*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K823 - Fistula of gallbladder - as a primary diagnosis code | K823 - Fistula of gallbladder - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.39 | |
| Readmission Rate (%) | 23.09 | |
| Unplanned Readmission Rate (%) | 11.36 | |
| 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 444: DISORDERS OF THE BILIARY TRACT WITH 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 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,656 | ||||
| Total Hospitalizations with ICD K823 - Fistula of gallbladder | 46 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K823 - Fistula of gallbladder in DRG | 23.23 | ||||
| Avg LOS at DRG | 3.7 | ||||
| Avg LOS with ICD K823 - Fistula of gallbladder | 4.67 | ||||
| Readmission Rate at DRG | 21.0 | ||||
| Readmission Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| Unplanned Readmission Rate at DRG | 14.31 | ||||
| Unplanned Readmission Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| Total Medicare payments at DRG | $374,740,838 | ||||
| Total Medicare payments with ICD K823 - Fistula of gallbladder | $320,297 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD K823 - Fistula of gallbladder | $1,490 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,614 | ||||
| Total Medicare payment per Hospitalization with ICD K823 - Fistula of gallbladder | $6,963 | ||||
| Total Medicare Charges at DRG | $2,130,704,945 | ||||
| Total Medicare Charges with ICD K823 - Fistula of gallbladder | $1,791,486 | ||||
| Avg Charges at DRG | $37,608 | ||||
| Avg Charges with ICD K823 - Fistula of gallbladder | $38,945 | ||||
| Mortality Rate at DRG | 0.43 | ||||
| Mortality Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| SNF Discharge Rate at DRG | 11.12 | ||||
| SNF Discharge Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K823 - Fistula of gallbladder | 54.35 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 414: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,180 | ||||
| Total Hospitalizations with ICD K823 - Fistula of gallbladder | 161 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K823 - Fistula of gallbladder in DRG | 10.7 | ||||
| Avg LOS at DRG | 5.95 | ||||
| Avg LOS with ICD K823 - Fistula of gallbladder | 7.1 | ||||
| Readmission Rate at DRG | 15.12 | ||||
| Readmission Rate with ICD K823 - Fistula of gallbladder | 18.42 | ||||
| Unplanned Readmission Rate at DRG | 9.81 | ||||
| Unplanned Readmission Rate with ICD K823 - Fistula of gallbladder | 10.53 | ||||
| Total Medicare payments at DRG | $116,369,792 | ||||
| Total Medicare payments with ICD K823 - Fistula of gallbladder | $2,080,307 | ||||
| Total Medicare payment per Day at DRG | $2,131 | ||||
| Total Medicare payment per Day with ICD K823 - Fistula of gallbladder | $1,820 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,676 | ||||
| Total Medicare payment per Hospitalization with ICD K823 - Fistula of gallbladder | $12,921 | ||||
| Total Medicare Charges at DRG | $635,910,836 | ||||
| Total Medicare Charges with ICD K823 - Fistula of gallbladder | $13,657,706 | ||||
| Avg Charges at DRG | $69,271 | ||||
| Avg Charges with ICD K823 - Fistula of gallbladder | $84,830 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| SNF Discharge Rate at DRG | 13.71 | ||||
| SNF Discharge Rate with ICD K823 - Fistula of gallbladder | 13.66 | ||||
| Home Discharge Rate at DRG | 61.64 | ||||
| Home Discharge Rate with ICD K823 - Fistula of gallbladder | 57.76 |
*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 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 444: DISORDERS OF THE BILIARY TRACT 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 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,988 | ||||
| Total Hospitalizations with ICD K823 - Fistula of gallbladder | 65 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K823 - Fistula of gallbladder in DRG | 4.32 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD K823 - Fistula of gallbladder | 5.02 | ||||
| Readmission Rate at DRG | 12.05 | ||||
| Readmission Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| Total Medicare payments at DRG | $665,362,889 | ||||
| Total Medicare payments with ICD K823 - Fistula of gallbladder | $703,307 | ||||
| Total Medicare payment per Day at DRG | $2,271 | ||||
| Total Medicare payment per Day with ICD K823 - Fistula of gallbladder | $2,157 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,786 | ||||
| Total Medicare payment per Hospitalization with ICD K823 - Fistula of gallbladder | $10,820 | ||||
| Total Medicare Charges at DRG | $4,095,369,652 | ||||
| Total Medicare Charges with ICD K823 - Fistula of gallbladder | $4,570,205 | ||||
| Avg Charges at DRG | $60,237 | ||||
| Avg Charges with ICD K823 - Fistula of gallbladder | $70,311 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| SNF Discharge Rate at DRG | 8.88 | ||||
| SNF Discharge Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| Home Discharge Rate at DRG | 75.76 | ||||
| Home Discharge Rate with ICD K823 - Fistula of gallbladder | 60.0 |
*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 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,647 | ||||
| Total Hospitalizations with ICD K823 - Fistula of gallbladder | 41 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K823 - Fistula of gallbladder in DRG | 2.73 | ||||
| Avg LOS at DRG | 6.3 | ||||
| Avg LOS with ICD K823 - Fistula of gallbladder | 7.61 | ||||
| Readmission Rate at DRG | 25.45 | ||||
| Readmission Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| Unplanned Readmission Rate at DRG | 16.51 | ||||
| Unplanned Readmission Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| Total Medicare payments at DRG | $90,024,822 | ||||
| Total Medicare payments with ICD K823 - Fistula of gallbladder | $692,715 | ||||
| Total Medicare payment per Day at DRG | $2,529 | ||||
| Total Medicare payment per Day with ICD K823 - Fistula of gallbladder | $2,220 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,942 | ||||
| Total Medicare payment per Hospitalization with ICD K823 - Fistula of gallbladder | $16,895 | ||||
| Total Medicare Charges at DRG | $380,505,834 | ||||
| Total Medicare Charges with ICD K823 - Fistula of gallbladder | $3,854,086 | ||||
| Avg Charges at DRG | $67,382 | ||||
| Avg Charges with ICD K823 - Fistula of gallbladder | $94,002 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| SNF Discharge Rate at DRG | 17.39 | ||||
| SNF Discharge Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| Home Discharge Rate at DRG | 45.51 | ||||
| Home Discharge Rate with ICD K823 - Fistula of gallbladder | 41.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 344: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH 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 | 5,873 | ||||
| Total Hospitalizations with ICD K823 - Fistula of gallbladder | 23 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K823 - Fistula of gallbladder in DRG | 1.53 | ||||
| Avg LOS at DRG | 5.01 | ||||
| Avg LOS with ICD K823 - Fistula of gallbladder | 5.17 | ||||
| Readmission Rate at DRG | 30.66 | ||||
| Readmission Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| Unplanned Readmission Rate at DRG | 22.97 | ||||
| Unplanned Readmission Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| Total Medicare payments at DRG | $69,442,380 | ||||
| Total Medicare payments with ICD K823 - Fistula of gallbladder | $268,493 | ||||
| Total Medicare payment per Day at DRG | $2,361 | ||||
| Total Medicare payment per Day with ICD K823 - Fistula of gallbladder | $2,256 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,824 | ||||
| Total Medicare payment per Hospitalization with ICD K823 - Fistula of gallbladder | $11,674 | ||||
| Total Medicare Charges at DRG | $302,628,853 | ||||
| Total Medicare Charges with ICD K823 - Fistula of gallbladder | $1,413,290 | ||||
| Avg Charges at DRG | $51,529 | ||||
| Avg Charges with ICD K823 - Fistula of gallbladder | $61,447 | ||||
| Mortality Rate at DRG | 0.75 | ||||
| Mortality Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| SNF Discharge Rate at DRG | 11.27 | ||||
| SNF Discharge Rate with ICD K823 - Fistula of gallbladder | NA | ||||
| Home Discharge Rate at DRG | 60.7 | ||||
| Home Discharge Rate with ICD K823 - Fistula of gallbladder | 47.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LAHEY HOSPITAL & MEDICAL CENTER | 41 MALL RD | BURLINGTON | MA | 01805 | 14 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 13 |