*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z434 - Encounter for attention to other artificial openings of digestive tract - as a primary diagnosis code | Z434 - Encounter for attention to other artificial openings of digestive tract - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 16.69 | |
| Readmission Rate (%) | 36.12 | |
| Unplanned Readmission Rate (%) | 23.65 | |
| 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 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 181 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD Z434 - Encounter for attention to other artificial openings of digestive tract in DRG | 31.37 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 3.6 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 36.31 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 31.55 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $1,153,546 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $1,769 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $6,373 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $6,273,664 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $34,661 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 42.54 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 23.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 42,987 | ||
| Total Hospitalizations with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 14 | ||
| DRG Share of Total Hospitalizations | 0.13 | ||
| % of Total ICD Z434 - Encounter for attention to other artificial openings of digestive tract in DRG | 2.43 | ||
| Avg LOS at DRG | 6.28 | ||
| Avg LOS with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 10.93 | ||
| Readmission Rate at DRG | 18.15 | ||
| Readmission Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | NA | ||
| Unplanned Readmission Rate at DRG | 12.13 | ||
| Unplanned Readmission Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | NA | ||
| Total Medicare payments at DRG | $704,450,909 | ||
| Total Medicare payments with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $285,873 | ||
| Total Medicare payment per Day at DRG | $2,610 | ||
| Total Medicare payment per Day with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $1,868 | ||
| Total Medicare payment per Hospitalization at DRG | $16,388 | ||
| Total Medicare payment per Hospitalization with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $20,420 | ||
| Total Medicare Charges at DRG | $3,447,544,151 | ||
| Total Medicare Charges with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $1,899,811 | ||
| Avg Charges at DRG | $80,200 | ||
| Avg Charges with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $135,701 | ||
| Mortality Rate at DRG | 0.62 | ||
| Mortality Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | NA | ||
| SNF Discharge Rate at DRG | 13.32 | ||
| SNF Discharge Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | NA | ||
| Home Discharge Rate at DRG | 59.56 | ||
| Home Discharge Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | NA |
*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 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 307 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD Z434 - Encounter for attention to other artificial openings of digestive tract in DRG | 6.97 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 34.48 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 46.86 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 26.57 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $17,783,229 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $1,680 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $57,926 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $75,953,646 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $247,406 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 14.98 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 37.46 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 3.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 226 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z434 - Encounter for attention to other artificial openings of digestive tract in DRG | 5.13 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 25.22 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 45.2 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 27.68 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $6,090,371 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $1,068 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $26,949 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $29,541,156 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $130,713 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 6.64 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 43.36 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 6.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 74 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD Z434 - Encounter for attention to other artificial openings of digestive tract in DRG | 1.68 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 12.92 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | NA | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $1,315,292 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $1,376 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $17,774 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $3,387,573 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $45,778 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | NA | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 20.27 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | NA |
*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 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL 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 Z434 - Encounter for attention to other artificial openings of digestive tract | 63 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z434 - Encounter for attention to other artificial openings of digestive tract in DRG | 1.43 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 7.59 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 36.36 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 25.45 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $520,032 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $1,088 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $8,254 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $2,443,204 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | $38,781 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 17.46 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z434 - Encounter for attention to other artificial openings of digestive tract | 30.16 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SPAULDING HOSPITAL CAMBRIDGE | 1575 CAMBRIDGE ST | CAMBRIDGE | MA | 02138 | 45 |
| REHABILITATION HOSPITAL OF INDIANA | 4141 SHORE DR | INDIANAPOLIS | IN | 46254 | 41 |
| MADONNA REHABILITATION HOSPITAL - LTCH | 5401 SOUTH ST | LINCOLN | NE | 68506 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES K WIREDU | 960 E WALNUT LAWN | SPRINGFIELD | MO | 65807 | 16 |
| Dr. ANGELA T CARBONE | 355 W 16TH ST | INDIANAPOLIS | IN | 46202 | 12 |
| Dr. SUSAN C OHNOUTKA | 5401 SOUTH ST | LINCOLN | NE | 68506 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SUSAN C OHNOUTKA | 5401 SOUTH ST | LINCOLN | NE | 68506 | 21 |
| Dr. CHARLES K WIREDU | 960 E WALNUT LAWN | SPRINGFIELD | MO | 65807 | 16 |
| Dr. ANGELA T CARBONE | 355 W 16TH ST | INDIANAPOLIS | IN | 46202 | 14 |