*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K862 - Cyst of pancreas - as a primary diagnosis code | K862 - Cyst of pancreas - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.37 | |
| Readmission Rate (%) | 22.93 | |
| Unplanned Readmission Rate (%) | 13.43 | |
| 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 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 407: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 46,074 | ||||
| Total Hospitalizations with ICD K862 - Cyst of pancreas | 370 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K862 - Cyst of pancreas in DRG | 23.9 | ||||
| Avg LOS at DRG | 6.4 | ||||
| Avg LOS with ICD K862 - Cyst of pancreas | 5.32 | ||||
| Readmission Rate at DRG | 30.1 | ||||
| Readmission Rate with ICD K862 - Cyst of pancreas | 25.16 | ||||
| Unplanned Readmission Rate at DRG | 22.25 | ||||
| Unplanned Readmission Rate with ICD K862 - Cyst of pancreas | 16.04 | ||||
| Total Medicare payments at DRG | $521,643,628 | ||||
| Total Medicare payments with ICD K862 - Cyst of pancreas | $3,959,573 | ||||
| Total Medicare payment per Day at DRG | $1,770 | ||||
| Total Medicare payment per Day with ICD K862 - Cyst of pancreas | $2,010 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,322 | ||||
| Total Medicare payment per Hospitalization with ICD K862 - Cyst of pancreas | $10,702 | ||||
| Total Medicare Charges at DRG | $2,529,558,523 | ||||
| Total Medicare Charges with ICD K862 - Cyst of pancreas | $18,738,613 | ||||
| Avg Charges at DRG | $54,902 | ||||
| Avg Charges with ICD K862 - Cyst of pancreas | $50,645 | ||||
| Mortality Rate at DRG | 3.37 | ||||
| Mortality Rate with ICD K862 - Cyst of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD K862 - Cyst of pancreas | 13.78 | ||||
| Home Discharge Rate at DRG | 56.72 | ||||
| Home Discharge Rate with ICD K862 - Cyst of pancreas | 57.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 12,032 | ||
| Total Hospitalizations with ICD K862 - Cyst of pancreas | 134 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD K862 - Cyst of pancreas in DRG | 8.66 | ||
| Avg LOS at DRG | 12.83 | ||
| Avg LOS with ICD K862 - Cyst of pancreas | 11.29 | ||
| Readmission Rate at DRG | 32.87 | ||
| Readmission Rate with ICD K862 - Cyst of pancreas | 33.86 | ||
| Unplanned Readmission Rate at DRG | 17.21 | ||
| Unplanned Readmission Rate with ICD K862 - Cyst of pancreas | 18.11 | ||
| Total Medicare payments at DRG | $494,323,756 | ||
| Total Medicare payments with ICD K862 - Cyst of pancreas | $5,185,692 | ||
| Total Medicare payment per Day at DRG | $3,203 | ||
| Total Medicare payment per Day with ICD K862 - Cyst of pancreas | $3,427 | ||
| Total Medicare payment per Hospitalization at DRG | $41,084 | ||
| Total Medicare payment per Hospitalization with ICD K862 - Cyst of pancreas | $38,699 | ||
| Total Medicare Charges at DRG | $2,312,237,801 | ||
| Total Medicare Charges with ICD K862 - Cyst of pancreas | $22,998,045 | ||
| Avg Charges at DRG | $192,174 | ||
| Avg Charges with ICD K862 - Cyst of pancreas | $171,627 | ||
| Mortality Rate at DRG | 6.86 | ||
| Mortality Rate with ICD K862 - Cyst of pancreas | NA | ||
| SNF Discharge Rate at DRG | 17.46 | ||
| SNF Discharge Rate with ICD K862 - Cyst of pancreas | 16.42 | ||
| Home Discharge Rate at DRG | 36.29 | ||
| Home Discharge Rate with ICD K862 - Cyst of pancreas | 45.52 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 27 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 19 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NICHOLAS NISSEN | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 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 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 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD K862 - Cyst of pancreas | 2,762 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K862 - Cyst of pancreas in DRG | 7.1 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD K862 - Cyst of pancreas | 3.81 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD K862 - Cyst of pancreas | 19.46 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD K862 - Cyst of pancreas | 14.95 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD K862 - Cyst of pancreas | $14,729,113 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K862 - Cyst of pancreas | $1,400 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD K862 - Cyst of pancreas | $5,333 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD K862 - Cyst of pancreas | $88,537,022 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD K862 - Cyst of pancreas | $32,055 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K862 - Cyst of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD K862 - Cyst of pancreas | 5.65 | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD K862 - Cyst of pancreas | 77.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K862 - Cyst of pancreas | 942 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K862 - Cyst of pancreas in DRG | 2.42 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K862 - Cyst of pancreas | 3.72 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K862 - Cyst of pancreas | 14.59 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K862 - Cyst of pancreas | 11.45 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K862 - Cyst of pancreas | $5,689,605 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K862 - Cyst of pancreas | $1,626 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K862 - Cyst of pancreas | $6,040 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K862 - Cyst of pancreas | $34,697,012 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K862 - Cyst of pancreas | $36,833 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K862 - Cyst of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K862 - Cyst of pancreas | 15.39 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K862 - Cyst of pancreas | 62.42 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES 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 | 67,988 | ||||
| Total Hospitalizations with ICD K862 - Cyst of pancreas | 588 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K862 - Cyst of pancreas in DRG | 1.51 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD K862 - Cyst of pancreas | 4.62 | ||||
| Readmission Rate at DRG | 12.05 | ||||
| Readmission Rate with ICD K862 - Cyst of pancreas | 12.63 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD K862 - Cyst of pancreas | 9.65 | ||||
| Total Medicare payments at DRG | $665,362,889 | ||||
| Total Medicare payments with ICD K862 - Cyst of pancreas | $5,937,747 | ||||
| Total Medicare payment per Day at DRG | $2,271 | ||||
| Total Medicare payment per Day with ICD K862 - Cyst of pancreas | $2,187 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,786 | ||||
| Total Medicare payment per Hospitalization with ICD K862 - Cyst of pancreas | $10,098 | ||||
| Total Medicare Charges at DRG | $4,095,369,652 | ||||
| Total Medicare Charges with ICD K862 - Cyst of pancreas | $37,044,481 | ||||
| Avg Charges at DRG | $60,237 | ||||
| Avg Charges with ICD K862 - Cyst of pancreas | $63,001 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K862 - Cyst of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 8.88 | ||||
| SNF Discharge Rate with ICD K862 - Cyst of pancreas | 9.69 | ||||
| Home Discharge Rate at DRG | 75.76 | ||||
| Home Discharge Rate with ICD K862 - Cyst of pancreas | 78.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K862 - Cyst of pancreas | 471 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K862 - Cyst of pancreas in DRG | 1.21 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K862 - Cyst of pancreas | 3.95 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K862 - Cyst of pancreas | 14.63 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K862 - Cyst of pancreas | 11.97 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K862 - Cyst of pancreas | $2,778,814 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K862 - Cyst of pancreas | $1,495 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K862 - Cyst of pancreas | $5,900 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K862 - Cyst of pancreas | $17,018,318 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K862 - Cyst of pancreas | $36,132 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K862 - Cyst of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K862 - Cyst of pancreas | 11.46 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K862 - Cyst of pancreas | 66.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 278 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 247 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 225 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHAHID WAHID | 2031 MCDANIEL ST | N LAS VEGAS | NV | 89030 | 27 |
| Dr. KAMRAN AYUB | 9921 SOUTHWEST HWY | OAK LAWN | IL | 60453 | 18 |
| Dr. GIUSEPPE ALIPERTI | 2821 N BALLAS RD | SAINT LOUIS | MO | 63131 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PETER J ALLEN | 1275 YORK AVE | NEW YORK | NY | 10021 | 20 |
| Dr. NICHOLAS NISSEN | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 20 |
| Dr. PAYAM SHADI | 633 S LA BREA AVE | LOS ANGELES | CA | 90036 | 18 |