*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K8590 - Acute pancreatitis without necrosis or infection, unspecified - as a primary diagnosis code | K8590 - Acute pancreatitis without necrosis or infection, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.9 | |
| Readmission Rate (%) | 23.99 | |
| Unplanned Readmission Rate (%) | 16.07 | |
| 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 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 418: LAPAROSCOPIC CHOLECYSTECTOMY 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 29,888 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified in DRG | 44.05 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 3.66 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 20.37 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 15.96 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $156,298,190 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $1,429 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $5,229 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $849,621,615 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $28,427 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 0.35 | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 5.3 | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 76.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. 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 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,125 | ||||
| Total Hospitalizations with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 152 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified in DRG | 0.22 | ||||
| Avg LOS at DRG | 12.1 | ||||
| Avg LOS with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 13.27 | ||||
| Readmission Rate at DRG | 34.89 | ||||
| Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 34.88 | ||||
| Unplanned Readmission Rate at DRG | 23.07 | ||||
| Unplanned Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 27.13 | ||||
| Total Medicare payments at DRG | $99,649,034 | ||||
| Total Medicare payments with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $4,711,799 | ||||
| Total Medicare payment per Day at DRG | $2,636 | ||||
| Total Medicare payment per Day with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $2,336 | ||||
| Total Medicare payment per Hospitalization at DRG | $31,888 | ||||
| Total Medicare payment per Hospitalization with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $30,999 | ||||
| Total Medicare Charges at DRG | $437,724,723 | ||||
| Total Medicare Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $23,270,438 | ||||
| Avg Charges at DRG | $140,072 | ||||
| Avg Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $153,095 | ||||
| Mortality Rate at DRG | 8.93 | ||||
| Mortality Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.95 | ||||
| SNF Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 17.76 | ||||
| Home Discharge Rate at DRG | 35.01 | ||||
| Home Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 50.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,412 | ||||
| Total Hospitalizations with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 75 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified in DRG | 0.11 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 7.6 | ||||
| Readmission Rate at DRG | 29.01 | ||||
| Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 28.77 | ||||
| Unplanned Readmission Rate at DRG | 19.52 | ||||
| Unplanned Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 19.18 | ||||
| Total Medicare payments at DRG | $22,469,921 | ||||
| Total Medicare payments with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $1,094,621 | ||||
| Total Medicare payment per Day at DRG | $2,198 | ||||
| Total Medicare payment per Day with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $1,920 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,914 | ||||
| Total Medicare payment per Hospitalization with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $14,595 | ||||
| Total Medicare Charges at DRG | $107,081,444 | ||||
| Total Medicare Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $5,505,701 | ||||
| Avg Charges at DRG | $75,837 | ||||
| Avg Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $73,409 | ||||
| Mortality Rate at DRG | 1.35 | ||||
| Mortality Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 12.82 | ||||
| SNF Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | NA | ||||
| Home Discharge Rate at DRG | 54.39 | ||||
| Home Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 68.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 415: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,873 | ||||
| Total Hospitalizations with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 26 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified in DRG | 0.04 | ||||
| Avg LOS at DRG | 5.01 | ||||
| Avg LOS with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 6.35 | ||||
| Readmission Rate at DRG | 30.66 | ||||
| Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 22.97 | ||||
| Unplanned Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | NA | ||||
| Total Medicare payments at DRG | $69,442,380 | ||||
| Total Medicare payments with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $302,697 | ||||
| Total Medicare payment per Day at DRG | $2,361 | ||||
| Total Medicare payment per Day with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $1,835 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,824 | ||||
| Total Medicare payment per Hospitalization with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $11,642 | ||||
| Total Medicare Charges at DRG | $302,628,853 | ||||
| Total Medicare Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $1,725,906 | ||||
| Avg Charges at DRG | $51,529 | ||||
| Avg Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $66,381 | ||||
| Mortality Rate at DRG | 0.75 | ||||
| Mortality Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.27 | ||||
| SNF Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | NA | ||||
| Home Discharge Rate at DRG | 60.7 | ||||
| Home Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 53.85 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 233 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 152 |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | 620 SKYLINE DR | JACKSON | TN | 38301 | 149 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GIUSEPPE ALIPERTI | 2821 N BALLAS RD | SAINT LOUIS | MO | 63131 | 34 |
| Dr. SHAHID WAHID | 2031 MCDANIEL ST | N LAS VEGAS | NV | 89030 | 23 |
| Dr. SHYAM VARADARAJULU | 2415 N ORANGE AVE | ORLANDO | FL | 32804 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. YASIR H AL-AZZAWI | 55 LAKE AVE N | WORCESTER | MA | 01655 | 33 |
| Dr. MOHAMMED SHAKEEL UR REHMAN | 609 W MAPLE AVE | SPRINGDALE | AR | 72764 | 24 |
| Dr. EUGENE VICTOR HUDMAN | 6250 REGIONAL PLZ | ABILENE | TX | 79606 | 23 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 30,175 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified in DRG | 23.59 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 3.67 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 20.43 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 16.0 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $157,932,237 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $1,428 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $5,234 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $859,379,429 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $28,480 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 0.35 | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 5.3 | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 76.62 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,422 | ||||
| Total Hospitalizations with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 3,172 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified in DRG | 2.48 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 3.76 | ||||
| Readmission Rate at DRG | 26.98 | ||||
| Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 19.12 | ||||
| Unplanned Readmission Rate at DRG | 20.97 | ||||
| Unplanned Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 15.41 | ||||
| Total Medicare payments at DRG | $1,078,703,587 | ||||
| Total Medicare payments with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $22,851,248 | ||||
| Total Medicare payment per Day at DRG | $1,614 | ||||
| Total Medicare payment per Day with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $1,914 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,025 | ||||
| Total Medicare payment per Hospitalization with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $7,204 | ||||
| Total Medicare Charges at DRG | $5,564,930,414 | ||||
| Total Medicare Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $107,355,634 | ||||
| Avg Charges at DRG | $41,399 | ||||
| Avg Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $33,845 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 0.54 | ||||
| SNF Discharge Rate at DRG | 16.97 | ||||
| SNF Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 6.72 | ||||
| Home Discharge Rate at DRG | 52.45 | ||||
| Home Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 74.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 1,825 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified in DRG | 1.43 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 15.17 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 37.99 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 18.34 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $71,135,007 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $2,569 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $38,978 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $409,016,286 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $224,119 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 15.67 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 24.55 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 21.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,884 | ||||
| Total Hospitalizations with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 923 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified in DRG | 0.72 | ||||
| Avg LOS at DRG | 6.43 | ||||
| Avg LOS with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 6.68 | ||||
| Readmission Rate at DRG | 37.66 | ||||
| Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 35.2 | ||||
| Unplanned Readmission Rate at DRG | 28.76 | ||||
| Unplanned Readmission Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 25.47 | ||||
| Total Medicare payments at DRG | $726,233,427 | ||||
| Total Medicare payments with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $11,881,488 | ||||
| Total Medicare payment per Day at DRG | $1,987 | ||||
| Total Medicare payment per Day with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $1,926 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,767 | ||||
| Total Medicare payment per Hospitalization with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $12,873 | ||||
| Total Medicare Charges at DRG | $3,363,541,067 | ||||
| Total Medicare Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $63,008,229 | ||||
| Avg Charges at DRG | $59,130 | ||||
| Avg Charges with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | $68,265 | ||||
| Mortality Rate at DRG | 9.48 | ||||
| Mortality Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 8.78 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 11.59 | ||||
| Home Discharge Rate at DRG | 33.97 | ||||
| Home Discharge Rate with ICD K8590 - Acute pancreatitis without necrosis or infection, unspecified | 45.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 525 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 386 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 304 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GIUSEPPE ALIPERTI | 2821 N BALLAS RD | SAINT LOUIS | MO | 63131 | 54 |
| Dr. DONALD A GARROW | 655 N INDIANA AVE | ENGLEWOOD | FL | 34223 | 53 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 50 |
| Dr. NAVEED MAHFOOZ | 1525 W CARO RD | CARO | MI | 48723 | 47 |
| Dr. MOHAMMED SHAKEEL UR REHMAN | 609 W MAPLE AVE | SPRINGDALE | AR | 72764 | 46 |