*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K8042 - Calculus of bile duct with acute cholecystitis without obstruction - as a primary diagnosis code | K8042 - Calculus of bile duct with acute cholecystitis without obstruction - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.19 | |
| Readmission Rate (%) | 16.6 | |
| Unplanned Readmission Rate (%) | 8.76 | |
| 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 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 419: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,988 | ||||
| Total Hospitalizations with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 1,338 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction in DRG | 20.96 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 4.54 | ||||
| Readmission Rate at DRG | 12.05 | ||||
| Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 10.96 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 7.31 | ||||
| Total Medicare payments at DRG | $665,362,889 | ||||
| Total Medicare payments with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $13,334,193 | ||||
| Total Medicare payment per Day at DRG | $2,271 | ||||
| Total Medicare payment per Day with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $2,193 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,786 | ||||
| Total Medicare payment per Hospitalization with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $9,966 | ||||
| Total Medicare Charges at DRG | $4,095,369,652 | ||||
| Total Medicare Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $95,076,158 | ||||
| Avg Charges at DRG | $60,237 | ||||
| Avg Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $71,058 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | NA | ||||
| SNF Discharge Rate at DRG | 8.88 | ||||
| SNF Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 9.57 | ||||
| Home Discharge Rate at DRG | 75.76 | ||||
| Home Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 73.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 446: DISORDERS OF THE BILIARY TRACT 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 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR 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 | 25,171 | ||||
| Total Hospitalizations with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 496 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction in DRG | 7.77 | ||||
| Avg LOS at DRG | 2.53 | ||||
| Avg LOS with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 2.57 | ||||
| Readmission Rate at DRG | 15.81 | ||||
| Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 18.23 | ||||
| Unplanned Readmission Rate at DRG | 9.94 | ||||
| Unplanned Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 11.05 | ||||
| Total Medicare payments at DRG | $111,440,402 | ||||
| Total Medicare payments with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $2,199,963 | ||||
| Total Medicare payment per Day at DRG | $1,753 | ||||
| Total Medicare payment per Day with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $1,725 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,427 | ||||
| Total Medicare payment per Hospitalization with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $4,435 | ||||
| Total Medicare Charges at DRG | $704,276,552 | ||||
| Total Medicare Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $14,093,483 | ||||
| Avg Charges at DRG | $27,980 | ||||
| Avg Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $28,414 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | NA | ||||
| SNF Discharge Rate at DRG | 5.1 | ||||
| SNF Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 5.44 | ||||
| Home Discharge Rate at DRG | 73.17 | ||||
| Home Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 58.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 412: CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 411: CHOLECYSTECTOMY WITH C.D.E. WITH 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 413: CHOLECYSTECTOMY WITH C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,241 | ||||
| Total Hospitalizations with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 62 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction in DRG | 0.97 | ||||
| Avg LOS at DRG | 6.48 | ||||
| Avg LOS with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 6.0 | ||||
| Readmission Rate at DRG | 15.58 | ||||
| Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 18.03 | ||||
| Unplanned Readmission Rate at DRG | 8.73 | ||||
| Unplanned Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | NA | ||||
| Total Medicare payments at DRG | $18,676,180 | ||||
| Total Medicare payments with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $916,969 | ||||
| Total Medicare payment per Day at DRG | $2,324 | ||||
| Total Medicare payment per Day with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $2,465 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,049 | ||||
| Total Medicare payment per Hospitalization with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $14,790 | ||||
| Total Medicare Charges at DRG | $102,127,606 | ||||
| Total Medicare Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $4,944,908 | ||||
| Avg Charges at DRG | $82,295 | ||||
| Avg Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $79,757 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | NA | ||||
| SNF Discharge Rate at DRG | 14.02 | ||||
| SNF Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | NA | ||||
| Home Discharge Rate at DRG | 59.07 | ||||
| Home Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 53.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 5,873 | ||
| Total Hospitalizations with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 13 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction in DRG | 0.2 | ||
| Avg LOS at DRG | 5.01 | ||
| Avg LOS with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 5.46 | ||
| Readmission Rate at DRG | 30.66 | ||
| Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | NA | ||
| Unplanned Readmission Rate at DRG | 22.97 | ||
| Unplanned Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | NA | ||
| Total Medicare payments at DRG | $69,442,380 | ||
| Total Medicare payments with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $160,196 | ||
| Total Medicare payment per Day at DRG | $2,361 | ||
| Total Medicare payment per Day with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $2,256 | ||
| Total Medicare payment per Hospitalization at DRG | $11,824 | ||
| Total Medicare payment per Hospitalization with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $12,323 | ||
| Total Medicare Charges at DRG | $302,628,853 | ||
| Total Medicare Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $640,885 | ||
| Avg Charges at DRG | $51,529 | ||
| Avg Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $49,299 | ||
| Mortality Rate at DRG | 0.75 | ||
| Mortality Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | NA | ||
| SNF Discharge Rate at DRG | 11.27 | ||
| SNF Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | NA | ||
| Home Discharge Rate at DRG | 60.7 | ||
| Home Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 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 | 27 |
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 21 |
| ST. VINCENT HOSPITAL & HEALTH SERVICES | 2001 W 86TH ST | INDIANAPOLIS | IN | 46260 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN YACOUB NASR | 1 MEDICAL CENTER DRIVE | MORGANTOWN | WV | 26506 | 13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 419: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,988 | ||||
| Total Hospitalizations with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 1,684 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction in DRG | 16.62 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 4.58 | ||||
| Readmission Rate at DRG | 12.05 | ||||
| Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 10.78 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 7.06 | ||||
| Total Medicare payments at DRG | $665,362,889 | ||||
| Total Medicare payments with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $16,648,946 | ||||
| Total Medicare payment per Day at DRG | $2,271 | ||||
| Total Medicare payment per Day with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $2,161 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,786 | ||||
| Total Medicare payment per Hospitalization with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $9,887 | ||||
| Total Medicare Charges at DRG | $4,095,369,652 | ||||
| Total Medicare Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $118,707,680 | ||||
| Avg Charges at DRG | $60,237 | ||||
| Avg Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $70,491 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | NA | ||||
| SNF Discharge Rate at DRG | 8.88 | ||||
| SNF Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 9.09 | ||||
| Home Discharge Rate at DRG | 75.76 | ||||
| Home Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 74.29 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,405 | ||||
| Total Hospitalizations with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 737 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction in DRG | 7.27 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 6.13 | ||||
| Readmission Rate at DRG | 24.55 | ||||
| Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 22.8 | ||||
| Unplanned Readmission Rate at DRG | 16.71 | ||||
| Unplanned Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 15.72 | ||||
| Total Medicare payments at DRG | $413,772,388 | ||||
| Total Medicare payments with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $7,883,203 | ||||
| Total Medicare payment per Day at DRG | $1,899 | ||||
| Total Medicare payment per Day with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $1,745 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,774 | ||||
| Total Medicare payment per Hospitalization with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $10,696 | ||||
| Total Medicare Charges at DRG | $2,091,472,966 | ||||
| Total Medicare Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $45,722,810 | ||||
| Avg Charges at DRG | $54,458 | ||||
| Avg Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $62,039 | ||||
| Mortality Rate at DRG | 3.2 | ||||
| Mortality Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 2.85 | ||||
| SNF Discharge Rate at DRG | 16.21 | ||||
| SNF Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 19.13 | ||||
| Home Discharge Rate at DRG | 47.16 | ||||
| Home Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 40.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR 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 | 9,180 | ||||
| Total Hospitalizations with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 149 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction in DRG | 1.47 | ||||
| Avg LOS at DRG | 5.95 | ||||
| Avg LOS with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 7.24 | ||||
| Readmission Rate at DRG | 15.12 | ||||
| Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 16.78 | ||||
| Unplanned Readmission Rate at DRG | 9.81 | ||||
| Unplanned Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 10.49 | ||||
| Total Medicare payments at DRG | $116,369,792 | ||||
| Total Medicare payments with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $2,024,000 | ||||
| Total Medicare payment per Day at DRG | $2,131 | ||||
| Total Medicare payment per Day with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $1,876 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,676 | ||||
| Total Medicare payment per Hospitalization with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $13,584 | ||||
| Total Medicare Charges at DRG | $635,910,836 | ||||
| Total Medicare Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $12,299,421 | ||||
| Avg Charges at DRG | $69,271 | ||||
| Avg Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $82,546 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | NA | ||||
| SNF Discharge Rate at DRG | 13.71 | ||||
| SNF Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 14.09 | ||||
| Home Discharge Rate at DRG | 61.64 | ||||
| Home Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 61.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 412: CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 411: CHOLECYSTECTOMY WITH C.D.E. WITH 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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,241 | ||||
| Total Hospitalizations with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 70 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction in DRG | 0.69 | ||||
| Avg LOS at DRG | 6.48 | ||||
| Avg LOS with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 6.14 | ||||
| Readmission Rate at DRG | 15.58 | ||||
| Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 17.65 | ||||
| Unplanned Readmission Rate at DRG | 8.73 | ||||
| Unplanned Readmission Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | NA | ||||
| Total Medicare payments at DRG | $18,676,180 | ||||
| Total Medicare payments with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $1,034,043 | ||||
| Total Medicare payment per Day at DRG | $2,324 | ||||
| Total Medicare payment per Day with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $2,405 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,049 | ||||
| Total Medicare payment per Hospitalization with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $14,772 | ||||
| Total Medicare Charges at DRG | $102,127,606 | ||||
| Total Medicare Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $5,527,050 | ||||
| Avg Charges at DRG | $82,295 | ||||
| Avg Charges with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | $78,958 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | NA | ||||
| SNF Discharge Rate at DRG | 14.02 | ||||
| SNF Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 17.14 | ||||
| Home Discharge Rate at DRG | 59.07 | ||||
| Home Discharge Rate with ICD K8042 - Calculus of bile duct with acute cholecystitis without obstruction | 52.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 47 |
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 35 |
| ST. VINCENT HOSPITAL & HEALTH SERVICES | 2001 W 86TH ST | INDIANAPOLIS | IN | 46260 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN YACOUB NASR | 1 MEDICAL CENTER DRIVE | MORGANTOWN | WV | 26506 | 18 |
| Dr. BASSAM N. HELOU | 356 24TH AVE N | NASHVILLE | TN | 37203 | 11 |
| Dr. WILLIAM A WILFLEY | 2400 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 12 |