*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
K838 - Other specified diseases of biliary tract - as a primary diagnosis code | K838 - Other specified diseases of biliary tract - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.77 | |
Readmission Rate (%) | 22.34 | |
Unplanned Readmission Rate (%) | 15.24 | |
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 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) | DRG 409: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 56,656 | ||||
Total Hospitalizations with ICD K838 - Other specified diseases of biliary tract | 1,508 | ||||
DRG Share of Total Hospitalizations | 0.17 | ||||
% of Total ICD K838 - Other specified diseases of biliary tract in DRG | 45.71 | ||||
Avg LOS at DRG | 3.7 | ||||
Avg LOS with ICD K838 - Other specified diseases of biliary tract | 3.54 | ||||
Readmission Rate at DRG | 21.0 | ||||
Readmission Rate with ICD K838 - Other specified diseases of biliary tract | 21.88 | ||||
Unplanned Readmission Rate at DRG | 14.31 | ||||
Unplanned Readmission Rate with ICD K838 - Other specified diseases of biliary tract | 16.43 | ||||
Total Medicare payments at DRG | $374,740,838 | ||||
Total Medicare payments with ICD K838 - Other specified diseases of biliary tract | $9,779,211 | ||||
Total Medicare payment per Day at DRG | $1,786 | ||||
Total Medicare payment per Day with ICD K838 - Other specified diseases of biliary tract | $1,834 | ||||
Total Medicare payment per Hospitalization at DRG | $6,614 | ||||
Total Medicare payment per Hospitalization with ICD K838 - Other specified diseases of biliary tract | $6,485 | ||||
Total Medicare Charges at DRG | $2,130,704,945 | ||||
Total Medicare Charges with ICD K838 - Other specified diseases of biliary tract | $56,651,877 | ||||
Avg Charges at DRG | $37,608 | ||||
Avg Charges with ICD K838 - Other specified diseases of biliary tract | $37,568 | ||||
Mortality Rate at DRG | 0.43 | ||||
Mortality Rate with ICD K838 - Other specified diseases of biliary tract | NA | ||||
SNF Discharge Rate at DRG | 11.12 | ||||
SNF Discharge Rate with ICD K838 - Other specified diseases of biliary tract | 8.69 | ||||
Home Discharge Rate at DRG | 60.3 | ||||
Home Discharge Rate with ICD K838 - Other specified diseases of biliary tract | 66.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 410: BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,862 | ||||
Total Hospitalizations with ICD K838 - Other specified diseases of biliary tract | 23 | ||||
DRG Share of Total Hospitalizations | 0.01 | ||||
% of Total ICD K838 - Other specified diseases of biliary tract in DRG | 0.7 | ||||
Avg LOS at DRG | 4.18 | ||||
Avg LOS with ICD K838 - Other specified diseases of biliary tract | 3.74 | ||||
Readmission Rate at DRG | 17.77 | ||||
Readmission Rate with ICD K838 - Other specified diseases of biliary tract | NA | ||||
Unplanned Readmission Rate at DRG | 10.95 | ||||
Unplanned Readmission Rate with ICD K838 - Other specified diseases of biliary tract | NA | ||||
Total Medicare payments at DRG | $18,875,637 | ||||
Total Medicare payments with ICD K838 - Other specified diseases of biliary tract | $188,270 | ||||
Total Medicare payment per Day at DRG | $2,426 | ||||
Total Medicare payment per Day with ICD K838 - Other specified diseases of biliary tract | $2,189 | ||||
Total Medicare payment per Hospitalization at DRG | $10,137 | ||||
Total Medicare payment per Hospitalization with ICD K838 - Other specified diseases of biliary tract | $8,186 | ||||
Total Medicare Charges at DRG | $94,545,351 | ||||
Total Medicare Charges with ICD K838 - Other specified diseases of biliary tract | $896,846 | ||||
Avg Charges at DRG | $50,776 | ||||
Avg Charges with ICD K838 - Other specified diseases of biliary tract | $38,993 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD K838 - Other specified diseases of biliary tract | NA | ||||
SNF Discharge Rate at DRG | 10.1 | ||||
SNF Discharge Rate with ICD K838 - Other specified diseases of biliary tract | NA | ||||
Home Discharge Rate at DRG | 62.78 | ||||
Home Discharge Rate with ICD K838 - Other specified diseases of biliary tract | 73.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|
Total Hospitalizations at DRG | 6,779 |
Total Hospitalizations with ICD K838 - Other specified diseases of biliary tract | 13 |
DRG Share of Total Hospitalizations | 0.02 |
% of Total ICD K838 - Other specified diseases of biliary tract in DRG | 0.39 |
Avg LOS at DRG | 9.29 |
Avg LOS with ICD K838 - Other specified diseases of biliary tract | 7.62 |
Readmission Rate at DRG | 35.9 |
Readmission Rate with ICD K838 - Other specified diseases of biliary tract | NA |
Unplanned Readmission Rate at DRG | 25.82 |
Unplanned Readmission Rate with ICD K838 - Other specified diseases of biliary tract | NA |
Total Medicare payments at DRG | $181,778,856 |
Total Medicare payments with ICD K838 - Other specified diseases of biliary tract | $278,510 |
Total Medicare payment per Day at DRG | $2,886 |
Total Medicare payment per Day with ICD K838 - Other specified diseases of biliary tract | $2,813 |
Total Medicare payment per Hospitalization at DRG | $26,815 |
Total Medicare payment per Hospitalization with ICD K838 - Other specified diseases of biliary tract | $21,424 |
Total Medicare Charges at DRG | $661,562,226 |
Total Medicare Charges with ICD K838 - Other specified diseases of biliary tract | $980,961 |
Avg Charges at DRG | $97,590 |
Avg Charges with ICD K838 - Other specified diseases of biliary tract | $75,459 |
Mortality Rate at DRG | 10.8 |
Mortality Rate with ICD K838 - Other specified diseases of biliary tract | NA |
SNF Discharge Rate at DRG | 16.7 |
SNF Discharge Rate with ICD K838 - Other specified diseases of biliary tract | NA |
Home Discharge Rate at DRG | 36.13 |
Home Discharge Rate with ICD K838 - Other specified diseases of biliary tract | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 29 |
RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 15 |
MISSOURI BAPTIST MEDICAL CENTER | 3015 N BALLAS RD | SAINT LOUIS | MO | 63131 | 14 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT 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 K838 - Other specified diseases of biliary tract | 3,818 | ||||
DRG Share of Total Hospitalizations | 0.17 | ||||
% of Total ICD K838 - Other specified diseases of biliary tract in DRG | 7.93 | ||||
Avg LOS at DRG | 3.7 | ||||
Avg LOS with ICD K838 - Other specified diseases of biliary tract | 3.71 | ||||
Readmission Rate at DRG | 21.0 | ||||
Readmission Rate with ICD K838 - Other specified diseases of biliary tract | 21.03 | ||||
Unplanned Readmission Rate at DRG | 14.31 | ||||
Unplanned Readmission Rate with ICD K838 - Other specified diseases of biliary tract | 15.24 | ||||
Total Medicare payments at DRG | $374,740,838 | ||||
Total Medicare payments with ICD K838 - Other specified diseases of biliary tract | $25,220,788 | ||||
Total Medicare payment per Day at DRG | $1,786 | ||||
Total Medicare payment per Day with ICD K838 - Other specified diseases of biliary tract | $1,783 | ||||
Total Medicare payment per Hospitalization at DRG | $6,614 | ||||
Total Medicare payment per Hospitalization with ICD K838 - Other specified diseases of biliary tract | $6,606 | ||||
Total Medicare Charges at DRG | $2,130,704,945 | ||||
Total Medicare Charges with ICD K838 - Other specified diseases of biliary tract | $157,304,694 | ||||
Avg Charges at DRG | $37,608 | ||||
Avg Charges with ICD K838 - Other specified diseases of biliary tract | $41,201 | ||||
Mortality Rate at DRG | 0.43 | ||||
Mortality Rate with ICD K838 - Other specified diseases of biliary tract | 0.39 | ||||
SNF Discharge Rate at DRG | 11.12 | ||||
SNF Discharge Rate with ICD K838 - Other specified diseases of biliary tract | 10.27 | ||||
Home Discharge Rate at DRG | 60.3 | ||||
Home Discharge Rate with ICD K838 - Other specified diseases of biliary tract | 64.8 |
*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 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 85,343 | ||||
Total Hospitalizations with ICD K838 - Other specified diseases of biliary tract | 1,732 | ||||
DRG Share of Total Hospitalizations | 0.26 | ||||
% of Total ICD K838 - Other specified diseases of biliary tract in DRG | 3.6 | ||||
Avg LOS at DRG | 3.89 | ||||
Avg LOS with ICD K838 - Other specified diseases of biliary tract | 4.18 | ||||
Readmission Rate at DRG | 21.05 | ||||
Readmission Rate with ICD K838 - Other specified diseases of biliary tract | 19.52 | ||||
Unplanned Readmission Rate at DRG | 15.83 | ||||
Unplanned Readmission Rate with ICD K838 - Other specified diseases of biliary tract | 14.43 | ||||
Total Medicare payments at DRG | $457,925,564 | ||||
Total Medicare payments with ICD K838 - Other specified diseases of biliary tract | $9,370,892 | ||||
Total Medicare payment per Day at DRG | $1,380 | ||||
Total Medicare payment per Day with ICD K838 - Other specified diseases of biliary tract | $1,294 | ||||
Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
Total Medicare payment per Hospitalization with ICD K838 - Other specified diseases of biliary tract | $5,410 | ||||
Total Medicare Charges at DRG | $2,522,082,455 | ||||
Total Medicare Charges with ICD K838 - Other specified diseases of biliary tract | $64,118,797 | ||||
Avg Charges at DRG | $29,552 | ||||
Avg Charges with ICD K838 - Other specified diseases of biliary tract | $37,020 | ||||
Mortality Rate at DRG | 0.3 | ||||
Mortality Rate with ICD K838 - Other specified diseases of biliary tract | NA | ||||
SNF Discharge Rate at DRG | 5.52 | ||||
SNF Discharge Rate with ICD K838 - Other specified diseases of biliary tract | 5.72 | ||||
Home Discharge Rate at DRG | 75.74 | ||||
Home Discharge Rate with ICD K838 - Other specified diseases of biliary tract | 73.96 |
*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 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 40,116 | ||||
Total Hospitalizations with ICD K838 - Other specified diseases of biliary tract | 1,071 | ||||
DRG Share of Total Hospitalizations | 0.12 | ||||
% of Total ICD K838 - Other specified diseases of biliary tract in DRG | 2.23 | ||||
Avg LOS at DRG | 6.14 | ||||
Avg LOS with ICD K838 - Other specified diseases of biliary tract | 5.96 | ||||
Readmission Rate at DRG | 26.88 | ||||
Readmission Rate with ICD K838 - Other specified diseases of biliary tract | 31.05 | ||||
Unplanned Readmission Rate at DRG | 18.3 | ||||
Unplanned Readmission Rate with ICD K838 - Other specified diseases of biliary tract | 17.95 | ||||
Total Medicare payments at DRG | $472,915,537 | ||||
Total Medicare payments with ICD K838 - Other specified diseases of biliary tract | $12,662,767 | ||||
Total Medicare payment per Day at DRG | $1,921 | ||||
Total Medicare payment per Day with ICD K838 - Other specified diseases of biliary tract | $1,983 | ||||
Total Medicare payment per Hospitalization at DRG | $11,789 | ||||
Total Medicare payment per Hospitalization with ICD K838 - Other specified diseases of biliary tract | $11,823 | ||||
Total Medicare Charges at DRG | $2,356,079,688 | ||||
Total Medicare Charges with ICD K838 - Other specified diseases of biliary tract | $72,367,817 | ||||
Avg Charges at DRG | $58,732 | ||||
Avg Charges with ICD K838 - Other specified diseases of biliary tract | $67,570 | ||||
Mortality Rate at DRG | 10.79 | ||||
Mortality Rate with ICD K838 - Other specified diseases of biliary tract | 3.36 | ||||
SNF Discharge Rate at DRG | 10.16 | ||||
SNF Discharge Rate with ICD K838 - Other specified diseases of biliary tract | 9.8 | ||||
Home Discharge Rate at DRG | 35.89 | ||||
Home Discharge Rate with ICD K838 - Other specified diseases of biliary tract | 49.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 77,444 | ||||
Total Hospitalizations with ICD K838 - Other specified diseases of biliary tract | 686 | ||||
DRG Share of Total Hospitalizations | 0.24 | ||||
% of Total ICD K838 - Other specified diseases of biliary tract in DRG | 1.43 | ||||
Avg LOS at DRG | 6.72 | ||||
Avg LOS with ICD K838 - Other specified diseases of biliary tract | 6.92 | ||||
Readmission Rate at DRG | 28.36 | ||||
Readmission Rate with ICD K838 - Other specified diseases of biliary tract | 26.51 | ||||
Unplanned Readmission Rate at DRG | 20.29 | ||||
Unplanned Readmission Rate with ICD K838 - Other specified diseases of biliary tract | 16.61 | ||||
Total Medicare payments at DRG | $929,345,247 | ||||
Total Medicare payments with ICD K838 - Other specified diseases of biliary tract | $8,141,471 | ||||
Total Medicare payment per Day at DRG | $1,786 | ||||
Total Medicare payment per Day with ICD K838 - Other specified diseases of biliary tract | $1,715 | ||||
Total Medicare payment per Hospitalization at DRG | $12,000 | ||||
Total Medicare payment per Hospitalization with ICD K838 - Other specified diseases of biliary tract | $11,868 | ||||
Total Medicare Charges at DRG | $4,453,573,782 | ||||
Total Medicare Charges with ICD K838 - Other specified diseases of biliary tract | $48,640,495 | ||||
Avg Charges at DRG | $57,507 | ||||
Avg Charges with ICD K838 - Other specified diseases of biliary tract | $70,905 | ||||
Mortality Rate at DRG | 5.64 | ||||
Mortality Rate with ICD K838 - Other specified diseases of biliary tract | 3.79 | ||||
SNF Discharge Rate at DRG | 22.62 | ||||
SNF Discharge Rate with ICD K838 - Other specified diseases of biliary tract | 11.66 | ||||
Home Discharge Rate at DRG | 38.94 | ||||
Home Discharge Rate with ICD K838 - Other specified diseases of biliary tract | 53.5 |
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 | 489 |
RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 317 |
UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 278 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. KAMRAN AYUB | 9921 SOUTHWEST HWY | OAK LAWN | IL | 60453 | 45 |
Dr. JOHN MARTIN | 680 N LAKE SHORE DR | CHICAGO | IL | 60611 | 33 |
Dr. MARK D TOPAZIAN | 200 1ST ST SW | ROCHESTER | MN | 55905 | 32 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 25 |
Dr. KARTHIK RAVI | 200 1ST ST SW | ROCHESTER | MN | 55905 | 23 |
Dr. DRESSLGN A HABTGIORGIS | 7153 JULIETTE LOW LN | HUGHESVILLE | MD | 20637 | 18 |