*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction - as a primary diagnosis code | K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.61 | |
| Readmission Rate (%) | 15.59 | |
| Unplanned Readmission Rate (%) | 8.85 | |
| 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 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 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,988 | ||||
| Total Hospitalizations with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 1,291 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction in DRG | 24.01 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 4.97 | ||||
| Readmission Rate at DRG | 12.05 | ||||
| Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 10.47 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 7.55 | ||||
| Total Medicare payments at DRG | $665,362,889 | ||||
| Total Medicare payments with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $12,816,037 | ||||
| Total Medicare payment per Day at DRG | $2,271 | ||||
| Total Medicare payment per Day with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $1,999 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,786 | ||||
| Total Medicare payment per Hospitalization with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $9,927 | ||||
| Total Medicare Charges at DRG | $4,095,369,652 | ||||
| Total Medicare Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $99,621,384 | ||||
| Avg Charges at DRG | $60,237 | ||||
| Avg Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $77,166 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 8.88 | ||||
| SNF Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 11.31 | ||||
| Home Discharge Rate at DRG | 75.76 | ||||
| Home Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 71.88 |
*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 414: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 415: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. 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 411: CHOLECYSTECTOMY WITH C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,171 | ||||
| Total Hospitalizations with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 261 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction in DRG | 4.85 | ||||
| Avg LOS at DRG | 2.53 | ||||
| Avg LOS with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 3.0 | ||||
| Readmission Rate at DRG | 15.81 | ||||
| Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 15.23 | ||||
| Unplanned Readmission Rate at DRG | 9.94 | ||||
| Unplanned Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 9.14 | ||||
| Total Medicare payments at DRG | $111,440,402 | ||||
| Total Medicare payments with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $1,216,371 | ||||
| Total Medicare payment per Day at DRG | $1,753 | ||||
| Total Medicare payment per Day with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $1,551 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,427 | ||||
| Total Medicare payment per Hospitalization with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $4,660 | ||||
| Total Medicare Charges at DRG | $704,276,552 | ||||
| Total Medicare Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $8,692,335 | ||||
| Avg Charges at DRG | $27,980 | ||||
| Avg Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $33,304 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 5.1 | ||||
| SNF Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | ||||
| Home Discharge Rate at DRG | 73.17 | ||||
| Home Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 63.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 409: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 412: CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 5,647 | ||||
| Total Hospitalizations with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 72 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction in DRG | 1.34 | ||||
| Avg LOS at DRG | 6.3 | ||||
| Avg LOS with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 6.58 | ||||
| Readmission Rate at DRG | 25.45 | ||||
| Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 16.67 | ||||
| Unplanned Readmission Rate at DRG | 16.51 | ||||
| Unplanned Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | ||||
| Total Medicare payments at DRG | $90,024,822 | ||||
| Total Medicare payments with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $1,126,730 | ||||
| Total Medicare payment per Day at DRG | $2,529 | ||||
| Total Medicare payment per Day with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $2,377 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,942 | ||||
| Total Medicare payment per Hospitalization with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $15,649 | ||||
| Total Medicare Charges at DRG | $380,505,834 | ||||
| Total Medicare Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $6,092,647 | ||||
| Avg Charges at DRG | $67,382 | ||||
| Avg Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $84,620 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 17.39 | ||||
| SNF Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 18.06 | ||||
| Home Discharge Rate at DRG | 45.51 | ||||
| Home Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 55.56 |
*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) | |
|---|---|---|
| Total Hospitalizations at DRG | 5,873 | |
| Total Hospitalizations with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 11 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction in DRG | 0.2 | |
| Avg LOS at DRG | 5.01 | |
| Avg LOS with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 6.91 | |
| Readmission Rate at DRG | 30.66 | |
| Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | |
| Unplanned Readmission Rate at DRG | 22.97 | |
| Unplanned Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | |
| Total Medicare payments at DRG | $69,442,380 | |
| Total Medicare payments with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $120,886 | |
| Total Medicare payment per Day at DRG | $2,361 | |
| Total Medicare payment per Day with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $1,591 | |
| Total Medicare payment per Hospitalization at DRG | $11,824 | |
| Total Medicare payment per Hospitalization with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $10,990 | |
| Total Medicare Charges at DRG | $302,628,853 | |
| Total Medicare Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $793,924 | |
| Avg Charges at DRG | $51,529 | |
| Avg Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $72,175 | |
| Mortality Rate at DRG | 0.75 | |
| Mortality Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | |
| SNF Discharge Rate at DRG | 11.27 | |
| SNF Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | |
| Home Discharge Rate at DRG | 60.7 | |
| Home Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA |
| 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 | 25 |
| ASANTE ROGUE REGIONAL MEDICAL CENTER | 2825 E BARNETT RD | MEDFORD | OR | 97504 | 20 |
| PROVIDENCE SACRED HEART MEDICAL CENTER | 101 W 8TH AVE | SPOKANE | WA | 99204 | 19 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,988 | ||||
| Total Hospitalizations with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 1,507 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction in DRG | 18.63 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 5.02 | ||||
| Readmission Rate at DRG | 12.05 | ||||
| Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 9.58 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 6.73 | ||||
| Total Medicare payments at DRG | $665,362,889 | ||||
| Total Medicare payments with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $14,925,314 | ||||
| Total Medicare payment per Day at DRG | $2,271 | ||||
| Total Medicare payment per Day with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $1,973 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,786 | ||||
| Total Medicare payment per Hospitalization with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $9,904 | ||||
| Total Medicare Charges at DRG | $4,095,369,652 | ||||
| Total Medicare Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $116,158,974 | ||||
| Avg Charges at DRG | $60,237 | ||||
| Avg Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $77,080 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 8.88 | ||||
| SNF Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 10.55 | ||||
| Home Discharge Rate at DRG | 75.76 | ||||
| Home Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 72.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 514 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction in DRG | 6.36 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 8.55 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 26.99 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 16.14 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $6,461,715 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $1,470 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $12,571 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $49,490,294 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $96,285 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 8.37 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 30.74 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 24.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 414: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 415: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. 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 411: CHOLECYSTECTOMY WITH 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 | 6,931 | ||||
| Total Hospitalizations with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 143 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction in DRG | 1.77 | ||||
| Avg LOS at DRG | 9.54 | ||||
| Avg LOS with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 9.97 | ||||
| Readmission Rate at DRG | 21.84 | ||||
| Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 18.8 | ||||
| Unplanned Readmission Rate at DRG | 11.79 | ||||
| Unplanned Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 12.03 | ||||
| Total Medicare payments at DRG | $159,896,843 | ||||
| Total Medicare payments with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $3,338,265 | ||||
| Total Medicare payment per Day at DRG | $2,418 | ||||
| Total Medicare payment per Day with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $2,343 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,070 | ||||
| Total Medicare payment per Hospitalization with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $23,345 | ||||
| Total Medicare Charges at DRG | $796,636,230 | ||||
| Total Medicare Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $17,515,325 | ||||
| Avg Charges at DRG | $114,938 | ||||
| Avg Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $122,485 | ||||
| Mortality Rate at DRG | 3.91 | ||||
| Mortality Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 22.36 | ||||
| SNF Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 27.97 | ||||
| Home Discharge Rate at DRG | 40.07 | ||||
| Home Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 35.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 75 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction in DRG | 0.93 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 4.27 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $416,465 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $1,301 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $5,553 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $3,002,971 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | $40,040 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | NA | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD K8063 - Calculus of gallbladder and bile duct with acute cholecystitis with obstruction | 64.0 |
| 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 | 37 |
| INOVA FAIRFAX HOSPITAL | 3300 GALLOWS RD | FALLS CHURCH | VA | 22042 | 30 |
| CHRISTUS MOTHER FRANCES HOSPITAL | 800 E DAWSON ST | TYLER | TX | 75701 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHIA CHI GEORGE LAI | 500 N GARFIELD AVE | MONTEREY PARK | CA | 91754 | 12 |