*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K912 - Postsurgical malabsorption, not elsewhere classified - as a primary diagnosis code | K912 - Postsurgical malabsorption, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.94 | |
| Readmission Rate (%) | 34.55 | |
| Unplanned Readmission Rate (%) | 25.51 | |
| 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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,422 | ||||
| Total Hospitalizations with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 743 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD K912 - Postsurgical malabsorption, not elsewhere classified in DRG | 41.74 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 13.27 | ||||
| Readmission Rate at DRG | 26.98 | ||||
| Readmission Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 41.08 | ||||
| Unplanned Readmission Rate at DRG | 20.97 | ||||
| Unplanned Readmission Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 30.28 | ||||
| Total Medicare payments at DRG | $1,078,703,587 | ||||
| Total Medicare payments with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $9,462,165 | ||||
| Total Medicare payment per Day at DRG | $1,614 | ||||
| Total Medicare payment per Day with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $960 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,025 | ||||
| Total Medicare payment per Hospitalization with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $12,735 | ||||
| Total Medicare Charges at DRG | $5,564,930,414 | ||||
| Total Medicare Charges with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $61,369,838 | ||||
| Avg Charges at DRG | $41,399 | ||||
| Avg Charges with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $82,597 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 2.02 | ||||
| SNF Discharge Rate at DRG | 16.97 | ||||
| SNF Discharge Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 21.0 | ||||
| Home Discharge Rate at DRG | 52.45 | ||||
| Home Discharge Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 26.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,906 | ||||
| Total Hospitalizations with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 33 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K912 - Postsurgical malabsorption, not elsewhere classified in DRG | 1.85 | ||||
| Avg LOS at DRG | 12.58 | ||||
| Avg LOS with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 15.73 | ||||
| Readmission Rate at DRG | 30.9 | ||||
| Readmission Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 16.7 | ||||
| Unplanned Readmission Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $1,415,372,711 | ||||
| Total Medicare payments with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $1,272,691 | ||||
| Total Medicare payment per Day at DRG | $2,820 | ||||
| Total Medicare payment per Day with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $2,452 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,468 | ||||
| Total Medicare payment per Hospitalization with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $38,566 | ||||
| Total Medicare Charges at DRG | $6,367,247,472 | ||||
| Total Medicare Charges with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $6,737,392 | ||||
| Avg Charges at DRG | $159,556 | ||||
| Avg Charges with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $204,163 | ||||
| Mortality Rate at DRG | 9.11 | ||||
| Mortality Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 24.69 | ||||
| SNF Discharge Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 33 |
| UNIVERSITY OF NEBRASKA MEDICAL CENTER | 987400 NEBRASKA MEDICAL CTR | OMAHA | NE | 68198 | 25 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID F MERCER | 988102 NEBRASKA MEDICAL CTR | OMAHA | NE | 68198 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KAREEM M ABU-ELMAGD | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 2,323 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD K912 - Postsurgical malabsorption, not elsewhere classified in DRG | 6.74 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 9.87 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 36.23 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 25.79 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $29,933,463 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $1,306 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $12,886 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $201,141,017 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $86,587 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 1.94 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 10.76 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 25.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 1,053 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD K912 - Postsurgical malabsorption, not elsewhere classified in DRG | 3.06 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 7.85 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 42.8 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 32.07 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $10,646,898 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $1,288 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $10,111 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $57,455,597 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $54,564 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 2.94 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 18.71 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 32.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 644 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K912 - Postsurgical malabsorption, not elsewhere classified in DRG | 1.87 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 5.73 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 34.46 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 25.34 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $4,296,698 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $1,165 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $6,672 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $27,492,014 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $42,689 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 11.96 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 44.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,000 | ||||
| Total Hospitalizations with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 519 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K912 - Postsurgical malabsorption, not elsewhere classified in DRG | 1.51 | ||||
| Avg LOS at DRG | 4.23 | ||||
| Avg LOS with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 5.0 | ||||
| Readmission Rate at DRG | 22.98 | ||||
| Readmission Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 38.71 | ||||
| Unplanned Readmission Rate at DRG | 17.78 | ||||
| Unplanned Readmission Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 28.63 | ||||
| Total Medicare payments at DRG | $172,301,710 | ||||
| Total Medicare payments with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $3,166,777 | ||||
| Total Medicare payment per Day at DRG | $1,406 | ||||
| Total Medicare payment per Day with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $1,221 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,941 | ||||
| Total Medicare payment per Hospitalization with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $6,102 | ||||
| Total Medicare Charges at DRG | $933,956,738 | ||||
| Total Medicare Charges with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $19,872,557 | ||||
| Avg Charges at DRG | $32,205 | ||||
| Avg Charges with ICD K912 - Postsurgical malabsorption, not elsewhere classified | $38,290 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 6.28 | ||||
| SNF Discharge Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 3.28 | ||||
| Home Discharge Rate at DRG | 77.02 | ||||
| Home Discharge Rate with ICD K912 - Postsurgical malabsorption, not elsewhere classified | 66.09 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 399 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 262 |
| UNIVERSITY OF NEBRASKA MEDICAL CENTER | 987400 NEBRASKA MEDICAL CTR | OMAHA | NE | 68198 | 234 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL A SMITH | 705 PLEASANT AVE S | PARK RAPIDS | MN | 56470 | 96 |
| Dr. JOHN GALLOWAY | 1365 CLIFTON RD NE | ATLANTA | GA | 30322 | 37 |
| Dr. PATRICIA M. BYERS | 1611 NW 12TH AVE | MIAMI | FL | 33136 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL A SMITH | 705 PLEASANT AVE S | PARK RAPIDS | MN | 56470 | 89 |
| Dr. PATRICIA M. BYERS | 1611 NW 12TH AVE | MIAMI | FL | 33136 | 48 |
| Dr. JOHN GALLOWAY | 1365 CLIFTON RD NE | ATLANTA | GA | 30322 | 46 |