*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K654 - Sclerosing mesenteritis - as a primary diagnosis code | K654 - Sclerosing mesenteritis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.43 | |
| Readmission Rate (%) | 22.0 | |
| Unplanned Readmission Rate (%) | 13.52 | |
| 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 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K654 - Sclerosing mesenteritis | 396 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K654 - Sclerosing mesenteritis in DRG | 39.52 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K654 - Sclerosing mesenteritis | 3.63 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K654 - Sclerosing mesenteritis | 16.97 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K654 - Sclerosing mesenteritis | 12.79 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K654 - Sclerosing mesenteritis | $2,115,657 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K654 - Sclerosing mesenteritis | $1,470 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K654 - Sclerosing mesenteritis | $5,343 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K654 - Sclerosing mesenteritis | $12,249,491 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K654 - Sclerosing mesenteritis | $30,933 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K654 - Sclerosing mesenteritis | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K654 - Sclerosing mesenteritis | 6.57 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K654 - Sclerosing mesenteritis | 76.77 |
*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 358: OTHER DIGESTIVE SYSTEM O.R. 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 | 169,880 | ||
| Total Hospitalizations with ICD K654 - Sclerosing mesenteritis | 26 | ||
| DRG Share of Total Hospitalizations | 0.52 | ||
| % of Total ICD K654 - Sclerosing mesenteritis in DRG | 2.59 | ||
| Avg LOS at DRG | 7.24 | ||
| Avg LOS with ICD K654 - Sclerosing mesenteritis | 7.19 | ||
| Readmission Rate at DRG | 16.58 | ||
| Readmission Rate with ICD K654 - Sclerosing mesenteritis | NA | ||
| Unplanned Readmission Rate at DRG | 10.87 | ||
| Unplanned Readmission Rate with ICD K654 - Sclerosing mesenteritis | NA | ||
| Total Medicare payments at DRG | $2,683,693,576 | ||
| Total Medicare payments with ICD K654 - Sclerosing mesenteritis | $380,973 | ||
| Total Medicare payment per Day at DRG | $2,183 | ||
| Total Medicare payment per Day with ICD K654 - Sclerosing mesenteritis | $2,037 | ||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||
| Total Medicare payment per Hospitalization with ICD K654 - Sclerosing mesenteritis | $14,653 | ||
| Total Medicare Charges at DRG | $13,978,014,634 | ||
| Total Medicare Charges with ICD K654 - Sclerosing mesenteritis | $2,221,299 | ||
| Avg Charges at DRG | $82,282 | ||
| Avg Charges with ICD K654 - Sclerosing mesenteritis | $85,435 | ||
| Mortality Rate at DRG | 0.35 | ||
| Mortality Rate with ICD K654 - Sclerosing mesenteritis | NA | ||
| SNF Discharge Rate at DRG | 14.58 | ||
| SNF Discharge Rate with ICD K654 - Sclerosing mesenteritis | NA | ||
| Home Discharge Rate at DRG | 53.56 | ||
| Home Discharge Rate with ICD K654 - Sclerosing mesenteritis | 42.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K654 - Sclerosing mesenteritis | 448 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K654 - Sclerosing mesenteritis in DRG | 9.77 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K654 - Sclerosing mesenteritis | 3.72 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K654 - Sclerosing mesenteritis | 16.82 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K654 - Sclerosing mesenteritis | 12.67 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K654 - Sclerosing mesenteritis | $2,473,636 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K654 - Sclerosing mesenteritis | $1,483 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K654 - Sclerosing mesenteritis | $5,522 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K654 - Sclerosing mesenteritis | $14,132,753 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K654 - Sclerosing mesenteritis | $31,546 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K654 - Sclerosing mesenteritis | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K654 - Sclerosing mesenteritis | 6.47 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K654 - Sclerosing mesenteritis | 75.22 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD K654 - Sclerosing mesenteritis | 163 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD K654 - Sclerosing mesenteritis in DRG | 3.56 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD K654 - Sclerosing mesenteritis | 7.57 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD K654 - Sclerosing mesenteritis | 19.23 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD K654 - Sclerosing mesenteritis | 14.74 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD K654 - Sclerosing mesenteritis | $2,688,174 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD K654 - Sclerosing mesenteritis | $2,178 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD K654 - Sclerosing mesenteritis | $16,492 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD K654 - Sclerosing mesenteritis | $14,284,674 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD K654 - Sclerosing mesenteritis | $87,636 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD K654 - Sclerosing mesenteritis | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD K654 - Sclerosing mesenteritis | 12.88 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD K654 - Sclerosing mesenteritis | 50.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,795 | ||||
| Total Hospitalizations with ICD K654 - Sclerosing mesenteritis | 78 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD K654 - Sclerosing mesenteritis in DRG | 1.7 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD K654 - Sclerosing mesenteritis | 5.23 | ||||
| Readmission Rate at DRG | 22.8 | ||||
| Readmission Rate with ICD K654 - Sclerosing mesenteritis | 16.88 | ||||
| Unplanned Readmission Rate at DRG | 15.79 | ||||
| Unplanned Readmission Rate with ICD K654 - Sclerosing mesenteritis | 14.29 | ||||
| Total Medicare payments at DRG | $318,968,562 | ||||
| Total Medicare payments with ICD K654 - Sclerosing mesenteritis | $1,054,745 | ||||
| Total Medicare payment per Day at DRG | $2,326 | ||||
| Total Medicare payment per Day with ICD K654 - Sclerosing mesenteritis | $2,585 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,405 | ||||
| Total Medicare payment per Hospitalization with ICD K654 - Sclerosing mesenteritis | $13,522 | ||||
| Total Medicare Charges at DRG | $1,616,786,200 | ||||
| Total Medicare Charges with ICD K654 - Sclerosing mesenteritis | $4,108,721 | ||||
| Avg Charges at DRG | $67,946 | ||||
| Avg Charges with ICD K654 - Sclerosing mesenteritis | $52,676 | ||||
| Mortality Rate at DRG | 1.17 | ||||
| Mortality Rate with ICD K654 - Sclerosing mesenteritis | NA | ||||
| SNF Discharge Rate at DRG | 14.59 | ||||
| SNF Discharge Rate with ICD K654 - Sclerosing mesenteritis | NA | ||||
| Home Discharge Rate at DRG | 56.77 | ||||
| Home Discharge Rate with ICD K654 - Sclerosing mesenteritis | 61.54 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,783 | ||||
| Total Hospitalizations with ICD K654 - Sclerosing mesenteritis | 56 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD K654 - Sclerosing mesenteritis in DRG | 1.22 | ||||
| Avg LOS at DRG | 10.43 | ||||
| Avg LOS with ICD K654 - Sclerosing mesenteritis | 16.64 | ||||
| Readmission Rate at DRG | 32.71 | ||||
| Readmission Rate with ICD K654 - Sclerosing mesenteritis | 30.61 | ||||
| Unplanned Readmission Rate at DRG | 21.41 | ||||
| Unplanned Readmission Rate with ICD K654 - Sclerosing mesenteritis | 24.49 | ||||
| Total Medicare payments at DRG | $679,252,743 | ||||
| Total Medicare payments with ICD K654 - Sclerosing mesenteritis | $1,482,249 | ||||
| Total Medicare payment per Day at DRG | $2,526 | ||||
| Total Medicare payment per Day with ICD K654 - Sclerosing mesenteritis | $1,590 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,345 | ||||
| Total Medicare payment per Hospitalization with ICD K654 - Sclerosing mesenteritis | $26,469 | ||||
| Total Medicare Charges at DRG | $3,189,491,346 | ||||
| Total Medicare Charges with ICD K654 - Sclerosing mesenteritis | $8,408,268 | ||||
| Avg Charges at DRG | $123,705 | ||||
| Avg Charges with ICD K654 - Sclerosing mesenteritis | $150,148 | ||||
| Mortality Rate at DRG | 9.27 | ||||
| Mortality Rate with ICD K654 - Sclerosing mesenteritis | NA | ||||
| SNF Discharge Rate at DRG | 24.4 | ||||
| SNF Discharge Rate with ICD K654 - Sclerosing mesenteritis | 28.57 | ||||
| Home Discharge Rate at DRG | 30.46 | ||||
| Home Discharge Rate with ICD K654 - Sclerosing mesenteritis | 25.0 |
| 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 | 64 |
| EMORY UNIVERSITY HOSPITAL | 1364 CLIFTON RD NE | ATLANTA | GA | 30322 | 28 |
| ATRIUM HEALTH'S CAROLINAS MEDICAL CENTER | 1000 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN GALLOWAY | 1365 CLIFTON RD NE | ATLANTA | GA | 30322 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN GALLOWAY | 1365 CLIFTON RD NE | ATLANTA | GA | 30322 | 19 |