| 5304 - Perforation of esophagus - as a primary diagnosis code | 5304 - Perforation of esophagus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 15.07 | |
| Readmission Rate (%) | 35.55 | |
| Unplanned Readmission Rate (%) | 12.23 | |
| 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 368: MAJOR ESOPHAGEAL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 369: MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 370: MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,221 | ||||
| Total Hospitalizations with ICD 5304 - Perforation of esophagus | 261 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 5304 - Perforation of esophagus in DRG | 28.46 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD 5304 - Perforation of esophagus | 9.45 | ||||
| Readmission Rate at DRG | 29.87 | ||||
| Readmission Rate with ICD 5304 - Perforation of esophagus | 26.82 | ||||
| Unplanned Readmission Rate at DRG | 21.79 | ||||
| Unplanned Readmission Rate with ICD 5304 - Perforation of esophagus | 11.73 | ||||
| Total Medicare payments at DRG | $91,432,702 | ||||
| Total Medicare payments with ICD 5304 - Perforation of esophagus | $4,070,954 | ||||
| Total Medicare payment per Day at DRG | $1,981 | ||||
| Total Medicare payment per Day with ICD 5304 - Perforation of esophagus | $1,651 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,662 | ||||
| Total Medicare payment per Hospitalization with ICD 5304 - Perforation of esophagus | $15,598 | ||||
| Total Medicare Charges at DRG | $403,471,011 | ||||
| Total Medicare Charges with ICD 5304 - Perforation of esophagus | $21,321,634 | ||||
| Avg Charges at DRG | $55,875 | ||||
| Avg Charges with ICD 5304 - Perforation of esophagus | $81,692 | ||||
| Mortality Rate at DRG | 6.19 | ||||
| Mortality Rate with ICD 5304 - Perforation of esophagus | 17.24 | ||||
| SNF Discharge Rate at DRG | 21.16 | ||||
| SNF Discharge Rate with ICD 5304 - Perforation of esophagus | 19.16 | ||||
| Home Discharge Rate at DRG | 43.46 | ||||
| Home Discharge Rate with ICD 5304 - Perforation of esophagus | 22.61 |
| DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 20,992 | ||
| Total Hospitalizations with ICD 5304 - Perforation of esophagus | 40 | ||
| DRG Share of Total Hospitalizations | 0.09 | ||
| % of Total ICD 5304 - Perforation of esophagus in DRG | 4.36 | ||
| Avg LOS at DRG | 7.58 | ||
| Avg LOS with ICD 5304 - Perforation of esophagus | 12.45 | ||
| Readmission Rate at DRG | 18.26 | ||
| Readmission Rate with ICD 5304 - Perforation of esophagus | NA | ||
| Unplanned Readmission Rate at DRG | 11.0 | ||
| Unplanned Readmission Rate with ICD 5304 - Perforation of esophagus | NA | ||
| Total Medicare payments at DRG | $375,619,852 | ||
| Total Medicare payments with ICD 5304 - Perforation of esophagus | $851,247 | ||
| Total Medicare payment per Day at DRG | $2,359 | ||
| Total Medicare payment per Day with ICD 5304 - Perforation of esophagus | $1,709 | ||
| Total Medicare payment per Hospitalization at DRG | $17,893 | ||
| Total Medicare payment per Hospitalization with ICD 5304 - Perforation of esophagus | $21,281 | ||
| Total Medicare Charges at DRG | $1,728,629,391 | ||
| Total Medicare Charges with ICD 5304 - Perforation of esophagus | $4,573,412 | ||
| Avg Charges at DRG | $82,347 | ||
| Avg Charges with ICD 5304 - Perforation of esophagus | $114,335 | ||
| Mortality Rate at DRG | 0.7 | ||
| Mortality Rate with ICD 5304 - Perforation of esophagus | NA | ||
| SNF Discharge Rate at DRG | 13.96 | ||
| SNF Discharge Rate with ICD 5304 - Perforation of esophagus | NA | ||
| Home Discharge Rate at DRG | 57.11 | ||
| Home Discharge Rate with ICD 5304 - Perforation of esophagus | NA |
| DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 368: MAJOR ESOPHAGEAL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 369: MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 21,731 | ||||
| Total Hospitalizations with ICD 5304 - Perforation of esophagus | 518 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD 5304 - Perforation of esophagus in DRG | 15.92 | ||||
| Avg LOS at DRG | 14.25 | ||||
| Avg LOS with ICD 5304 - Perforation of esophagus | 18.24 | ||||
| Readmission Rate at DRG | 31.08 | ||||
| Readmission Rate with ICD 5304 - Perforation of esophagus | 37.5 | ||||
| Unplanned Readmission Rate at DRG | 15.03 | ||||
| Unplanned Readmission Rate with ICD 5304 - Perforation of esophagus | 12.27 | ||||
| Total Medicare payments at DRG | $836,873,741 | ||||
| Total Medicare payments with ICD 5304 - Perforation of esophagus | $23,364,333 | ||||
| Total Medicare payment per Day at DRG | $2,703 | ||||
| Total Medicare payment per Day with ICD 5304 - Perforation of esophagus | $2,473 | ||||
| Total Medicare payment per Hospitalization at DRG | $38,511 | ||||
| Total Medicare payment per Hospitalization with ICD 5304 - Perforation of esophagus | $45,105 | ||||
| Total Medicare Charges at DRG | $3,468,167,648 | ||||
| Total Medicare Charges with ICD 5304 - Perforation of esophagus | $115,394,422 | ||||
| Avg Charges at DRG | $159,595 | ||||
| Avg Charges with ICD 5304 - Perforation of esophagus | $222,769 | ||||
| Mortality Rate at DRG | 11.16 | ||||
| Mortality Rate with ICD 5304 - Perforation of esophagus | 12.16 | ||||
| SNF Discharge Rate at DRG | 25.91 | ||||
| SNF Discharge Rate with ICD 5304 - Perforation of esophagus | 22.78 | ||||
| Home Discharge Rate at DRG | 25.27 | ||||
| Home Discharge Rate with ICD 5304 - Perforation of esophagus | 22.01 |
| DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 370: MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,969 | ||||
| Total Hospitalizations with ICD 5304 - Perforation of esophagus | 173 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 5304 - Perforation of esophagus in DRG | 5.32 | ||||
| Avg LOS at DRG | 10.86 | ||||
| Avg LOS with ICD 5304 - Perforation of esophagus | 16.53 | ||||
| Readmission Rate at DRG | 32.91 | ||||
| Readmission Rate with ICD 5304 - Perforation of esophagus | 36.13 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD 5304 - Perforation of esophagus | 14.84 | ||||
| Total Medicare payments at DRG | $524,851,492 | ||||
| Total Medicare payments with ICD 5304 - Perforation of esophagus | $6,084,832 | ||||
| Total Medicare payment per Day at DRG | $2,549 | ||||
| Total Medicare payment per Day with ICD 5304 - Perforation of esophagus | $2,128 | ||||
| Total Medicare payment per Hospitalization at DRG | $27,669 | ||||
| Total Medicare payment per Hospitalization with ICD 5304 - Perforation of esophagus | $35,172 | ||||
| Total Medicare Charges at DRG | $2,158,062,228 | ||||
| Total Medicare Charges with ICD 5304 - Perforation of esophagus | $33,989,785 | ||||
| Avg Charges at DRG | $113,768 | ||||
| Avg Charges with ICD 5304 - Perforation of esophagus | $196,473 | ||||
| Mortality Rate at DRG | 4.96 | ||||
| Mortality Rate with ICD 5304 - Perforation of esophagus | 7.51 | ||||
| SNF Discharge Rate at DRG | 19.71 | ||||
| SNF Discharge Rate with ICD 5304 - Perforation of esophagus | 22.54 | ||||
| Home Discharge Rate at DRG | 38.37 | ||||
| Home Discharge Rate with ICD 5304 - Perforation of esophagus | 23.12 |
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,577 | ||||
| Total Hospitalizations with ICD 5304 - Perforation of esophagus | 74 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD 5304 - Perforation of esophagus in DRG | 2.27 | ||||
| Avg LOS at DRG | 14.65 | ||||
| Avg LOS with ICD 5304 - Perforation of esophagus | 19.3 | ||||
| Readmission Rate at DRG | 37.54 | ||||
| Readmission Rate with ICD 5304 - Perforation of esophagus | 42.62 | ||||
| Unplanned Readmission Rate at DRG | 20.58 | ||||
| Unplanned Readmission Rate with ICD 5304 - Perforation of esophagus | NA | ||||
| Total Medicare payments at DRG | $1,729,486,111 | ||||
| Total Medicare payments with ICD 5304 - Perforation of esophagus | $3,293,461 | ||||
| Total Medicare payment per Day at DRG | $2,430 | ||||
| Total Medicare payment per Day with ICD 5304 - Perforation of esophagus | $2,306 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,603 | ||||
| Total Medicare payment per Hospitalization with ICD 5304 - Perforation of esophagus | $44,506 | ||||
| Total Medicare Charges at DRG | $7,235,174,566 | ||||
| Total Medicare Charges with ICD 5304 - Perforation of esophagus | $14,778,957 | ||||
| Avg Charges at DRG | $148,942 | ||||
| Avg Charges with ICD 5304 - Perforation of esophagus | $199,716 | ||||
| Mortality Rate at DRG | 9.66 | ||||
| Mortality Rate with ICD 5304 - Perforation of esophagus | 14.86 | ||||
| SNF Discharge Rate at DRG | 30.41 | ||||
| SNF Discharge Rate with ICD 5304 - Perforation of esophagus | 18.92 | ||||
| Home Discharge Rate at DRG | 22.89 | ||||
| Home Discharge Rate with ICD 5304 - Perforation of esophagus | 17.57 |
| DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE 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 | 24,228 | ||||
| Total Hospitalizations with ICD 5304 - Perforation of esophagus | 46 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD 5304 - Perforation of esophagus in DRG | 1.41 | ||||
| Avg LOS at DRG | 12.99 | ||||
| Avg LOS with ICD 5304 - Perforation of esophagus | 20.57 | ||||
| Readmission Rate at DRG | 26.81 | ||||
| Readmission Rate with ICD 5304 - Perforation of esophagus | 51.35 | ||||
| Unplanned Readmission Rate at DRG | 12.82 | ||||
| Unplanned Readmission Rate with ICD 5304 - Perforation of esophagus | NA | ||||
| Total Medicare payments at DRG | $815,254,283 | ||||
| Total Medicare payments with ICD 5304 - Perforation of esophagus | $2,053,325 | ||||
| Total Medicare payment per Day at DRG | $2,591 | ||||
| Total Medicare payment per Day with ICD 5304 - Perforation of esophagus | $2,171 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,649 | ||||
| Total Medicare payment per Hospitalization with ICD 5304 - Perforation of esophagus | $44,638 | ||||
| Total Medicare Charges at DRG | $3,562,718,272 | ||||
| Total Medicare Charges with ICD 5304 - Perforation of esophagus | $11,413,984 | ||||
| Avg Charges at DRG | $147,050 | ||||
| Avg Charges with ICD 5304 - Perforation of esophagus | $248,130 | ||||
| Mortality Rate at DRG | 9.43 | ||||
| Mortality Rate with ICD 5304 - Perforation of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 18.28 | ||||
| SNF Discharge Rate with ICD 5304 - Perforation of esophagus | NA | ||||
| Home Discharge Rate at DRG | 31.72 | ||||
| Home Discharge Rate with ICD 5304 - Perforation of esophagus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 25 |
| UNIVERSITY OF NORTH CAROLINA HOSPITAL | 101 MANNING DR | CHAPEL HILL | NC | 27514 | 21 |
| UNIVERSITY OF VIRGINIA HEALTH SYSTEM UNIVERSITY HOSPITAL | 1215 LEE ST PFS | CHARLOTTESVILLE | VA | 22908 | 21 |