*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R12 - Heartburn - as a primary diagnosis code | R12 - Heartburn - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.22 | |
| Readmission Rate (%) | 19.34 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 522,791 | |
| Total Hospitalizations with ICD R12 - Heartburn | 70 | |
| DRG Share of Total Hospitalizations | 1.59 | |
| % of Total ICD R12 - Heartburn in DRG | 82.35 | |
| Avg LOS at DRG | 3.14 | |
| Avg LOS with ICD R12 - Heartburn | 1.9 | |
| Readmission Rate at DRG | 17.1 | |
| Readmission Rate with ICD R12 - Heartburn | 15.94 | |
| Unplanned Readmission Rate at DRG | 12.62 | |
| Unplanned Readmission Rate with ICD R12 - Heartburn | NA | |
| Total Medicare payments at DRG | $2,290,151,156 | |
| Total Medicare payments with ICD R12 - Heartburn | $265,274 | |
| Total Medicare payment per Day at DRG | $1,394 | |
| Total Medicare payment per Day with ICD R12 - Heartburn | $1,995 | |
| Total Medicare payment per Hospitalization at DRG | $4,381 | |
| Total Medicare payment per Hospitalization with ICD R12 - Heartburn | $3,790 | |
| Total Medicare Charges at DRG | $13,619,287,561 | |
| Total Medicare Charges with ICD R12 - Heartburn | $1,800,327 | |
| Avg Charges at DRG | $26,051 | |
| Avg Charges with ICD R12 - Heartburn | $25,719 | |
| Mortality Rate at DRG | 0.18 | |
| Mortality Rate with ICD R12 - Heartburn | NA | |
| SNF Discharge Rate at DRG | 8.57 | |
| SNF Discharge Rate with ICD R12 - Heartburn | NA | |
| Home Discharge Rate at DRG | 72.49 | |
| Home Discharge Rate with ICD R12 - Heartburn | 81.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD R12 - Heartburn | 1,661 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD R12 - Heartburn in DRG | 6.82 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD R12 - Heartburn | 2.48 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD R12 - Heartburn | 5.86 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD R12 - Heartburn | 1.79 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD R12 - Heartburn | $19,445,918 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD R12 - Heartburn | $4,727 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD R12 - Heartburn | $11,707 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD R12 - Heartburn | $95,670,809 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD R12 - Heartburn | $57,598 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD R12 - Heartburn | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R12 - Heartburn | 18.66 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD R12 - Heartburn | 38.59 |
*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 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD R12 - Heartburn | 397 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD R12 - Heartburn in DRG | 1.63 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD R12 - Heartburn | 15.31 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD R12 - Heartburn | 9.21 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD R12 - Heartburn | 5.26 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD R12 - Heartburn | $8,449,609 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD R12 - Heartburn | $1,390 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD R12 - Heartburn | $21,284 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD R12 - Heartburn | $21,184,351 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD R12 - Heartburn | $53,361 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD R12 - Heartburn | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD R12 - Heartburn | 22.17 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD R12 - Heartburn | 33.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 460: SPINAL FUSION EXCEPT CERVICAL 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R12 - Heartburn | 372 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R12 - Heartburn in DRG | 1.53 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R12 - Heartburn | 5.33 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R12 - Heartburn | 20.51 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R12 - Heartburn | 14.53 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R12 - Heartburn | $2,938,710 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R12 - Heartburn | $1,481 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R12 - Heartburn | $7,900 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R12 - Heartburn | $13,414,774 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R12 - Heartburn | $36,061 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R12 - Heartburn | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R12 - Heartburn | 11.02 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R12 - Heartburn | 51.08 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R12 - Heartburn | 242 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R12 - Heartburn in DRG | 0.99 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R12 - Heartburn | 4.47 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R12 - Heartburn | 14.78 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R12 - Heartburn | 10.43 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R12 - Heartburn | $1,531,917 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R12 - Heartburn | $1,416 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R12 - Heartburn | $6,330 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R12 - Heartburn | $7,705,621 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R12 - Heartburn | $31,841 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R12 - Heartburn | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R12 - Heartburn | 17.36 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R12 - Heartburn | 57.02 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. ELIZABETH MEDICAL CENTER NORTH | 1 MEDICAL VILLAGE DR | EDGEWOOD | KY | 41017 | 688 |
| ELKHORN VALLEY REHAB HOSPITAL | 5715 E 2ND ST | CASPER | WY | 82609 | 337 |
| ST. ELIZABETH FT. THOMAS | 85 N GRAND AVE | FORT THOMAS | KY | 41075 | 289 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 172 |
| Dr. YONG S KWON | 1695 E RAINFOREST RD | FAYETTEVILLE | AR | 72703 | 49 |
| Dr. ONYEOZIRI RAPHAEL NWANGUM | 825 SECOND AVENUE EAST | BOWLING GREEN | KY | 42101 | 40 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 312 |
| Dr. MHAMAD BADRADDIN JIBRINI | 7210 TURFWAY RD | FLORENCE | KY | 41042 | 62 |
| Dr. YONG S KWON | 1695 E RAINFOREST RD | FAYETTEVILLE | AR | 72703 | 49 |