*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | Total National Projected Hospitalizations - Annualized (Present on Admission - All) | Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | Total Medicare Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| K8580 | Other acute pancreatitis without necrosis or infection | 15.78 | |||||||||||||
| K858 | Other acute pancreatitis | 17.74 | |||||||||||||
| K8581 | Other acute pancreatitis with uninfected necrosis | 20.53 | |||||||||||||
| K8582 | Other acute pancreatitis with infected necrosis | 26.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | 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 Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| K8580 | Other acute pancreatitis without necrosis or infection | 6.38 | 23.31 | ||||||||||||||||
| K858 | Other acute pancreatitis | 7.8 | 26.63 | ||||||||||||||||
| K8581 | Other acute pancreatitis with uninfected necrosis | 11.87 | 37.0 | ||||||||||||||||
| K8582 | Other acute pancreatitis with infected necrosis | 18.73 | 42.77 |
*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 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD K858 - Other acute pancreatitis | 670 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K858 - Other acute pancreatitis in DRG | 24.38 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD K858 - Other acute pancreatitis | 4.28 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD K858 - Other acute pancreatitis | 23.33 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD K858 - Other acute pancreatitis | 17.46 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD K858 - Other acute pancreatitis | $3,713,756 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K858 - Other acute pancreatitis | $1,294 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD K858 - Other acute pancreatitis | $5,543 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD K858 - Other acute pancreatitis | $20,360,130 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD K858 - Other acute pancreatitis | $30,388 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K858 - Other acute pancreatitis | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD K858 - Other acute pancreatitis | 4.93 | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD K858 - Other acute pancreatitis | 77.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 109,018 |
| Total Hospitalizations with ICD K858 - Other acute pancreatitis | 11 |
| DRG Share of Total Hospitalizations | 0.33 |
| % of Total ICD K858 - Other acute pancreatitis in DRG | 0.4 |
| Avg LOS at DRG | 12.66 |
| Avg LOS with ICD K858 - Other acute pancreatitis | 11.55 |
| Readmission Rate at DRG | 35.31 |
| Readmission Rate with ICD K858 - Other acute pancreatitis | NA |
| Unplanned Readmission Rate at DRG | 20.73 |
| Unplanned Readmission Rate with ICD K858 - Other acute pancreatitis | NA |
| Total Medicare payments at DRG | $3,554,922,428 |
| Total Medicare payments with ICD K858 - Other acute pancreatitis | $361,602 |
| Total Medicare payment per Day at DRG | $2,575 |
| Total Medicare payment per Day with ICD K858 - Other acute pancreatitis | $2,847 |
| Total Medicare payment per Hospitalization at DRG | $32,609 |
| Total Medicare payment per Hospitalization with ICD K858 - Other acute pancreatitis | $32,873 |
| Total Medicare Charges at DRG | $15,445,232,132 |
| Total Medicare Charges with ICD K858 - Other acute pancreatitis | $1,277,400 |
| Avg Charges at DRG | $141,676 |
| Avg Charges with ICD K858 - Other acute pancreatitis | $116,127 |
| Mortality Rate at DRG | 8.99 |
| Mortality Rate with ICD K858 - Other acute pancreatitis | NA |
| SNF Discharge Rate at DRG | 27.26 |
| SNF Discharge Rate with ICD K858 - Other acute pancreatitis | NA |
| Home Discharge Rate at DRG | 27.78 |
| Home Discharge Rate with ICD K858 - Other acute pancreatitis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FLOYD MEDICAL CENTER | 304 TURNER MCCALL BLVD SW | ROME | GA | 30165 | 15 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 15 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 13 |
*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 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 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD K858 - Other acute pancreatitis | 691 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K858 - Other acute pancreatitis in DRG | 13.44 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD K858 - Other acute pancreatitis | 4.32 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD K858 - Other acute pancreatitis | 23.11 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD K858 - Other acute pancreatitis | 17.41 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD K858 - Other acute pancreatitis | $3,842,246 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K858 - Other acute pancreatitis | $1,288 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD K858 - Other acute pancreatitis | $5,560 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD K858 - Other acute pancreatitis | $21,086,688 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD K858 - Other acute pancreatitis | $30,516 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K858 - Other acute pancreatitis | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD K858 - Other acute pancreatitis | 4.78 | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD K858 - Other acute pancreatitis | 77.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,405 | ||||
| Total Hospitalizations with ICD K858 - Other acute pancreatitis | 120 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K858 - Other acute pancreatitis in DRG | 2.33 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD K858 - Other acute pancreatitis | 6.3 | ||||
| Readmission Rate at DRG | 24.55 | ||||
| Readmission Rate with ICD K858 - Other acute pancreatitis | 19.47 | ||||
| Unplanned Readmission Rate at DRG | 16.71 | ||||
| Unplanned Readmission Rate with ICD K858 - Other acute pancreatitis | 13.27 | ||||
| Total Medicare payments at DRG | $413,772,388 | ||||
| Total Medicare payments with ICD K858 - Other acute pancreatitis | $1,158,614 | ||||
| Total Medicare payment per Day at DRG | $1,899 | ||||
| Total Medicare payment per Day with ICD K858 - Other acute pancreatitis | $1,533 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,774 | ||||
| Total Medicare payment per Hospitalization with ICD K858 - Other acute pancreatitis | $9,655 | ||||
| Total Medicare Charges at DRG | $2,091,472,966 | ||||
| Total Medicare Charges with ICD K858 - Other acute pancreatitis | $6,632,494 | ||||
| Avg Charges at DRG | $54,458 | ||||
| Avg Charges with ICD K858 - Other acute pancreatitis | $55,271 | ||||
| Mortality Rate at DRG | 3.2 | ||||
| Mortality Rate with ICD K858 - Other acute pancreatitis | NA | ||||
| SNF Discharge Rate at DRG | 16.21 | ||||
| SNF Discharge Rate with ICD K858 - Other acute pancreatitis | 12.5 | ||||
| Home Discharge Rate at DRG | 47.16 | ||||
| Home Discharge Rate with ICD K858 - Other acute pancreatitis | 69.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 919: COMPLICATIONS OF TREATMENT 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,227 | ||||
| Total Hospitalizations with ICD K858 - Other acute pancreatitis | 61 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD K858 - Other acute pancreatitis in DRG | 1.19 | ||||
| Avg LOS at DRG | 8.02 | ||||
| Avg LOS with ICD K858 - Other acute pancreatitis | 5.7 | ||||
| Readmission Rate at DRG | 30.44 | ||||
| Readmission Rate with ICD K858 - Other acute pancreatitis | 21.05 | ||||
| Unplanned Readmission Rate at DRG | 20.14 | ||||
| Unplanned Readmission Rate with ICD K858 - Other acute pancreatitis | NA | ||||
| Total Medicare payments at DRG | $641,315,623 | ||||
| Total Medicare payments with ICD K858 - Other acute pancreatitis | $743,965 | ||||
| Total Medicare payment per Day at DRG | $1,808 | ||||
| Total Medicare payment per Day with ICD K858 - Other acute pancreatitis | $2,138 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,501 | ||||
| Total Medicare payment per Hospitalization with ICD K858 - Other acute pancreatitis | $12,196 | ||||
| Total Medicare Charges at DRG | $3,055,824,019 | ||||
| Total Medicare Charges with ICD K858 - Other acute pancreatitis | $2,637,231 | ||||
| Avg Charges at DRG | $69,094 | ||||
| Avg Charges with ICD K858 - Other acute pancreatitis | $43,233 | ||||
| Mortality Rate at DRG | 3.89 | ||||
| Mortality Rate with ICD K858 - Other acute pancreatitis | NA | ||||
| SNF Discharge Rate at DRG | 16.17 | ||||
| SNF Discharge Rate with ICD K858 - Other acute pancreatitis | NA | ||||
| Home Discharge Rate at DRG | 45.86 | ||||
| Home Discharge Rate with ICD K858 - Other acute pancreatitis | 70.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,827 | ||||
| Total Hospitalizations with ICD K858 - Other acute pancreatitis | 30 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K858 - Other acute pancreatitis in DRG | 0.58 | ||||
| Avg LOS at DRG | 8.58 | ||||
| Avg LOS with ICD K858 - Other acute pancreatitis | 9.93 | ||||
| Readmission Rate at DRG | 27.62 | ||||
| Readmission Rate with ICD K858 - Other acute pancreatitis | NA | ||||
| Unplanned Readmission Rate at DRG | 15.85 | ||||
| Unplanned Readmission Rate with ICD K858 - Other acute pancreatitis | NA | ||||
| Total Medicare payments at DRG | $555,779,802 | ||||
| Total Medicare payments with ICD K858 - Other acute pancreatitis | $528,075 | ||||
| Total Medicare payment per Day at DRG | $1,668 | ||||
| Total Medicare payment per Day with ICD K858 - Other acute pancreatitis | $1,772 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,314 | ||||
| Total Medicare payment per Hospitalization with ICD K858 - Other acute pancreatitis | $17,603 | ||||
| Total Medicare Charges at DRG | $2,652,789,227 | ||||
| Total Medicare Charges with ICD K858 - Other acute pancreatitis | $2,348,241 | ||||
| Avg Charges at DRG | $68,323 | ||||
| Avg Charges with ICD K858 - Other acute pancreatitis | $78,275 | ||||
| Mortality Rate at DRG | 3.06 | ||||
| Mortality Rate with ICD K858 - Other acute pancreatitis | NA | ||||
| SNF Discharge Rate at DRG | 20.78 | ||||
| SNF Discharge Rate with ICD K858 - Other acute pancreatitis | NA | ||||
| Home Discharge Rate at DRG | 32.02 | ||||
| Home Discharge Rate with ICD K858 - Other acute pancreatitis | 46.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 25 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 21 |
| UMASS MEMORIAL MEDICAL CENTER | 55 LAKE AVENUE | WORCESTER | MA | 01655 | 19 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | K861 | Other chronic pancreatitis |
| 2 | E119 | Type 2 diabetes mellitus without complications |
| 3 | I10 | Essential (primary) hypertension |
| 4 | K219 | Gastro-esophageal reflux disease without esophagitis |