acute) peritonitis in DRG | 0.58 | ||||
| Avg LOS at DRG | 6.55 | ||||
| Avg LOS with ICD K650 - Generalized (acute) peritonitis | 8.01 | ||||
| Readmission Rate at DRG | 16.47 | ||||
| Readmission Rate with ICD K650 - Generalized (acute) peritonitis | 16.88 | ||||
| Unplanned Readmission Rate at DRG | 11.18 | ||||
| Unplanned Readmission Rate with ICD K650 - Generalized (acute) peritonitis | NA | ||||
| Total Medicare payments at DRG | $682,577,748 | ||||
| Total Medicare payments with ICD K650 - Generalized (acute) peritonitis | $1,619,108 | ||||
| Total Medicare payment per Day at DRG | $2,346 | ||||
| Total Medicare payment per Day with ICD K650 - Generalized (acute) peritonitis | $2,350 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,356 | ||||
| Total Medicare payment per Hospitalization with ICD K650 - Generalized (acute) peritonitis | $18,827 | ||||
| Total Medicare Charges at DRG | $3,726,550,994 | ||||
| Total Medicare Charges with ICD K650 - Generalized (acute) peritonitis | $9,748,174 | ||||
| Avg Charges at DRG | $83,835 | ||||
| Avg Charges with ICD K650 - Generalized (acute) peritonitis | $113,351 | ||||
| Mortality Rate at DRG | 1.61 | ||||
| Mortality Rate with ICD K650 - Generalized (acute) peritonitis | NA | ||||
| SNF Discharge Rate at DRG | 14.42 | ||||
| SNF Discharge Rate with ICD K650 - Generalized (acute) peritonitis | NA | ||||
| Home Discharge Rate at DRG | 62.58 | ||||
| Home Discharge Rate with ICD K650 - Generalized (acute) peritonitis | 48.84 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 79 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 58 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 57 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ARTOUR G ASRIAN | 911 BYPASS RD | PIKEVILLE | KY | 41501 | 12 |
| Dr. EZINNE UGOCHI NWOTITE | 1925 PACIFIC AVE | ATLANTIC CITY | NJ | 08401 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EZINNE UGOCHI NWOTITE | 1925 PACIFIC AVE | ATLANTIC CITY | NJ | 08401 | 12 |