*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.79 | |
| 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION 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 | 434,264 | ||||
| Total Hospitalizations with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | 48 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system in DRG | 7.01 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | 0.81 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | 93.75 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $181,214 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $4,647 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $3,775 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $564,798 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $11,767 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | 100.0 |
*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 885: PSYCHOSES | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | 20 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system in DRG | 2.92 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | 3.35 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | NA | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | NA | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $115,068 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $1,717 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $5,753 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $573,335 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $28,667 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | NA | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | 80.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 169,880 | |
| Total Hospitalizations with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | 13 | |
| DRG Share of Total Hospitalizations | 0.52 | |
| % of Total ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system in DRG | 1.9 | |
| Avg LOS at DRG | 7.24 | |
| Avg LOS with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | 6.85 | |
| Readmission Rate at DRG | 16.58 | |
| Readmission Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | NA | |
| Unplanned Readmission Rate at DRG | 10.87 | |
| Unplanned Readmission Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | NA | |
| Total Medicare payments at DRG | $2,683,693,576 | |
| Total Medicare payments with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $246,180 | |
| Total Medicare payment per Day at DRG | $2,183 | |
| Total Medicare payment per Day with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $2,766 | |
| Total Medicare payment per Hospitalization at DRG | $15,798 | |
| Total Medicare payment per Hospitalization with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $18,937 | |
| Total Medicare Charges at DRG | $13,978,014,634 | |
| Total Medicare Charges with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $944,524 | |
| Avg Charges at DRG | $82,282 | |
| Avg Charges with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | $72,656 | |
| Mortality Rate at DRG | 0.35 | |
| Mortality Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | NA | |
| SNF Discharge Rate at DRG | 14.58 | |
| SNF Discharge Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | NA | |
| Home Discharge Rate at DRG | 53.56 | |
| Home Discharge Rate with ICD Z87738 - Personal history of other specified (corrected) congenital malformations of digestive system | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| EL PASO CHILDREN'S HOSPITAL | 4845 ALAMEDA AVE | EL PASO | TX | 79905 | 41 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GERMAN ANDRES LOZANO GUZMAN | 4801 ALBERTA AVE | EL PASO | TX | 79905 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANGELICA CHAVEZ | 1600 S COULTER | AMARILLO | TX | 79106 | 15 |