| 11284 - Candidal esophagitis - as a primary diagnosis code | 11284 - Candidal esophagitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.5 | |
| Readmission Rate (%) | 32.76 | |
| Unplanned Readmission Rate (%) | 21.16 | |
| 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 369: MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 368: MAJOR ESOPHAGEAL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 370: MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,109 | ||||
| Total Hospitalizations with ICD 11284 - Candidal esophagitis | 2,581 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 11284 - Candidal esophagitis in DRG | 50.28 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD 11284 - Candidal esophagitis | 4.9 | ||||
| Readmission Rate at DRG | 20.41 | ||||
| Readmission Rate with ICD 11284 - Candidal esophagitis | 27.44 | ||||
| Unplanned Readmission Rate at DRG | 15.48 | ||||
| Unplanned Readmission Rate with ICD 11284 - Candidal esophagitis | 20.16 | ||||
| Total Medicare payments at DRG | $66,509,462 | ||||
| Total Medicare payments with ICD 11284 - Candidal esophagitis | $17,410,847 | ||||
| Total Medicare payment per Day at DRG | $1,616 | ||||
| Total Medicare payment per Day with ICD 11284 - Candidal esophagitis | $1,377 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,579 | ||||
| Total Medicare payment per Hospitalization with ICD 11284 - Candidal esophagitis | $6,746 | ||||
| Total Medicare Charges at DRG | $325,441,875 | ||||
| Total Medicare Charges with ICD 11284 - Candidal esophagitis | $90,243,242 | ||||
| Avg Charges at DRG | $32,193 | ||||
| Avg Charges with ICD 11284 - Candidal esophagitis | $34,964 | ||||
| Mortality Rate at DRG | 0.69 | ||||
| Mortality Rate with ICD 11284 - Candidal esophagitis | 0.43 | ||||
| SNF Discharge Rate at DRG | 14.93 | ||||
| SNF Discharge Rate with ICD 11284 - Candidal esophagitis | 16.58 | ||||
| Home Discharge Rate at DRG | 62.47 | ||||
| Home Discharge Rate with ICD 11284 - Candidal esophagitis | 55.25 |
| DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 11,083 | |
| Total Hospitalizations with ICD 11284 - Candidal esophagitis | 17 | |
| DRG Share of Total Hospitalizations | 0.05 | |
| % of Total ICD 11284 - Candidal esophagitis in DRG | 0.33 | |
| Avg LOS at DRG | 9.86 | |
| Avg LOS with ICD 11284 - Candidal esophagitis | 5.24 | |
| Readmission Rate at DRG | 33.93 | |
| Readmission Rate with ICD 11284 - Candidal esophagitis | NA | |
| Unplanned Readmission Rate at DRG | 24.66 | |
| Unplanned Readmission Rate with ICD 11284 - Candidal esophagitis | NA | |
| Total Medicare payments at DRG | $243,160,948 | |
| Total Medicare payments with ICD 11284 - Candidal esophagitis | $336,390 | |
| Total Medicare payment per Day at DRG | $2,226 | |
| Total Medicare payment per Day with ICD 11284 - Candidal esophagitis | $3,780 | |
| Total Medicare payment per Hospitalization at DRG | $21,940 | |
| Total Medicare payment per Hospitalization with ICD 11284 - Candidal esophagitis | $19,788 | |
| Total Medicare Charges at DRG | $977,352,034 | |
| Total Medicare Charges with ICD 11284 - Candidal esophagitis | $690,723 | |
| Avg Charges at DRG | $88,185 | |
| Avg Charges with ICD 11284 - Candidal esophagitis | $40,631 | |
| Mortality Rate at DRG | 12.48 | |
| Mortality Rate with ICD 11284 - Candidal esophagitis | NA | |
| SNF Discharge Rate at DRG | 16.56 | |
| SNF Discharge Rate with ICD 11284 - Candidal esophagitis | NA | |
| Home Discharge Rate at DRG | 40.66 | |
| Home Discharge Rate with ICD 11284 - Candidal esophagitis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| AMITA HEALTH SAINTS MARY AND ELIZABETH MEDICAL CENTER | 1127 N OAKLEY BLVD | CHICAGO | IL | 60622 | 30 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 30 |
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DAVID C CHUA | 1S280 SUMMIT AVE | OAKBROOK TERRACE | IL | 60181 | 18 |
| Dr. TEJINDER S GLAMOUR | 6225 66TH ST N | PINELLAS PARK | FL | 33781 | 14 |
| DRG 369: MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 368: MAJOR ESOPHAGEAL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,109 | ||||
| Total Hospitalizations with ICD 11284 - Candidal esophagitis | 2,670 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 11284 - Candidal esophagitis in DRG | 5.72 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD 11284 - Candidal esophagitis | 4.88 | ||||
| Readmission Rate at DRG | 20.41 | ||||
| Readmission Rate with ICD 11284 - Candidal esophagitis | 27.32 | ||||
| Unplanned Readmission Rate at DRG | 15.48 | ||||
| Unplanned Readmission Rate with ICD 11284 - Candidal esophagitis | 20.05 | ||||
| Total Medicare payments at DRG | $66,509,462 | ||||
| Total Medicare payments with ICD 11284 - Candidal esophagitis | $18,025,260 | ||||
| Total Medicare payment per Day at DRG | $1,616 | ||||
| Total Medicare payment per Day with ICD 11284 - Candidal esophagitis | $1,382 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,579 | ||||
| Total Medicare payment per Hospitalization with ICD 11284 - Candidal esophagitis | $6,751 | ||||
| Total Medicare Charges at DRG | $325,441,875 | ||||
| Total Medicare Charges with ICD 11284 - Candidal esophagitis | $93,073,240 | ||||
| Avg Charges at DRG | $32,193 | ||||
| Avg Charges with ICD 11284 - Candidal esophagitis | $34,859 | ||||
| Mortality Rate at DRG | 0.69 | ||||
| Mortality Rate with ICD 11284 - Candidal esophagitis | 0.41 | ||||
| SNF Discharge Rate at DRG | 14.93 | ||||
| SNF Discharge Rate with ICD 11284 - Candidal esophagitis | 16.63 | ||||
| Home Discharge Rate at DRG | 62.47 | ||||
| Home Discharge Rate with ICD 11284 - Candidal esophagitis | 55.21 |
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 119,208 | ||||
| Total Hospitalizations with ICD 11284 - Candidal esophagitis | 1,429 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD 11284 - Candidal esophagitis in DRG | 3.06 | ||||
| Avg LOS at DRG | 5.97 | ||||
| Avg LOS with ICD 11284 - Candidal esophagitis | 7.56 | ||||
| Readmission Rate at DRG | 28.49 | ||||
| Readmission Rate with ICD 11284 - Candidal esophagitis | 32.11 | ||||
| Unplanned Readmission Rate at DRG | 21.2 | ||||
| Unplanned Readmission Rate with ICD 11284 - Candidal esophagitis | 24.79 | ||||
| Total Medicare payments at DRG | $1,381,744,311 | ||||
| Total Medicare payments with ICD 11284 - Candidal esophagitis | $17,776,456 | ||||
| Total Medicare payment per Day at DRG | $1,942 | ||||
| Total Medicare payment per Day with ICD 11284 - Candidal esophagitis | $1,645 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,591 | ||||
| Total Medicare payment per Hospitalization with ICD 11284 - Candidal esophagitis | $12,440 | ||||
| Total Medicare Charges at DRG | $6,006,105,446 | ||||
| Total Medicare Charges with ICD 11284 - Candidal esophagitis | $92,843,811 | ||||
| Avg Charges at DRG | $50,383 | ||||
| Avg Charges with ICD 11284 - Candidal esophagitis | $64,971 | ||||
| Mortality Rate at DRG | 6.32 | ||||
| Mortality Rate with ICD 11284 - Candidal esophagitis | 5.32 | ||||
| SNF Discharge Rate at DRG | 24.09 | ||||
| SNF Discharge Rate with ICD 11284 - Candidal esophagitis | 28.69 | ||||
| Home Discharge Rate at DRG | 39.74 | ||||
| Home Discharge Rate with ICD 11284 - Candidal esophagitis | 35.9 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 235,369 | ||||
| Total Hospitalizations with ICD 11284 - Candidal esophagitis | 773 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD 11284 - Candidal esophagitis in DRG | 1.66 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD 11284 - Candidal esophagitis | 11.03 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD 11284 - Candidal esophagitis | 42.57 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD 11284 - Candidal esophagitis | 28.57 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD 11284 - Candidal esophagitis | $9,446,681 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD 11284 - Candidal esophagitis | $1,108 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD 11284 - Candidal esophagitis | $12,221 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD 11284 - Candidal esophagitis | $60,384,564 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD 11284 - Candidal esophagitis | $78,117 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD 11284 - Candidal esophagitis | 7.76 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD 11284 - Candidal esophagitis | 30.4 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD 11284 - Candidal esophagitis | 24.58 |
| DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,083 | ||||
| Total Hospitalizations with ICD 11284 - Candidal esophagitis | 689 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD 11284 - Candidal esophagitis in DRG | 1.48 | ||||
| Avg LOS at DRG | 9.86 | ||||
| Avg LOS with ICD 11284 - Candidal esophagitis | 10.94 | ||||
| Readmission Rate at DRG | 33.93 | ||||
| Readmission Rate with ICD 11284 - Candidal esophagitis | 33.72 | ||||
| Unplanned Readmission Rate at DRG | 24.66 | ||||
| Unplanned Readmission Rate with ICD 11284 - Candidal esophagitis | 27.57 | ||||
| Total Medicare payments at DRG | $243,160,948 | ||||
| Total Medicare payments with ICD 11284 - Candidal esophagitis | $15,133,344 | ||||
| Total Medicare payment per Day at DRG | $2,226 | ||||
| Total Medicare payment per Day with ICD 11284 - Candidal esophagitis | $2,008 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,940 | ||||
| Total Medicare payment per Hospitalization with ICD 11284 - Candidal esophagitis | $21,964 | ||||
| Total Medicare Charges at DRG | $977,352,034 | ||||
| Total Medicare Charges with ICD 11284 - Candidal esophagitis | $59,040,230 | ||||
| Avg Charges at DRG | $88,185 | ||||
| Avg Charges with ICD 11284 - Candidal esophagitis | $85,690 | ||||
| Mortality Rate at DRG | 12.48 | ||||
| Mortality Rate with ICD 11284 - Candidal esophagitis | 7.55 | ||||
| SNF Discharge Rate at DRG | 16.56 | ||||
| SNF Discharge Rate with ICD 11284 - Candidal esophagitis | 15.24 | ||||
| Home Discharge Rate at DRG | 40.66 | ||||
| Home Discharge Rate with ICD 11284 - Candidal esophagitis | 47.46 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 183 |
| AMITA HEALTH SAINTS MARY AND ELIZABETH MEDICAL CENTER | 1127 N OAKLEY BLVD | CHICAGO | IL | 60622 | 160 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 135 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DAVID C CHUA | 1S280 SUMMIT AVE | OAKBROOK TERRACE | IL | 60181 | 64 |
| Dr. TEJINDER S GLAMOUR | 6225 66TH ST N | PINELLAS PARK | FL | 33781 | 60 |
| Dr. TAMER ACIKALIN | 1111 MEDICAL CENTER BLVD STE NORTH-306 | MARRERO | LA | 70072 | 39 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 29 |
| Dr. MICHAEL RUSSO | 1111 MEDICAL CENTER BLVD | MARRERO | LA | 70072 | 28 |
| Dr. CHARLES OZBORN | 1301 VETERANS MEMORIAL BLVD | EUPORA | MS | 39744 | 27 |