*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K839 - Disease of biliary tract, unspecified - as a primary diagnosis code | K839 - Disease of biliary tract, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.46 | |
| Readmission Rate (%) | 22.25 | |
| Unplanned Readmission Rate (%) | 11.16 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 56,656 | ||
| Total Hospitalizations with ICD K839 - Disease of biliary tract, unspecified | 111 | ||
| DRG Share of Total Hospitalizations | 0.17 | ||
| % of Total ICD K839 - Disease of biliary tract, unspecified in DRG | 42.05 | ||
| Avg LOS at DRG | 3.7 | ||
| Avg LOS with ICD K839 - Disease of biliary tract, unspecified | 3.19 | ||
| Readmission Rate at DRG | 21.0 | ||
| Readmission Rate with ICD K839 - Disease of biliary tract, unspecified | 15.31 | ||
| Unplanned Readmission Rate at DRG | 14.31 | ||
| Unplanned Readmission Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||
| Total Medicare payments at DRG | $374,740,838 | ||
| Total Medicare payments with ICD K839 - Disease of biliary tract, unspecified | $735,333 | ||
| Total Medicare payment per Day at DRG | $1,786 | ||
| Total Medicare payment per Day with ICD K839 - Disease of biliary tract, unspecified | $2,077 | ||
| Total Medicare payment per Hospitalization at DRG | $6,614 | ||
| Total Medicare payment per Hospitalization with ICD K839 - Disease of biliary tract, unspecified | $6,625 | ||
| Total Medicare Charges at DRG | $2,130,704,945 | ||
| Total Medicare Charges with ICD K839 - Disease of biliary tract, unspecified | $3,815,561 | ||
| Avg Charges at DRG | $37,608 | ||
| Avg Charges with ICD K839 - Disease of biliary tract, unspecified | $34,374 | ||
| Mortality Rate at DRG | 0.43 | ||
| Mortality Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||
| SNF Discharge Rate at DRG | 11.12 | ||
| SNF Discharge Rate with ICD K839 - Disease of biliary tract, unspecified | 9.91 | ||
| Home Discharge Rate at DRG | 60.3 | ||
| Home Discharge Rate with ICD K839 - Disease of biliary tract, unspecified | 66.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,656 | ||||
| Total Hospitalizations with ICD K839 - Disease of biliary tract, unspecified | 212 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K839 - Disease of biliary tract, unspecified in DRG | 7.31 | ||||
| Avg LOS at DRG | 3.7 | ||||
| Avg LOS with ICD K839 - Disease of biliary tract, unspecified | 3.26 | ||||
| Readmission Rate at DRG | 21.0 | ||||
| Readmission Rate with ICD K839 - Disease of biliary tract, unspecified | 18.33 | ||||
| Unplanned Readmission Rate at DRG | 14.31 | ||||
| Unplanned Readmission Rate with ICD K839 - Disease of biliary tract, unspecified | 9.44 | ||||
| Total Medicare payments at DRG | $374,740,838 | ||||
| Total Medicare payments with ICD K839 - Disease of biliary tract, unspecified | $1,396,073 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD K839 - Disease of biliary tract, unspecified | $2,017 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,614 | ||||
| Total Medicare payment per Hospitalization with ICD K839 - Disease of biliary tract, unspecified | $6,585 | ||||
| Total Medicare Charges at DRG | $2,130,704,945 | ||||
| Total Medicare Charges with ICD K839 - Disease of biliary tract, unspecified | $8,350,382 | ||||
| Avg Charges at DRG | $37,608 | ||||
| Avg Charges with ICD K839 - Disease of biliary tract, unspecified | $39,389 | ||||
| Mortality Rate at DRG | 0.43 | ||||
| Mortality Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.12 | ||||
| SNF Discharge Rate with ICD K839 - Disease of biliary tract, unspecified | 11.32 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K839 - Disease of biliary tract, unspecified | 59.43 |
*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 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,171 | ||||
| Total Hospitalizations with ICD K839 - Disease of biliary tract, unspecified | 116 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD K839 - Disease of biliary tract, unspecified in DRG | 4.0 | ||||
| Avg LOS at DRG | 2.53 | ||||
| Avg LOS with ICD K839 - Disease of biliary tract, unspecified | 2.53 | ||||
| Readmission Rate at DRG | 15.81 | ||||
| Readmission Rate with ICD K839 - Disease of biliary tract, unspecified | 18.18 | ||||
| Unplanned Readmission Rate at DRG | 9.94 | ||||
| Unplanned Readmission Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||||
| Total Medicare payments at DRG | $111,440,402 | ||||
| Total Medicare payments with ICD K839 - Disease of biliary tract, unspecified | $503,562 | ||||
| Total Medicare payment per Day at DRG | $1,753 | ||||
| Total Medicare payment per Day with ICD K839 - Disease of biliary tract, unspecified | $1,719 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,427 | ||||
| Total Medicare payment per Hospitalization with ICD K839 - Disease of biliary tract, unspecified | $4,341 | ||||
| Total Medicare Charges at DRG | $704,276,552 | ||||
| Total Medicare Charges with ICD K839 - Disease of biliary tract, unspecified | $3,850,056 | ||||
| Avg Charges at DRG | $27,980 | ||||
| Avg Charges with ICD K839 - Disease of biliary tract, unspecified | $33,190 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.1 | ||||
| SNF Discharge Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||||
| Home Discharge Rate at DRG | 73.17 | ||||
| Home Discharge Rate with ICD K839 - Disease of biliary tract, unspecified | 78.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,342 | ||||
| Total Hospitalizations with ICD K839 - Disease of biliary tract, unspecified | 48 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD K839 - Disease of biliary tract, unspecified in DRG | 1.65 | ||||
| Avg LOS at DRG | 2.79 | ||||
| Avg LOS with ICD K839 - Disease of biliary tract, unspecified | 3.42 | ||||
| Readmission Rate at DRG | 7.0 | ||||
| Readmission Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||||
| Total Medicare payments at DRG | $366,320,336 | ||||
| Total Medicare payments with ICD K839 - Disease of biliary tract, unspecified | $331,673 | ||||
| Total Medicare payment per Day at DRG | $2,507 | ||||
| Total Medicare payment per Day with ICD K839 - Disease of biliary tract, unspecified | $2,022 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,999 | ||||
| Total Medicare payment per Hospitalization with ICD K839 - Disease of biliary tract, unspecified | $6,910 | ||||
| Total Medicare Charges at DRG | $2,505,114,771 | ||||
| Total Medicare Charges with ICD K839 - Disease of biliary tract, unspecified | $2,933,350 | ||||
| Avg Charges at DRG | $47,861 | ||||
| Avg Charges with ICD K839 - Disease of biliary tract, unspecified | $61,111 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 3.13 | ||||
| SNF Discharge Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||||
| Home Discharge Rate at DRG | 89.12 | ||||
| Home Discharge Rate with ICD K839 - Disease of biliary tract, unspecified | 87.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,422 | ||||
| Total Hospitalizations with ICD K839 - Disease of biliary tract, unspecified | 38 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD K839 - Disease of biliary tract, unspecified in DRG | 1.31 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD K839 - Disease of biliary tract, unspecified | 5.21 | ||||
| Readmission Rate at DRG | 26.98 | ||||
| Readmission Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 20.97 | ||||
| Unplanned Readmission Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||||
| Total Medicare payments at DRG | $1,078,703,587 | ||||
| Total Medicare payments with ICD K839 - Disease of biliary tract, unspecified | $300,263 | ||||
| Total Medicare payment per Day at DRG | $1,614 | ||||
| Total Medicare payment per Day with ICD K839 - Disease of biliary tract, unspecified | $1,516 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,025 | ||||
| Total Medicare payment per Hospitalization with ICD K839 - Disease of biliary tract, unspecified | $7,902 | ||||
| Total Medicare Charges at DRG | $5,564,930,414 | ||||
| Total Medicare Charges with ICD K839 - Disease of biliary tract, unspecified | $1,763,860 | ||||
| Avg Charges at DRG | $41,399 | ||||
| Avg Charges with ICD K839 - Disease of biliary tract, unspecified | $46,417 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 16.97 | ||||
| SNF Discharge Rate with ICD K839 - Disease of biliary tract, unspecified | NA | ||||
| Home Discharge Rate at DRG | 52.45 | ||||
| Home Discharge Rate with ICD K839 - Disease of biliary tract, unspecified | 55.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSOURI BAPTIST MEDICAL CENTER | 3015 N BALLAS RD | SAINT LOUIS | MO | 63131 | 18 |
| VASSAR BROTHERS MEDICAL CENTER | 45 READE PL | POUGHKEEPSIE | NY | 12601 | 15 |
| ST. JOSEPHS HOSPITAL | 3001 W DR MLK JR BLVD | TAMPA | FL | 33607 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL GAITAN | 969 MASON ROAD | CREVE COEUR | MO | 63141 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |