| 53021 - Ulcer of esophagus with bleeding - as a primary diagnosis code | 53021 - Ulcer of esophagus with bleeding - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.15 | |
| Readmission Rate (%) | 24.78 | |
| Unplanned Readmission Rate (%) | 15.66 | |
| 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 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 382: COMPLICATED PEPTIC ULCER 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 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,297 | ||||
| Total Hospitalizations with ICD 53021 - Ulcer of esophagus with bleeding | 4,372 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD 53021 - Ulcer of esophagus with bleeding in DRG | 55.2 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD 53021 - Ulcer of esophagus with bleeding | 3.79 | ||||
| Readmission Rate at DRG | 20.86 | ||||
| Readmission Rate with ICD 53021 - Ulcer of esophagus with bleeding | 18.0 | ||||
| Unplanned Readmission Rate at DRG | 14.99 | ||||
| Unplanned Readmission Rate with ICD 53021 - Ulcer of esophagus with bleeding | 13.6 | ||||
| Total Medicare payments at DRG | $77,603,496 | ||||
| Total Medicare payments with ICD 53021 - Ulcer of esophagus with bleeding | $29,361,207 | ||||
| Total Medicare payment per Day at DRG | $1,593 | ||||
| Total Medicare payment per Day with ICD 53021 - Ulcer of esophagus with bleeding | $1,773 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,869 | ||||
| Total Medicare payment per Hospitalization with ICD 53021 - Ulcer of esophagus with bleeding | $6,716 | ||||
| Total Medicare Charges at DRG | $373,080,463 | ||||
| Total Medicare Charges with ICD 53021 - Ulcer of esophagus with bleeding | $138,853,212 | ||||
| Avg Charges at DRG | $33,025 | ||||
| Avg Charges with ICD 53021 - Ulcer of esophagus with bleeding | $31,760 | ||||
| Mortality Rate at DRG | 0.97 | ||||
| Mortality Rate with ICD 53021 - Ulcer of esophagus with bleeding | 0.59 | ||||
| SNF Discharge Rate at DRG | 15.7 | ||||
| SNF Discharge Rate with ICD 53021 - Ulcer of esophagus with bleeding | 20.75 | ||||
| Home Discharge Rate at DRG | 58.78 | ||||
| Home Discharge Rate with ICD 53021 - Ulcer of esophagus with bleeding | 56.66 |
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,577 | |||
| Total Hospitalizations with ICD 53021 - Ulcer of esophagus with bleeding | 35 | |||
| DRG Share of Total Hospitalizations | 0.21 | |||
| % of Total ICD 53021 - Ulcer of esophagus with bleeding in DRG | 0.44 | |||
| Avg LOS at DRG | 14.65 | |||
| Avg LOS with ICD 53021 - Ulcer of esophagus with bleeding | 12.23 | |||
| Readmission Rate at DRG | 37.54 | |||
| Readmission Rate with ICD 53021 - Ulcer of esophagus with bleeding | NA | |||
| Unplanned Readmission Rate at DRG | 20.58 | |||
| Unplanned Readmission Rate with ICD 53021 - Ulcer of esophagus with bleeding | NA | |||
| Total Medicare payments at DRG | $1,729,486,111 | |||
| Total Medicare payments with ICD 53021 - Ulcer of esophagus with bleeding | $1,174,800 | |||
| Total Medicare payment per Day at DRG | $2,430 | |||
| Total Medicare payment per Day with ICD 53021 - Ulcer of esophagus with bleeding | $2,745 | |||
| Total Medicare payment per Hospitalization at DRG | $35,603 | |||
| Total Medicare payment per Hospitalization with ICD 53021 - Ulcer of esophagus with bleeding | $33,566 | |||
| Total Medicare Charges at DRG | $7,235,174,566 | |||
| Total Medicare Charges with ICD 53021 - Ulcer of esophagus with bleeding | $4,935,581 | |||
| Avg Charges at DRG | $148,942 | |||
| Avg Charges with ICD 53021 - Ulcer of esophagus with bleeding | $141,017 | |||
| Mortality Rate at DRG | 9.66 | |||
| Mortality Rate with ICD 53021 - Ulcer of esophagus with bleeding | NA | |||
| SNF Discharge Rate at DRG | 30.41 | |||
| SNF Discharge Rate with ICD 53021 - Ulcer of esophagus with bleeding | 48.57 | |||
| Home Discharge Rate at DRG | 22.89 | |||
| Home Discharge Rate with ICD 53021 - Ulcer of esophagus with bleeding | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| COVENANT MEDICAL CENTER | 3615 19TH ST | LUBBOCK | TX | 79410 | 29 |
| RALEIGH GENERAL HOSPITAL | 1710 HARPER RD | BECKLEY | WV | 25801 | 28 |
| COMMUNITY MEDICAL CENTER | 99 ROUTE 37 W | TOMS RIVER | NJ | 08755 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MONZER ATTAR | 3425 22ND PLACE | LUBBOCK | TX | 79410 | 17 |
| Dr. SYED M SIDDIQI | 93 HICKORY DR | BECKLEY | WV | 25801 | 15 |
| Dr. HRAIR P SIMONIAN | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 13 |
| DRG 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) | DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 382: COMPLICATED PEPTIC ULCER 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,297 | ||||
| Total Hospitalizations with ICD 53021 - Ulcer of esophagus with bleeding | 4,389 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD 53021 - Ulcer of esophagus with bleeding in DRG | 33.12 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD 53021 - Ulcer of esophagus with bleeding | 3.79 | ||||
| Readmission Rate at DRG | 20.86 | ||||
| Readmission Rate with ICD 53021 - Ulcer of esophagus with bleeding | 17.95 | ||||
| Unplanned Readmission Rate at DRG | 14.99 | ||||
| Unplanned Readmission Rate with ICD 53021 - Ulcer of esophagus with bleeding | 13.57 | ||||
| Total Medicare payments at DRG | $77,603,496 | ||||
| Total Medicare payments with ICD 53021 - Ulcer of esophagus with bleeding | $29,459,866 | ||||
| Total Medicare payment per Day at DRG | $1,593 | ||||
| Total Medicare payment per Day with ICD 53021 - Ulcer of esophagus with bleeding | $1,771 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,869 | ||||
| Total Medicare payment per Hospitalization with ICD 53021 - Ulcer of esophagus with bleeding | $6,712 | ||||
| Total Medicare Charges at DRG | $373,080,463 | ||||
| Total Medicare Charges with ICD 53021 - Ulcer of esophagus with bleeding | $139,322,600 | ||||
| Avg Charges at DRG | $33,025 | ||||
| Avg Charges with ICD 53021 - Ulcer of esophagus with bleeding | $31,744 | ||||
| Mortality Rate at DRG | 0.97 | ||||
| Mortality Rate with ICD 53021 - Ulcer of esophagus with bleeding | 0.59 | ||||
| SNF Discharge Rate at DRG | 15.7 | ||||
| SNF Discharge Rate with ICD 53021 - Ulcer of esophagus with bleeding | 20.8 | ||||
| Home Discharge Rate at DRG | 58.78 | ||||
| Home Discharge Rate with ICD 53021 - Ulcer of esophagus with bleeding | 56.64 |
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 293,121 | ||||
| Total Hospitalizations with ICD 53021 - Ulcer of esophagus with bleeding | 293 | ||||
| DRG Share of Total Hospitalizations | 1.28 | ||||
| % of Total ICD 53021 - Ulcer of esophagus with bleeding in DRG | 2.21 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD 53021 - Ulcer of esophagus with bleeding | 4.22 | ||||
| Readmission Rate at DRG | 17.73 | ||||
| Readmission Rate with ICD 53021 - Ulcer of esophagus with bleeding | 21.11 | ||||
| Unplanned Readmission Rate at DRG | 13.44 | ||||
| Unplanned Readmission Rate with ICD 53021 - Ulcer of esophagus with bleeding | 16.96 | ||||
| Total Medicare payments at DRG | $1,776,508,891 | ||||
| Total Medicare payments with ICD 53021 - Ulcer of esophagus with bleeding | $1,880,673 | ||||
| Total Medicare payment per Day at DRG | $1,604 | ||||
| Total Medicare payment per Day with ICD 53021 - Ulcer of esophagus with bleeding | $1,520 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
| Total Medicare payment per Hospitalization with ICD 53021 - Ulcer of esophagus with bleeding | $6,419 | ||||
| Total Medicare Charges at DRG | $8,470,312,778 | ||||
| Total Medicare Charges with ICD 53021 - Ulcer of esophagus with bleeding | $9,882,373 | ||||
| Avg Charges at DRG | $28,897 | ||||
| Avg Charges with ICD 53021 - Ulcer of esophagus with bleeding | $33,728 | ||||
| Mortality Rate at DRG | 0.95 | ||||
| Mortality Rate with ICD 53021 - Ulcer of esophagus with bleeding | NA | ||||
| SNF Discharge Rate at DRG | 14.94 | ||||
| SNF Discharge Rate with ICD 53021 - Ulcer of esophagus with bleeding | 17.41 | ||||
| Home Discharge Rate at DRG | 62.44 | ||||
| Home Discharge Rate with ICD 53021 - Ulcer of esophagus with bleeding | 59.73 |
| DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,223 | ||||
| Total Hospitalizations with ICD 53021 - Ulcer of esophagus with bleeding | 118 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 53021 - Ulcer of esophagus with bleeding in DRG | 0.89 | ||||
| Avg LOS at DRG | 8.07 | ||||
| Avg LOS with ICD 53021 - Ulcer of esophagus with bleeding | 6.74 | ||||
| Readmission Rate at DRG | 27.82 | ||||
| Readmission Rate with ICD 53021 - Ulcer of esophagus with bleeding | 25.51 | ||||
| Unplanned Readmission Rate at DRG | 17.55 | ||||
| Unplanned Readmission Rate with ICD 53021 - Ulcer of esophagus with bleeding | 21.43 | ||||
| Total Medicare payments at DRG | $264,751,368 | ||||
| Total Medicare payments with ICD 53021 - Ulcer of esophagus with bleeding | $1,594,386 | ||||
| Total Medicare payment per Day at DRG | $1,801 | ||||
| Total Medicare payment per Day with ICD 53021 - Ulcer of esophagus with bleeding | $2,006 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,528 | ||||
| Total Medicare payment per Hospitalization with ICD 53021 - Ulcer of esophagus with bleeding | $13,512 | ||||
| Total Medicare Charges at DRG | $1,114,935,556 | ||||
| Total Medicare Charges with ICD 53021 - Ulcer of esophagus with bleeding | $6,610,777 | ||||
| Avg Charges at DRG | $61,183 | ||||
| Avg Charges with ICD 53021 - Ulcer of esophagus with bleeding | $56,024 | ||||
| Mortality Rate at DRG | 14.44 | ||||
| Mortality Rate with ICD 53021 - Ulcer of esophagus with bleeding | 9.32 | ||||
| SNF Discharge Rate at DRG | 14.2 | ||||
| SNF Discharge Rate with ICD 53021 - Ulcer of esophagus with bleeding | 13.56 | ||||
| Home Discharge Rate at DRG | 25.87 | ||||
| Home Discharge Rate with ICD 53021 - Ulcer of esophagus with bleeding | 36.44 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 368: MAJOR ESOPHAGEAL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 53021 - Ulcer of esophagus with bleeding | 81 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 53021 - Ulcer of esophagus with bleeding in DRG | 0.61 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 53021 - Ulcer of esophagus with bleeding | 10.12 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 53021 - Ulcer of esophagus with bleeding | 35.21 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 53021 - Ulcer of esophagus with bleeding | 30.99 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 53021 - Ulcer of esophagus with bleeding | $991,194 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 53021 - Ulcer of esophagus with bleeding | $1,209 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 53021 - Ulcer of esophagus with bleeding | $12,237 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 53021 - Ulcer of esophagus with bleeding | $5,382,938 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 53021 - Ulcer of esophagus with bleeding | $66,456 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 53021 - Ulcer of esophagus with bleeding | NA | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 53021 - Ulcer of esophagus with bleeding | 29.63 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 53021 - Ulcer of esophagus with bleeding | 30.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| COMMUNITY MEDICAL CENTER | 99 ROUTE 37 W | TOMS RIVER | NJ | 08755 | 43 |
| COVENANT MEDICAL CENTER | 3615 19TH ST | LUBBOCK | TX | 79410 | 40 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 39 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. KANNAPPAN MOHAN | 583 WEST PUTNAM AVENUE | PORTERVILLE | CA | 93257 | 21 |
| Dr. MONZER ATTAR | 3425 22ND PLACE | LUBBOCK | TX | 79410 | 20 |
| Dr. HRAIR P SIMONIAN | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. KEVIN M REID | 425 W GRAND AVE | DAYTON | OH | 45405 | 11 |