*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K869 - Disease of pancreas, unspecified - as a primary diagnosis code | K869 - Disease of pancreas, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.51 | |
| Readmission Rate (%) | 25.37 | |
| Unplanned Readmission Rate (%) | 17.96 | |
| 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 K869 - Disease of pancreas, unspecified | 961 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K869 - Disease of pancreas, unspecified in DRG | 41.09 | ||||
| Avg LOS at DRG | 6.4 | ||||
| Avg LOS with ICD K869 - Disease of pancreas, unspecified | 3.98 | ||||
| Readmission Rate at DRG | 30.1 | ||||
| Readmission Rate with ICD K869 - Disease of pancreas, unspecified | 35.12 | ||||
| Unplanned Readmission Rate at DRG | 22.25 | ||||
| Unplanned Readmission Rate with ICD K869 - Disease of pancreas, unspecified | 19.45 | ||||
| Total Medicare payments at DRG | $521,643,628 | ||||
| Total Medicare payments with ICD K869 - Disease of pancreas, unspecified | $9,594,891 | ||||
| Total Medicare payment per Day at DRG | $1,770 | ||||
| Total Medicare payment per Day with ICD K869 - Disease of pancreas, unspecified | $2,509 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,322 | ||||
| Total Medicare payment per Hospitalization with ICD K869 - Disease of pancreas, unspecified | $9,984 | ||||
| Total Medicare Charges at DRG | $2,529,558,523 | ||||
| Total Medicare Charges with ICD K869 - Disease of pancreas, unspecified | $43,202,845 | ||||
| Avg Charges at DRG | $54,902 | ||||
| Avg Charges with ICD K869 - Disease of pancreas, unspecified | $44,956 | ||||
| Mortality Rate at DRG | 3.37 | ||||
| Mortality Rate with ICD K869 - Disease of pancreas, unspecified | 1.77 | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD K869 - Disease of pancreas, unspecified | 6.24 | ||||
| Home Discharge Rate at DRG | 56.72 | ||||
| Home Discharge Rate with ICD K869 - Disease of pancreas, unspecified | 57.13 |
*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 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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 K869 - Disease of pancreas, unspecified | 63 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD K869 - Disease of pancreas, unspecified in DRG | 2.69 | ||||
| Avg LOS at DRG | 12.83 | ||||
| Avg LOS with ICD K869 - Disease of pancreas, unspecified | 12.62 | ||||
| Readmission Rate at DRG | 32.87 | ||||
| Readmission Rate with ICD K869 - Disease of pancreas, unspecified | 34.48 | ||||
| Unplanned Readmission Rate at DRG | 17.21 | ||||
| Unplanned Readmission Rate with ICD K869 - Disease of pancreas, unspecified | NA | ||||
| Total Medicare payments at DRG | $494,323,756 | ||||
| Total Medicare payments with ICD K869 - Disease of pancreas, unspecified | $2,222,547 | ||||
| Total Medicare payment per Day at DRG | $3,203 | ||||
| Total Medicare payment per Day with ICD K869 - Disease of pancreas, unspecified | $2,796 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,084 | ||||
| Total Medicare payment per Hospitalization with ICD K869 - Disease of pancreas, unspecified | $35,279 | ||||
| Total Medicare Charges at DRG | $2,312,237,801 | ||||
| Total Medicare Charges with ICD K869 - Disease of pancreas, unspecified | $10,713,835 | ||||
| Avg Charges at DRG | $192,174 | ||||
| Avg Charges with ICD K869 - Disease of pancreas, unspecified | $170,061 | ||||
| Mortality Rate at DRG | 6.86 | ||||
| Mortality Rate with ICD K869 - Disease of pancreas, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.46 | ||||
| SNF Discharge Rate with ICD K869 - Disease of pancreas, unspecified | 17.46 | ||||
| Home Discharge Rate at DRG | 36.29 | ||||
| Home Discharge Rate with ICD K869 - Disease of pancreas, unspecified | 36.51 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 1,412 |
| Total Hospitalizations with ICD K869 - Disease of pancreas, unspecified | 13 |
| DRG Share of Total Hospitalizations | 0.0 |
| % of Total ICD K869 - Disease of pancreas, unspecified in DRG | 0.56 |
| Avg LOS at DRG | 7.24 |
| Avg LOS with ICD K869 - Disease of pancreas, unspecified | 7.38 |
| Readmission Rate at DRG | 29.01 |
| Readmission Rate with ICD K869 - Disease of pancreas, unspecified | NA |
| Unplanned Readmission Rate at DRG | 19.52 |
| Unplanned Readmission Rate with ICD K869 - Disease of pancreas, unspecified | NA |
| Total Medicare payments at DRG | $22,469,921 |
| Total Medicare payments with ICD K869 - Disease of pancreas, unspecified | $188,322 |
| Total Medicare payment per Day at DRG | $2,198 |
| Total Medicare payment per Day with ICD K869 - Disease of pancreas, unspecified | $1,962 |
| Total Medicare payment per Hospitalization at DRG | $15,914 |
| Total Medicare payment per Hospitalization with ICD K869 - Disease of pancreas, unspecified | $14,486 |
| Total Medicare Charges at DRG | $107,081,444 |
| Total Medicare Charges with ICD K869 - Disease of pancreas, unspecified | $1,184,224 |
| Avg Charges at DRG | $75,837 |
| Avg Charges with ICD K869 - Disease of pancreas, unspecified | $91,094 |
| Mortality Rate at DRG | 1.35 |
| Mortality Rate with ICD K869 - Disease of pancreas, unspecified | NA |
| SNF Discharge Rate at DRG | 12.82 |
| SNF Discharge Rate with ICD K869 - Disease of pancreas, unspecified | NA |
| Home Discharge Rate at DRG | 54.39 |
| Home Discharge Rate with ICD K869 - Disease of pancreas, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 14 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 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 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 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 K869 - Disease of pancreas, unspecified | 1,526 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K869 - Disease of pancreas, unspecified in DRG | 5.73 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K869 - Disease of pancreas, unspecified | 6.37 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K869 - Disease of pancreas, unspecified | 25.1 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K869 - Disease of pancreas, unspecified | 17.15 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K869 - Disease of pancreas, unspecified | $17,780,560 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K869 - Disease of pancreas, unspecified | $1,828 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K869 - Disease of pancreas, unspecified | $11,652 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K869 - Disease of pancreas, unspecified | $99,470,700 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K869 - Disease of pancreas, unspecified | $65,184 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K869 - Disease of pancreas, unspecified | 13.76 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K869 - Disease of pancreas, unspecified | 22.54 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K869 - Disease of pancreas, unspecified | 24.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | 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 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,656 | ||||
| Total Hospitalizations with ICD K869 - Disease of pancreas, unspecified | 648 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K869 - Disease of pancreas, unspecified in DRG | 2.43 | ||||
| Avg LOS at DRG | 3.7 | ||||
| Avg LOS with ICD K869 - Disease of pancreas, unspecified | 3.94 | ||||
| Readmission Rate at DRG | 21.0 | ||||
| Readmission Rate with ICD K869 - Disease of pancreas, unspecified | 28.55 | ||||
| Unplanned Readmission Rate at DRG | 14.31 | ||||
| Unplanned Readmission Rate with ICD K869 - Disease of pancreas, unspecified | 16.91 | ||||
| Total Medicare payments at DRG | $374,740,838 | ||||
| Total Medicare payments with ICD K869 - Disease of pancreas, unspecified | $4,168,377 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD K869 - Disease of pancreas, unspecified | $1,631 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,614 | ||||
| Total Medicare payment per Hospitalization with ICD K869 - Disease of pancreas, unspecified | $6,433 | ||||
| Total Medicare Charges at DRG | $2,130,704,945 | ||||
| Total Medicare Charges with ICD K869 - Disease of pancreas, unspecified | $26,930,138 | ||||
| Avg Charges at DRG | $37,608 | ||||
| Avg Charges with ICD K869 - Disease of pancreas, unspecified | $41,559 | ||||
| Mortality Rate at DRG | 0.43 | ||||
| Mortality Rate with ICD K869 - Disease of pancreas, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.12 | ||||
| SNF Discharge Rate with ICD K869 - Disease of pancreas, unspecified | 8.33 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K869 - Disease of pancreas, unspecified | 62.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD K869 - Disease of pancreas, unspecified | 435 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD K869 - Disease of pancreas, unspecified in DRG | 1.63 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD K869 - Disease of pancreas, unspecified | 3.77 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD K869 - Disease of pancreas, unspecified | 18.57 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD K869 - Disease of pancreas, unspecified | 13.81 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD K869 - Disease of pancreas, unspecified | $2,076,384 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K869 - Disease of pancreas, unspecified | $1,266 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD K869 - Disease of pancreas, unspecified | $4,773 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD K869 - Disease of pancreas, unspecified | $13,426,504 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD K869 - Disease of pancreas, unspecified | $30,866 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD K869 - Disease of pancreas, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD K869 - Disease of pancreas, unspecified | 22.99 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD K869 - Disease of pancreas, unspecified | 44.83 |
*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 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,422 | ||||
| Total Hospitalizations with ICD K869 - Disease of pancreas, unspecified | 274 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD K869 - Disease of pancreas, unspecified in DRG | 1.03 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD K869 - Disease of pancreas, unspecified | 4.62 | ||||
| Readmission Rate at DRG | 26.98 | ||||
| Readmission Rate with ICD K869 - Disease of pancreas, unspecified | 23.02 | ||||
| Unplanned Readmission Rate at DRG | 20.97 | ||||
| Unplanned Readmission Rate with ICD K869 - Disease of pancreas, unspecified | 15.48 | ||||
| Total Medicare payments at DRG | $1,078,703,587 | ||||
| Total Medicare payments with ICD K869 - Disease of pancreas, unspecified | $2,078,002 | ||||
| Total Medicare payment per Day at DRG | $1,614 | ||||
| Total Medicare payment per Day with ICD K869 - Disease of pancreas, unspecified | $1,641 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,025 | ||||
| Total Medicare payment per Hospitalization with ICD K869 - Disease of pancreas, unspecified | $7,584 | ||||
| Total Medicare Charges at DRG | $5,564,930,414 | ||||
| Total Medicare Charges with ICD K869 - Disease of pancreas, unspecified | $11,179,051 | ||||
| Avg Charges at DRG | $41,399 | ||||
| Avg Charges with ICD K869 - Disease of pancreas, unspecified | $40,799 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD K869 - Disease of pancreas, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 16.97 | ||||
| SNF Discharge Rate with ICD K869 - Disease of pancreas, unspecified | 14.96 | ||||
| Home Discharge Rate at DRG | 52.45 | ||||
| Home Discharge Rate with ICD K869 - Disease of pancreas, unspecified | 51.82 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 78 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 72 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 72 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN YACOUB NASR | 1 MEDICAL CENTER DRIVE | MORGANTOWN | WV | 26506 | 13 |
| Dr. GREGORY D RUDOLF | 1101 MADISON ST | SEATTLE | WA | 98104 | 12 |
| Dr. TEODOR CRISTIAN PITEA | 14416 W MEEKER BLVD BLDG C | SUN CITY WEST | AZ | 85375 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 13 |
| Dr. GREGORY D RUDOLF | 1101 MADISON ST | SEATTLE | WA | 98104 | 12 |