*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R1031 - Right lower quadrant pain - as a primary diagnosis code | R1031 - Right lower quadrant pain - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.91 | |
| Readmission Rate (%) | 21.65 | |
| Unplanned Readmission Rate (%) | 13.37 | |
| 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 343: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 342: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R1031 - Right lower quadrant pain | 3,284 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R1031 - Right lower quadrant pain in DRG | 80.29 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R1031 - Right lower quadrant pain | 2.69 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R1031 - Right lower quadrant pain | 16.92 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R1031 - Right lower quadrant pain | 12.24 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R1031 - Right lower quadrant pain | $14,006,524 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R1031 - Right lower quadrant pain | $1,588 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R1031 - Right lower quadrant pain | $4,265 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R1031 - Right lower quadrant pain | $80,270,800 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R1031 - Right lower quadrant pain | $24,443 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R1031 - Right lower quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R1031 - Right lower quadrant pain | 5.94 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R1031 - Right lower quadrant pain | 76.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 341: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,727 | |||
| Total Hospitalizations with ICD R1031 - Right lower quadrant pain | 17 | |||
| DRG Share of Total Hospitalizations | 0.01 | |||
| % of Total ICD R1031 - Right lower quadrant pain in DRG | 0.42 | |||
| Avg LOS at DRG | 3.38 | |||
| Avg LOS with ICD R1031 - Right lower quadrant pain | 1.82 | |||
| Readmission Rate at DRG | 13.38 | |||
| Readmission Rate with ICD R1031 - Right lower quadrant pain | NA | |||
| Unplanned Readmission Rate at DRG | 8.49 | |||
| Unplanned Readmission Rate with ICD R1031 - Right lower quadrant pain | NA | |||
| Total Medicare payments at DRG | $39,515,540 | |||
| Total Medicare payments with ICD R1031 - Right lower quadrant pain | $112,049 | |||
| Total Medicare payment per Day at DRG | $2,471 | |||
| Total Medicare payment per Day with ICD R1031 - Right lower quadrant pain | $3,614 | |||
| Total Medicare payment per Hospitalization at DRG | $8,360 | |||
| Total Medicare payment per Hospitalization with ICD R1031 - Right lower quadrant pain | $6,591 | |||
| Total Medicare Charges at DRG | $230,310,609 | |||
| Total Medicare Charges with ICD R1031 - Right lower quadrant pain | $470,885 | |||
| Avg Charges at DRG | $48,722 | |||
| Avg Charges with ICD R1031 - Right lower quadrant pain | $27,699 | |||
| Mortality Rate at DRG | 0.63 | |||
| Mortality Rate with ICD R1031 - Right lower quadrant pain | NA | |||
| SNF Discharge Rate at DRG | 4.59 | |||
| SNF Discharge Rate with ICD R1031 - Right lower quadrant pain | NA | |||
| Home Discharge Rate at DRG | 80.18 | |||
| Home Discharge Rate with ICD R1031 - Right lower quadrant pain | 100.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 25 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 22 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 19 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R1031 - Right lower quadrant pain | 4,861 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R1031 - Right lower quadrant pain in DRG | 20.7 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R1031 - Right lower quadrant pain | 2.79 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R1031 - Right lower quadrant pain | 17.35 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R1031 - Right lower quadrant pain | 12.49 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R1031 - Right lower quadrant pain | $21,152,507 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R1031 - Right lower quadrant pain | $1,561 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R1031 - Right lower quadrant pain | $4,351 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R1031 - Right lower quadrant pain | $117,026,013 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R1031 - Right lower quadrant pain | $24,074 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R1031 - Right lower quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R1031 - Right lower quadrant pain | 5.82 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R1031 - Right lower quadrant pain | 76.96 |
*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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R1031 - Right lower quadrant pain | 430 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R1031 - Right lower quadrant pain in DRG | 1.83 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R1031 - Right lower quadrant pain | 4.42 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R1031 - Right lower quadrant pain | 14.58 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R1031 - Right lower quadrant pain | 9.9 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R1031 - Right lower quadrant pain | $2,881,510 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R1031 - Right lower quadrant pain | $1,516 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R1031 - Right lower quadrant pain | $6,701 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R1031 - Right lower quadrant pain | $14,114,039 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R1031 - Right lower quadrant pain | $32,823 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R1031 - Right lower quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R1031 - Right lower quadrant pain | 11.86 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R1031 - Right lower quadrant pain | 58.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD R1031 - Right lower quadrant pain | 303 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD R1031 - Right lower quadrant pain in DRG | 1.29 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD R1031 - Right lower quadrant pain | 4.13 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD R1031 - Right lower quadrant pain | 19.78 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD R1031 - Right lower quadrant pain | 13.92 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD R1031 - Right lower quadrant pain | $2,046,958 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD R1031 - Right lower quadrant pain | $1,636 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD R1031 - Right lower quadrant pain | $6,756 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD R1031 - Right lower quadrant pain | $7,525,085 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD R1031 - Right lower quadrant pain | $24,835 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD R1031 - Right lower quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD R1031 - Right lower quadrant pain | 9.9 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD R1031 - Right lower quadrant pain | 52.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD R1031 - Right lower quadrant pain | 232 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD R1031 - Right lower quadrant pain in DRG | 0.99 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD R1031 - Right lower quadrant pain | 14.06 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD R1031 - Right lower quadrant pain | 21.21 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD R1031 - Right lower quadrant pain | 15.15 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD R1031 - Right lower quadrant pain | $4,483,710 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD R1031 - Right lower quadrant pain | $1,375 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD R1031 - Right lower quadrant pain | $19,326 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD R1031 - Right lower quadrant pain | $11,072,156 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD R1031 - Right lower quadrant pain | $47,725 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD R1031 - Right lower quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD R1031 - Right lower quadrant pain | 21.98 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD R1031 - Right lower quadrant pain | 18.97 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SAINT BARNABAS MEDICAL CENTER | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 139 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 101 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 93 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAMANTHA H AITCHISON | 1720 2ND AVE S | BIRMINGHAM | AL | 35294 | 44 |
| Dr. HARRY SUN | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 39 |
| Dr. STUART R GEFFNER | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 32 |
| 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 | 60 |
| Dr. SAMANTHA H AITCHISON | 1720 2ND AVE S | BIRMINGHAM | AL | 35294 | 29 |
| Dr. STUART R GEFFNER | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 24 |