*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z90411 - Acquired partial absence of pancreas - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.82 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z90411 - Acquired partial absence of pancreas | 1,430 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z90411 - Acquired partial absence of pancreas in DRG | 6.4 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z90411 - Acquired partial absence of pancreas | 5.94 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z90411 - Acquired partial absence of pancreas | 29.79 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z90411 - Acquired partial absence of pancreas | 20.76 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z90411 - Acquired partial absence of pancreas | $17,337,208 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z90411 - Acquired partial absence of pancreas | $2,042 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z90411 - Acquired partial absence of pancreas | $12,124 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z90411 - Acquired partial absence of pancreas | $84,752,863 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z90411 - Acquired partial absence of pancreas | $59,268 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z90411 - Acquired partial absence of pancreas | 8.46 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z90411 - Acquired partial absence of pancreas | 13.64 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z90411 - Acquired partial absence of pancreas | 37.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,491 | ||||
| Total Hospitalizations with ICD Z90411 - Acquired partial absence of pancreas | 475 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD Z90411 - Acquired partial absence of pancreas in DRG | 2.13 | ||||
| Avg LOS at DRG | 2.82 | ||||
| Avg LOS with ICD Z90411 - Acquired partial absence of pancreas | 2.96 | ||||
| Readmission Rate at DRG | 14.18 | ||||
| Readmission Rate with ICD Z90411 - Acquired partial absence of pancreas | 18.94 | ||||
| Unplanned Readmission Rate at DRG | 10.64 | ||||
| Unplanned Readmission Rate with ICD Z90411 - Acquired partial absence of pancreas | 15.47 | ||||
| Total Medicare payments at DRG | $182,904,790 | ||||
| Total Medicare payments with ICD Z90411 - Acquired partial absence of pancreas | $1,679,256 | ||||
| Total Medicare payment per Day at DRG | $1,285 | ||||
| Total Medicare payment per Day with ICD Z90411 - Acquired partial absence of pancreas | $1,196 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,623 | ||||
| Total Medicare payment per Hospitalization with ICD Z90411 - Acquired partial absence of pancreas | $3,535 | ||||
| Total Medicare Charges at DRG | $1,093,059,803 | ||||
| Total Medicare Charges with ICD Z90411 - Acquired partial absence of pancreas | $9,777,173 | ||||
| Avg Charges at DRG | $21,649 | ||||
| Avg Charges with ICD Z90411 - Acquired partial absence of pancreas | $20,584 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD Z90411 - Acquired partial absence of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 1.89 | ||||
| SNF Discharge Rate with ICD Z90411 - Acquired partial absence of pancreas | NA | ||||
| Home Discharge Rate at DRG | 86.38 | ||||
| Home Discharge Rate with ICD Z90411 - Acquired partial absence of pancreas | 88.42 |
*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 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD Z90411 - Acquired partial absence of pancreas | 288 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD Z90411 - Acquired partial absence of pancreas in DRG | 1.29 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z90411 - Acquired partial absence of pancreas | 4.42 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD Z90411 - Acquired partial absence of pancreas | 28.41 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD Z90411 - Acquired partial absence of pancreas | 17.34 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD Z90411 - Acquired partial absence of pancreas | $2,050,301 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD Z90411 - Acquired partial absence of pancreas | $1,611 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD Z90411 - Acquired partial absence of pancreas | $7,119 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD Z90411 - Acquired partial absence of pancreas | $9,645,492 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD Z90411 - Acquired partial absence of pancreas | $33,491 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD Z90411 - Acquired partial absence of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD Z90411 - Acquired partial absence of pancreas | 7.64 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD Z90411 - Acquired partial absence of pancreas | 61.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z90411 - Acquired partial absence of pancreas | 255 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z90411 - Acquired partial absence of pancreas in DRG | 1.14 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z90411 - Acquired partial absence of pancreas | 4.81 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z90411 - Acquired partial absence of pancreas | 36.05 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z90411 - Acquired partial absence of pancreas | 27.47 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z90411 - Acquired partial absence of pancreas | $2,404,483 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z90411 - Acquired partial absence of pancreas | $1,960 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z90411 - Acquired partial absence of pancreas | $9,429 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z90411 - Acquired partial absence of pancreas | $9,344,822 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z90411 - Acquired partial absence of pancreas | $36,646 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z90411 - Acquired partial absence of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z90411 - Acquired partial absence of pancreas | 16.86 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z90411 - Acquired partial absence of pancreas | 43.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 466 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 340 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 262 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KERRINGTON DAVID SMITH | 1 MEDICAL CENTER DR | LEBANON | NH | 03756 | 32 |
| Dr. CHRISTOPHER WOLFGANG | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 25 |
| Dr. MARK A SCHATTNER | 1275 YORK AVE | NEW YORK | NY | 10021 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NICHOLAS NISSEN | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 64 |
| Dr. PETER J ALLEN | 1275 YORK AVE | NEW YORK | NY | 10021 | 61 |
| Dr. CHRISTOPHER WOLFGANG | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 52 |