*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K828 - Other specified diseases of gallbladder - as a primary diagnosis code | K828 - Other specified diseases of gallbladder - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.84 | |
| Readmission Rate (%) | 21.4 | |
| Unplanned Readmission Rate (%) | 14.24 | |
| 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 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,656 | ||||
| Total Hospitalizations with ICD K828 - Other specified diseases of gallbladder | 857 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K828 - Other specified diseases of gallbladder in DRG | 22.98 | ||||
| Avg LOS at DRG | 3.7 | ||||
| Avg LOS with ICD K828 - Other specified diseases of gallbladder | 3.25 | ||||
| Readmission Rate at DRG | 21.0 | ||||
| Readmission Rate with ICD K828 - Other specified diseases of gallbladder | 21.31 | ||||
| Unplanned Readmission Rate at DRG | 14.31 | ||||
| Unplanned Readmission Rate with ICD K828 - Other specified diseases of gallbladder | 14.38 | ||||
| Total Medicare payments at DRG | $374,740,838 | ||||
| Total Medicare payments with ICD K828 - Other specified diseases of gallbladder | $5,043,403 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD K828 - Other specified diseases of gallbladder | $1,810 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,614 | ||||
| Total Medicare payment per Hospitalization with ICD K828 - Other specified diseases of gallbladder | $5,885 | ||||
| Total Medicare Charges at DRG | $2,130,704,945 | ||||
| Total Medicare Charges with ICD K828 - Other specified diseases of gallbladder | $26,754,821 | ||||
| Avg Charges at DRG | $37,608 | ||||
| Avg Charges with ICD K828 - Other specified diseases of gallbladder | $31,219 | ||||
| Mortality Rate at DRG | 0.43 | ||||
| Mortality Rate with ICD K828 - Other specified diseases of gallbladder | NA | ||||
| SNF Discharge Rate at DRG | 11.12 | ||||
| SNF Discharge Rate with ICD K828 - Other specified diseases of gallbladder | 9.8 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K828 - Other specified diseases of gallbladder | 68.26 |
*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 415: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,451 | ||||
| Total Hospitalizations with ICD K828 - Other specified diseases of gallbladder | 340 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K828 - Other specified diseases of gallbladder in DRG | 9.12 | ||||
| Avg LOS at DRG | 6.55 | ||||
| Avg LOS with ICD K828 - Other specified diseases of gallbladder | 6.54 | ||||
| Readmission Rate at DRG | 16.47 | ||||
| Readmission Rate with ICD K828 - Other specified diseases of gallbladder | 25.46 | ||||
| Unplanned Readmission Rate at DRG | 11.18 | ||||
| Unplanned Readmission Rate with ICD K828 - Other specified diseases of gallbladder | 20.25 | ||||
| Total Medicare payments at DRG | $682,577,748 | ||||
| Total Medicare payments with ICD K828 - Other specified diseases of gallbladder | $4,777,740 | ||||
| Total Medicare payment per Day at DRG | $2,346 | ||||
| Total Medicare payment per Day with ICD K828 - Other specified diseases of gallbladder | $2,147 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,356 | ||||
| Total Medicare payment per Hospitalization with ICD K828 - Other specified diseases of gallbladder | $14,052 | ||||
| Total Medicare Charges at DRG | $3,726,550,994 | ||||
| Total Medicare Charges with ICD K828 - Other specified diseases of gallbladder | $26,509,278 | ||||
| Avg Charges at DRG | $83,835 | ||||
| Avg Charges with ICD K828 - Other specified diseases of gallbladder | $77,968 | ||||
| Mortality Rate at DRG | 1.61 | ||||
| Mortality Rate with ICD K828 - Other specified diseases of gallbladder | NA | ||||
| SNF Discharge Rate at DRG | 14.42 | ||||
| SNF Discharge Rate with ICD K828 - Other specified diseases of gallbladder | 10.29 | ||||
| Home Discharge Rate at DRG | 62.58 | ||||
| Home Discharge Rate with ICD K828 - Other specified diseases of gallbladder | 71.47 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 34 |
| WILLIS KNIGHTON MEDICAL CENTER | 2600 GREENWOOD RD | SHREVEPORT | LA | 71103 | 22 |
| FLORIDA HOSPITAL WATERMAN | 1000 WATERMAN WAY | TAVARES | FL | 32778 | 17 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,988 | ||||
| Total Hospitalizations with ICD K828 - Other specified diseases of gallbladder | 4,951 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K828 - Other specified diseases of gallbladder in DRG | 9.48 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD K828 - Other specified diseases of gallbladder | 4.53 | ||||
| Readmission Rate at DRG | 12.05 | ||||
| Readmission Rate with ICD K828 - Other specified diseases of gallbladder | 13.88 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD K828 - Other specified diseases of gallbladder | 9.93 | ||||
| Total Medicare payments at DRG | $665,362,889 | ||||
| Total Medicare payments with ICD K828 - Other specified diseases of gallbladder | $48,619,649 | ||||
| Total Medicare payment per Day at DRG | $2,271 | ||||
| Total Medicare payment per Day with ICD K828 - Other specified diseases of gallbladder | $2,168 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,786 | ||||
| Total Medicare payment per Hospitalization with ICD K828 - Other specified diseases of gallbladder | $9,820 | ||||
| Total Medicare Charges at DRG | $4,095,369,652 | ||||
| Total Medicare Charges with ICD K828 - Other specified diseases of gallbladder | $313,223,303 | ||||
| Avg Charges at DRG | $60,237 | ||||
| Avg Charges with ICD K828 - Other specified diseases of gallbladder | $63,265 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K828 - Other specified diseases of gallbladder | NA | ||||
| SNF Discharge Rate at DRG | 8.88 | ||||
| SNF Discharge Rate with ICD K828 - Other specified diseases of gallbladder | 8.26 | ||||
| Home Discharge Rate at DRG | 75.76 | ||||
| Home Discharge Rate with ICD K828 - Other specified diseases of gallbladder | 75.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT 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 | 522,791 | ||||
| Total Hospitalizations with ICD K828 - Other specified diseases of gallbladder | 2,134 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K828 - Other specified diseases of gallbladder in DRG | 4.09 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K828 - Other specified diseases of gallbladder | 3.42 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K828 - Other specified diseases of gallbladder | 17.64 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K828 - Other specified diseases of gallbladder | 13.55 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K828 - Other specified diseases of gallbladder | $9,042,809 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K828 - Other specified diseases of gallbladder | $1,239 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K828 - Other specified diseases of gallbladder | $4,237 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K828 - Other specified diseases of gallbladder | $66,543,635 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K828 - Other specified diseases of gallbladder | $31,183 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K828 - Other specified diseases of gallbladder | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K828 - Other specified diseases of gallbladder | 8.86 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K828 - Other specified diseases of gallbladder | 73.06 |
*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 415: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 414: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD K828 - Other specified diseases of gallbladder | 976 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K828 - Other specified diseases of gallbladder in DRG | 1.87 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD K828 - Other specified diseases of gallbladder | 4.25 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD K828 - Other specified diseases of gallbladder | 19.33 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD K828 - Other specified diseases of gallbladder | 14.16 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD K828 - Other specified diseases of gallbladder | $5,142,351 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K828 - Other specified diseases of gallbladder | $1,241 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD K828 - Other specified diseases of gallbladder | $5,269 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD K828 - Other specified diseases of gallbladder | $33,781,201 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD K828 - Other specified diseases of gallbladder | $34,612 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K828 - Other specified diseases of gallbladder | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD K828 - Other specified diseases of gallbladder | 6.05 | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD K828 - Other specified diseases of gallbladder | 74.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE 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 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,116 | ||||
| Total Hospitalizations with ICD K828 - Other specified diseases of gallbladder | 600 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K828 - Other specified diseases of gallbladder in DRG | 1.15 | ||||
| Avg LOS at DRG | 6.14 | ||||
| Avg LOS with ICD K828 - Other specified diseases of gallbladder | 5.65 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD K828 - Other specified diseases of gallbladder | 31.26 | ||||
| Unplanned Readmission Rate at DRG | 18.3 | ||||
| Unplanned Readmission Rate with ICD K828 - Other specified diseases of gallbladder | 19.03 | ||||
| Total Medicare payments at DRG | $472,915,537 | ||||
| Total Medicare payments with ICD K828 - Other specified diseases of gallbladder | $6,531,199 | ||||
| Total Medicare payment per Day at DRG | $1,921 | ||||
| Total Medicare payment per Day with ICD K828 - Other specified diseases of gallbladder | $1,926 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,789 | ||||
| Total Medicare payment per Hospitalization with ICD K828 - Other specified diseases of gallbladder | $10,885 | ||||
| Total Medicare Charges at DRG | $2,356,079,688 | ||||
| Total Medicare Charges with ICD K828 - Other specified diseases of gallbladder | $37,367,909 | ||||
| Avg Charges at DRG | $58,732 | ||||
| Avg Charges with ICD K828 - Other specified diseases of gallbladder | $62,280 | ||||
| Mortality Rate at DRG | 10.79 | ||||
| Mortality Rate with ICD K828 - Other specified diseases of gallbladder | 4.5 | ||||
| SNF Discharge Rate at DRG | 10.16 | ||||
| SNF Discharge Rate with ICD K828 - Other specified diseases of gallbladder | 9.0 | ||||
| Home Discharge Rate at DRG | 35.89 | ||||
| Home Discharge Rate with ICD K828 - Other specified diseases of gallbladder | 48.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 234 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 226 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 207 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GIUSEPPE ALIPERTI | 2821 N BALLAS RD | SAINT LOUIS | MO | 63131 | 26 |
| Dr. ALEXANDER SHADID | 510 SUPERIOR AVE | NEWPORT BEACH | CA | 92663 | 20 |
| Dr. KAMEL BRAKTA | 2751 ALBERT L BICKNELL DR | SHREVEPORT | LA | 71103 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 24 |
| Dr. MOHAMMED MOMINUL HAQUE | 2336 DARTMOUTH BEND DR | WILDWOOD | MO | 63011 | 20 |
| Dr. LEE T WIMBERLY | 50 MEDICAL PARK DR E | BIRMINGHAM | AL | 35235 | 16 |