*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K833 - Fistula of bile duct - as a primary diagnosis code | K833 - Fistula of bile duct - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.05 | |
| Readmission Rate (%) | 32.03 | |
| Unplanned Readmission Rate (%) | 20.33 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 56,656 | |
| Total Hospitalizations with ICD K833 - Fistula of bile duct | 47 | |
| DRG Share of Total Hospitalizations | 0.17 | |
| % of Total ICD K833 - Fistula of bile duct in DRG | 35.88 | |
| Avg LOS at DRG | 3.7 | |
| Avg LOS with ICD K833 - Fistula of bile duct | 4.45 | |
| Readmission Rate at DRG | 21.0 | |
| Readmission Rate with ICD K833 - Fistula of bile duct | 31.11 | |
| Unplanned Readmission Rate at DRG | 14.31 | |
| Unplanned Readmission Rate with ICD K833 - Fistula of bile duct | NA | |
| Total Medicare payments at DRG | $374,740,838 | |
| Total Medicare payments with ICD K833 - Fistula of bile duct | $376,253 | |
| Total Medicare payment per Day at DRG | $1,786 | |
| Total Medicare payment per Day with ICD K833 - Fistula of bile duct | $1,800 | |
| Total Medicare payment per Hospitalization at DRG | $6,614 | |
| Total Medicare payment per Hospitalization with ICD K833 - Fistula of bile duct | $8,005 | |
| Total Medicare Charges at DRG | $2,130,704,945 | |
| Total Medicare Charges with ICD K833 - Fistula of bile duct | $2,089,368 | |
| Avg Charges at DRG | $37,608 | |
| Avg Charges with ICD K833 - Fistula of bile duct | $44,455 | |
| Mortality Rate at DRG | 0.43 | |
| Mortality Rate with ICD K833 - Fistula of bile duct | NA | |
| SNF Discharge Rate at DRG | 11.12 | |
| SNF Discharge Rate with ICD K833 - Fistula of bile duct | NA | |
| Home Discharge Rate at DRG | 60.3 | |
| Home Discharge Rate with ICD K833 - Fistula of bile duct | 59.57 |
*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 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 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K833 - Fistula of bile duct | 118 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K833 - Fistula of bile duct in DRG | 9.09 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K833 - Fistula of bile duct | 9.2 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K833 - Fistula of bile duct | 29.59 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K833 - Fistula of bile duct | 17.35 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K833 - Fistula of bile duct | $1,637,074 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K833 - Fistula of bile duct | $1,507 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K833 - Fistula of bile duct | $13,874 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K833 - Fistula of bile duct | $10,437,669 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K833 - Fistula of bile duct | $88,455 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K833 - Fistula of bile duct | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K833 - Fistula of bile duct | 18.64 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K833 - Fistula of bile duct | 20.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS 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) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 919: COMPLICATIONS OF TREATMENT 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 | 38,827 | ||||
| Total Hospitalizations with ICD K833 - Fistula of bile duct | 36 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K833 - Fistula of bile duct in DRG | 2.77 | ||||
| Avg LOS at DRG | 8.58 | ||||
| Avg LOS with ICD K833 - Fistula of bile duct | 10.97 | ||||
| Readmission Rate at DRG | 27.62 | ||||
| Readmission Rate with ICD K833 - Fistula of bile duct | NA | ||||
| Unplanned Readmission Rate at DRG | 15.85 | ||||
| Unplanned Readmission Rate with ICD K833 - Fistula of bile duct | NA | ||||
| Total Medicare payments at DRG | $555,779,802 | ||||
| Total Medicare payments with ICD K833 - Fistula of bile duct | $548,521 | ||||
| Total Medicare payment per Day at DRG | $1,668 | ||||
| Total Medicare payment per Day with ICD K833 - Fistula of bile duct | $1,389 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,314 | ||||
| Total Medicare payment per Hospitalization with ICD K833 - Fistula of bile duct | $15,237 | ||||
| Total Medicare Charges at DRG | $2,652,789,227 | ||||
| Total Medicare Charges with ICD K833 - Fistula of bile duct | $3,437,344 | ||||
| Avg Charges at DRG | $68,323 | ||||
| Avg Charges with ICD K833 - Fistula of bile duct | $95,482 | ||||
| Mortality Rate at DRG | 3.06 | ||||
| Mortality Rate with ICD K833 - Fistula of bile duct | NA | ||||
| SNF Discharge Rate at DRG | 20.78 | ||||
| SNF Discharge Rate with ICD K833 - Fistula of bile duct | NA | ||||
| Home Discharge Rate at DRG | 32.02 | ||||
| Home Discharge Rate with ICD K833 - Fistula of bile duct | 36.11 |
*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 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,180 | ||||
| Total Hospitalizations with ICD K833 - Fistula of bile duct | 28 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K833 - Fistula of bile duct in DRG | 2.16 | ||||
| Avg LOS at DRG | 5.95 | ||||
| Avg LOS with ICD K833 - Fistula of bile duct | 6.18 | ||||
| Readmission Rate at DRG | 15.12 | ||||
| Readmission Rate with ICD K833 - Fistula of bile duct | NA | ||||
| Unplanned Readmission Rate at DRG | 9.81 | ||||
| Unplanned Readmission Rate with ICD K833 - Fistula of bile duct | NA | ||||
| Total Medicare payments at DRG | $116,369,792 | ||||
| Total Medicare payments with ICD K833 - Fistula of bile duct | $352,021 | ||||
| Total Medicare payment per Day at DRG | $2,131 | ||||
| Total Medicare payment per Day with ICD K833 - Fistula of bile duct | $2,035 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,676 | ||||
| Total Medicare payment per Hospitalization with ICD K833 - Fistula of bile duct | $12,572 | ||||
| Total Medicare Charges at DRG | $635,910,836 | ||||
| Total Medicare Charges with ICD K833 - Fistula of bile duct | $1,655,972 | ||||
| Avg Charges at DRG | $69,271 | ||||
| Avg Charges with ICD K833 - Fistula of bile duct | $59,142 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD K833 - Fistula of bile duct | NA | ||||
| SNF Discharge Rate at DRG | 13.71 | ||||
| SNF Discharge Rate with ICD K833 - Fistula of bile duct | NA | ||||
| Home Discharge Rate at DRG | 61.64 | ||||
| Home Discharge Rate with ICD K833 - Fistula of bile duct | 53.57 |
*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 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,451 | ||||
| Total Hospitalizations with ICD K833 - Fistula of bile duct | 20 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K833 - Fistula of bile duct in DRG | 1.54 | ||||
| Avg LOS at DRG | 6.55 | ||||
| Avg LOS with ICD K833 - Fistula of bile duct | 10.6 | ||||
| Readmission Rate at DRG | 16.47 | ||||
| Readmission Rate with ICD K833 - Fistula of bile duct | NA | ||||
| Unplanned Readmission Rate at DRG | 11.18 | ||||
| Unplanned Readmission Rate with ICD K833 - Fistula of bile duct | NA | ||||
| Total Medicare payments at DRG | $682,577,748 | ||||
| Total Medicare payments with ICD K833 - Fistula of bile duct | $384,538 | ||||
| Total Medicare payment per Day at DRG | $2,346 | ||||
| Total Medicare payment per Day with ICD K833 - Fistula of bile duct | $1,814 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,356 | ||||
| Total Medicare payment per Hospitalization with ICD K833 - Fistula of bile duct | $19,227 | ||||
| Total Medicare Charges at DRG | $3,726,550,994 | ||||
| Total Medicare Charges with ICD K833 - Fistula of bile duct | $2,137,459 | ||||
| Avg Charges at DRG | $83,835 | ||||
| Avg Charges with ICD K833 - Fistula of bile duct | $106,873 | ||||
| Mortality Rate at DRG | 1.61 | ||||
| Mortality Rate with ICD K833 - Fistula of bile duct | NA | ||||
| SNF Discharge Rate at DRG | 14.42 | ||||
| SNF Discharge Rate with ICD K833 - Fistula of bile duct | NA | ||||
| Home Discharge Rate at DRG | 62.58 | ||||
| Home Discharge Rate with ICD K833 - Fistula of bile duct | 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 | 20 |
| COX MEDICAL CENTERS | 3801 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | 16 |
| INOVA FAIRFAX HOSPITAL | 3300 GALLOWS RD | FALLS CHURCH | VA | 22042 | 15 |