*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9049 - Acquired absence of other specified parts of digestive tract - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.64 | |
| 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 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) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 73,615 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z9049 - Acquired absence of other specified parts of digestive tract in DRG | 4.81 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 5.67 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 24.01 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 16.93 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $814,880,314 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $1,953 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $11,069 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $4,200,225,958 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $57,057 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 8.82 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 23.19 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 32.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 29,078 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z9049 - Acquired absence of other specified parts of digestive tract in DRG | 1.9 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 4.21 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 18.41 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 13.85 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $183,009,324 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $1,495 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $6,294 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $1,086,528,878 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $37,366 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 0.9 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 16.25 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 54.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,645 | ||||
| Total Hospitalizations with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 20,910 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD Z9049 - Acquired absence of other specified parts of digestive tract in DRG | 1.37 | ||||
| Avg LOS at DRG | 2.86 | ||||
| Avg LOS with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 2.88 | ||||
| Readmission Rate at DRG | 11.36 | ||||
| Readmission Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 11.65 | ||||
| Unplanned Readmission Rate at DRG | 8.32 | ||||
| Unplanned Readmission Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 8.86 | ||||
| Total Medicare payments at DRG | $363,941,412 | ||||
| Total Medicare payments with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $70,639,870 | ||||
| Total Medicare payment per Day at DRG | $1,193 | ||||
| Total Medicare payment per Day with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $1,173 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,413 | ||||
| Total Medicare payment per Hospitalization with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $3,378 | ||||
| Total Medicare Charges at DRG | $2,140,622,653 | ||||
| Total Medicare Charges with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $439,868,923 | ||||
| Avg Charges at DRG | $20,072 | ||||
| Avg Charges with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $21,036 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 0.1 | ||||
| SNF Discharge Rate at DRG | 3.46 | ||||
| SNF Discharge Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 2.37 | ||||
| Home Discharge Rate at DRG | 85.03 | ||||
| Home Discharge Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 88.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 16,950 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z9049 - Acquired absence of other specified parts of digestive tract in DRG | 1.11 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 3.85 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 24.41 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 18.98 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $99,034,237 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $1,517 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $5,843 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $503,342,904 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z9049 - Acquired absence of other specified parts of digestive tract | $29,696 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 0.68 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 15.66 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z9049 - Acquired absence of other specified parts of digestive tract | 48.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 9,224 |
| WINCHESTER MEDICAL CENTER | 1840 AMHERST ST | WINCHESTER | VA | 22601 | 8,456 |
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 6,799 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 299 |
| Dr. HOWARD J KAPP | 130 TAMIAMI TRL N | NAPLES | FL | 34102 | 232 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 194 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 979 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 786 |
| Dr. SUNIL K JAISWAL | 107 MAIN STREET | COLLINSVILLE | AL | 35961 | 673 |