*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N994 - Postprocedural pelvic peritoneal adhesions - as a primary diagnosis code | N994 - Postprocedural pelvic peritoneal adhesions - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.5 | |
| Readmission Rate (%) | 18.3 | |
| Unplanned Readmission Rate (%) | 14.46 | |
| 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 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 30,689 | |
| Total Hospitalizations with ICD N994 - Postprocedural pelvic peritoneal adhesions | 25 | |
| DRG Share of Total Hospitalizations | 0.09 | |
| % of Total ICD N994 - Postprocedural pelvic peritoneal adhesions in DRG | 29.76 | |
| Avg LOS at DRG | 7.62 | |
| Avg LOS with ICD N994 - Postprocedural pelvic peritoneal adhesions | 4.16 | |
| Readmission Rate at DRG | 15.2 | |
| Readmission Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | |
| Unplanned Readmission Rate at DRG | 10.41 | |
| Unplanned Readmission Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | |
| Total Medicare payments at DRG | $451,870,690 | |
| Total Medicare payments with ICD N994 - Postprocedural pelvic peritoneal adhesions | $335,935 | |
| Total Medicare payment per Day at DRG | $1,931 | |
| Total Medicare payment per Day with ICD N994 - Postprocedural pelvic peritoneal adhesions | $3,230 | |
| Total Medicare payment per Hospitalization at DRG | $14,724 | |
| Total Medicare payment per Hospitalization with ICD N994 - Postprocedural pelvic peritoneal adhesions | $13,437 | |
| Total Medicare Charges at DRG | $2,328,618,768 | |
| Total Medicare Charges with ICD N994 - Postprocedural pelvic peritoneal adhesions | $1,321,096 | |
| Avg Charges at DRG | $75,878 | |
| Avg Charges with ICD N994 - Postprocedural pelvic peritoneal adhesions | $52,844 | |
| Mortality Rate at DRG | 0.31 | |
| Mortality Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | |
| SNF Discharge Rate at DRG | 13.82 | |
| SNF Discharge Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | |
| Home Discharge Rate at DRG | 61.62 | |
| Home Discharge Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | 88.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 743: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 742: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD N994 - Postprocedural pelvic peritoneal adhesions | 338 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD N994 - Postprocedural pelvic peritoneal adhesions in DRG | 16.9 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD N994 - Postprocedural pelvic peritoneal adhesions | 7.26 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | 16.77 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | 10.06 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD N994 - Postprocedural pelvic peritoneal adhesions | $5,372,704 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD N994 - Postprocedural pelvic peritoneal adhesions | $2,189 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD N994 - Postprocedural pelvic peritoneal adhesions | $15,896 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD N994 - Postprocedural pelvic peritoneal adhesions | $29,813,022 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD N994 - Postprocedural pelvic peritoneal adhesions | $88,204 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | 14.5 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | 51.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 740: UTERINE, ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 748: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | DRG 737: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,689 | ||||
| Total Hospitalizations with ICD N994 - Postprocedural pelvic peritoneal adhesions | 106 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD N994 - Postprocedural pelvic peritoneal adhesions in DRG | 5.3 | ||||
| Avg LOS at DRG | 7.62 | ||||
| Avg LOS with ICD N994 - Postprocedural pelvic peritoneal adhesions | 5.41 | ||||
| Readmission Rate at DRG | 15.2 | ||||
| Readmission Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | 21.36 | ||||
| Unplanned Readmission Rate at DRG | 10.41 | ||||
| Unplanned Readmission Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | 15.53 | ||||
| Total Medicare payments at DRG | $451,870,690 | ||||
| Total Medicare payments with ICD N994 - Postprocedural pelvic peritoneal adhesions | $1,454,307 | ||||
| Total Medicare payment per Day at DRG | $1,931 | ||||
| Total Medicare payment per Day with ICD N994 - Postprocedural pelvic peritoneal adhesions | $2,538 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,724 | ||||
| Total Medicare payment per Hospitalization with ICD N994 - Postprocedural pelvic peritoneal adhesions | $13,720 | ||||
| Total Medicare Charges at DRG | $2,328,618,768 | ||||
| Total Medicare Charges with ICD N994 - Postprocedural pelvic peritoneal adhesions | $6,842,156 | ||||
| Avg Charges at DRG | $75,878 | ||||
| Avg Charges with ICD N994 - Postprocedural pelvic peritoneal adhesions | $64,549 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | ||||
| SNF Discharge Rate at DRG | 13.82 | ||||
| SNF Discharge Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | ||||
| Home Discharge Rate at DRG | 61.62 | ||||
| Home Discharge Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | 67.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 741: UTERINE, ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 746: VAGINA, CERVIX AND VULVA PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,594 | ||||
| Total Hospitalizations with ICD N994 - Postprocedural pelvic peritoneal adhesions | 34 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD N994 - Postprocedural pelvic peritoneal adhesions in DRG | 1.7 | ||||
| Avg LOS at DRG | 12.13 | ||||
| Avg LOS with ICD N994 - Postprocedural pelvic peritoneal adhesions | 12.94 | ||||
| Readmission Rate at DRG | 25.35 | ||||
| Readmission Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | ||||
| Unplanned Readmission Rate at DRG | 13.98 | ||||
| Unplanned Readmission Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | ||||
| Total Medicare payments at DRG | $474,877,451 | ||||
| Total Medicare payments with ICD N994 - Postprocedural pelvic peritoneal adhesions | $1,199,269 | ||||
| Total Medicare payment per Day at DRG | $2,226 | ||||
| Total Medicare payment per Day with ICD N994 - Postprocedural pelvic peritoneal adhesions | $2,726 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,991 | ||||
| Total Medicare payment per Hospitalization with ICD N994 - Postprocedural pelvic peritoneal adhesions | $35,273 | ||||
| Total Medicare Charges at DRG | $2,299,623,294 | ||||
| Total Medicare Charges with ICD N994 - Postprocedural pelvic peritoneal adhesions | $4,032,506 | ||||
| Avg Charges at DRG | $130,705 | ||||
| Avg Charges with ICD N994 - Postprocedural pelvic peritoneal adhesions | $118,603 | ||||
| Mortality Rate at DRG | 6.92 | ||||
| Mortality Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | ||||
| SNF Discharge Rate at DRG | 26.1 | ||||
| SNF Discharge Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | ||||
| Home Discharge Rate at DRG | 31.48 | ||||
| Home Discharge Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | 41.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 747: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 654: MAJOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,344 | ||||
| Total Hospitalizations with ICD N994 - Postprocedural pelvic peritoneal adhesions | 22 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD N994 - Postprocedural pelvic peritoneal adhesions in DRG | 1.1 | ||||
| Avg LOS at DRG | 4.6 | ||||
| Avg LOS with ICD N994 - Postprocedural pelvic peritoneal adhesions | 2.73 | ||||
| Readmission Rate at DRG | 6.9 | ||||
| Readmission Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | ||||
| Unplanned Readmission Rate at DRG | 4.28 | ||||
| Unplanned Readmission Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | ||||
| Total Medicare payments at DRG | $91,873,813 | ||||
| Total Medicare payments with ICD N994 - Postprocedural pelvic peritoneal adhesions | $158,397 | ||||
| Total Medicare payment per Day at DRG | $1,762 | ||||
| Total Medicare payment per Day with ICD N994 - Postprocedural pelvic peritoneal adhesions | $2,640 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,099 | ||||
| Total Medicare payment per Hospitalization with ICD N994 - Postprocedural pelvic peritoneal adhesions | $7,200 | ||||
| Total Medicare Charges at DRG | $402,467,616 | ||||
| Total Medicare Charges with ICD N994 - Postprocedural pelvic peritoneal adhesions | $526,783 | ||||
| Avg Charges at DRG | $35,478 | ||||
| Avg Charges with ICD N994 - Postprocedural pelvic peritoneal adhesions | $23,945 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | NA | ||||
| Home Discharge Rate at DRG | 94.84 | ||||
| Home Discharge Rate with ICD N994 - Postprocedural pelvic peritoneal adhesions | 100.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 41 |
| VIRGINIA MASON MEDICAL CENTER | 925 SENECA ST | SEATTLE | WA | 98101 | 33 |
| FOX CHASE CANCER CENTER | 333 COTTMAN AVE | PHILADELPHIA | PA | 19111 | 27 |