*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8711 - Personal history of peptic ulcer disease - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.04 | |
| 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD Z8711 - Personal history of peptic ulcer disease | 20,872 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z8711 - Personal history of peptic ulcer disease in DRG | 5.32 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z8711 - Personal history of peptic ulcer disease | 3.32 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z8711 - Personal history of peptic ulcer disease | 17.4 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z8711 - Personal history of peptic ulcer disease | 13.71 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z8711 - Personal history of peptic ulcer disease | $120,042,415 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z8711 - Personal history of peptic ulcer disease | $1,735 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z8711 - Personal history of peptic ulcer disease | $5,751 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z8711 - Personal history of peptic ulcer disease | $649,014,350 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z8711 - Personal history of peptic ulcer disease | $31,095 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z8711 - Personal history of peptic ulcer disease | 0.42 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z8711 - Personal history of peptic ulcer disease | 10.89 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z8711 - Personal history of peptic ulcer disease | 68.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD Z8711 - Personal history of peptic ulcer disease | 7,682 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD Z8711 - Personal history of peptic ulcer disease in DRG | 1.96 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD Z8711 - Personal history of peptic ulcer disease | 4.75 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD Z8711 - Personal history of peptic ulcer disease | 27.93 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD Z8711 - Personal history of peptic ulcer disease | 22.12 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD Z8711 - Personal history of peptic ulcer disease | $82,290,974 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD Z8711 - Personal history of peptic ulcer disease | $2,254 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD Z8711 - Personal history of peptic ulcer disease | $10,712 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD Z8711 - Personal history of peptic ulcer disease | $360,819,713 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD Z8711 - Personal history of peptic ulcer disease | $46,970 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD Z8711 - Personal history of peptic ulcer disease | 3.66 | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD Z8711 - Personal history of peptic ulcer disease | 19.54 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD Z8711 - Personal history of peptic ulcer disease | 48.57 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z8711 - Personal history of peptic ulcer disease | 5,242 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z8711 - Personal history of peptic ulcer disease in DRG | 1.34 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z8711 - Personal history of peptic ulcer disease | 4.92 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z8711 - Personal history of peptic ulcer disease | 28.04 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z8711 - Personal history of peptic ulcer disease | 22.21 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z8711 - Personal history of peptic ulcer disease | $42,398,321 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z8711 - Personal history of peptic ulcer disease | $1,643 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z8711 - Personal history of peptic ulcer disease | $8,088 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z8711 - Personal history of peptic ulcer disease | $202,096,368 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z8711 - Personal history of peptic ulcer disease | $38,553 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z8711 - Personal history of peptic ulcer disease | 3.72 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z8711 - Personal history of peptic ulcer disease | 17.0 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z8711 - Personal history of peptic ulcer disease | 43.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z8711 - Personal history of peptic ulcer disease | 4,218 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z8711 - Personal history of peptic ulcer disease in DRG | 1.08 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z8711 - Personal history of peptic ulcer disease | 10.21 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z8711 - Personal history of peptic ulcer disease | 28.85 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z8711 - Personal history of peptic ulcer disease | 15.82 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z8711 - Personal history of peptic ulcer disease | $33,884,263 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z8711 - Personal history of peptic ulcer disease | $787 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z8711 - Personal history of peptic ulcer disease | $8,033 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z8711 - Personal history of peptic ulcer disease | $136,937,614 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z8711 - Personal history of peptic ulcer disease | $32,465 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z8711 - Personal history of peptic ulcer disease | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z8711 - Personal history of peptic ulcer disease | 7.73 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z8711 - Personal history of peptic ulcer disease | 75.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 2,554 |
| DCH REGIONAL MEDICAL CENTER | 809 UNIVERSITY BLVD E | TUSCALOOSA | AL | 35401 | 2,184 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,829 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MOHAMMED BARAWI | 28963 LITTLE MACK AVE | ST CLAIR SHORES | MI | 48081 | 92 |
| Dr. GHIATH TAYEB | 1555 SOUTH BLVD E | ROCHESTER HILLS | MI | 48307 | 88 |
| Dr. ROLAND F GARRETSON | 2500 NORTH STATE STREET | JACKSON | MS | 39216 | 87 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 413 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 186 |
| Dr. MILTON HABER | 6801 MCPHERSON RD | LAREDO | TX | 78041 | 183 |