*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K652 - Spontaneous bacterial peritonitis - as a primary diagnosis code | K652 - Spontaneous bacterial peritonitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.21 | |
| Readmission Rate (%) | 35.85 | |
| Unplanned Readmission Rate (%) | 27.32 | |
| 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 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 K652 - Spontaneous bacterial peritonitis | 3,673 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD K652 - Spontaneous bacterial peritonitis in DRG | 52.17 | ||||
| Avg LOS at DRG | 7.63 | ||||
| Avg LOS with ICD K652 - Spontaneous bacterial peritonitis | 6.92 | ||||
| Readmission Rate at DRG | 32.09 | ||||
| Readmission Rate with ICD K652 - Spontaneous bacterial peritonitis | 35.84 | ||||
| Unplanned Readmission Rate at DRG | 24.3 | ||||
| Unplanned Readmission Rate with ICD K652 - Spontaneous bacterial peritonitis | 28.54 | ||||
| Total Medicare payments at DRG | $750,841,974 | ||||
| Total Medicare payments with ICD K652 - Spontaneous bacterial peritonitis | $45,179,444 | ||||
| Total Medicare payment per Day at DRG | $1,586 | ||||
| Total Medicare payment per Day with ICD K652 - Spontaneous bacterial peritonitis | $1,778 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,098 | ||||
| Total Medicare payment per Hospitalization with ICD K652 - Spontaneous bacterial peritonitis | $12,300 | ||||
| Total Medicare Charges at DRG | $3,437,442,637 | ||||
| Total Medicare Charges with ICD K652 - Spontaneous bacterial peritonitis | $219,381,997 | ||||
| Avg Charges at DRG | $55,386 | ||||
| Avg Charges with ICD K652 - Spontaneous bacterial peritonitis | $59,728 | ||||
| Mortality Rate at DRG | 4.29 | ||||
| Mortality Rate with ICD K652 - Spontaneous bacterial peritonitis | 7.38 | ||||
| SNF Discharge Rate at DRG | 26.71 | ||||
| SNF Discharge Rate with ICD K652 - Spontaneous bacterial peritonitis | 12.61 | ||||
| Home Discharge Rate at DRG | 35.88 | ||||
| Home Discharge Rate with ICD K652 - Spontaneous bacterial peritonitis | 46.45 |
*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 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | |||
| Total Hospitalizations with ICD K652 - Spontaneous bacterial peritonitis | 42 | |||
| DRG Share of Total Hospitalizations | 0.33 | |||
| % of Total ICD K652 - Spontaneous bacterial peritonitis in DRG | 0.6 | |||
| Avg LOS at DRG | 12.66 | |||
| Avg LOS with ICD K652 - Spontaneous bacterial peritonitis | 12.52 | |||
| Readmission Rate at DRG | 35.31 | |||
| Readmission Rate with ICD K652 - Spontaneous bacterial peritonitis | 41.18 | |||
| Unplanned Readmission Rate at DRG | 20.73 | |||
| Unplanned Readmission Rate with ICD K652 - Spontaneous bacterial peritonitis | 32.35 | |||
| Total Medicare payments at DRG | $3,554,922,428 | |||
| Total Medicare payments with ICD K652 - Spontaneous bacterial peritonitis | $1,575,117 | |||
| Total Medicare payment per Day at DRG | $2,575 | |||
| Total Medicare payment per Day with ICD K652 - Spontaneous bacterial peritonitis | $2,995 | |||
| Total Medicare payment per Hospitalization at DRG | $32,609 | |||
| Total Medicare payment per Hospitalization with ICD K652 - Spontaneous bacterial peritonitis | $37,503 | |||
| Total Medicare Charges at DRG | $15,445,232,132 | |||
| Total Medicare Charges with ICD K652 - Spontaneous bacterial peritonitis | $6,251,635 | |||
| Avg Charges at DRG | $141,676 | |||
| Avg Charges with ICD K652 - Spontaneous bacterial peritonitis | $148,848 | |||
| Mortality Rate at DRG | 8.99 | |||
| Mortality Rate with ICD K652 - Spontaneous bacterial peritonitis | NA | |||
| SNF Discharge Rate at DRG | 27.26 | |||
| SNF Discharge Rate with ICD K652 - Spontaneous bacterial peritonitis | NA | |||
| Home Discharge Rate at DRG | 27.78 | |||
| Home Discharge Rate with ICD K652 - Spontaneous bacterial peritonitis | 30.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 36 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 35 |
| UK HEALTHCARE - ALBERT B. CHANDLER HOSPITAL | 800 ROSE ST | LEXINGTON | KY | 40536 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZACHARY SETH COLLINS | UNIVERSITY OF KANSAS MEDICAL CENTER RADIOLOGY | KANSAS CITY | KS | 66160 | 12 |
*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 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K652 - Spontaneous bacterial peritonitis | 7,319 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K652 - Spontaneous bacterial peritonitis in DRG | 23.07 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K652 - Spontaneous bacterial peritonitis | 7.29 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K652 - Spontaneous bacterial peritonitis | 32.41 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K652 - Spontaneous bacterial peritonitis | 24.07 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K652 - Spontaneous bacterial peritonitis | $97,639,654 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K652 - Spontaneous bacterial peritonitis | $1,829 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K652 - Spontaneous bacterial peritonitis | $13,341 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K652 - Spontaneous bacterial peritonitis | $590,943,402 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K652 - Spontaneous bacterial peritonitis | $80,741 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K652 - Spontaneous bacterial peritonitis | 26.15 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K652 - Spontaneous bacterial peritonitis | 13.05 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K652 - Spontaneous bacterial peritonitis | 21.31 |
*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 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD K652 - Spontaneous bacterial peritonitis | 1,828 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD K652 - Spontaneous bacterial peritonitis in DRG | 5.76 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD K652 - Spontaneous bacterial peritonitis | 13.22 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD K652 - Spontaneous bacterial peritonitis | 38.97 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD K652 - Spontaneous bacterial peritonitis | 24.1 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD K652 - Spontaneous bacterial peritonitis | $72,024,007 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD K652 - Spontaneous bacterial peritonitis | $2,981 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD K652 - Spontaneous bacterial peritonitis | $39,400 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD K652 - Spontaneous bacterial peritonitis | $320,645,855 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD K652 - Spontaneous bacterial peritonitis | $175,408 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD K652 - Spontaneous bacterial peritonitis | 30.2 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD K652 - Spontaneous bacterial peritonitis | 16.79 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD K652 - Spontaneous bacterial peritonitis | 16.68 |
*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 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD K652 - Spontaneous bacterial peritonitis | 478 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD K652 - Spontaneous bacterial peritonitis in DRG | 1.51 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD K652 - Spontaneous bacterial peritonitis | 17.35 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD K652 - Spontaneous bacterial peritonitis | 39.74 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD K652 - Spontaneous bacterial peritonitis | 15.89 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD K652 - Spontaneous bacterial peritonitis | $25,029,748 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD K652 - Spontaneous bacterial peritonitis | $3,018 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD K652 - Spontaneous bacterial peritonitis | $52,363 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD K652 - Spontaneous bacterial peritonitis | $133,225,019 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD K652 - Spontaneous bacterial peritonitis | $278,713 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD K652 - Spontaneous bacterial peritonitis | 64.64 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD K652 - Spontaneous bacterial peritonitis | 9.41 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD K652 - Spontaneous bacterial 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 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,795 | ||||
| Total Hospitalizations with ICD K652 - Spontaneous bacterial peritonitis | 333 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD K652 - Spontaneous bacterial peritonitis in DRG | 1.05 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD K652 - Spontaneous bacterial peritonitis | 5.42 | ||||
| Readmission Rate at DRG | 22.8 | ||||
| Readmission Rate with ICD K652 - Spontaneous bacterial peritonitis | 34.8 | ||||
| Unplanned Readmission Rate at DRG | 15.79 | ||||
| Unplanned Readmission Rate with ICD K652 - Spontaneous bacterial peritonitis | 22.88 | ||||
| Total Medicare payments at DRG | $318,968,562 | ||||
| Total Medicare payments with ICD K652 - Spontaneous bacterial peritonitis | $4,519,383 | ||||
| Total Medicare payment per Day at DRG | $2,326 | ||||
| Total Medicare payment per Day with ICD K652 - Spontaneous bacterial peritonitis | $2,502 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,405 | ||||
| Total Medicare payment per Hospitalization with ICD K652 - Spontaneous bacterial peritonitis | $13,572 | ||||
| Total Medicare Charges at DRG | $1,616,786,200 | ||||
| Total Medicare Charges with ICD K652 - Spontaneous bacterial peritonitis | $13,830,812 | ||||
| Avg Charges at DRG | $67,946 | ||||
| Avg Charges with ICD K652 - Spontaneous bacterial peritonitis | $41,534 | ||||
| Mortality Rate at DRG | 1.17 | ||||
| Mortality Rate with ICD K652 - Spontaneous bacterial peritonitis | NA | ||||
| SNF Discharge Rate at DRG | 14.59 | ||||
| SNF Discharge Rate with ICD K652 - Spontaneous bacterial peritonitis | 9.31 | ||||
| Home Discharge Rate at DRG | 56.77 | ||||
| Home Discharge Rate with ICD K652 - Spontaneous bacterial peritonitis | 61.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 140 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 135 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 131 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 31 |
| Dr. RON Z SHINAR | 1111 E MCDOWELL RD | PHOENIX | AZ | 85006 | 25 |
| Dr. DEREK J SITTER | 1325 S. CLIFF AVE. | SIOUX FALLS | SD | 57105 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HECTOR CARBAJAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 20 |
| Dr. DAVID GLENN KOCH | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 17 |
| Dr. ROBERT YANG | 406 E VANDERBILT WAY | SAN BERNARDINO | CA | 92408 | 15 |