*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K860 - Alcohol-induced chronic pancreatitis - as a primary diagnosis code | K860 - Alcohol-induced chronic pancreatitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.01 | |
| Readmission Rate (%) | 34.5 | |
| Unplanned Readmission Rate (%) | 30.03 | |
| 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 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 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 | 85,343 | ||||
| Total Hospitalizations with ICD K860 - Alcohol-induced chronic pancreatitis | 640 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K860 - Alcohol-induced chronic pancreatitis in DRG | 49.77 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD K860 - Alcohol-induced chronic pancreatitis | 3.87 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 36.18 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 30.55 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD K860 - Alcohol-induced chronic pancreatitis | $3,757,075 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K860 - Alcohol-induced chronic pancreatitis | $1,517 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD K860 - Alcohol-induced chronic pancreatitis | $5,870 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD K860 - Alcohol-induced chronic pancreatitis | $18,134,700 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD K860 - Alcohol-induced chronic pancreatitis | $28,335 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K860 - Alcohol-induced chronic pancreatitis | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 5.31 | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 77.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 407: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 5,745 |
| Total Hospitalizations with ICD K860 - Alcohol-induced chronic pancreatitis | 11 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD K860 - Alcohol-induced chronic pancreatitis in DRG | 0.86 |
| Avg LOS at DRG | 4.57 |
| Avg LOS with ICD K860 - Alcohol-induced chronic pancreatitis | 5.18 |
| Readmission Rate at DRG | 12.33 |
| Readmission Rate with ICD K860 - Alcohol-induced chronic pancreatitis | NA |
| Unplanned Readmission Rate at DRG | 8.29 |
| Unplanned Readmission Rate with ICD K860 - Alcohol-induced chronic pancreatitis | NA |
| Total Medicare payments at DRG | $80,007,154 |
| Total Medicare payments with ICD K860 - Alcohol-induced chronic pancreatitis | $140,800 |
| Total Medicare payment per Day at DRG | $3,048 |
| Total Medicare payment per Day with ICD K860 - Alcohol-induced chronic pancreatitis | $2,470 |
| Total Medicare payment per Hospitalization at DRG | $13,926 |
| Total Medicare payment per Hospitalization with ICD K860 - Alcohol-induced chronic pancreatitis | $12,800 |
| Total Medicare Charges at DRG | $449,200,078 |
| Total Medicare Charges with ICD K860 - Alcohol-induced chronic pancreatitis | $767,081 |
| Avg Charges at DRG | $78,190 |
| Avg Charges with ICD K860 - Alcohol-induced chronic pancreatitis | $69,735 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD K860 - Alcohol-induced chronic pancreatitis | NA |
| SNF Discharge Rate at DRG | 4.16 |
| SNF Discharge Rate with ICD K860 - Alcohol-induced chronic pancreatitis | NA |
| Home Discharge Rate at DRG | 74.73 |
| Home Discharge Rate with ICD K860 - Alcohol-induced chronic pancreatitis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HCA HOUSTON HEALTHCARE CLEAR LAKE | 500 MEDICAL CENTER BLVD | WEBSTER | TX | 77598 | 13 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 12 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DALE LEONARD MESSER | 711 W SIDNOR ST | ALVIN | TX | 77511 | 12 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD K860 - Alcohol-induced chronic pancreatitis | 4,141 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K860 - Alcohol-induced chronic pancreatitis in DRG | 21.41 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD K860 - Alcohol-induced chronic pancreatitis | 4.03 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 32.46 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 26.82 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD K860 - Alcohol-induced chronic pancreatitis | $23,973,256 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K860 - Alcohol-induced chronic pancreatitis | $1,436 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD K860 - Alcohol-induced chronic pancreatitis | $5,789 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD K860 - Alcohol-induced chronic pancreatitis | $116,115,480 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD K860 - Alcohol-induced chronic pancreatitis | $28,040 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K860 - Alcohol-induced chronic pancreatitis | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 3.16 | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 80.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K860 - Alcohol-induced chronic pancreatitis | 457 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K860 - Alcohol-induced chronic pancreatitis in DRG | 2.36 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K860 - Alcohol-induced chronic pancreatitis | 3.15 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 37.92 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 30.19 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K860 - Alcohol-induced chronic pancreatitis | $2,250,489 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K860 - Alcohol-induced chronic pancreatitis | $1,564 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K860 - Alcohol-induced chronic pancreatitis | $4,924 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K860 - Alcohol-induced chronic pancreatitis | $11,662,895 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K860 - Alcohol-induced chronic pancreatitis | $25,521 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K860 - Alcohol-induced chronic pancreatitis | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 3.5 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 76.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD K860 - Alcohol-induced chronic pancreatitis | 284 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD K860 - Alcohol-induced chronic pancreatitis in DRG | 1.47 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD K860 - Alcohol-induced chronic pancreatitis | 9.52 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 43.4 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 30.19 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD K860 - Alcohol-induced chronic pancreatitis | $2,189,574 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD K860 - Alcohol-induced chronic pancreatitis | $809 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD K860 - Alcohol-induced chronic pancreatitis | $7,710 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD K860 - Alcohol-induced chronic pancreatitis | $8,175,426 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD K860 - Alcohol-induced chronic pancreatitis | $28,787 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD K860 - Alcohol-induced chronic pancreatitis | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD K860 - Alcohol-induced chronic pancreatitis | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 78.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,926 | ||||
| Total Hospitalizations with ICD K860 - Alcohol-induced chronic pancreatitis | 218 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD K860 - Alcohol-induced chronic pancreatitis in DRG | 1.13 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD K860 - Alcohol-induced chronic pancreatitis | 5.63 | ||||
| Readmission Rate at DRG | 29.88 | ||||
| Readmission Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 40.1 | ||||
| Unplanned Readmission Rate at DRG | 23.17 | ||||
| Unplanned Readmission Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 28.93 | ||||
| Total Medicare payments at DRG | $916,940,883 | ||||
| Total Medicare payments with ICD K860 - Alcohol-induced chronic pancreatitis | $2,144,848 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD K860 - Alcohol-induced chronic pancreatitis | $1,748 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
| Total Medicare payment per Hospitalization with ICD K860 - Alcohol-induced chronic pancreatitis | $9,839 | ||||
| Total Medicare Charges at DRG | $4,566,782,465 | ||||
| Total Medicare Charges with ICD K860 - Alcohol-induced chronic pancreatitis | $9,528,026 | ||||
| Avg Charges at DRG | $45,249 | ||||
| Avg Charges with ICD K860 - Alcohol-induced chronic pancreatitis | $43,707 | ||||
| Mortality Rate at DRG | 2.29 | ||||
| Mortality Rate with ICD K860 - Alcohol-induced chronic pancreatitis | NA | ||||
| SNF Discharge Rate at DRG | 23.51 | ||||
| SNF Discharge Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 10.55 | ||||
| Home Discharge Rate at DRG | 40.88 | ||||
| Home Discharge Rate with ICD K860 - Alcohol-induced chronic pancreatitis | 61.01 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 93 |
| UMASS MEMORIAL MEDICAL CENTER | 55 LAKE AVENUE | WORCESTER | MA | 01655 | 88 |
| BOSTON MEDICAL CENTER | 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 84 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RUDY JEROME VERVAEKE | 21420 HARPER AVE | SAINT CLAIR SHORES | MI | 48080 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DALE LEONARD MESSER | 711 W SIDNOR ST | ALVIN | TX | 77511 | 20 |
| Dr. MAGDY KHALIL TADROS | 11880 FM 1960 RD W | HOUSTON | TX | 77065 | 14 |
| Dr. IMRAN MUSHTAQ MALIK | 8515 S US HIGHWAY 1 | PORT ST LUCIE | FL | 34952 | 13 |