*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K8681 - Exocrine pancreatic insufficiency - as a primary diagnosis code | K8681 - Exocrine pancreatic insufficiency - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.04 | |
| Readmission Rate (%) | 27.36 | |
| Unplanned Readmission Rate (%) | 19.74 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 85,343 | |
| Total Hospitalizations with ICD K8681 - Exocrine pancreatic insufficiency | 39 | |
| DRG Share of Total Hospitalizations | 0.26 | |
| % of Total ICD K8681 - Exocrine pancreatic insufficiency in DRG | 46.99 | |
| Avg LOS at DRG | 3.89 | |
| Avg LOS with ICD K8681 - Exocrine pancreatic insufficiency | 4.64 | |
| Readmission Rate at DRG | 21.05 | |
| Readmission Rate with ICD K8681 - Exocrine pancreatic insufficiency | 29.73 | |
| Unplanned Readmission Rate at DRG | 15.83 | |
| Unplanned Readmission Rate with ICD K8681 - Exocrine pancreatic insufficiency | NA | |
| Total Medicare payments at DRG | $457,925,564 | |
| Total Medicare payments with ICD K8681 - Exocrine pancreatic insufficiency | $228,688 | |
| Total Medicare payment per Day at DRG | $1,380 | |
| Total Medicare payment per Day with ICD K8681 - Exocrine pancreatic insufficiency | $1,263 | |
| Total Medicare payment per Hospitalization at DRG | $5,366 | |
| Total Medicare payment per Hospitalization with ICD K8681 - Exocrine pancreatic insufficiency | $5,864 | |
| Total Medicare Charges at DRG | $2,522,082,455 | |
| Total Medicare Charges with ICD K8681 - Exocrine pancreatic insufficiency | $1,610,142 | |
| Avg Charges at DRG | $29,552 | |
| Avg Charges with ICD K8681 - Exocrine pancreatic insufficiency | $41,286 | |
| Mortality Rate at DRG | 0.3 | |
| Mortality Rate with ICD K8681 - Exocrine pancreatic insufficiency | NA | |
| SNF Discharge Rate at DRG | 5.52 | |
| SNF Discharge Rate with ICD K8681 - Exocrine pancreatic insufficiency | NA | |
| Home Discharge Rate at DRG | 75.74 | |
| Home Discharge Rate with ICD K8681 - Exocrine pancreatic insufficiency | 69.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD K8681 - Exocrine pancreatic insufficiency | 959 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD K8681 - Exocrine pancreatic insufficiency in DRG | 6.62 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD K8681 - Exocrine pancreatic insufficiency | 11.86 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD K8681 - Exocrine pancreatic insufficiency | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD K8681 - Exocrine pancreatic insufficiency | 14.73 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD K8681 - Exocrine pancreatic insufficiency | $14,273,845 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD K8681 - Exocrine pancreatic insufficiency | $1,255 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD K8681 - Exocrine pancreatic insufficiency | $14,884 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD K8681 - Exocrine pancreatic insufficiency | $105,649,966 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD K8681 - Exocrine pancreatic insufficiency | $110,167 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD K8681 - Exocrine pancreatic insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD K8681 - Exocrine pancreatic insufficiency | 2.19 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD K8681 - Exocrine pancreatic insufficiency | 68.09 |
*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 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 46,074 | ||||
| Total Hospitalizations with ICD K8681 - Exocrine pancreatic insufficiency | 507 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K8681 - Exocrine pancreatic insufficiency in DRG | 3.5 | ||||
| Avg LOS at DRG | 6.4 | ||||
| Avg LOS with ICD K8681 - Exocrine pancreatic insufficiency | 6.01 | ||||
| Readmission Rate at DRG | 30.1 | ||||
| Readmission Rate with ICD K8681 - Exocrine pancreatic insufficiency | 39.25 | ||||
| Unplanned Readmission Rate at DRG | 22.25 | ||||
| Unplanned Readmission Rate with ICD K8681 - Exocrine pancreatic insufficiency | 32.24 | ||||
| Total Medicare payments at DRG | $521,643,628 | ||||
| Total Medicare payments with ICD K8681 - Exocrine pancreatic insufficiency | $5,407,519 | ||||
| Total Medicare payment per Day at DRG | $1,770 | ||||
| Total Medicare payment per Day with ICD K8681 - Exocrine pancreatic insufficiency | $1,775 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,322 | ||||
| Total Medicare payment per Hospitalization with ICD K8681 - Exocrine pancreatic insufficiency | $10,666 | ||||
| Total Medicare Charges at DRG | $2,529,558,523 | ||||
| Total Medicare Charges with ICD K8681 - Exocrine pancreatic insufficiency | $24,379,462 | ||||
| Avg Charges at DRG | $54,902 | ||||
| Avg Charges with ICD K8681 - Exocrine pancreatic insufficiency | $48,086 | ||||
| Mortality Rate at DRG | 3.37 | ||||
| Mortality Rate with ICD K8681 - Exocrine pancreatic insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD K8681 - Exocrine pancreatic insufficiency | 6.31 | ||||
| Home Discharge Rate at DRG | 56.72 | ||||
| Home Discharge Rate with ICD K8681 - Exocrine pancreatic insufficiency | 69.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD K8681 - Exocrine pancreatic insufficiency | 195 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD K8681 - Exocrine pancreatic insufficiency in DRG | 1.35 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD K8681 - Exocrine pancreatic insufficiency | 3.3 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD K8681 - Exocrine pancreatic insufficiency | 35.36 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD K8681 - Exocrine pancreatic insufficiency | 30.39 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD K8681 - Exocrine pancreatic insufficiency | $1,001,368 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD K8681 - Exocrine pancreatic insufficiency | $1,557 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD K8681 - Exocrine pancreatic insufficiency | $5,135 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD K8681 - Exocrine pancreatic insufficiency | $5,517,031 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD K8681 - Exocrine pancreatic insufficiency | $28,292 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD K8681 - Exocrine pancreatic insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD K8681 - Exocrine pancreatic insufficiency | 6.15 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD K8681 - Exocrine pancreatic insufficiency | 76.92 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,422 | ||||
| Total Hospitalizations with ICD K8681 - Exocrine pancreatic insufficiency | 177 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD K8681 - Exocrine pancreatic insufficiency in DRG | 1.22 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD K8681 - Exocrine pancreatic insufficiency | 5.5 | ||||
| Readmission Rate at DRG | 26.98 | ||||
| Readmission Rate with ICD K8681 - Exocrine pancreatic insufficiency | 30.25 | ||||
| Unplanned Readmission Rate at DRG | 20.97 | ||||
| Unplanned Readmission Rate with ICD K8681 - Exocrine pancreatic insufficiency | 20.37 | ||||
| Total Medicare payments at DRG | $1,078,703,587 | ||||
| Total Medicare payments with ICD K8681 - Exocrine pancreatic insufficiency | $1,494,587 | ||||
| Total Medicare payment per Day at DRG | $1,614 | ||||
| Total Medicare payment per Day with ICD K8681 - Exocrine pancreatic insufficiency | $1,536 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,025 | ||||
| Total Medicare payment per Hospitalization with ICD K8681 - Exocrine pancreatic insufficiency | $8,444 | ||||
| Total Medicare Charges at DRG | $5,564,930,414 | ||||
| Total Medicare Charges with ICD K8681 - Exocrine pancreatic insufficiency | $7,613,700 | ||||
| Avg Charges at DRG | $41,399 | ||||
| Avg Charges with ICD K8681 - Exocrine pancreatic insufficiency | $43,015 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD K8681 - Exocrine pancreatic insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 16.97 | ||||
| SNF Discharge Rate with ICD K8681 - Exocrine pancreatic insufficiency | 8.47 | ||||
| Home Discharge Rate at DRG | 52.45 | ||||
| Home Discharge Rate with ICD K8681 - Exocrine pancreatic insufficiency | 66.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MINNESOTA MEDICAL CENTER | 2450 RIVERSIDE AVE | MINNEAPOLIS | MN | 55454 | 180 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 152 |
| UNIVERSITY OF KANSAS HOSPITAL | 4000 Cambridge St. | KANSAS CITY | KS | 66160 | 145 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TITUS G SHEERS | 1 PERKINS SQ | AKRON | OH | 44308 | 20 |
| Dr. DANIEL B ROSENBLUTH | 4921 PARKVIEW PL | SAINT LOUIS | MO | 63110 | 19 |
| Dr. KERRINGTON DAVID SMITH | 1 MEDICAL CENTER DR | LEBANON | NH | 03756 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL B ROSENBLUTH | 4921 PARKVIEW PL | SAINT LOUIS | MO | 63110 | 38 |
| Dr. DOUGLAS B HORNICK | 200 HAWKINS DR | IOWA CITY | IA | 52242 | 31 |
| Dr. RAJNISH PURI | 471 N SEMORAN BLVD | WINTER PARK | FL | 32792 | 31 |