*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K659 - Peritonitis, unspecified - as a primary diagnosis code | K659 - Peritonitis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.27 | |
| Readmission Rate (%) | 34.48 | |
| Unplanned Readmission Rate (%) | 22.04 | |
| 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 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 62,063 | ||||
| Total Hospitalizations with ICD K659 - Peritonitis, unspecified | 2,363 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD K659 - Peritonitis, unspecified in DRG | 71.22 | ||||
| Avg LOS at DRG | 7.63 | ||||
| Avg LOS with ICD K659 - Peritonitis, unspecified | 6.85 | ||||
| Readmission Rate at DRG | 32.09 | ||||
| Readmission Rate with ICD K659 - Peritonitis, unspecified | 32.35 | ||||
| Unplanned Readmission Rate at DRG | 24.3 | ||||
| Unplanned Readmission Rate with ICD K659 - Peritonitis, unspecified | 23.96 | ||||
| Total Medicare payments at DRG | $750,841,974 | ||||
| Total Medicare payments with ICD K659 - Peritonitis, unspecified | $30,793,034 | ||||
| Total Medicare payment per Day at DRG | $1,586 | ||||
| Total Medicare payment per Day with ICD K659 - Peritonitis, unspecified | $1,901 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,098 | ||||
| Total Medicare payment per Hospitalization with ICD K659 - Peritonitis, unspecified | $13,031 | ||||
| Total Medicare Charges at DRG | $3,437,442,637 | ||||
| Total Medicare Charges with ICD K659 - Peritonitis, unspecified | $121,709,603 | ||||
| Avg Charges at DRG | $55,386 | ||||
| Avg Charges with ICD K659 - Peritonitis, unspecified | $51,506 | ||||
| Mortality Rate at DRG | 4.29 | ||||
| Mortality Rate with ICD K659 - Peritonitis, unspecified | 5.46 | ||||
| SNF Discharge Rate at DRG | 26.71 | ||||
| SNF Discharge Rate with ICD K659 - Peritonitis, unspecified | 7.96 | ||||
| Home Discharge Rate at DRG | 35.88 | ||||
| Home Discharge Rate with ICD K659 - Peritonitis, unspecified | 59.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,676 | ||||
| Total Hospitalizations with ICD K659 - Peritonitis, unspecified | 48 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD K659 - Peritonitis, unspecified in DRG | 1.45 | ||||
| Avg LOS at DRG | 3.64 | ||||
| Avg LOS with ICD K659 - Peritonitis, unspecified | 3.38 | ||||
| Readmission Rate at DRG | 17.01 | ||||
| Readmission Rate with ICD K659 - Peritonitis, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.84 | ||||
| Unplanned Readmission Rate with ICD K659 - Peritonitis, unspecified | NA | ||||
| Total Medicare payments at DRG | $123,338,052 | ||||
| Total Medicare payments with ICD K659 - Peritonitis, unspecified | $274,163 | ||||
| Total Medicare payment per Day at DRG | $1,318 | ||||
| Total Medicare payment per Day with ICD K659 - Peritonitis, unspecified | $1,692 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,804 | ||||
| Total Medicare payment per Hospitalization with ICD K659 - Peritonitis, unspecified | $5,712 | ||||
| Total Medicare Charges at DRG | $607,069,271 | ||||
| Total Medicare Charges with ICD K659 - Peritonitis, unspecified | $983,905 | ||||
| Avg Charges at DRG | $23,643 | ||||
| Avg Charges with ICD K659 - Peritonitis, unspecified | $20,498 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD K659 - Peritonitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.87 | ||||
| SNF Discharge Rate with ICD K659 - Peritonitis, unspecified | NA | ||||
| Home Discharge Rate at DRG | 67.68 | ||||
| Home Discharge Rate with ICD K659 - Peritonitis, unspecified | 56.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 4,727 | |
| Total Hospitalizations with ICD K659 - Peritonitis, unspecified | 14 | |
| DRG Share of Total Hospitalizations | 0.01 | |
| % of Total ICD K659 - Peritonitis, unspecified in DRG | 0.42 | |
| Avg LOS at DRG | 3.38 | |
| Avg LOS with ICD K659 - Peritonitis, unspecified | 3.79 | |
| Readmission Rate at DRG | 13.38 | |
| Readmission Rate with ICD K659 - Peritonitis, unspecified | NA | |
| Unplanned Readmission Rate at DRG | 8.49 | |
| Unplanned Readmission Rate with ICD K659 - Peritonitis, unspecified | NA | |
| Total Medicare payments at DRG | $39,515,540 | |
| Total Medicare payments with ICD K659 - Peritonitis, unspecified | $155,207 | |
| Total Medicare payment per Day at DRG | $2,471 | |
| Total Medicare payment per Day with ICD K659 - Peritonitis, unspecified | $2,928 | |
| Total Medicare payment per Hospitalization at DRG | $8,360 | |
| Total Medicare payment per Hospitalization with ICD K659 - Peritonitis, unspecified | $11,086 | |
| Total Medicare Charges at DRG | $230,310,609 | |
| Total Medicare Charges with ICD K659 - Peritonitis, unspecified | $678,078 | |
| Avg Charges at DRG | $48,722 | |
| Avg Charges with ICD K659 - Peritonitis, unspecified | $48,434 | |
| Mortality Rate at DRG | 0.63 | |
| Mortality Rate with ICD K659 - Peritonitis, unspecified | NA | |
| SNF Discharge Rate at DRG | 4.59 | |
| SNF Discharge Rate with ICD K659 - Peritonitis, unspecified | NA | |
| Home Discharge Rate at DRG | 80.18 | |
| Home Discharge Rate with ICD K659 - Peritonitis, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 17 |
| MCLEOD REGIONAL MEDICAL CENTER | 555 E CHEVES ST | FLORENCE | SC | 29506 | 16 |
| VIBRA HOSPITAL OF AMARILLO | 7501 WALLACE BLVD | AMARILLO | TX | 79124 | 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 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD K659 - Peritonitis, unspecified | 7,929 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD K659 - Peritonitis, unspecified in DRG | 15.73 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD K659 - Peritonitis, unspecified | 13.46 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD K659 - Peritonitis, unspecified | 40.48 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD K659 - Peritonitis, unspecified | 17.21 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD K659 - Peritonitis, unspecified | $300,481,241 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD K659 - Peritonitis, unspecified | $2,815 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD K659 - Peritonitis, unspecified | $37,896 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD K659 - Peritonitis, unspecified | $1,617,879,022 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD K659 - Peritonitis, unspecified | $204,046 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD K659 - Peritonitis, unspecified | 27.68 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD K659 - Peritonitis, unspecified | 25.64 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD K659 - Peritonitis, unspecified | 9.65 |
*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 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 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD K659 - Peritonitis, unspecified | 2,630 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD K659 - Peritonitis, unspecified in DRG | 5.22 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD K659 - Peritonitis, unspecified | 11.98 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD K659 - Peritonitis, unspecified | 32.02 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD K659 - Peritonitis, unspecified | 21.86 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD K659 - Peritonitis, unspecified | $85,082,587 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD K659 - Peritonitis, unspecified | $2,700 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD K659 - Peritonitis, unspecified | $32,351 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD K659 - Peritonitis, unspecified | $345,841,494 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD K659 - Peritonitis, unspecified | $131,499 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD K659 - Peritonitis, unspecified | 9.43 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD K659 - Peritonitis, unspecified | 14.26 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD K659 - Peritonitis, unspecified | 49.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,432 | ||||
| Total Hospitalizations with ICD K659 - Peritonitis, unspecified | 864 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K659 - Peritonitis, unspecified in DRG | 1.71 | ||||
| Avg LOS at DRG | 8.4 | ||||
| Avg LOS with ICD K659 - Peritonitis, unspecified | 4.89 | ||||
| Readmission Rate at DRG | 26.71 | ||||
| Readmission Rate with ICD K659 - Peritonitis, unspecified | 27.34 | ||||
| Unplanned Readmission Rate at DRG | 16.9 | ||||
| Unplanned Readmission Rate with ICD K659 - Peritonitis, unspecified | 20.9 | ||||
| Total Medicare payments at DRG | $167,477,396 | ||||
| Total Medicare payments with ICD K659 - Peritonitis, unspecified | $12,757,198 | ||||
| Total Medicare payment per Day at DRG | $2,115 | ||||
| Total Medicare payment per Day with ICD K659 - Peritonitis, unspecified | $3,019 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,756 | ||||
| Total Medicare payment per Hospitalization with ICD K659 - Peritonitis, unspecified | $14,765 | ||||
| Total Medicare Charges at DRG | $672,074,241 | ||||
| Total Medicare Charges with ICD K659 - Peritonitis, unspecified | $35,538,782 | ||||
| Avg Charges at DRG | $71,255 | ||||
| Avg Charges with ICD K659 - Peritonitis, unspecified | $41,133 | ||||
| Mortality Rate at DRG | 5.71 | ||||
| Mortality Rate with ICD K659 - Peritonitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.84 | ||||
| SNF Discharge Rate with ICD K659 - Peritonitis, unspecified | 4.05 | ||||
| Home Discharge Rate at DRG | 44.03 | ||||
| Home Discharge Rate with ICD K659 - Peritonitis, unspecified | 78.01 |
*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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,451 | ||||
| Total Hospitalizations with ICD K659 - Peritonitis, unspecified | 477 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K659 - Peritonitis, unspecified in DRG | 0.95 | ||||
| Avg LOS at DRG | 6.55 | ||||
| Avg LOS with ICD K659 - Peritonitis, unspecified | 8.08 | ||||
| Readmission Rate at DRG | 16.47 | ||||
| Readmission Rate with ICD K659 - Peritonitis, unspecified | 20.27 | ||||
| Unplanned Readmission Rate at DRG | 11.18 | ||||
| Unplanned Readmission Rate with ICD K659 - Peritonitis, unspecified | 10.48 | ||||
| Total Medicare payments at DRG | $682,577,748 | ||||
| Total Medicare payments with ICD K659 - Peritonitis, unspecified | $8,196,215 | ||||
| Total Medicare payment per Day at DRG | $2,346 | ||||
| Total Medicare payment per Day with ICD K659 - Peritonitis, unspecified | $2,127 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,356 | ||||
| Total Medicare payment per Hospitalization with ICD K659 - Peritonitis, unspecified | $17,183 | ||||
| Total Medicare Charges at DRG | $3,726,550,994 | ||||
| Total Medicare Charges with ICD K659 - Peritonitis, unspecified | $51,050,557 | ||||
| Avg Charges at DRG | $83,835 | ||||
| Avg Charges with ICD K659 - Peritonitis, unspecified | $107,024 | ||||
| Mortality Rate at DRG | 1.61 | ||||
| Mortality Rate with ICD K659 - Peritonitis, unspecified | 3.98 | ||||
| SNF Discharge Rate at DRG | 14.42 | ||||
| SNF Discharge Rate with ICD K659 - Peritonitis, unspecified | 14.26 | ||||
| Home Discharge Rate at DRG | 62.58 | ||||
| Home Discharge Rate with ICD K659 - Peritonitis, unspecified | 54.09 |
| 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 | 183 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 173 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 161 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KENT A BRUSETT | 1555 EAST ST | REDDING | CA | 96001 | 21 |
| Dr. JAMES N GONZALEZ | 1555 EAST ST | REDDING | CA | 96001 | 20 |
| Dr. HEUY WILLY CHU | 5 FIRSTVILLAGE DRIVE | PINEHURST | NC | 28374 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ENGILBERTO JAVIER RAMOS | 506 E SAN ANTONIO ST | VICTORIA | TX | 77901 | 21 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 21 |
| Dr. AILEEN GARCIAGAYOSO | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 20 |