*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K8020 - Calculus of gallbladder without cholecystitis without obstruction - as a primary diagnosis code | K8020 - Calculus of gallbladder without cholecystitis without obstruction - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.82 | |
| Readmission Rate (%) | 23.02 | |
| Unplanned Readmission Rate (%) | 13.12 | |
| 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 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,656 | ||||
| Total Hospitalizations with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 4,887 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction in DRG | 30.96 | ||||
| Avg LOS at DRG | 3.7 | ||||
| Avg LOS with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 2.94 | ||||
| Readmission Rate at DRG | 21.0 | ||||
| Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 20.1 | ||||
| Unplanned Readmission Rate at DRG | 14.31 | ||||
| Unplanned Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 14.99 | ||||
| Total Medicare payments at DRG | $374,740,838 | ||||
| Total Medicare payments with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $30,150,746 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $2,100 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,614 | ||||
| Total Medicare payment per Hospitalization with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $6,170 | ||||
| Total Medicare Charges at DRG | $2,130,704,945 | ||||
| Total Medicare Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $138,909,864 | ||||
| Avg Charges at DRG | $37,608 | ||||
| Avg Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $28,424 | ||||
| Mortality Rate at DRG | 0.43 | ||||
| Mortality Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 0.35 | ||||
| SNF Discharge Rate at DRG | 11.12 | ||||
| SNF Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 11.81 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 64.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 419: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 416: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 415: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 414: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 409: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,342 | ||||
| Total Hospitalizations with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 1,497 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction in DRG | 9.48 | ||||
| Avg LOS at DRG | 2.79 | ||||
| Avg LOS with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 2.37 | ||||
| Readmission Rate at DRG | 7.0 | ||||
| Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 8.88 | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 7.85 | ||||
| Total Medicare payments at DRG | $366,320,336 | ||||
| Total Medicare payments with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $9,875,327 | ||||
| Total Medicare payment per Day at DRG | $2,507 | ||||
| Total Medicare payment per Day with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $2,788 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,999 | ||||
| Total Medicare payment per Hospitalization with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $6,597 | ||||
| Total Medicare Charges at DRG | $2,505,114,771 | ||||
| Total Medicare Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $64,190,337 | ||||
| Avg Charges at DRG | $47,861 | ||||
| Avg Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $42,879 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | NA | ||||
| SNF Discharge Rate at DRG | 3.13 | ||||
| SNF Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 2.27 | ||||
| Home Discharge Rate at DRG | 89.12 | ||||
| Home Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 91.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,399 | ||||
| Total Hospitalizations with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 35 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction in DRG | 0.22 | ||||
| Avg LOS at DRG | 10.08 | ||||
| Avg LOS with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 11.14 | ||||
| Readmission Rate at DRG | 30.77 | ||||
| Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | NA | ||||
| Unplanned Readmission Rate at DRG | 18.51 | ||||
| Unplanned Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | NA | ||||
| Total Medicare payments at DRG | $196,785,449 | ||||
| Total Medicare payments with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $899,918 | ||||
| Total Medicare payment per Day at DRG | $2,637 | ||||
| Total Medicare payment per Day with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $2,307 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,596 | ||||
| Total Medicare payment per Hospitalization with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $25,712 | ||||
| Total Medicare Charges at DRG | $810,338,749 | ||||
| Total Medicare Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $4,651,591 | ||||
| Avg Charges at DRG | $109,520 | ||||
| Avg Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $132,903 | ||||
| Mortality Rate at DRG | 5.53 | ||||
| Mortality Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | NA | ||||
| SNF Discharge Rate at DRG | 19.87 | ||||
| SNF Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | NA | ||||
| Home Discharge Rate at DRG | 31.45 | ||||
| Home Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 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 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 410: BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 413: CHOLECYSTECTOMY WITH C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 411: CHOLECYSTECTOMY WITH C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 407: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,125 | ||||
| Total Hospitalizations with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 15 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction in DRG | 0.1 | ||||
| Avg LOS at DRG | 12.1 | ||||
| Avg LOS with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 5.87 | ||||
| Readmission Rate at DRG | 34.89 | ||||
| Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | NA | ||||
| Unplanned Readmission Rate at DRG | 23.07 | ||||
| Unplanned Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | NA | ||||
| Total Medicare payments at DRG | $99,649,034 | ||||
| Total Medicare payments with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $379,078 | ||||
| Total Medicare payment per Day at DRG | $2,636 | ||||
| Total Medicare payment per Day with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $4,308 | ||||
| Total Medicare payment per Hospitalization at DRG | $31,888 | ||||
| Total Medicare payment per Hospitalization with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $25,272 | ||||
| Total Medicare Charges at DRG | $437,724,723 | ||||
| Total Medicare Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $1,108,675 | ||||
| Avg Charges at DRG | $140,072 | ||||
| Avg Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $73,912 | ||||
| Mortality Rate at DRG | 8.93 | ||||
| Mortality Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | NA | ||||
| SNF Discharge Rate at DRG | 17.95 | ||||
| SNF Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | NA | ||||
| Home Discharge Rate at DRG | 35.01 | ||||
| Home Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 75 |
| WILLIS KNIGHTON MEDICAL CENTER | 2600 GREENWOOD RD | SHREVEPORT | LA | 71103 | 69 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 55 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEPHEN B CASTLEBERRY | 914 CYPRESS ST | SULPHUR | LA | 70663 | 32 |
| Dr. JAMES BOOTH BURKE | 1202 LOUISIANA AVENUE | SHREVEPORT | LA | 71101 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEPHEN B CASTLEBERRY | 914 CYPRESS ST | SULPHUR | LA | 70663 | 19 |
| Dr. WALTER PIERRE LEDET | 914 CYPRESS ST | SULPHUR | LA | 70663 | 12 |
| Dr. RAJENDRA T GANDHI | 2551 GREENWOOD RD | SHREVEPORT | LA | 71103 | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 21,785 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction in DRG | 8.44 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 7.03 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 25.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 17.14 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $261,403,666 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $1,708 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $11,999 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $1,526,268,703 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $70,061 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 10.35 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 29.15 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 25.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 5,228 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction in DRG | 2.03 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 3.7 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 17.95 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 13.45 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $25,514,655 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $1,318 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $4,880 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $158,187,201 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $30,258 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 0.23 | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 22.23 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 50.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 3,690 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction in DRG | 1.43 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 3.95 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 17.79 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 13.91 | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $19,028,728 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $1,304 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $5,157 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $111,472,129 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $30,209 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 0.65 | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 12.14 | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 65.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 419: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,405 | ||||
| Total Hospitalizations with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 2,895 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction in DRG | 1.12 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 4.43 | ||||
| Readmission Rate at DRG | 24.55 | ||||
| Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 25.46 | ||||
| Unplanned Readmission Rate at DRG | 16.71 | ||||
| Unplanned Readmission Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 18.71 | ||||
| Total Medicare payments at DRG | $413,772,388 | ||||
| Total Medicare payments with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $29,341,858 | ||||
| Total Medicare payment per Day at DRG | $1,899 | ||||
| Total Medicare payment per Day with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $2,290 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,774 | ||||
| Total Medicare payment per Hospitalization with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $10,135 | ||||
| Total Medicare Charges at DRG | $2,091,472,966 | ||||
| Total Medicare Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $122,565,574 | ||||
| Avg Charges at DRG | $54,458 | ||||
| Avg Charges with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | $42,337 | ||||
| Mortality Rate at DRG | 3.2 | ||||
| Mortality Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 1.97 | ||||
| SNF Discharge Rate at DRG | 16.21 | ||||
| SNF Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 15.65 | ||||
| Home Discharge Rate at DRG | 47.16 | ||||
| Home Discharge Rate with ICD K8020 - Calculus of gallbladder without cholecystitis without obstruction | 55.06 |
| 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 | 881 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 665 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 662 |
| 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 | 42 |
| Dr. STEPHEN B CASTLEBERRY | 914 CYPRESS ST | SULPHUR | LA | 70663 | 35 |
| Dr. MOHAMMED BARAWI | 28963 LITTLE MACK AVE | ST CLAIR SHORES | MI | 48081 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 118 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 82 |
| Dr. C. DEAN MILNE | 2010 GOLDRING AVE. | LAS VEGAS | NV | 89106 | 74 |