*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R1030 - Lower abdominal pain, unspecified - as a primary diagnosis code | R1030 - Lower abdominal pain, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.27 | |
| Readmission Rate (%) | 22.49 | |
| Unplanned Readmission Rate (%) | 17.03 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||
| Total Hospitalizations with ICD R1030 - Lower abdominal pain, unspecified | 1,734 | ||
| DRG Share of Total Hospitalizations | 1.59 | ||
| % of Total ICD R1030 - Lower abdominal pain, unspecified in DRG | 80.65 | ||
| Avg LOS at DRG | 3.14 | ||
| Avg LOS with ICD R1030 - Lower abdominal pain, unspecified | 2.72 | ||
| Readmission Rate at DRG | 17.1 | ||
| Readmission Rate with ICD R1030 - Lower abdominal pain, unspecified | 20.42 | ||
| Unplanned Readmission Rate at DRG | 12.62 | ||
| Unplanned Readmission Rate with ICD R1030 - Lower abdominal pain, unspecified | 15.78 | ||
| Total Medicare payments at DRG | $2,290,151,156 | ||
| Total Medicare payments with ICD R1030 - Lower abdominal pain, unspecified | $7,520,997 | ||
| Total Medicare payment per Day at DRG | $1,394 | ||
| Total Medicare payment per Day with ICD R1030 - Lower abdominal pain, unspecified | $1,595 | ||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||
| Total Medicare payment per Hospitalization with ICD R1030 - Lower abdominal pain, unspecified | $4,337 | ||
| Total Medicare Charges at DRG | $13,619,287,561 | ||
| Total Medicare Charges with ICD R1030 - Lower abdominal pain, unspecified | $40,975,210 | ||
| Avg Charges at DRG | $26,051 | ||
| Avg Charges with ICD R1030 - Lower abdominal pain, unspecified | $23,630 | ||
| Mortality Rate at DRG | 0.18 | ||
| Mortality Rate with ICD R1030 - Lower abdominal pain, unspecified | NA | ||
| SNF Discharge Rate at DRG | 8.57 | ||
| SNF Discharge Rate with ICD R1030 - Lower abdominal pain, unspecified | 8.77 | ||
| Home Discharge Rate at DRG | 72.49 | ||
| Home Discharge Rate with ICD R1030 - Lower abdominal pain, unspecified | 69.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 14 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 13 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | 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 R1030 - Lower abdominal pain, unspecified | 2,826 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R1030 - Lower abdominal pain, unspecified in DRG | 15.72 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R1030 - Lower abdominal pain, unspecified | 2.86 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R1030 - Lower abdominal pain, unspecified | 18.5 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R1030 - Lower abdominal pain, unspecified | 14.02 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R1030 - Lower abdominal pain, unspecified | $12,217,216 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R1030 - Lower abdominal pain, unspecified | $1,510 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R1030 - Lower abdominal pain, unspecified | $4,323 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R1030 - Lower abdominal pain, unspecified | $66,385,464 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R1030 - Lower abdominal pain, unspecified | $23,491 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R1030 - Lower abdominal pain, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R1030 - Lower abdominal pain, unspecified | 7.57 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R1030 - Lower abdominal pain, unspecified | 72.82 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R1030 - Lower abdominal pain, unspecified | 373 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R1030 - Lower abdominal pain, unspecified in DRG | 2.07 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R1030 - Lower abdominal pain, unspecified | 4.12 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R1030 - Lower abdominal pain, unspecified | 15.5 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R1030 - Lower abdominal pain, unspecified | 11.7 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R1030 - Lower abdominal pain, unspecified | $2,403,983 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R1030 - Lower abdominal pain, unspecified | $1,564 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R1030 - Lower abdominal pain, unspecified | $6,445 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R1030 - Lower abdominal pain, unspecified | $10,994,823 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R1030 - Lower abdominal pain, unspecified | $29,477 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R1030 - Lower abdominal pain, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R1030 - Lower abdominal pain, unspecified | 11.53 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R1030 - Lower abdominal pain, unspecified | 55.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD R1030 - Lower abdominal pain, unspecified | 252 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD R1030 - Lower abdominal pain, unspecified in DRG | 1.4 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD R1030 - Lower abdominal pain, unspecified | 3.14 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD R1030 - Lower abdominal pain, unspecified | 16.09 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD R1030 - Lower abdominal pain, unspecified | 11.3 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD R1030 - Lower abdominal pain, unspecified | $1,422,940 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD R1030 - Lower abdominal pain, unspecified | $1,799 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD R1030 - Lower abdominal pain, unspecified | $5,647 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD R1030 - Lower abdominal pain, unspecified | $7,116,004 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD R1030 - Lower abdominal pain, unspecified | $28,238 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD R1030 - Lower abdominal pain, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD R1030 - Lower abdominal pain, unspecified | 9.13 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD R1030 - Lower abdominal pain, unspecified | 65.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD R1030 - Lower abdominal pain, unspecified | 188 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R1030 - Lower abdominal pain, unspecified in DRG | 1.05 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R1030 - Lower abdominal pain, unspecified | 5.95 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R1030 - Lower abdominal pain, unspecified | 30.49 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R1030 - Lower abdominal pain, unspecified | 21.95 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R1030 - Lower abdominal pain, unspecified | $1,826,958 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R1030 - Lower abdominal pain, unspecified | $1,634 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R1030 - Lower abdominal pain, unspecified | $9,718 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R1030 - Lower abdominal pain, unspecified | $8,441,045 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R1030 - Lower abdominal pain, unspecified | $44,899 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R1030 - Lower abdominal pain, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R1030 - Lower abdominal pain, unspecified | 25.53 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R1030 - Lower abdominal pain, unspecified | 36.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 70 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 50 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 48 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KALYAN AKKINENI | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 13 |
| Dr. SUBHASH C SAHAI | 1610 COLLINS ST | WEBSTER CITY | IA | 50595 | 11 |