*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R197 - Diarrhea, unspecified - as a primary diagnosis code | R197 - Diarrhea, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.25 | |
| Readmission Rate (%) | 25.01 | |
| Unplanned Readmission Rate (%) | 17.17 | |
| 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) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R197 - Diarrhea, unspecified | 12,386 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R197 - Diarrhea, unspecified in DRG | 74.32 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R197 - Diarrhea, unspecified | 3.15 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R197 - Diarrhea, unspecified | 20.16 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R197 - Diarrhea, unspecified | 14.92 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R197 - Diarrhea, unspecified | $57,326,832 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R197 - Diarrhea, unspecified | $1,471 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R197 - Diarrhea, unspecified | $4,628 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R197 - Diarrhea, unspecified | $295,119,206 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R197 - Diarrhea, unspecified | $23,827 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R197 - Diarrhea, unspecified | 0.1 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R197 - Diarrhea, unspecified | 14.04 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R197 - Diarrhea, unspecified | 60.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD R197 - Diarrhea, unspecified | 25 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD R197 - Diarrhea, unspecified in DRG | 0.15 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD R197 - Diarrhea, unspecified | 12.6 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD R197 - Diarrhea, unspecified | 50.0 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD R197 - Diarrhea, unspecified | NA | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD R197 - Diarrhea, unspecified | $764,247 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD R197 - Diarrhea, unspecified | $2,426 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD R197 - Diarrhea, unspecified | $30,570 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD R197 - Diarrhea, unspecified | $3,415,042 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD R197 - Diarrhea, unspecified | $136,602 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD R197 - Diarrhea, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD R197 - Diarrhea, unspecified | NA | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD R197 - Diarrhea, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 127 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 74 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 70 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R197 - Diarrhea, unspecified | 62,092 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R197 - Diarrhea, unspecified in DRG | 8.98 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R197 - Diarrhea, unspecified | 7.18 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R197 - Diarrhea, unspecified | 24.81 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R197 - Diarrhea, unspecified | 17.02 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R197 - Diarrhea, unspecified | $744,823,767 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R197 - Diarrhea, unspecified | $1,672 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R197 - Diarrhea, unspecified | $11,995 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R197 - Diarrhea, unspecified | $3,881,804,943 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R197 - Diarrhea, unspecified | $62,517 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R197 - Diarrhea, unspecified | 7.68 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R197 - Diarrhea, unspecified | 26.97 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R197 - Diarrhea, unspecified | 30.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD R197 - Diarrhea, unspecified | 16,557 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD R197 - Diarrhea, unspecified in DRG | 2.39 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD R197 - Diarrhea, unspecified | 3.89 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD R197 - Diarrhea, unspecified | 19.24 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD R197 - Diarrhea, unspecified | 13.94 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD R197 - Diarrhea, unspecified | $83,850,775 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD R197 - Diarrhea, unspecified | $1,300 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD R197 - Diarrhea, unspecified | $5,064 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD R197 - Diarrhea, unspecified | $423,349,099 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD R197 - Diarrhea, unspecified | $25,569 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R197 - Diarrhea, unspecified | 0.22 | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD R197 - Diarrhea, unspecified | 23.16 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD R197 - Diarrhea, unspecified | 46.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD R197 - Diarrhea, unspecified | 12,215 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD R197 - Diarrhea, unspecified in DRG | 1.77 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD R197 - Diarrhea, unspecified | 6.28 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD R197 - Diarrhea, unspecified | 21.64 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD R197 - Diarrhea, unspecified | 15.64 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD R197 - Diarrhea, unspecified | $112,720,366 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD R197 - Diarrhea, unspecified | $1,469 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD R197 - Diarrhea, unspecified | $9,228 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD R197 - Diarrhea, unspecified | $560,379,741 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD R197 - Diarrhea, unspecified | $45,876 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD R197 - Diarrhea, unspecified | 2.46 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD R197 - Diarrhea, unspecified | 23.87 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD R197 - Diarrhea, unspecified | 40.86 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R197 - Diarrhea, unspecified | 8,704 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R197 - Diarrhea, unspecified in DRG | 1.26 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R197 - Diarrhea, unspecified | 5.98 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R197 - Diarrhea, unspecified | 23.72 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R197 - Diarrhea, unspecified | 18.36 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R197 - Diarrhea, unspecified | $67,899,222 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R197 - Diarrhea, unspecified | $1,306 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R197 - Diarrhea, unspecified | $7,801 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R197 - Diarrhea, unspecified | $374,764,275 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R197 - Diarrhea, unspecified | $43,057 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R197 - Diarrhea, unspecified | 1.05 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R197 - Diarrhea, unspecified | 16.9 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R197 - Diarrhea, unspecified | 46.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 2,221 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 1,873 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 1,838 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 117 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 116 |
| Dr. KURT E. JACOBSON | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 82 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 230 |
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 178 |
| Dr. ROBERT OLIVER MORTON | 1000 ROLLING HILLS LN | ADA | OK | 74820 | 174 |