*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8719 - Personal history of other diseases of the digestive system - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.06 | |
| 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 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z8719 - Personal history of other diseases of the digestive system | 5,137 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z8719 - Personal history of other diseases of the digestive system in DRG | 4.54 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z8719 - Personal history of other diseases of the digestive system | 3.02 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 16.41 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 12.7 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z8719 - Personal history of other diseases of the digestive system | $22,441,156 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z8719 - Personal history of other diseases of the digestive system | $1,448 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z8719 - Personal history of other diseases of the digestive system | $4,369 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z8719 - Personal history of other diseases of the digestive system | $123,826,335 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z8719 - Personal history of other diseases of the digestive system | $24,105 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z8719 - Personal history of other diseases of the digestive system | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 5.59 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 77.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD Z8719 - Personal history of other diseases of the digestive system | 1,985 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD Z8719 - Personal history of other diseases of the digestive system in DRG | 1.75 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z8719 - Personal history of other diseases of the digestive system | 3.65 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 16.5 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 12.39 | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD Z8719 - Personal history of other diseases of the digestive system | $10,576,235 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD Z8719 - Personal history of other diseases of the digestive system | $1,460 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD Z8719 - Personal history of other diseases of the digestive system | $5,328 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD Z8719 - Personal history of other diseases of the digestive system | $49,096,734 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD Z8719 - Personal history of other diseases of the digestive system | $24,734 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z8719 - Personal history of other diseases of the digestive system | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 6.5 | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 75.52 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z8719 - Personal history of other diseases of the digestive system | 1,606 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z8719 - Personal history of other diseases of the digestive system in DRG | 1.42 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z8719 - Personal history of other diseases of the digestive system | 3.36 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 19.82 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 13.91 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z8719 - Personal history of other diseases of the digestive system | $8,138,278 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z8719 - Personal history of other diseases of the digestive system | $1,507 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z8719 - Personal history of other diseases of the digestive system | $5,067 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z8719 - Personal history of other diseases of the digestive system | $38,367,596 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z8719 - Personal history of other diseases of the digestive system | $23,890 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z8719 - Personal history of other diseases of the digestive system | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 21.86 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 47.63 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD Z8719 - Personal history of other diseases of the digestive system | 1,403 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD Z8719 - Personal history of other diseases of the digestive system in DRG | 1.24 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD Z8719 - Personal history of other diseases of the digestive system | 2.71 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 20.6 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 15.51 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD Z8719 - Personal history of other diseases of the digestive system | $7,164,404 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD Z8719 - Personal history of other diseases of the digestive system | $1,884 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD Z8719 - Personal history of other diseases of the digestive system | $5,106 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD Z8719 - Personal history of other diseases of the digestive system | $33,605,462 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD Z8719 - Personal history of other diseases of the digestive system | $23,953 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD Z8719 - Personal history of other diseases of the digestive system | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 10.69 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD Z8719 - Personal history of other diseases of the digestive system | 66.79 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RIVERSIDE MEDICAL CENTER | 350 N WALL ST | KANKAKEE | IL | 60901 | 705 |
| WAYNE MEMORIAL HOSPITAL | 2700 WAYNE MEMORIAL DR | GOLDSBORO | NC | 27534 | 608 |
| UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON MEDICAL CENTER | 301 HOSPITAL DR | GLEN BURNIE | MD | 21061 | 604 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM W BOWEN | 84 MADRONE ST | WILLITS | CA | 95490 | 85 |
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 75 |
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 38 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 520 |
| Dr. JOHN A. KLINE | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 182 |
| Dr. SARMISTHA BHALLA | 321 W PROMENADE ST | MEXICO | MO | 65265 | 116 |