*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R1032 - Left lower quadrant pain - as a primary diagnosis code | R1032 - Left lower quadrant pain - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.89 | |
| Readmission Rate (%) | 20.72 | |
| Unplanned Readmission Rate (%) | 14.71 | |
| 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 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES 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 R1032 - Left lower quadrant pain | 3,226 | |||
| DRG Share of Total Hospitalizations | 1.59 | |||
| % of Total ICD R1032 - Left lower quadrant pain in DRG | 82.38 | |||
| Avg LOS at DRG | 3.14 | |||
| Avg LOS with ICD R1032 - Left lower quadrant pain | 2.68 | |||
| Readmission Rate at DRG | 17.1 | |||
| Readmission Rate with ICD R1032 - Left lower quadrant pain | 17.23 | |||
| Unplanned Readmission Rate at DRG | 12.62 | |||
| Unplanned Readmission Rate with ICD R1032 - Left lower quadrant pain | 13.08 | |||
| Total Medicare payments at DRG | $2,290,151,156 | |||
| Total Medicare payments with ICD R1032 - Left lower quadrant pain | $13,853,926 | |||
| Total Medicare payment per Day at DRG | $1,394 | |||
| Total Medicare payment per Day with ICD R1032 - Left lower quadrant pain | $1,603 | |||
| Total Medicare payment per Hospitalization at DRG | $4,381 | |||
| Total Medicare payment per Hospitalization with ICD R1032 - Left lower quadrant pain | $4,294 | |||
| Total Medicare Charges at DRG | $13,619,287,561 | |||
| Total Medicare Charges with ICD R1032 - Left lower quadrant pain | $75,602,729 | |||
| Avg Charges at DRG | $26,051 | |||
| Avg Charges with ICD R1032 - Left lower quadrant pain | $23,435 | |||
| Mortality Rate at DRG | 0.18 | |||
| Mortality Rate with ICD R1032 - Left lower quadrant pain | NA | |||
| SNF Discharge Rate at DRG | 8.57 | |||
| SNF Discharge Rate with ICD R1032 - Left lower quadrant pain | 5.98 | |||
| Home Discharge Rate at DRG | 72.49 | |||
| Home Discharge Rate with ICD R1032 - Left lower quadrant pain | 75.2 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 28 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 26 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R1032 - Left lower quadrant pain | 5,873 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R1032 - Left lower quadrant pain in DRG | 23.19 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R1032 - Left lower quadrant pain | 2.91 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R1032 - Left lower quadrant pain | 16.13 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R1032 - Left lower quadrant pain | 11.78 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R1032 - Left lower quadrant pain | $25,649,535 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R1032 - Left lower quadrant pain | $1,502 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R1032 - Left lower quadrant pain | $4,367 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R1032 - Left lower quadrant pain | $134,070,927 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R1032 - Left lower quadrant pain | $22,828 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R1032 - Left lower quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R1032 - Left lower quadrant pain | 5.16 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R1032 - Left lower quadrant pain | 77.03 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R1032 - Left lower quadrant pain | 520 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R1032 - Left lower quadrant pain in DRG | 2.05 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R1032 - Left lower quadrant pain | 4.13 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R1032 - Left lower quadrant pain | 17.89 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R1032 - Left lower quadrant pain | 12.84 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R1032 - Left lower quadrant pain | $3,287,734 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R1032 - Left lower quadrant pain | $1,532 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R1032 - Left lower quadrant pain | $6,323 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R1032 - Left lower quadrant pain | $15,975,520 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R1032 - Left lower quadrant pain | $30,722 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R1032 - Left lower quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R1032 - Left lower quadrant pain | 13.85 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R1032 - Left lower quadrant pain | 58.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD R1032 - Left lower quadrant pain | 326 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD R1032 - Left lower quadrant pain in DRG | 1.29 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD R1032 - Left lower quadrant pain | 4.33 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD R1032 - Left lower quadrant pain | 17.65 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD R1032 - Left lower quadrant pain | 11.44 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD R1032 - Left lower quadrant pain | $2,221,229 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD R1032 - Left lower quadrant pain | $1,575 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD R1032 - Left lower quadrant pain | $6,814 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD R1032 - Left lower quadrant pain | $8,997,261 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD R1032 - Left lower quadrant pain | $27,599 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD R1032 - Left lower quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD R1032 - Left lower quadrant pain | 15.64 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD R1032 - Left lower quadrant pain | 53.68 |
*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 682: RENAL FAILURE WITH 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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD R1032 - Left lower quadrant pain | 235 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD R1032 - Left lower quadrant pain in DRG | 0.93 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD R1032 - Left lower quadrant pain | 14.94 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD R1032 - Left lower quadrant pain | 13.66 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD R1032 - Left lower quadrant pain | 10.73 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD R1032 - Left lower quadrant pain | $4,869,592 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD R1032 - Left lower quadrant pain | $1,387 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD R1032 - Left lower quadrant pain | $20,722 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD R1032 - Left lower quadrant pain | $13,236,901 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD R1032 - Left lower quadrant pain | $56,327 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD R1032 - Left lower quadrant pain | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD R1032 - Left lower quadrant pain | 28.94 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD R1032 - Left lower quadrant pain | 19.15 |
| 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 | 102 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 100 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 96 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANKLIN DAVID CHAMBERS | 811 HIGHWAY 65 S | DUMAS | AR | 71639 | 13 |
| Dr. ROBERT MCLAIN WILLIAMS | 103 E MEMORIAL AVE | OPP | AL | 36467 | 12 |
| Dr. PADMASHREE S. ADUSUMILLI | 14 HOSPITAL DR | TOMS RIVER | NJ | 08755 | 11 |