*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure - as a primary diagnosis code | K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.49 | |
| Readmission Rate (%) | 26.82 | |
| Unplanned Readmission Rate (%) | 12.11 | |
| 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 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,121 | ||||
| Total Hospitalizations with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 254 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure in DRG | 44.1 | ||||
| Avg LOS at DRG | 10.36 | ||||
| Avg LOS with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 12.27 | ||||
| Readmission Rate at DRG | 32.93 | ||||
| Readmission Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 30.04 | ||||
| Unplanned Readmission Rate at DRG | 16.39 | ||||
| Unplanned Readmission Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 13.0 | ||||
| Total Medicare payments at DRG | $736,047,335 | ||||
| Total Medicare payments with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $8,061,745 | ||||
| Total Medicare payment per Day at DRG | $2,719 | ||||
| Total Medicare payment per Day with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $2,587 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,178 | ||||
| Total Medicare payment per Hospitalization with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $31,739 | ||||
| Total Medicare Charges at DRG | $3,553,256,627 | ||||
| Total Medicare Charges with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $43,818,536 | ||||
| Avg Charges at DRG | $136,031 | ||||
| Avg Charges with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $172,514 | ||||
| Mortality Rate at DRG | 5.78 | ||||
| Mortality Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 5.51 | ||||
| SNF Discharge Rate at DRG | 22.6 | ||||
| SNF Discharge Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 21.26 | ||||
| Home Discharge Rate at DRG | 32.22 | ||||
| Home Discharge Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 24.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 921: COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|
| Total Hospitalizations at DRG | 11,080 | |
| Total Hospitalizations with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 20 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure in DRG | 3.47 | |
| Avg LOS at DRG | 2.6 | |
| Avg LOS with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 3.15 | |
| Readmission Rate at DRG | 15.12 | |
| Readmission Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | NA | |
| Unplanned Readmission Rate at DRG | 8.35 | |
| Unplanned Readmission Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | NA | |
| Total Medicare payments at DRG | $47,632,482 | |
| Total Medicare payments with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $98,115 | |
| Total Medicare payment per Day at DRG | $1,651 | |
| Total Medicare payment per Day with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $1,557 | |
| Total Medicare payment per Hospitalization at DRG | $4,299 | |
| Total Medicare payment per Hospitalization with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $4,906 | |
| Total Medicare Charges at DRG | $256,465,549 | |
| Total Medicare Charges with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $560,630 | |
| Avg Charges at DRG | $23,147 | |
| Avg Charges with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $28,032 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | NA | |
| SNF Discharge Rate at DRG | 8.27 | |
| SNF Discharge Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | NA | |
| Home Discharge Rate at DRG | 67.61 | |
| Home Discharge Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 70.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 742: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 707: MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,121 | ||||
| Total Hospitalizations with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 290 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure in DRG | 8.11 | ||||
| Avg LOS at DRG | 10.36 | ||||
| Avg LOS with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 12.33 | ||||
| Readmission Rate at DRG | 32.93 | ||||
| Readmission Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 28.97 | ||||
| Unplanned Readmission Rate at DRG | 16.39 | ||||
| Unplanned Readmission Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 12.7 | ||||
| Total Medicare payments at DRG | $736,047,335 | ||||
| Total Medicare payments with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $9,218,360 | ||||
| Total Medicare payment per Day at DRG | $2,719 | ||||
| Total Medicare payment per Day with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $2,579 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,178 | ||||
| Total Medicare payment per Hospitalization with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $31,787 | ||||
| Total Medicare Charges at DRG | $3,553,256,627 | ||||
| Total Medicare Charges with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $50,085,713 | ||||
| Avg Charges at DRG | $136,031 | ||||
| Avg Charges with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $172,709 | ||||
| Mortality Rate at DRG | 5.78 | ||||
| Mortality Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 6.21 | ||||
| SNF Discharge Rate at DRG | 22.6 | ||||
| SNF Discharge Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 21.38 | ||||
| Home Discharge Rate at DRG | 32.22 | ||||
| Home Discharge Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 25.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 657: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,227 | ||||
| Total Hospitalizations with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 116 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure in DRG | 3.24 | ||||
| Avg LOS at DRG | 8.02 | ||||
| Avg LOS with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 9.93 | ||||
| Readmission Rate at DRG | 30.44 | ||||
| Readmission Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 24.21 | ||||
| Unplanned Readmission Rate at DRG | 20.14 | ||||
| Unplanned Readmission Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 11.58 | ||||
| Total Medicare payments at DRG | $641,315,623 | ||||
| Total Medicare payments with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $1,839,093 | ||||
| Total Medicare payment per Day at DRG | $1,808 | ||||
| Total Medicare payment per Day with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $1,596 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,501 | ||||
| Total Medicare payment per Hospitalization with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $15,854 | ||||
| Total Medicare Charges at DRG | $3,055,824,019 | ||||
| Total Medicare Charges with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $10,889,572 | ||||
| Avg Charges at DRG | $69,094 | ||||
| Avg Charges with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $93,876 | ||||
| Mortality Rate at DRG | 3.89 | ||||
| Mortality Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | NA | ||||
| SNF Discharge Rate at DRG | 16.17 | ||||
| SNF Discharge Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 20.69 | ||||
| Home Discharge Rate at DRG | 45.86 | ||||
| Home Discharge Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 38.79 |
*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 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 656: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,906 | ||||
| Total Hospitalizations with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 66 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure in DRG | 1.85 | ||||
| Avg LOS at DRG | 12.58 | ||||
| Avg LOS with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 17.02 | ||||
| Readmission Rate at DRG | 30.9 | ||||
| Readmission Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 28.0 | ||||
| Unplanned Readmission Rate at DRG | 16.7 | ||||
| Unplanned Readmission Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | NA | ||||
| Total Medicare payments at DRG | $1,415,372,711 | ||||
| Total Medicare payments with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $2,968,874 | ||||
| Total Medicare payment per Day at DRG | $2,820 | ||||
| Total Medicare payment per Day with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $2,644 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,468 | ||||
| Total Medicare payment per Hospitalization with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $44,983 | ||||
| Total Medicare Charges at DRG | $6,367,247,472 | ||||
| Total Medicare Charges with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $18,417,178 | ||||
| Avg Charges at DRG | $159,556 | ||||
| Avg Charges with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $279,048 | ||||
| Mortality Rate at DRG | 9.11 | ||||
| Mortality Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 16.67 | ||||
| SNF Discharge Rate at DRG | 24.69 | ||||
| SNF Discharge Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 22.73 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 654: MAJOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 653: MAJOR BLADDER PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 740: UTERINE, ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,513 | ||||
| Total Hospitalizations with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 56 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure in DRG | 1.57 | ||||
| Avg LOS at DRG | 7.02 | ||||
| Avg LOS with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 8.39 | ||||
| Readmission Rate at DRG | 26.89 | ||||
| Readmission Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 52.73 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 40.0 | ||||
| Total Medicare payments at DRG | $270,065,366 | ||||
| Total Medicare payments with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $1,165,726 | ||||
| Total Medicare payment per Day at DRG | $2,848 | ||||
| Total Medicare payment per Day with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $2,480 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,986 | ||||
| Total Medicare payment per Hospitalization with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $20,817 | ||||
| Total Medicare Charges at DRG | $1,412,381,149 | ||||
| Total Medicare Charges with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $6,104,419 | ||||
| Avg Charges at DRG | $104,520 | ||||
| Avg Charges with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | $109,007 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | NA | ||||
| SNF Discharge Rate at DRG | 15.04 | ||||
| SNF Discharge Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 23.21 | ||||
| Home Discharge Rate at DRG | 33.15 | ||||
| Home Discharge Rate with ICD K9172 - Accidental puncture and laceration of a digestive system organ or structure during other procedure | 28.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 21 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 18 |
| UW HEALTH UNIVERSITY HOSPITAL | 600 HIGHLAND AVE | MADISON | WI | 53792 | 16 |