*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K8510 - Biliary acute pancreatitis without necrosis or infection - as a primary diagnosis code | K8510 - Biliary acute pancreatitis without necrosis or infection - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.82 | |
| Readmission Rate (%) | 15.47 | |
| Unplanned Readmission Rate (%) | 10.02 | |
| 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 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | 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 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,988 | ||||
| Total Hospitalizations with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 7,285 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K8510 - Biliary acute pancreatitis without necrosis or infection in DRG | 27.71 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 4.94 | ||||
| Readmission Rate at DRG | 12.05 | ||||
| Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 9.72 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 7.11 | ||||
| Total Medicare payments at DRG | $665,362,889 | ||||
| Total Medicare payments with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $71,527,076 | ||||
| Total Medicare payment per Day at DRG | $2,271 | ||||
| Total Medicare payment per Day with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $1,986 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,786 | ||||
| Total Medicare payment per Hospitalization with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $9,818 | ||||
| Total Medicare Charges at DRG | $4,095,369,652 | ||||
| Total Medicare Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $444,514,619 | ||||
| Avg Charges at DRG | $60,237 | ||||
| Avg Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $61,018 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | NA | ||||
| SNF Discharge Rate at DRG | 8.88 | ||||
| SNF Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 5.94 | ||||
| Home Discharge Rate at DRG | 75.76 | ||||
| Home Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 81.69 |
*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 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 412: CHOLECYSTECTOMY WITH 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,342 | ||||
| Total Hospitalizations with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 1,682 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD K8510 - Biliary acute pancreatitis without necrosis or infection in DRG | 6.4 | ||||
| Avg LOS at DRG | 2.79 | ||||
| Avg LOS with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 3.9 | ||||
| Readmission Rate at DRG | 7.0 | ||||
| Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 6.53 | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 5.23 | ||||
| Total Medicare payments at DRG | $366,320,336 | ||||
| Total Medicare payments with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $12,538,053 | ||||
| Total Medicare payment per Day at DRG | $2,507 | ||||
| Total Medicare payment per Day with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $1,912 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,999 | ||||
| Total Medicare payment per Hospitalization with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $7,454 | ||||
| Total Medicare Charges at DRG | $2,505,114,771 | ||||
| Total Medicare Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $85,741,631 | ||||
| Avg Charges at DRG | $47,861 | ||||
| Avg Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $50,976 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | NA | ||||
| SNF Discharge Rate at DRG | 3.13 | ||||
| SNF Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 2.38 | ||||
| Home Discharge Rate at DRG | 89.12 | ||||
| Home Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 90.49 |
*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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,647 | ||||
| Total Hospitalizations with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 46 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K8510 - Biliary acute pancreatitis without necrosis or infection in DRG | 0.17 | ||||
| Avg LOS at DRG | 6.3 | ||||
| Avg LOS with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 6.8 | ||||
| Readmission Rate at DRG | 25.45 | ||||
| Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 26.67 | ||||
| Unplanned Readmission Rate at DRG | 16.51 | ||||
| Unplanned Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | NA | ||||
| Total Medicare payments at DRG | $90,024,822 | ||||
| Total Medicare payments with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $692,576 | ||||
| Total Medicare payment per Day at DRG | $2,529 | ||||
| Total Medicare payment per Day with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $2,213 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,942 | ||||
| Total Medicare payment per Hospitalization with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $15,056 | ||||
| Total Medicare Charges at DRG | $380,505,834 | ||||
| Total Medicare Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $3,544,832 | ||||
| Avg Charges at DRG | $67,382 | ||||
| Avg Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $77,062 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | NA | ||||
| SNF Discharge Rate at DRG | 17.39 | ||||
| SNF Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | NA | ||||
| Home Discharge Rate at DRG | 45.51 | ||||
| Home Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 65.22 |
*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) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 411: CHOLECYSTECTOMY WITH C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,779 | ||||
| Total Hospitalizations with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 29 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K8510 - Biliary acute pancreatitis without necrosis or infection in DRG | 0.11 | ||||
| Avg LOS at DRG | 9.29 | ||||
| Avg LOS with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 7.52 | ||||
| Readmission Rate at DRG | 35.9 | ||||
| Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | NA | ||||
| Unplanned Readmission Rate at DRG | 25.82 | ||||
| Unplanned Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | NA | ||||
| Total Medicare payments at DRG | $181,778,856 | ||||
| Total Medicare payments with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $646,707 | ||||
| Total Medicare payment per Day at DRG | $2,886 | ||||
| Total Medicare payment per Day with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $2,967 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,815 | ||||
| Total Medicare payment per Hospitalization with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $22,300 | ||||
| Total Medicare Charges at DRG | $661,562,226 | ||||
| Total Medicare Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $2,385,405 | ||||
| Avg Charges at DRG | $97,590 | ||||
| Avg Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $82,255 | ||||
| Mortality Rate at DRG | 10.8 | ||||
| Mortality Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | NA | ||||
| SNF Discharge Rate at DRG | 16.7 | ||||
| SNF Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | NA | ||||
| Home Discharge Rate at DRG | 36.13 | ||||
| Home Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 41.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 74 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 71 |
| NEW HANOVER REGIONAL MEDICAL CENTER | 2131 S 17TH ST | WILMINGTON | NC | 28401 | 66 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KIET A. DOAN | 708 S. DEL PRADO BLVD | CAPE CORAL | FL | 33990 | 14 |
| Dr. KENT PETER NACHTIGAL | 901 BURNETT DR | MOUNTAIN HOME | AR | 72653 | 14 |
| Dr. JOHN YACOUB NASR | 1 MEDICAL CENTER DRIVE | MORGANTOWN | WV | 26506 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 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 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | 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 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,451 | ||||
| Total Hospitalizations with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 11,291 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K8510 - Biliary acute pancreatitis without necrosis or infection in DRG | 22.88 | ||||
| Avg LOS at DRG | 6.55 | ||||
| Avg LOS with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 5.82 | ||||
| Readmission Rate at DRG | 16.47 | ||||
| Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 10.91 | ||||
| Unplanned Readmission Rate at DRG | 11.18 | ||||
| Unplanned Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 7.5 | ||||
| Total Medicare payments at DRG | $682,577,748 | ||||
| Total Medicare payments with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $168,507,977 | ||||
| Total Medicare payment per Day at DRG | $2,346 | ||||
| Total Medicare payment per Day with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $2,566 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,356 | ||||
| Total Medicare payment per Hospitalization with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $14,924 | ||||
| Total Medicare Charges at DRG | $3,726,550,994 | ||||
| Total Medicare Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $875,333,312 | ||||
| Avg Charges at DRG | $83,835 | ||||
| Avg Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $77,525 | ||||
| Mortality Rate at DRG | 1.61 | ||||
| Mortality Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 0.66 | ||||
| SNF Discharge Rate at DRG | 14.42 | ||||
| SNF Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 10.05 | ||||
| Home Discharge Rate at DRG | 62.58 | ||||
| Home Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 73.36 |
*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 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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 419: LAPAROSCOPIC CHOLECYSTECTOMY 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 3,228 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K8510 - Biliary acute pancreatitis without necrosis or infection in DRG | 6.54 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 7.19 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 22.83 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 14.29 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $40,316,636 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $1,737 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $12,490 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $249,880,890 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $77,410 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 8.58 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 23.7 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 31.41 |
*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 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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 411: CHOLECYSTECTOMY WITH C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,180 | ||||
| Total Hospitalizations with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 311 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K8510 - Biliary acute pancreatitis without necrosis or infection in DRG | 0.63 | ||||
| Avg LOS at DRG | 5.95 | ||||
| Avg LOS with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 7.5 | ||||
| Readmission Rate at DRG | 15.12 | ||||
| Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 14.63 | ||||
| Unplanned Readmission Rate at DRG | 9.81 | ||||
| Unplanned Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 9.18 | ||||
| Total Medicare payments at DRG | $116,369,792 | ||||
| Total Medicare payments with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $3,911,985 | ||||
| Total Medicare payment per Day at DRG | $2,131 | ||||
| Total Medicare payment per Day with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $1,678 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,676 | ||||
| Total Medicare payment per Hospitalization with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $12,579 | ||||
| Total Medicare Charges at DRG | $635,910,836 | ||||
| Total Medicare Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $25,740,924 | ||||
| Avg Charges at DRG | $69,271 | ||||
| Avg Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $82,768 | ||||
| Mortality Rate at DRG | 0.17 | ||||
| Mortality Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | NA | ||||
| SNF Discharge Rate at DRG | 13.71 | ||||
| SNF Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 14.47 | ||||
| Home Discharge Rate at DRG | 61.64 | ||||
| Home Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 62.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 140 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD K8510 - Biliary acute pancreatitis without necrosis or infection in DRG | 0.28 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 17.09 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 42.42 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 11.11 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $6,262,359 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $2,618 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $44,731 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $37,618,554 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | $268,704 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 24.29 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | 28.57 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD K8510 - Biliary acute pancreatitis without necrosis or infection | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 155 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 132 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 128 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN YACOUB NASR | 1 MEDICAL CENTER DRIVE | MORGANTOWN | WV | 26506 | 38 |
| Dr. GIUSEPPE ALIPERTI | 2821 N BALLAS RD | SAINT LOUIS | MO | 63131 | 24 |
| Dr. BASSAM N. HELOU | 356 24TH AVE N | NASHVILLE | TN | 37203 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 27 |
| Dr. LOUIS SANG-SOO PARK | 500 S VIRGIL AVE # 502 | LOS ANGELES | CA | 90020 | 17 |
| Dr. MOHAMED MAHMOUD | 55 LAKE AVE N | WORCESTER | MA | 01655 | 14 |