| 04186 - Helicobacter pylori [H. pylori] - as a primary diagnosis code | 04186 - Helicobacter pylori [H. pylori] - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.39 | |
| Readmission Rate (%) | 21.71 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 | ||
| DRG 868: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 869: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 4,905 | ||
| Total Hospitalizations with ICD 04186 - Helicobacter pylori [H. pylori] | 36 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD 04186 - Helicobacter pylori [H. pylori] in DRG | 52.94 | ||
| Avg LOS at DRG | 5.12 | ||
| Avg LOS with ICD 04186 - Helicobacter pylori [H. pylori] | 3.31 | ||
| Readmission Rate at DRG | 16.43 | ||
| Readmission Rate with ICD 04186 - Helicobacter pylori [H. pylori] | NA | ||
| Unplanned Readmission Rate at DRG | 9.96 | ||
| Unplanned Readmission Rate with ICD 04186 - Helicobacter pylori [H. pylori] | NA | ||
| Total Medicare payments at DRG | $35,776,822 | ||
| Total Medicare payments with ICD 04186 - Helicobacter pylori [H. pylori] | $228,434 | ||
| Total Medicare payment per Day at DRG | $1,425 | ||
| Total Medicare payment per Day with ICD 04186 - Helicobacter pylori [H. pylori] | $1,920 | ||
| Total Medicare payment per Hospitalization at DRG | $7,294 | ||
| Total Medicare payment per Hospitalization with ICD 04186 - Helicobacter pylori [H. pylori] | $6,345 | ||
| Total Medicare Charges at DRG | $155,049,995 | ||
| Total Medicare Charges with ICD 04186 - Helicobacter pylori [H. pylori] | $726,070 | ||
| Avg Charges at DRG | $31,611 | ||
| Avg Charges with ICD 04186 - Helicobacter pylori [H. pylori] | $20,169 | ||
| Mortality Rate at DRG | 0.53 | ||
| Mortality Rate with ICD 04186 - Helicobacter pylori [H. pylori] | NA | ||
| SNF Discharge Rate at DRG | 12.01 | ||
| SNF Discharge Rate with ICD 04186 - Helicobacter pylori [H. pylori] | NA | ||
| Home Discharge Rate at DRG | 61.65 | ||
| Home Discharge Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 72.22 |
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 384: UNCOMPLICATED PEPTIC ULCER WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 293,121 | ||||
| Total Hospitalizations with ICD 04186 - Helicobacter pylori [H. pylori] | 5,067 | ||||
| DRG Share of Total Hospitalizations | 1.28 | ||||
| % of Total ICD 04186 - Helicobacter pylori [H. pylori] in DRG | 17.66 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD 04186 - Helicobacter pylori [H. pylori] | 4.15 | ||||
| Readmission Rate at DRG | 17.73 | ||||
| Readmission Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 15.46 | ||||
| Unplanned Readmission Rate at DRG | 13.44 | ||||
| Unplanned Readmission Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 11.17 | ||||
| Total Medicare payments at DRG | $1,776,508,891 | ||||
| Total Medicare payments with ICD 04186 - Helicobacter pylori [H. pylori] | $32,258,365 | ||||
| Total Medicare payment per Day at DRG | $1,604 | ||||
| Total Medicare payment per Day with ICD 04186 - Helicobacter pylori [H. pylori] | $1,534 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
| Total Medicare payment per Hospitalization with ICD 04186 - Helicobacter pylori [H. pylori] | $6,366 | ||||
| Total Medicare Charges at DRG | $8,470,312,778 | ||||
| Total Medicare Charges with ICD 04186 - Helicobacter pylori [H. pylori] | $162,516,812 | ||||
| Avg Charges at DRG | $28,897 | ||||
| Avg Charges with ICD 04186 - Helicobacter pylori [H. pylori] | $32,074 | ||||
| Mortality Rate at DRG | 0.95 | ||||
| Mortality Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 0.32 | ||||
| SNF Discharge Rate at DRG | 14.94 | ||||
| SNF Discharge Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 13.64 | ||||
| Home Discharge Rate at DRG | 62.44 | ||||
| Home Discharge Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 67.77 |
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 166,476 | ||||
| Total Hospitalizations with ICD 04186 - Helicobacter pylori [H. pylori] | 657 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD 04186 - Helicobacter pylori [H. pylori] in DRG | 2.29 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD 04186 - Helicobacter pylori [H. pylori] | 3.82 | ||||
| Readmission Rate at DRG | 24.89 | ||||
| Readmission Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 14.98 | ||||
| Unplanned Readmission Rate at DRG | 18.86 | ||||
| Unplanned Readmission Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 10.09 | ||||
| Total Medicare payments at DRG | $827,236,531 | ||||
| Total Medicare payments with ICD 04186 - Helicobacter pylori [H. pylori] | $3,272,679 | ||||
| Total Medicare payment per Day at DRG | $1,454 | ||||
| Total Medicare payment per Day with ICD 04186 - Helicobacter pylori [H. pylori] | $1,304 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,969 | ||||
| Total Medicare payment per Hospitalization with ICD 04186 - Helicobacter pylori [H. pylori] | $4,981 | ||||
| Total Medicare Charges at DRG | $3,946,027,775 | ||||
| Total Medicare Charges with ICD 04186 - Helicobacter pylori [H. pylori] | $18,988,535 | ||||
| Avg Charges at DRG | $23,703 | ||||
| Avg Charges with ICD 04186 - Helicobacter pylori [H. pylori] | $28,902 | ||||
| Mortality Rate at DRG | 0.45 | ||||
| Mortality Rate with ICD 04186 - Helicobacter pylori [H. pylori] | NA | ||||
| SNF Discharge Rate at DRG | 14.41 | ||||
| SNF Discharge Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 11.11 | ||||
| Home Discharge Rate at DRG | 64.74 | ||||
| Home Discharge Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 69.56 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 04186 - Helicobacter pylori [H. pylori] | 377 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 04186 - Helicobacter pylori [H. pylori] in DRG | 1.31 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 04186 - Helicobacter pylori [H. pylori] | 5.28 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 22.78 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 18.06 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 04186 - Helicobacter pylori [H. pylori] | $2,358,778 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 04186 - Helicobacter pylori [H. pylori] | $1,186 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 04186 - Helicobacter pylori [H. pylori] | $6,257 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 04186 - Helicobacter pylori [H. pylori] | $12,744,518 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 04186 - Helicobacter pylori [H. pylori] | $33,805 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 04186 - Helicobacter pylori [H. pylori] | NA | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 17.77 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 54.38 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD 04186 - Helicobacter pylori [H. pylori] | 250 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 04186 - Helicobacter pylori [H. pylori] in DRG | 0.87 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 04186 - Helicobacter pylori [H. pylori] | 5.56 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 24.58 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 19.17 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 04186 - Helicobacter pylori [H. pylori] | $1,685,271 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 04186 - Helicobacter pylori [H. pylori] | $1,212 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 04186 - Helicobacter pylori [H. pylori] | $6,741 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 04186 - Helicobacter pylori [H. pylori] | $8,932,877 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 04186 - Helicobacter pylori [H. pylori] | $35,732 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 04186 - Helicobacter pylori [H. pylori] | NA | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 14.8 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 04186 - Helicobacter pylori [H. pylori] | 54.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| NORTH CAROLINA BAPTIST HOSPITAL | MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 149 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 113 |
| CHRISTUS MOTHER FRANCES HOSPITAL | 800 E DAWSON ST | TYLER | TX | 75701 | 104 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM EDRIS BARNES | 141 HOSPITAL DR | SALEM | KY | 42078 | 48 |
| Dr. JOHN ANTHONY ARLEDGE | 157 CLINIC AVE | CARROLLTON | GA | 30117 | 22 |
| Dr. FALGUNY I BHAVAN | 875 OAK ST SE | SALEM | OR | 97301 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM EDRIS BARNES | 141 HOSPITAL DR | SALEM | KY | 42078 | 35 |
| Dr. SERGIO SAUL CANTU | 11203 BAYWAVE | SAN ANTONIO | TX | 78233 | 30 |
| Dr. GHASSAN YAZIGI | 141 HOSPITAL DR | SALEM | KY | 42078 | 27 |