*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K8689 - Other specified diseases of pancreas - as a primary diagnosis code | K8689 - Other specified diseases of pancreas - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.38 | |
| Readmission Rate (%) | 26.07 | |
| Unplanned Readmission Rate (%) | 20.06 | |
| 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 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 407: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 46,074 | ||||
| Total Hospitalizations with ICD K8689 - Other specified diseases of pancreas | 735 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K8689 - Other specified diseases of pancreas in DRG | 38.83 | ||||
| Avg LOS at DRG | 6.4 | ||||
| Avg LOS with ICD K8689 - Other specified diseases of pancreas | 5.31 | ||||
| Readmission Rate at DRG | 30.1 | ||||
| Readmission Rate with ICD K8689 - Other specified diseases of pancreas | 34.49 | ||||
| Unplanned Readmission Rate at DRG | 22.25 | ||||
| Unplanned Readmission Rate with ICD K8689 - Other specified diseases of pancreas | 22.89 | ||||
| Total Medicare payments at DRG | $521,643,628 | ||||
| Total Medicare payments with ICD K8689 - Other specified diseases of pancreas | $8,165,622 | ||||
| Total Medicare payment per Day at DRG | $1,770 | ||||
| Total Medicare payment per Day with ICD K8689 - Other specified diseases of pancreas | $2,093 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,322 | ||||
| Total Medicare payment per Hospitalization with ICD K8689 - Other specified diseases of pancreas | $11,110 | ||||
| Total Medicare Charges at DRG | $2,529,558,523 | ||||
| Total Medicare Charges with ICD K8689 - Other specified diseases of pancreas | $41,769,599 | ||||
| Avg Charges at DRG | $54,902 | ||||
| Avg Charges with ICD K8689 - Other specified diseases of pancreas | $56,829 | ||||
| Mortality Rate at DRG | 3.37 | ||||
| Mortality Rate with ICD K8689 - Other specified diseases of pancreas | 2.04 | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD K8689 - Other specified diseases of pancreas | 10.2 | ||||
| Home Discharge Rate at DRG | 56.72 | ||||
| Home Discharge Rate with ICD K8689 - Other specified diseases of pancreas | 53.47 |
*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 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 12,032 | |
| Total Hospitalizations with ICD K8689 - Other specified diseases of pancreas | 52 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD K8689 - Other specified diseases of pancreas in DRG | 2.75 | |
| Avg LOS at DRG | 12.83 | |
| Avg LOS with ICD K8689 - Other specified diseases of pancreas | 12.0 | |
| Readmission Rate at DRG | 32.87 | |
| Readmission Rate with ICD K8689 - Other specified diseases of pancreas | 33.33 | |
| Unplanned Readmission Rate at DRG | 17.21 | |
| Unplanned Readmission Rate with ICD K8689 - Other specified diseases of pancreas | NA | |
| Total Medicare payments at DRG | $494,323,756 | |
| Total Medicare payments with ICD K8689 - Other specified diseases of pancreas | $2,106,833 | |
| Total Medicare payment per Day at DRG | $3,203 | |
| Total Medicare payment per Day with ICD K8689 - Other specified diseases of pancreas | $3,376 | |
| Total Medicare payment per Hospitalization at DRG | $41,084 | |
| Total Medicare payment per Hospitalization with ICD K8689 - Other specified diseases of pancreas | $40,516 | |
| Total Medicare Charges at DRG | $2,312,237,801 | |
| Total Medicare Charges with ICD K8689 - Other specified diseases of pancreas | $7,855,687 | |
| Avg Charges at DRG | $192,174 | |
| Avg Charges with ICD K8689 - Other specified diseases of pancreas | $151,071 | |
| Mortality Rate at DRG | 6.86 | |
| Mortality Rate with ICD K8689 - Other specified diseases of pancreas | NA | |
| SNF Discharge Rate at DRG | 17.46 | |
| SNF Discharge Rate with ICD K8689 - Other specified diseases of pancreas | NA | |
| Home Discharge Rate at DRG | 36.29 | |
| Home Discharge Rate with ICD K8689 - Other specified diseases of pancreas | 50.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 33 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 14 |
| UCHEALTH UNIVERSITY OF COLORADO HOSPITAL | 12605 E 16TH AVE | AURORA | CO | 80045 | 13 |
| 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 | 13 |
| 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 | 14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD K8689 - Other specified diseases of pancreas | 2,350 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K8689 - Other specified diseases of pancreas in DRG | 5.88 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K8689 - Other specified diseases of pancreas | 7.44 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K8689 - Other specified diseases of pancreas | 28.14 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K8689 - Other specified diseases of pancreas | 20.0 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K8689 - Other specified diseases of pancreas | $30,260,674 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K8689 - Other specified diseases of pancreas | $1,731 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K8689 - Other specified diseases of pancreas | $12,877 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K8689 - Other specified diseases of pancreas | $178,296,650 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K8689 - Other specified diseases of pancreas | $75,871 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K8689 - Other specified diseases of pancreas | 8.17 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K8689 - Other specified diseases of pancreas | 24.26 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K8689 - Other specified diseases of pancreas | 30.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,656 | ||||
| Total Hospitalizations with ICD K8689 - Other specified diseases of pancreas | 985 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K8689 - Other specified diseases of pancreas in DRG | 2.46 | ||||
| Avg LOS at DRG | 3.7 | ||||
| Avg LOS with ICD K8689 - Other specified diseases of pancreas | 3.94 | ||||
| Readmission Rate at DRG | 21.0 | ||||
| Readmission Rate with ICD K8689 - Other specified diseases of pancreas | 24.97 | ||||
| Unplanned Readmission Rate at DRG | 14.31 | ||||
| Unplanned Readmission Rate with ICD K8689 - Other specified diseases of pancreas | 14.87 | ||||
| Total Medicare payments at DRG | $374,740,838 | ||||
| Total Medicare payments with ICD K8689 - Other specified diseases of pancreas | $6,787,526 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD K8689 - Other specified diseases of pancreas | $1,750 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,614 | ||||
| Total Medicare payment per Hospitalization with ICD K8689 - Other specified diseases of pancreas | $6,891 | ||||
| Total Medicare Charges at DRG | $2,130,704,945 | ||||
| Total Medicare Charges with ICD K8689 - Other specified diseases of pancreas | $44,552,148 | ||||
| Avg Charges at DRG | $37,608 | ||||
| Avg Charges with ICD K8689 - Other specified diseases of pancreas | $45,231 | ||||
| Mortality Rate at DRG | 0.43 | ||||
| Mortality Rate with ICD K8689 - Other specified diseases of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 11.12 | ||||
| SNF Discharge Rate with ICD K8689 - Other specified diseases of pancreas | 9.95 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K8689 - Other specified diseases of pancreas | 61.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD K8689 - Other specified diseases of pancreas | 553 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD K8689 - Other specified diseases of pancreas in DRG | 1.38 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD K8689 - Other specified diseases of pancreas | 5.99 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD K8689 - Other specified diseases of pancreas | 31.21 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD K8689 - Other specified diseases of pancreas | 22.66 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD K8689 - Other specified diseases of pancreas | $5,457,031 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD K8689 - Other specified diseases of pancreas | $1,648 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD K8689 - Other specified diseases of pancreas | $9,868 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD K8689 - Other specified diseases of pancreas | $28,684,262 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD K8689 - Other specified diseases of pancreas | $51,870 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD K8689 - Other specified diseases of pancreas | 2.17 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD K8689 - Other specified diseases of pancreas | 21.16 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD K8689 - Other specified diseases of pancreas | 37.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD K8689 - Other specified diseases of pancreas | 486 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD K8689 - Other specified diseases of pancreas in DRG | 1.22 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD K8689 - Other specified diseases of pancreas | 4.04 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD K8689 - Other specified diseases of pancreas | 26.77 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD K8689 - Other specified diseases of pancreas | 16.59 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD K8689 - Other specified diseases of pancreas | $2,570,020 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD K8689 - Other specified diseases of pancreas | $1,309 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD K8689 - Other specified diseases of pancreas | $5,288 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD K8689 - Other specified diseases of pancreas | $15,977,132 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD K8689 - Other specified diseases of pancreas | $32,875 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD K8689 - Other specified diseases of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD K8689 - Other specified diseases of pancreas | 16.26 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD K8689 - Other specified diseases of pancreas | 53.91 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 342 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 248 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 234 |
| 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 | 33 |
| Dr. JAMES W. OSTROFF | 350 PARNASSUS AVE | SAN FRANCISCO | CA | 94117 | 28 |
| Dr. PETER J ALLEN | 1275 YORK AVE | NEW YORK | NY | 10021 | 24 |
| 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 | 30 |
| Dr. MICHAEL L KENDRICK | 200 1ST ST SW | ROCHESTER | MN | 55905 | 23 |
| Dr. STEVEN JOHN HUGHES | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 22 |