| 5300 - Achalasia and cardiospasm - as a primary diagnosis code | 5300 - Achalasia and cardiospasm - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.45 | |
| Readmission Rate (%) | 23.34 | |
| Unplanned Readmission Rate (%) | 11.1 | |
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 5300 - Achalasia and cardiospasm | 1,211 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 5300 - Achalasia and cardiospasm in DRG | 33.13 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 5300 - Achalasia and cardiospasm | 4.24 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 5300 - Achalasia and cardiospasm | 19.28 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 5300 - Achalasia and cardiospasm | 13.32 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 5300 - Achalasia and cardiospasm | $6,080,575 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 5300 - Achalasia and cardiospasm | $1,185 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 5300 - Achalasia and cardiospasm | $5,021 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 5300 - Achalasia and cardiospasm | $37,694,503 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 5300 - Achalasia and cardiospasm | $31,127 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 5300 - Achalasia and cardiospasm | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 5300 - Achalasia and cardiospasm | 14.04 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 5300 - Achalasia and cardiospasm | 59.21 |
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 34,870 | |
| Total Hospitalizations with ICD 5300 - Achalasia and cardiospasm | 14 | |
| DRG Share of Total Hospitalizations | 0.15 | |
| % of Total ICD 5300 - Achalasia and cardiospasm in DRG | 0.38 | |
| Avg LOS at DRG | 32.29 | |
| Avg LOS with ICD 5300 - Achalasia and cardiospasm | 31.93 | |
| Readmission Rate at DRG | 77.59 | |
| Readmission Rate with ICD 5300 - Achalasia and cardiospasm | NA | |
| Unplanned Readmission Rate at DRG | 6.64 | |
| Unplanned Readmission Rate with ICD 5300 - Achalasia and cardiospasm | NA | |
| Total Medicare payments at DRG | $4,332,531,897 | |
| Total Medicare payments with ICD 5300 - Achalasia and cardiospasm | $1,577,429 | |
| Total Medicare payment per Day at DRG | $3,848 | |
| Total Medicare payment per Day with ICD 5300 - Achalasia and cardiospasm | $3,529 | |
| Total Medicare payment per Hospitalization at DRG | $124,248 | |
| Total Medicare payment per Hospitalization with ICD 5300 - Achalasia and cardiospasm | $112,674 | |
| Total Medicare Charges at DRG | $18,041,668,887 | |
| Total Medicare Charges with ICD 5300 - Achalasia and cardiospasm | $7,879,573 | |
| Avg Charges at DRG | $517,398 | |
| Avg Charges with ICD 5300 - Achalasia and cardiospasm | $562,827 | |
| Mortality Rate at DRG | 19.09 | |
| Mortality Rate with ICD 5300 - Achalasia and cardiospasm | NA | |
| SNF Discharge Rate at DRG | 14.38 | |
| SNF Discharge Rate with ICD 5300 - Achalasia and cardiospasm | NA | |
| Home Discharge Rate at DRG | 1.86 | |
| Home Discharge Rate with ICD 5300 - Achalasia and cardiospasm | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 48 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 40 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MARY T HAWN | 300 PASTEUR DR | STANFORD | CA | 94305 | 22 |
| Dr. KRISTI L HAROLD | 5779 E MAYO BLVD | PHOENIX | AZ | 85054 | 19 |
| Dr. VIC VELANOVICH | 2 TAMPA GENERAL CIR | TAMPA | FL | 33606 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MARY T HAWN | 300 PASTEUR DR | STANFORD | CA | 94305 | 22 |
| Dr. KRISTI L HAROLD | 5779 E MAYO BLVD | PHOENIX | AZ | 85054 | 19 |
| Dr. VIC VELANOVICH | 2 TAMPA GENERAL CIR | TAMPA | FL | 33606 | 16 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 5300 - Achalasia and cardiospasm | 2,033 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 5300 - Achalasia and cardiospasm in DRG | 11.68 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 5300 - Achalasia and cardiospasm | 4.23 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 5300 - Achalasia and cardiospasm | 20.02 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 5300 - Achalasia and cardiospasm | 14.76 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 5300 - Achalasia and cardiospasm | $9,949,143 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 5300 - Achalasia and cardiospasm | $1,157 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 5300 - Achalasia and cardiospasm | $4,894 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 5300 - Achalasia and cardiospasm | $62,759,550 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 5300 - Achalasia and cardiospasm | $30,870 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 5300 - Achalasia and cardiospasm | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 5300 - Achalasia and cardiospasm | 14.76 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 5300 - Achalasia and cardiospasm | 59.57 |
| DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 20,992 | ||||
| Total Hospitalizations with ICD 5300 - Achalasia and cardiospasm | 580 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD 5300 - Achalasia and cardiospasm in DRG | 3.33 | ||||
| Avg LOS at DRG | 7.58 | ||||
| Avg LOS with ICD 5300 - Achalasia and cardiospasm | 5.13 | ||||
| Readmission Rate at DRG | 18.26 | ||||
| Readmission Rate with ICD 5300 - Achalasia and cardiospasm | 12.31 | ||||
| Unplanned Readmission Rate at DRG | 11.0 | ||||
| Unplanned Readmission Rate with ICD 5300 - Achalasia and cardiospasm | 8.32 | ||||
| Total Medicare payments at DRG | $375,619,852 | ||||
| Total Medicare payments with ICD 5300 - Achalasia and cardiospasm | $10,327,587 | ||||
| Total Medicare payment per Day at DRG | $2,359 | ||||
| Total Medicare payment per Day with ICD 5300 - Achalasia and cardiospasm | $3,473 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,893 | ||||
| Total Medicare payment per Hospitalization with ICD 5300 - Achalasia and cardiospasm | $17,806 | ||||
| Total Medicare Charges at DRG | $1,728,629,391 | ||||
| Total Medicare Charges with ICD 5300 - Achalasia and cardiospasm | $36,292,481 | ||||
| Avg Charges at DRG | $82,347 | ||||
| Avg Charges with ICD 5300 - Achalasia and cardiospasm | $62,573 | ||||
| Mortality Rate at DRG | 0.7 | ||||
| Mortality Rate with ICD 5300 - Achalasia and cardiospasm | NA | ||||
| SNF Discharge Rate at DRG | 13.96 | ||||
| SNF Discharge Rate with ICD 5300 - Achalasia and cardiospasm | 8.1 | ||||
| Home Discharge Rate at DRG | 57.11 | ||||
| Home Discharge Rate with ICD 5300 - Achalasia and cardiospasm | 73.45 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD 5300 - Achalasia and cardiospasm | 258 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 5300 - Achalasia and cardiospasm in DRG | 1.48 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 5300 - Achalasia and cardiospasm | 5.21 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 5300 - Achalasia and cardiospasm | 22.09 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 5300 - Achalasia and cardiospasm | 14.86 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 5300 - Achalasia and cardiospasm | $1,664,180 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 5300 - Achalasia and cardiospasm | $1,238 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 5300 - Achalasia and cardiospasm | $6,450 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 5300 - Achalasia and cardiospasm | $8,980,845 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 5300 - Achalasia and cardiospasm | $34,809 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 5300 - Achalasia and cardiospasm | NA | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 5300 - Achalasia and cardiospasm | 24.03 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 5300 - Achalasia and cardiospasm | 49.61 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD 5300 - Achalasia and cardiospasm | 186 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 5300 - Achalasia and cardiospasm in DRG | 1.07 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 5300 - Achalasia and cardiospasm | 5.24 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 5300 - Achalasia and cardiospasm | 23.73 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 5300 - Achalasia and cardiospasm | 17.51 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 5300 - Achalasia and cardiospasm | $1,211,700 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 5300 - Achalasia and cardiospasm | $1,243 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 5300 - Achalasia and cardiospasm | $6,515 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 5300 - Achalasia and cardiospasm | $5,890,418 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 5300 - Achalasia and cardiospasm | $31,669 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 5300 - Achalasia and cardiospasm | NA | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 5300 - Achalasia and cardiospasm | 29.57 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 5300 - Achalasia and cardiospasm | 25.81 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 99 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 84 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 81 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAUL J ROSENTHAL | 2950 CLEVELAND CLINIC BLVD | WESTON | FL | 33331 | 22 |
| Dr. MARY T HAWN | 300 PASTEUR DR | STANFORD | CA | 94305 | 22 |
| Dr. KRISTI L HAROLD | 5779 E MAYO BLVD | PHOENIX | AZ | 85054 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SUZAN K ABDO | 5005 SIGNAL BELL LANE | CLARKSVILLE | MD | 21029 | 26 |
| Dr. KRISTI L HAROLD | 5779 E MAYO BLVD | PHOENIX | AZ | 85054 | 24 |
| Dr. MARY T HAWN | 300 PASTEUR DR | STANFORD | CA | 94305 | 22 |