*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R195 - Other fecal abnormalities - as a primary diagnosis code | R195 - Other fecal abnormalities - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.43 | |
| Readmission Rate (%) | 25.58 | |
| Unplanned Readmission Rate (%) | 15.95 | |
| 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 R195 - Other fecal abnormalities | 494 | |
| DRG Share of Total Hospitalizations | 1.59 | |
| % of Total ICD R195 - Other fecal abnormalities in DRG | 74.17 | |
| Avg LOS at DRG | 3.14 | |
| Avg LOS with ICD R195 - Other fecal abnormalities | 2.34 | |
| Readmission Rate at DRG | 17.1 | |
| Readmission Rate with ICD R195 - Other fecal abnormalities | 16.34 | |
| Unplanned Readmission Rate at DRG | 12.62 | |
| Unplanned Readmission Rate with ICD R195 - Other fecal abnormalities | 11.83 | |
| Total Medicare payments at DRG | $2,290,151,156 | |
| Total Medicare payments with ICD R195 - Other fecal abnormalities | $2,024,229 | |
| Total Medicare payment per Day at DRG | $1,394 | |
| Total Medicare payment per Day with ICD R195 - Other fecal abnormalities | $1,748 | |
| Total Medicare payment per Hospitalization at DRG | $4,381 | |
| Total Medicare payment per Hospitalization with ICD R195 - Other fecal abnormalities | $4,098 | |
| Total Medicare Charges at DRG | $13,619,287,561 | |
| Total Medicare Charges with ICD R195 - Other fecal abnormalities | $10,114,462 | |
| Avg Charges at DRG | $26,051 | |
| Avg Charges with ICD R195 - Other fecal abnormalities | $20,475 | |
| Mortality Rate at DRG | 0.18 | |
| Mortality Rate with ICD R195 - Other fecal abnormalities | NA | |
| SNF Discharge Rate at DRG | 8.57 | |
| SNF Discharge Rate with ICD R195 - Other fecal abnormalities | 15.18 | |
| Home Discharge Rate at DRG | 72.49 | |
| Home Discharge Rate with ICD R195 - Other fecal abnormalities | 61.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD R195 - Other fecal abnormalities | 6,793 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD R195 - Other fecal abnormalities in DRG | 9.28 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD R195 - Other fecal abnormalities | 3.11 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD R195 - Other fecal abnormalities | 18.49 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD R195 - Other fecal abnormalities | 13.67 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD R195 - Other fecal abnormalities | $34,583,667 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD R195 - Other fecal abnormalities | $1,638 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD R195 - Other fecal abnormalities | $5,091 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD R195 - Other fecal abnormalities | $181,274,877 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD R195 - Other fecal abnormalities | $26,686 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD R195 - Other fecal abnormalities | 0.21 | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD R195 - Other fecal abnormalities | 19.28 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD R195 - Other fecal abnormalities | 56.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 84,943 | ||||
| Total Hospitalizations with ICD R195 - Other fecal abnormalities | 2,457 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD R195 - Other fecal abnormalities in DRG | 3.36 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD R195 - Other fecal abnormalities | 4.54 | ||||
| Readmission Rate at DRG | 29.98 | ||||
| Readmission Rate with ICD R195 - Other fecal abnormalities | 29.06 | ||||
| Unplanned Readmission Rate at DRG | 23.75 | ||||
| Unplanned Readmission Rate with ICD R195 - Other fecal abnormalities | 22.67 | ||||
| Total Medicare payments at DRG | $730,869,349 | ||||
| Total Medicare payments with ICD R195 - Other fecal abnormalities | $20,393,412 | ||||
| Total Medicare payment per Day at DRG | $1,782 | ||||
| Total Medicare payment per Day with ICD R195 - Other fecal abnormalities | $1,828 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,604 | ||||
| Total Medicare payment per Hospitalization with ICD R195 - Other fecal abnormalities | $8,300 | ||||
| Total Medicare Charges at DRG | $3,626,959,517 | ||||
| Total Medicare Charges with ICD R195 - Other fecal abnormalities | $94,420,784 | ||||
| Avg Charges at DRG | $42,699 | ||||
| Avg Charges with ICD R195 - Other fecal abnormalities | $38,429 | ||||
| Mortality Rate at DRG | 2.39 | ||||
| Mortality Rate with ICD R195 - Other fecal abnormalities | 1.87 | ||||
| SNF Discharge Rate at DRG | 20.54 | ||||
| SNF Discharge Rate with ICD R195 - Other fecal abnormalities | 27.68 | ||||
| Home Discharge Rate at DRG | 49.17 | ||||
| Home Discharge Rate with ICD R195 - Other fecal abnormalities | 39.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD R195 - Other fecal abnormalities | 1,094 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD R195 - Other fecal abnormalities in DRG | 1.49 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD R195 - Other fecal abnormalities | 5.21 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD R195 - Other fecal abnormalities | 30.05 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD R195 - Other fecal abnormalities | 23.96 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD R195 - Other fecal abnormalities | $7,536,204 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD R195 - Other fecal abnormalities | $1,321 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD R195 - Other fecal abnormalities | $6,889 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD R195 - Other fecal abnormalities | $38,946,922 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD R195 - Other fecal abnormalities | $35,600 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD R195 - Other fecal abnormalities | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD R195 - Other fecal abnormalities | 20.66 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD R195 - Other fecal abnormalities | 39.76 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R195 - Other fecal abnormalities | 953 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R195 - Other fecal abnormalities in DRG | 1.3 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R195 - Other fecal abnormalities | 6.7 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R195 - Other fecal abnormalities | 26.44 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R195 - Other fecal abnormalities | 21.36 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R195 - Other fecal abnormalities | $7,929,854 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R195 - Other fecal abnormalities | $1,242 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R195 - Other fecal abnormalities | $8,321 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R195 - Other fecal abnormalities | $45,260,411 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R195 - Other fecal abnormalities | $47,493 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R195 - Other fecal abnormalities | 2.1 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R195 - Other fecal abnormalities | 21.72 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R195 - Other fecal abnormalities | 38.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 268 |
| ST. DOMINIC-JACKSON MEMORIAL HOSPITAL | 969 LAKELAND DR | JACKSON | MS | 39216 | 241 |
| RALEIGH GENERAL HOSPITAL | 1710 HARPER RD | BECKLEY | WV | 25801 | 226 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 34 |
| Dr. MUHAMMAD M KUDAIMI | 801 MACARTHUR BLVD | MUNSTER | IN | 46321 | 30 |
| Dr. EDWARD J. WHEELER | 11914 ASTORIA BLVD | HOUSTON | TX | 77089 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DONALD EDWARD AREGO | 701 OLYMPIC PLAZA | TYLER | TX | 75701 | 56 |
| Dr. PERRY WALLACH | 1000 E 5TH ST | TYLER | TX | 75701 | 39 |
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 36 |