*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z431 - Encounter for attention to gastrostomy - as a primary diagnosis code | Z431 - Encounter for attention to gastrostomy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 25.1 | |
| Readmission Rate (%) | 35.49 | |
| Unplanned Readmission Rate (%) | 20.65 | |
| 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 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD Z431 - Encounter for attention to gastrostomy | 1,519 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD Z431 - Encounter for attention to gastrostomy in DRG | 41.24 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z431 - Encounter for attention to gastrostomy | 3.77 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD Z431 - Encounter for attention to gastrostomy | 23.36 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD Z431 - Encounter for attention to gastrostomy | 19.4 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD Z431 - Encounter for attention to gastrostomy | $10,400,815 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD Z431 - Encounter for attention to gastrostomy | $1,816 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD Z431 - Encounter for attention to gastrostomy | $6,847 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD Z431 - Encounter for attention to gastrostomy | $48,814,263 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD Z431 - Encounter for attention to gastrostomy | $32,136 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD Z431 - Encounter for attention to gastrostomy | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD Z431 - Encounter for attention to gastrostomy | 52.07 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD Z431 - Encounter for attention to gastrostomy | 18.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL 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 344: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 30,887 | ||
| Total Hospitalizations with ICD Z431 - Encounter for attention to gastrostomy | 40 | ||
| DRG Share of Total Hospitalizations | 0.09 | ||
| % of Total ICD Z431 - Encounter for attention to gastrostomy in DRG | 1.09 | ||
| Avg LOS at DRG | 2.85 | ||
| Avg LOS with ICD Z431 - Encounter for attention to gastrostomy | 3.25 | ||
| Readmission Rate at DRG | 8.44 | ||
| Readmission Rate with ICD Z431 - Encounter for attention to gastrostomy | NA | ||
| Unplanned Readmission Rate at DRG | 5.81 | ||
| Unplanned Readmission Rate with ICD Z431 - Encounter for attention to gastrostomy | NA | ||
| Total Medicare payments at DRG | $281,745,159 | ||
| Total Medicare payments with ICD Z431 - Encounter for attention to gastrostomy | $378,944 | ||
| Total Medicare payment per Day at DRG | $3,206 | ||
| Total Medicare payment per Day with ICD Z431 - Encounter for attention to gastrostomy | $2,915 | ||
| Total Medicare payment per Hospitalization at DRG | $9,122 | ||
| Total Medicare payment per Hospitalization with ICD Z431 - Encounter for attention to gastrostomy | $9,474 | ||
| Total Medicare Charges at DRG | $1,697,715,246 | ||
| Total Medicare Charges with ICD Z431 - Encounter for attention to gastrostomy | $1,227,482 | ||
| Avg Charges at DRG | $54,965 | ||
| Avg Charges with ICD Z431 - Encounter for attention to gastrostomy | $30,687 | ||
| Mortality Rate at DRG | 0.05 | ||
| Mortality Rate with ICD Z431 - Encounter for attention to gastrostomy | NA | ||
| SNF Discharge Rate at DRG | 3.76 | ||
| SNF Discharge Rate with ICD Z431 - Encounter for attention to gastrostomy | 35.0 | ||
| Home Discharge Rate at DRG | 86.53 | ||
| Home Discharge Rate with ICD Z431 - Encounter for attention to gastrostomy | 27.5 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 77 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 57 |
| NEW YORK - PRESBYTERIAN/QUEENS | 56-45 MAIN STREET | NEW YORK | NY | 11355 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AHMAD HASSAN ABURASHED | 27209 LAHSER RD | SOUTHFIELD | MI | 48034 | 16 |
| Dr. MOUSTAFA E ALAMY | 16660 PARAMOUNT BLVD | PARAMOUNT | CA | 90723 | 14 |
| Dr. MUHAMMAD FAREED HASAN | 481 ST. MARKS AVE, BKLYN NY 11238, 718638-8185 | BROOKLYN | NY | 11203 | 13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD Z431 - Encounter for attention to gastrostomy | 19,620 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD Z431 - Encounter for attention to gastrostomy in DRG | 23.2 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD Z431 - Encounter for attention to gastrostomy | 34.76 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD Z431 - Encounter for attention to gastrostomy | 41.31 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD Z431 - Encounter for attention to gastrostomy | 26.96 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD Z431 - Encounter for attention to gastrostomy | $1,259,671,804 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD Z431 - Encounter for attention to gastrostomy | $1,847 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD Z431 - Encounter for attention to gastrostomy | $64,203 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD Z431 - Encounter for attention to gastrostomy | $5,554,055,994 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD Z431 - Encounter for attention to gastrostomy | $283,081 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD Z431 - Encounter for attention to gastrostomy | 18.8 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD Z431 - Encounter for attention to gastrostomy | 47.43 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD Z431 - Encounter for attention to gastrostomy | 2.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD Z431 - Encounter for attention to gastrostomy | 2,579 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD Z431 - Encounter for attention to gastrostomy in DRG | 3.05 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD Z431 - Encounter for attention to gastrostomy | 21.86 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD Z431 - Encounter for attention to gastrostomy | 26.35 | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD Z431 - Encounter for attention to gastrostomy | 18.87 | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD Z431 - Encounter for attention to gastrostomy | $73,640,014 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD Z431 - Encounter for attention to gastrostomy | $1,306 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD Z431 - Encounter for attention to gastrostomy | $28,554 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD Z431 - Encounter for attention to gastrostomy | $214,346,924 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD Z431 - Encounter for attention to gastrostomy | $83,112 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD Z431 - Encounter for attention to gastrostomy | 2.79 | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD Z431 - Encounter for attention to gastrostomy | 43.58 | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD Z431 - Encounter for attention to gastrostomy | 5.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 77,444 | ||||
| Total Hospitalizations with ICD Z431 - Encounter for attention to gastrostomy | 1,733 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD Z431 - Encounter for attention to gastrostomy in DRG | 2.05 | ||||
| Avg LOS at DRG | 6.72 | ||||
| Avg LOS with ICD Z431 - Encounter for attention to gastrostomy | 8.9 | ||||
| Readmission Rate at DRG | 28.36 | ||||
| Readmission Rate with ICD Z431 - Encounter for attention to gastrostomy | 28.94 | ||||
| Unplanned Readmission Rate at DRG | 20.29 | ||||
| Unplanned Readmission Rate with ICD Z431 - Encounter for attention to gastrostomy | 23.39 | ||||
| Total Medicare payments at DRG | $929,345,247 | ||||
| Total Medicare payments with ICD Z431 - Encounter for attention to gastrostomy | $25,679,793 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD Z431 - Encounter for attention to gastrostomy | $1,666 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,000 | ||||
| Total Medicare payment per Hospitalization with ICD Z431 - Encounter for attention to gastrostomy | $14,818 | ||||
| Total Medicare Charges at DRG | $4,453,573,782 | ||||
| Total Medicare Charges with ICD Z431 - Encounter for attention to gastrostomy | $120,534,005 | ||||
| Avg Charges at DRG | $57,507 | ||||
| Avg Charges with ICD Z431 - Encounter for attention to gastrostomy | $69,552 | ||||
| Mortality Rate at DRG | 5.64 | ||||
| Mortality Rate with ICD Z431 - Encounter for attention to gastrostomy | 3.69 | ||||
| SNF Discharge Rate at DRG | 22.62 | ||||
| SNF Discharge Rate with ICD Z431 - Encounter for attention to gastrostomy | 50.09 | ||||
| Home Discharge Rate at DRG | 38.94 | ||||
| Home Discharge Rate with ICD Z431 - Encounter for attention to gastrostomy | 13.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | ||||
| Total Hospitalizations with ICD Z431 - Encounter for attention to gastrostomy | 1,130 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD Z431 - Encounter for attention to gastrostomy in DRG | 1.34 | ||||
| Avg LOS at DRG | 25.29 | ||||
| Avg LOS with ICD Z431 - Encounter for attention to gastrostomy | 44.9 | ||||
| Readmission Rate at DRG | 74.5 | ||||
| Readmission Rate with ICD Z431 - Encounter for attention to gastrostomy | 45.86 | ||||
| Unplanned Readmission Rate at DRG | 8.79 | ||||
| Unplanned Readmission Rate with ICD Z431 - Encounter for attention to gastrostomy | 26.6 | ||||
| Total Medicare payments at DRG | $3,386,848,549 | ||||
| Total Medicare payments with ICD Z431 - Encounter for attention to gastrostomy | $109,940,648 | ||||
| Total Medicare payment per Day at DRG | $2,945 | ||||
| Total Medicare payment per Day with ICD Z431 - Encounter for attention to gastrostomy | $2,167 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
| Total Medicare payment per Hospitalization with ICD Z431 - Encounter for attention to gastrostomy | $97,293 | ||||
| Total Medicare Charges at DRG | $15,882,518,852 | ||||
| Total Medicare Charges with ICD Z431 - Encounter for attention to gastrostomy | $502,850,082 | ||||
| Avg Charges at DRG | $349,235 | ||||
| Avg Charges with ICD Z431 - Encounter for attention to gastrostomy | $445,000 | ||||
| Mortality Rate at DRG | 13.7 | ||||
| Mortality Rate with ICD Z431 - Encounter for attention to gastrostomy | 19.47 | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD Z431 - Encounter for attention to gastrostomy | 48.85 | ||||
| Home Discharge Rate at DRG | 1.95 | ||||
| Home Discharge Rate with ICD Z431 - Encounter for attention to gastrostomy | 1.59 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARLOW RESPIRATORY HOSPITAL | 2000 STADIUM WAY | LOS ANGELES | CA | 90026 | 752 |
| KINDRED HOSPITAL BALDWIN PARK | 14148 FRANCISQUITO AVE | BALDWIN PARK | CA | 91706 | 645 |
| KESSLER INSTITUTE FOR REHABILITATION | 1199 PLEASANT VALLEY WAY | WEST ORANGE | NJ | 07052 | 613 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM F GRELLA | 224 HAMBURG TPKE | WAYNE | NJ | 07470 | 200 |
| Dr. SMITHA NARASIMHASWAMY | 600 RIVER AVE | LAKEWOOD | NJ | 08701 | 194 |
| Dr. SCOTT A SASSE | 2000 STADIUM WAY | LOS ANGELES | CA | 90026 | 182 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM F GRELLA | 224 HAMBURG TPKE | WAYNE | NJ | 07470 | 269 |
| Dr. ELIO VENTRESCA | 3650 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 256 |
| Dr. KOJO DANQUAH ARKHURST | 7TH AND CLAYTON STREETS | WILMINGTON | DE | 19805 | 246 |