*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R1013 - Epigastric pain - as a primary diagnosis code | R1013 - Epigastric pain - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.21 | |
| Readmission Rate (%) | 21.87 | |
| Unplanned Readmission Rate (%) | 15.46 | |
| 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 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 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R1013 - Epigastric pain | 9,459 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R1013 - Epigastric pain in DRG | 80.85 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R1013 - Epigastric pain | 2.48 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R1013 - Epigastric pain | 17.78 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R1013 - Epigastric pain | 13.83 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R1013 - Epigastric pain | $39,743,861 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R1013 - Epigastric pain | $1,696 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R1013 - Epigastric pain | $4,202 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R1013 - Epigastric pain | $245,880,199 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R1013 - Epigastric pain | $25,994 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R1013 - Epigastric pain | 0.14 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R1013 - Epigastric pain | 4.43 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R1013 - Epigastric pain | 78.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 52,726 | ||
| Total Hospitalizations with ICD R1013 - Epigastric pain | 16 | ||
| DRG Share of Total Hospitalizations | 0.16 | ||
| % of Total ICD R1013 - Epigastric pain in DRG | 0.14 | ||
| Avg LOS at DRG | 6.68 | ||
| Avg LOS with ICD R1013 - Epigastric pain | 4.13 | ||
| Readmission Rate at DRG | 24.76 | ||
| Readmission Rate with ICD R1013 - Epigastric pain | NA | ||
| Unplanned Readmission Rate at DRG | 14.45 | ||
| Unplanned Readmission Rate with ICD R1013 - Epigastric pain | NA | ||
| Total Medicare payments at DRG | $902,862,104 | ||
| Total Medicare payments with ICD R1013 - Epigastric pain | $274,915 | ||
| Total Medicare payment per Day at DRG | $2,565 | ||
| Total Medicare payment per Day with ICD R1013 - Epigastric pain | $4,165 | ||
| Total Medicare payment per Hospitalization at DRG | $17,124 | ||
| Total Medicare payment per Hospitalization with ICD R1013 - Epigastric pain | $17,182 | ||
| Total Medicare Charges at DRG | $4,216,562,728 | ||
| Total Medicare Charges with ICD R1013 - Epigastric pain | $1,056,340 | ||
| Avg Charges at DRG | $79,971 | ||
| Avg Charges with ICD R1013 - Epigastric pain | $66,021 | ||
| Mortality Rate at DRG | 0.83 | ||
| Mortality Rate with ICD R1013 - Epigastric pain | NA | ||
| SNF Discharge Rate at DRG | 22.41 | ||
| SNF Discharge Rate with ICD R1013 - Epigastric pain | NA | ||
| Home Discharge Rate at DRG | 43.51 | ||
| Home Discharge Rate with ICD R1013 - Epigastric pain | 68.75 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 110 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 86 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 66 |
*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 885: PSYCHOSES | DRG 313: CHEST PAIN | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R1013 - Epigastric pain | 14,592 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R1013 - Epigastric pain in DRG | 17.18 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R1013 - Epigastric pain | 2.63 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R1013 - Epigastric pain | 17.86 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R1013 - Epigastric pain | 13.54 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R1013 - Epigastric pain | $62,052,540 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R1013 - Epigastric pain | $1,620 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R1013 - Epigastric pain | $4,253 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R1013 - Epigastric pain | $382,436,367 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R1013 - Epigastric pain | $26,209 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R1013 - Epigastric pain | 0.15 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R1013 - Epigastric pain | 4.85 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R1013 - Epigastric pain | 77.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD R1013 - Epigastric pain | 1,783 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD R1013 - Epigastric pain in DRG | 2.1 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD R1013 - Epigastric pain | 5.47 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD R1013 - Epigastric pain | 30.31 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD R1013 - Epigastric pain | 24.81 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD R1013 - Epigastric pain | $17,028,502 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD R1013 - Epigastric pain | $1,746 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD R1013 - Epigastric pain | $9,550 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD R1013 - Epigastric pain | $79,419,381 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD R1013 - Epigastric pain | $44,543 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD R1013 - Epigastric pain | 2.8 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD R1013 - Epigastric pain | 16.66 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD R1013 - Epigastric pain | 42.57 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD R1013 - Epigastric pain | 1,065 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD R1013 - Epigastric pain in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD R1013 - Epigastric pain | 3.57 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD R1013 - Epigastric pain | 19.71 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD R1013 - Epigastric pain | 13.27 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD R1013 - Epigastric pain | $5,221,078 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD R1013 - Epigastric pain | $1,371 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD R1013 - Epigastric pain | $4,902 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD R1013 - Epigastric pain | $27,896,251 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD R1013 - Epigastric pain | $26,194 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R1013 - Epigastric pain | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD R1013 - Epigastric pain | 18.03 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD R1013 - Epigastric pain | 54.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD R1013 - Epigastric pain | 958 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD R1013 - Epigastric pain in DRG | 1.13 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD R1013 - Epigastric pain | 7.79 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD R1013 - Epigastric pain | 27.51 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD R1013 - Epigastric pain | 20.46 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD R1013 - Epigastric pain | $10,244,853 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD R1013 - Epigastric pain | $1,373 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD R1013 - Epigastric pain | $10,694 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD R1013 - Epigastric pain | $52,110,846 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD R1013 - Epigastric pain | $54,395 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD R1013 - Epigastric pain | 3.65 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD R1013 - Epigastric pain | 15.87 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD R1013 - Epigastric pain | 43.74 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 347 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 327 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 293 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. REVELYN GILOK ARROGANTE | 4401 UNION ST | JOHNSTOWN | CO | 80534 | 31 |
| Dr. TED B ROGERS | 912 WALLACE AVE | LEITCHFIELD | KY | 42754 | 28 |
| Dr. HRAIR P SIMONIAN | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RONALD S MILLER | 8450 NORTHWEST BLVD | INDIANAPOLIS | IN | 46278 | 94 |
| Dr. REVELYN GILOK ARROGANTE | 4401 UNION ST | JOHNSTOWN | CO | 80534 | 67 |
| Dr. AHSEN ALI BUTT | 160 HOSPITAL DR | SOUTH WILLIAMSON | KY | 41503 | 64 |