| 5306 - Diverticulum of esophagus, acquired - as a primary diagnosis code | 5306 - Diverticulum of esophagus, acquired - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.7 | |
| Readmission Rate (%) | 22.04 | |
| Unplanned Readmission Rate (%) | 9.32 | |
| 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 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,937 | ||||
| Total Hospitalizations with ICD 5306 - Diverticulum of esophagus, acquired | 902 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 5306 - Diverticulum of esophagus, acquired in DRG | 38.01 | ||||
| Avg LOS at DRG | 3.32 | ||||
| Avg LOS with ICD 5306 - Diverticulum of esophagus, acquired | 2.86 | ||||
| Readmission Rate at DRG | 8.83 | ||||
| Readmission Rate with ICD 5306 - Diverticulum of esophagus, acquired | 7.9 | ||||
| Unplanned Readmission Rate at DRG | 5.83 | ||||
| Unplanned Readmission Rate with ICD 5306 - Diverticulum of esophagus, acquired | 5.78 | ||||
| Total Medicare payments at DRG | $174,572,643 | ||||
| Total Medicare payments with ICD 5306 - Diverticulum of esophagus, acquired | $8,666,485 | ||||
| Total Medicare payment per Day at DRG | $2,780 | ||||
| Total Medicare payment per Day with ICD 5306 - Diverticulum of esophagus, acquired | $3,363 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,219 | ||||
| Total Medicare payment per Hospitalization with ICD 5306 - Diverticulum of esophagus, acquired | $9,608 | ||||
| Total Medicare Charges at DRG | $918,495,700 | ||||
| Total Medicare Charges with ICD 5306 - Diverticulum of esophagus, acquired | $32,546,270 | ||||
| Avg Charges at DRG | $48,503 | ||||
| Avg Charges with ICD 5306 - Diverticulum of esophagus, acquired | $36,082 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD 5306 - Diverticulum of esophagus, acquired | NA | ||||
| SNF Discharge Rate at DRG | 3.92 | ||||
| SNF Discharge Rate with ICD 5306 - Diverticulum of esophagus, acquired | 4.55 | ||||
| Home Discharge Rate at DRG | 85.56 | ||||
| Home Discharge Rate with ICD 5306 - Diverticulum of esophagus, acquired | 84.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 35 |
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 31 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. CLARENCE T SASAKI | 800 HOWARD AVE | NEW HAVEN | CT | 06519 | 24 |
| Dr. ERIC GENDEN | 5 E 98TH ST | NEW YORK | NY | 10029 | 16 |
| Dr. DINESH KHATRI CHHETRI | 200 MEDICAL PLAZA | LOS ANGELES | CA | 90095 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. CLARENCE T SASAKI | 800 HOWARD AVE | NEW HAVEN | CT | 06519 | 23 |
| Dr. ERIC GENDEN | 5 E 98TH ST | NEW YORK | NY | 10029 | 16 |
| Dr. EDWARD JOSEPH DAMROSE | 801 WELCH RD | PALO ALTO | CA | 94304 | 13 |
| 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 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 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 5306 - Diverticulum of esophagus, acquired | 1,128 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 5306 - Diverticulum of esophagus, acquired in DRG | 7.74 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 5306 - Diverticulum of esophagus, acquired | 4.09 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 5306 - Diverticulum of esophagus, acquired | 18.49 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 5306 - Diverticulum of esophagus, acquired | 12.42 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 5306 - Diverticulum of esophagus, acquired | $5,306,460 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 5306 - Diverticulum of esophagus, acquired | $1,151 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 5306 - Diverticulum of esophagus, acquired | $4,704 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 5306 - Diverticulum of esophagus, acquired | $33,393,173 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 5306 - Diverticulum of esophagus, acquired | $29,604 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 5306 - Diverticulum of esophagus, acquired | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 5306 - Diverticulum of esophagus, acquired | 17.29 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 5306 - Diverticulum of esophagus, acquired | 56.47 |
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 151,975 | ||||
| Total Hospitalizations with ICD 5306 - Diverticulum of esophagus, acquired | 483 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 5306 - Diverticulum of esophagus, acquired in DRG | 3.31 | ||||
| Avg LOS at DRG | 8.26 | ||||
| Avg LOS with ICD 5306 - Diverticulum of esophagus, acquired | 8.67 | ||||
| Readmission Rate at DRG | 27.23 | ||||
| Readmission Rate with ICD 5306 - Diverticulum of esophagus, acquired | 24.94 | ||||
| Unplanned Readmission Rate at DRG | 18.84 | ||||
| Unplanned Readmission Rate with ICD 5306 - Diverticulum of esophagus, acquired | 14.96 | ||||
| Total Medicare payments at DRG | $2,014,358,740 | ||||
| Total Medicare payments with ICD 5306 - Diverticulum of esophagus, acquired | $6,529,141 | ||||
| Total Medicare payment per Day at DRG | $1,605 | ||||
| Total Medicare payment per Day with ICD 5306 - Diverticulum of esophagus, acquired | $1,559 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,255 | ||||
| Total Medicare payment per Hospitalization with ICD 5306 - Diverticulum of esophagus, acquired | $13,518 | ||||
| Total Medicare Charges at DRG | $8,492,043,787 | ||||
| Total Medicare Charges with ICD 5306 - Diverticulum of esophagus, acquired | $29,298,892 | ||||
| Avg Charges at DRG | $55,878 | ||||
| Avg Charges with ICD 5306 - Diverticulum of esophagus, acquired | $60,660 | ||||
| Mortality Rate at DRG | 9.63 | ||||
| Mortality Rate with ICD 5306 - Diverticulum of esophagus, acquired | 9.73 | ||||
| SNF Discharge Rate at DRG | 33.6 | ||||
| SNF Discharge Rate with ICD 5306 - Diverticulum of esophagus, acquired | 36.44 | ||||
| Home Discharge Rate at DRG | 18.52 | ||||
| Home Discharge Rate with ICD 5306 - Diverticulum of esophagus, acquired | 13.87 |
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 119,208 | ||||
| Total Hospitalizations with ICD 5306 - Diverticulum of esophagus, acquired | 268 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD 5306 - Diverticulum of esophagus, acquired in DRG | 1.84 | ||||
| Avg LOS at DRG | 5.97 | ||||
| Avg LOS with ICD 5306 - Diverticulum of esophagus, acquired | 6.92 | ||||
| Readmission Rate at DRG | 28.49 | ||||
| Readmission Rate with ICD 5306 - Diverticulum of esophagus, acquired | 25.71 | ||||
| Unplanned Readmission Rate at DRG | 21.2 | ||||
| Unplanned Readmission Rate with ICD 5306 - Diverticulum of esophagus, acquired | 17.14 | ||||
| Total Medicare payments at DRG | $1,381,744,311 | ||||
| Total Medicare payments with ICD 5306 - Diverticulum of esophagus, acquired | $3,174,806 | ||||
| Total Medicare payment per Day at DRG | $1,942 | ||||
| Total Medicare payment per Day with ICD 5306 - Diverticulum of esophagus, acquired | $1,712 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,591 | ||||
| Total Medicare payment per Hospitalization with ICD 5306 - Diverticulum of esophagus, acquired | $11,846 | ||||
| Total Medicare Charges at DRG | $6,006,105,446 | ||||
| Total Medicare Charges with ICD 5306 - Diverticulum of esophagus, acquired | $14,857,290 | ||||
| Avg Charges at DRG | $50,383 | ||||
| Avg Charges with ICD 5306 - Diverticulum of esophagus, acquired | $55,438 | ||||
| Mortality Rate at DRG | 6.32 | ||||
| Mortality Rate with ICD 5306 - Diverticulum of esophagus, acquired | 5.22 | ||||
| SNF Discharge Rate at DRG | 24.09 | ||||
| SNF Discharge Rate with ICD 5306 - Diverticulum of esophagus, acquired | 25.0 | ||||
| Home Discharge Rate at DRG | 39.74 | ||||
| Home Discharge Rate with ICD 5306 - Diverticulum of esophagus, acquired | 33.58 |
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 305,326 | ||||
| Total Hospitalizations with ICD 5306 - Diverticulum of esophagus, acquired | 157 | ||||
| DRG Share of Total Hospitalizations | 1.34 | ||||
| % of Total ICD 5306 - Diverticulum of esophagus, acquired in DRG | 1.08 | ||||
| Avg LOS at DRG | 5.11 | ||||
| Avg LOS with ICD 5306 - Diverticulum of esophagus, acquired | 7.28 | ||||
| Readmission Rate at DRG | 24.58 | ||||
| Readmission Rate with ICD 5306 - Diverticulum of esophagus, acquired | 28.48 | ||||
| Unplanned Readmission Rate at DRG | 18.98 | ||||
| Unplanned Readmission Rate with ICD 5306 - Diverticulum of esophagus, acquired | 22.52 | ||||
| Total Medicare payments at DRG | $2,231,748,038 | ||||
| Total Medicare payments with ICD 5306 - Diverticulum of esophagus, acquired | $1,138,896 | ||||
| Total Medicare payment per Day at DRG | $1,430 | ||||
| Total Medicare payment per Day with ICD 5306 - Diverticulum of esophagus, acquired | $996 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
| Total Medicare payment per Hospitalization with ICD 5306 - Diverticulum of esophagus, acquired | $7,254 | ||||
| Total Medicare Charges at DRG | $10,098,826,638 | ||||
| Total Medicare Charges with ICD 5306 - Diverticulum of esophagus, acquired | $7,743,532 | ||||
| Avg Charges at DRG | $33,076 | ||||
| Avg Charges with ICD 5306 - Diverticulum of esophagus, acquired | $49,322 | ||||
| Mortality Rate at DRG | 1.47 | ||||
| Mortality Rate with ICD 5306 - Diverticulum of esophagus, acquired | NA | ||||
| SNF Discharge Rate at DRG | 14.55 | ||||
| SNF Discharge Rate with ICD 5306 - Diverticulum of esophagus, acquired | 22.29 | ||||
| Home Discharge Rate at DRG | 53.12 | ||||
| Home Discharge Rate with ICD 5306 - Diverticulum of esophagus, acquired | 37.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 62 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 59 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 56 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. CLARENCE T SASAKI | 800 HOWARD AVE | NEW HAVEN | CT | 06519 | 24 |
| Dr. ERIC GENDEN | 5 E 98TH ST | NEW YORK | NY | 10029 | 16 |
| Dr. EDWARD JOSEPH DAMROSE | 801 WELCH RD | PALO ALTO | CA | 94304 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. CLARENCE T SASAKI | 800 HOWARD AVE | NEW HAVEN | CT | 06519 | 23 |
| Dr. ERIC GENDEN | 5 E 98TH ST | NEW YORK | NY | 10029 | 16 |
| Dr. EDWARD JOSEPH DAMROSE | 801 WELCH RD | PALO ALTO | CA | 94304 | 15 |