*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R100 - Acute abdomen - as a primary diagnosis code | R100 - Acute abdomen - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.64 | |
| Readmission Rate (%) | 25.46 | |
| Unplanned Readmission Rate (%) | 13.54 | |
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 522,791 | |
| Total Hospitalizations with ICD R100 - Acute abdomen | 234 | |
| DRG Share of Total Hospitalizations | 1.59 | |
| % of Total ICD R100 - Acute abdomen in DRG | 68.82 | |
| Avg LOS at DRG | 3.14 | |
| Avg LOS with ICD R100 - Acute abdomen | 2.93 | |
| Readmission Rate at DRG | 17.1 | |
| Readmission Rate with ICD R100 - Acute abdomen | 19.8 | |
| Unplanned Readmission Rate at DRG | 12.62 | |
| Unplanned Readmission Rate with ICD R100 - Acute abdomen | 14.21 | |
| Total Medicare payments at DRG | $2,290,151,156 | |
| Total Medicare payments with ICD R100 - Acute abdomen | $1,050,666 | |
| Total Medicare payment per Day at DRG | $1,394 | |
| Total Medicare payment per Day with ICD R100 - Acute abdomen | $1,534 | |
| Total Medicare payment per Hospitalization at DRG | $4,381 | |
| Total Medicare payment per Hospitalization with ICD R100 - Acute abdomen | $4,490 | |
| Total Medicare Charges at DRG | $13,619,287,561 | |
| Total Medicare Charges with ICD R100 - Acute abdomen | $6,791,218 | |
| Avg Charges at DRG | $26,051 | |
| Avg Charges with ICD R100 - Acute abdomen | $29,022 | |
| Mortality Rate at DRG | 0.18 | |
| Mortality Rate with ICD R100 - Acute abdomen | 5.13 | |
| SNF Discharge Rate at DRG | 8.57 | |
| SNF Discharge Rate with ICD R100 - Acute abdomen | 5.13 | |
| Home Discharge Rate at DRG | 72.49 | |
| Home Discharge Rate with ICD R100 - Acute abdomen | 64.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD R100 - Acute abdomen | 341 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD R100 - Acute abdomen in DRG | 11.77 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD R100 - Acute abdomen | 10.76 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD R100 - Acute abdomen | 39.47 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD R100 - Acute abdomen | 15.79 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD R100 - Acute abdomen | $11,432,271 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD R100 - Acute abdomen | $3,116 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD R100 - Acute abdomen | $33,526 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD R100 - Acute abdomen | $55,924,060 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD R100 - Acute abdomen | $164,000 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD R100 - Acute abdomen | 27.86 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD R100 - Acute abdomen | 22.87 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD R100 - Acute abdomen | 8.5 |
*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 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD R100 - Acute abdomen | 83 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD R100 - Acute abdomen in DRG | 2.87 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD R100 - Acute abdomen | 9.11 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD R100 - Acute abdomen | NA | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD R100 - Acute abdomen | NA | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD R100 - Acute abdomen | $1,333,740 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD R100 - Acute abdomen | $1,764 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD R100 - Acute abdomen | $16,069 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD R100 - Acute abdomen | $8,010,342 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD R100 - Acute abdomen | $96,510 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD R100 - Acute abdomen | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD R100 - Acute abdomen | 18.07 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD R100 - Acute abdomen | 44.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 356: OTHER DIGESTIVE SYSTEM O.R. 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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD R100 - Acute abdomen | 36 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD R100 - Acute abdomen in DRG | 1.24 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD R100 - Acute abdomen | 4.39 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD R100 - Acute abdomen | NA | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD R100 - Acute abdomen | NA | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD R100 - Acute abdomen | $196,028 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD R100 - Acute abdomen | $1,241 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD R100 - Acute abdomen | $5,445 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD R100 - Acute abdomen | $1,219,180 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD R100 - Acute abdomen | $33,866 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD R100 - Acute abdomen | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD R100 - Acute abdomen | NA | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD R100 - Acute abdomen | 55.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD R100 - Acute abdomen | 23 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD R100 - Acute abdomen in DRG | 0.79 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD R100 - Acute abdomen | 12.96 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD R100 - Acute abdomen | NA | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD R100 - Acute abdomen | NA | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD R100 - Acute abdomen | $543,435 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD R100 - Acute abdomen | $1,824 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD R100 - Acute abdomen | $23,628 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD R100 - Acute abdomen | $1,286,339 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD R100 - Acute abdomen | $55,928 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD R100 - Acute abdomen | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD R100 - Acute abdomen | NA | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD R100 - Acute abdomen | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BYRD REGIONAL HOSPITAL | 1020 W FERTITTA BLVD | LEESVILLE | LA | 71446 | 24 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 16 |
| DELRAY MEDICAL CENTER | 5352 LINTON BLVD | DELRAY BEACH | FL | 33484 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSE MATHEW | 1101 PORT ARTHUR TER | LEESVILLE | LA | 71446 | 24 |
| Dr. ERNEST T OKEKE | 901 JEFF DAVIS AVE | SELMA | AL | 36701 | 13 |