*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R1011 - Right upper quadrant pain - as a primary diagnosis code | R1011 - Right upper quadrant pain - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.66 | |
| Readmission Rate (%) | 22.82 | |
| Unplanned Readmission Rate (%) | 15.49 | |
| 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) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R1011 - Right upper quadrant pain | 5,255 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R1011 - Right upper quadrant pain in DRG | 80.12 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R1011 - Right upper quadrant pain | 2.62 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R1011 - Right upper quadrant pain | 18.69 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R1011 - Right upper quadrant pain | 13.74 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R1011 - Right upper quadrant pain | $22,430,669 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R1011 - Right upper quadrant pain | $1,631 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R1011 - Right upper quadrant pain | $4,268 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R1011 - Right upper quadrant pain | $134,261,202 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R1011 - Right upper quadrant pain | $25,549 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R1011 - Right upper quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R1011 - Right upper quadrant pain | 5.31 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R1011 - Right upper quadrant pain | 77.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 52,726 | |
| Total Hospitalizations with ICD R1011 - Right upper quadrant pain | 13 | |
| DRG Share of Total Hospitalizations | 0.16 | |
| % of Total ICD R1011 - Right upper quadrant pain in DRG | 0.2 | |
| Avg LOS at DRG | 6.68 | |
| Avg LOS with ICD R1011 - Right upper quadrant pain | 5.08 | |
| Readmission Rate at DRG | 24.76 | |
| Readmission Rate with ICD R1011 - Right upper quadrant pain | NA | |
| Unplanned Readmission Rate at DRG | 14.45 | |
| Unplanned Readmission Rate with ICD R1011 - Right upper quadrant pain | NA | |
| Total Medicare payments at DRG | $902,862,104 | |
| Total Medicare payments with ICD R1011 - Right upper quadrant pain | $225,090 | |
| Total Medicare payment per Day at DRG | $2,565 | |
| Total Medicare payment per Day with ICD R1011 - Right upper quadrant pain | $3,410 | |
| Total Medicare payment per Hospitalization at DRG | $17,124 | |
| Total Medicare payment per Hospitalization with ICD R1011 - Right upper quadrant pain | $17,315 | |
| Total Medicare Charges at DRG | $4,216,562,728 | |
| Total Medicare Charges with ICD R1011 - Right upper quadrant pain | $655,952 | |
| Avg Charges at DRG | $79,971 | |
| Avg Charges with ICD R1011 - Right upper quadrant pain | $50,458 | |
| Mortality Rate at DRG | 0.83 | |
| Mortality Rate with ICD R1011 - Right upper quadrant pain | NA | |
| SNF Discharge Rate at DRG | 22.41 | |
| SNF Discharge Rate with ICD R1011 - Right upper quadrant pain | NA | |
| Home Discharge Rate at DRG | 43.51 | |
| Home Discharge Rate with ICD R1011 - Right upper quadrant pain | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 49 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 42 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 29 |
*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) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R1011 - Right upper quadrant pain | 6,823 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R1011 - Right upper quadrant pain in DRG | 20.13 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R1011 - Right upper quadrant pain | 2.72 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R1011 - Right upper quadrant pain | 18.78 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R1011 - Right upper quadrant pain | 13.83 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R1011 - Right upper quadrant pain | $29,399,233 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R1011 - Right upper quadrant pain | $1,587 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R1011 - Right upper quadrant pain | $4,309 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R1011 - Right upper quadrant pain | $174,848,997 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R1011 - Right upper quadrant pain | $25,626 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R1011 - Right upper quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R1011 - Right upper quadrant pain | 5.39 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R1011 - Right upper quadrant pain | 76.81 |
*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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 313: CHEST PAIN | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R1011 - Right upper quadrant pain | 559 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R1011 - Right upper quadrant pain in DRG | 1.65 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R1011 - Right upper quadrant pain | 4.06 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R1011 - Right upper quadrant pain | 18.36 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R1011 - Right upper quadrant pain | 12.77 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R1011 - Right upper quadrant pain | $3,777,612 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R1011 - Right upper quadrant pain | $1,663 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R1011 - Right upper quadrant pain | $6,758 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R1011 - Right upper quadrant pain | $18,474,281 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R1011 - Right upper quadrant pain | $33,049 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R1011 - Right upper quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R1011 - Right upper quadrant pain | 10.91 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R1011 - Right upper quadrant pain | 59.39 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD R1011 - Right upper quadrant pain | 488 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD R1011 - Right upper quadrant pain in DRG | 1.44 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD R1011 - Right upper quadrant pain | 3.47 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD R1011 - Right upper quadrant pain | 15.89 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD R1011 - Right upper quadrant pain | 11.26 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD R1011 - Right upper quadrant pain | $2,284,032 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD R1011 - Right upper quadrant pain | $1,351 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD R1011 - Right upper quadrant pain | $4,680 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD R1011 - Right upper quadrant pain | $12,199,255 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD R1011 - Right upper quadrant pain | $24,998 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R1011 - Right upper quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD R1011 - Right upper quadrant pain | 15.57 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD R1011 - Right upper quadrant pain | 57.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD R1011 - Right upper quadrant pain | 399 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD R1011 - Right upper quadrant pain in DRG | 1.18 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD R1011 - Right upper quadrant pain | 4.35 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD R1011 - Right upper quadrant pain | 31.56 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD R1011 - Right upper quadrant pain | 25.42 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD R1011 - Right upper quadrant pain | $2,560,841 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD R1011 - Right upper quadrant pain | $1,476 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD R1011 - Right upper quadrant pain | $6,418 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD R1011 - Right upper quadrant pain | $11,967,380 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD R1011 - Right upper quadrant pain | $29,993 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD R1011 - Right upper quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD R1011 - Right upper quadrant pain | 12.28 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD R1011 - Right upper quadrant pain | 51.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 152 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 138 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 134 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARRY SUN | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 28 |
| Dr. SAMANTHA H AITCHISON | 1720 2ND AVE S | BIRMINGHAM | AL | 35294 | 25 |
| Dr. STUART R GEFFNER | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARRY SUN | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 39 |
| Dr. SAMANTHA H AITCHISON | 1720 2ND AVE S | BIRMINGHAM | AL | 35294 | 19 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 14 |