53081 - Esophageal reflux - as a primary diagnosis code | 53081 - Esophageal reflux - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.53 | |
Readmission Rate (%) | 21.72 | |
Unplanned Readmission Rate (%) | 9.65 | |
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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 53081 - Esophageal reflux | 12,756 | ||||
DRG Share of Total Hospitalizations | 1.83 | ||||
% of Total ICD 53081 - Esophageal reflux in DRG | 65.13 | ||||
Avg LOS at DRG | 3.34 | ||||
Avg LOS with ICD 53081 - Esophageal reflux | 2.16 | ||||
Readmission Rate at DRG | 17.47 | ||||
Readmission Rate with ICD 53081 - Esophageal reflux | 12.72 | ||||
Unplanned Readmission Rate at DRG | 12.56 | ||||
Unplanned Readmission Rate with ICD 53081 - Esophageal reflux | 9.41 | ||||
Total Medicare payments at DRG | $1,834,433,235 | ||||
Total Medicare payments with ICD 53081 - Esophageal reflux | $56,434,365 | ||||
Total Medicare payment per Day at DRG | $1,317 | ||||
Total Medicare payment per Day with ICD 53081 - Esophageal reflux | $2,045 | ||||
Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
Total Medicare payment per Hospitalization with ICD 53081 - Esophageal reflux | $4,424 | ||||
Total Medicare Charges at DRG | $9,558,780,965 | ||||
Total Medicare Charges with ICD 53081 - Esophageal reflux | $278,849,357 | ||||
Avg Charges at DRG | $22,890 | ||||
Avg Charges with ICD 53081 - Esophageal reflux | $21,860 | ||||
Mortality Rate at DRG | 0.23 | ||||
Mortality Rate with ICD 53081 - Esophageal reflux | NA | ||||
SNF Discharge Rate at DRG | 8.82 | ||||
SNF Discharge Rate with ICD 53081 - Esophageal reflux | 5.46 | ||||
Home Discharge Rate at DRG | 73.03 | ||||
Home Discharge Rate with ICD 53081 - Esophageal reflux | 81.57 |
DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 14,144 | ||||
Total Hospitalizations with ICD 53081 - Esophageal reflux | 35 | ||||
DRG Share of Total Hospitalizations | 0.06 | ||||
% of Total ICD 53081 - Esophageal reflux in DRG | 0.18 | ||||
Avg LOS at DRG | 6.62 | ||||
Avg LOS with ICD 53081 - Esophageal reflux | 4.89 | ||||
Readmission Rate at DRG | 23.76 | ||||
Readmission Rate with ICD 53081 - Esophageal reflux | NA | ||||
Unplanned Readmission Rate at DRG | 15.85 | ||||
Unplanned Readmission Rate with ICD 53081 - Esophageal reflux | NA | ||||
Total Medicare payments at DRG | $196,682,647 | ||||
Total Medicare payments with ICD 53081 - Esophageal reflux | $499,110 | ||||
Total Medicare payment per Day at DRG | $2,100 | ||||
Total Medicare payment per Day with ICD 53081 - Esophageal reflux | $2,919 | ||||
Total Medicare payment per Hospitalization at DRG | $13,906 | ||||
Total Medicare payment per Hospitalization with ICD 53081 - Esophageal reflux | $14,260 | ||||
Total Medicare Charges at DRG | $887,003,445 | ||||
Total Medicare Charges with ICD 53081 - Esophageal reflux | $2,733,528 | ||||
Avg Charges at DRG | $62,712 | ||||
Avg Charges with ICD 53081 - Esophageal reflux | $78,101 | ||||
Mortality Rate at DRG | 1.67 | ||||
Mortality Rate with ICD 53081 - Esophageal reflux | NA | ||||
SNF Discharge Rate at DRG | 17.0 | ||||
SNF Discharge Rate with ICD 53081 - Esophageal reflux | NA | ||||
Home Discharge Rate at DRG | 52.36 | ||||
Home Discharge Rate with ICD 53081 - Esophageal reflux | 68.57 |
DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|
Total Hospitalizations at DRG | 16,167 | |
Total Hospitalizations with ICD 53081 - Esophageal reflux | 13 | |
DRG Share of Total Hospitalizations | 0.07 | |
% of Total ICD 53081 - Esophageal reflux in DRG | 0.07 | |
Avg LOS at DRG | 6.55 | |
Avg LOS with ICD 53081 - Esophageal reflux | 2.38 | |
Readmission Rate at DRG | 23.81 | |
Readmission Rate with ICD 53081 - Esophageal reflux | NA | |
Unplanned Readmission Rate at DRG | 13.97 | |
Unplanned Readmission Rate with ICD 53081 - Esophageal reflux | NA | |
Total Medicare payments at DRG | $187,084,831 | |
Total Medicare payments with ICD 53081 - Esophageal reflux | $153,423 | |
Total Medicare payment per Day at DRG | $1,768 | |
Total Medicare payment per Day with ICD 53081 - Esophageal reflux | $4,949 | |
Total Medicare payment per Hospitalization at DRG | $11,572 | |
Total Medicare payment per Hospitalization with ICD 53081 - Esophageal reflux | $11,802 | |
Total Medicare Charges at DRG | $860,709,473 | |
Total Medicare Charges with ICD 53081 - Esophageal reflux | $394,102 | |
Avg Charges at DRG | $53,239 | |
Avg Charges with ICD 53081 - Esophageal reflux | $30,316 | |
Mortality Rate at DRG | 0.52 | |
Mortality Rate with ICD 53081 - Esophageal reflux | NA | |
SNF Discharge Rate at DRG | 20.32 | |
SNF Discharge Rate with ICD 53081 - Esophageal reflux | NA | |
Home Discharge Rate at DRG | 47.69 | |
Home Discharge Rate with ICD 53081 - Esophageal reflux | 92.31 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
CHINO VALLEY MEDICAL CENTER | 5451 WALNUT AVE | CHINO | CA | 91710 | 126 |
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 121 |
SAINT MARY'S REGIONAL MEDICAL CENTER | 235 W 6TH ST | RENO | NV | 89503 | 100 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. WADE RONALD ROSENBERG | 6560 FANNIN ST | HOUSTON | TX | 77030 | 44 |
Dr. CASEY J GRAYBEAL | 1075 JESSE JEWELL PKWY NE | GAINESVILLE | GA | 30501 | 33 |
Dr. JAMES M LALLY | 13193 CENTRAL AVE | CHINO | CA | 91710 | 27 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. JAMES M LALLY | 13193 CENTRAL AVE | CHINO | CA | 91710 | 102 |
Dr. WADE RONALD ROSENBERG | 6560 FANNIN ST | HOUSTON | TX | 77030 | 40 |
Dr. SUNIL K JAISWAL | 107 MAIN STREET | COLLINSVILLE | AL | 35961 | 36 |
DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 939,378 | ||||
Total Hospitalizations with ICD 53081 - Esophageal reflux | 273,557 | ||||
DRG Share of Total Hospitalizations | 4.11 | ||||
% of Total ICD 53081 - Esophageal reflux in DRG | 5.41 | ||||
Avg LOS at DRG | 3.12 | ||||
Avg LOS with ICD 53081 - Esophageal reflux | 3.1 | ||||
Readmission Rate at DRG | 12.54 | ||||
Readmission Rate with ICD 53081 - Esophageal reflux | 12.2 | ||||
Unplanned Readmission Rate at DRG | 3.52 | ||||
Unplanned Readmission Rate with ICD 53081 - Esophageal reflux | 3.54 | ||||
Total Medicare payments at DRG | $11,301,359,598 | ||||
Total Medicare payments with ICD 53081 - Esophageal reflux | $3,265,839,990 | ||||
Total Medicare payment per Day at DRG | $3,853 | ||||
Total Medicare payment per Day with ICD 53081 - Esophageal reflux | $3,857 | ||||
Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
Total Medicare payment per Hospitalization with ICD 53081 - Esophageal reflux | $11,938 | ||||
Total Medicare Charges at DRG | $51,993,364,479 | ||||
Total Medicare Charges with ICD 53081 - Esophageal reflux | $14,760,281,428 | ||||
Avg Charges at DRG | $55,349 | ||||
Avg Charges with ICD 53081 - Esophageal reflux | $53,957 | ||||
Mortality Rate at DRG | 0.07 | ||||
Mortality Rate with ICD 53081 - Esophageal reflux | 0.05 | ||||
SNF Discharge Rate at DRG | 32.49 | ||||
SNF Discharge Rate with ICD 53081 - Esophageal reflux | 33.01 | ||||
Home Discharge Rate at DRG | 21.06 | ||||
Home Discharge Rate with ICD 53081 - Esophageal reflux | 20.3 |
DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 368,552 | ||||
Total Hospitalizations with ICD 53081 - Esophageal reflux | 86,007 | ||||
DRG Share of Total Hospitalizations | 1.61 | ||||
% of Total ICD 53081 - Esophageal reflux in DRG | 1.7 | ||||
Avg LOS at DRG | 4.42 | ||||
Avg LOS with ICD 53081 - Esophageal reflux | 4.44 | ||||
Readmission Rate at DRG | 18.07 | ||||
Readmission Rate with ICD 53081 - Esophageal reflux | 18.7 | ||||
Unplanned Readmission Rate at DRG | 12.45 | ||||
Unplanned Readmission Rate with ICD 53081 - Esophageal reflux | 13.17 | ||||
Total Medicare payments at DRG | $2,243,342,846 | ||||
Total Medicare payments with ICD 53081 - Esophageal reflux | $510,574,397 | ||||
Total Medicare payment per Day at DRG | $1,376 | ||||
Total Medicare payment per Day with ICD 53081 - Esophageal reflux | $1,338 | ||||
Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
Total Medicare payment per Hospitalization with ICD 53081 - Esophageal reflux | $5,936 | ||||
Total Medicare Charges at DRG | $9,706,587,516 | ||||
Total Medicare Charges with ICD 53081 - Esophageal reflux | $2,235,342,119 | ||||
Avg Charges at DRG | $26,337 | ||||
Avg Charges with ICD 53081 - Esophageal reflux | $25,990 | ||||
Mortality Rate at DRG | 1.44 | ||||
Mortality Rate with ICD 53081 - Esophageal reflux | 1.0 | ||||
SNF Discharge Rate at DRG | 19.19 | ||||
SNF Discharge Rate with ICD 53081 - Esophageal reflux | 19.58 | ||||
Home Discharge Rate at DRG | 50.54 | ||||
Home Discharge Rate with ICD 53081 - Esophageal reflux | 50.48 |
DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 261,933 | ||||
Total Hospitalizations with ICD 53081 - Esophageal reflux | 71,732 | ||||
DRG Share of Total Hospitalizations | 1.15 | ||||
% of Total ICD 53081 - Esophageal reflux in DRG | 1.42 | ||||
Avg LOS at DRG | 4.1 | ||||
Avg LOS with ICD 53081 - Esophageal reflux | 4.24 | ||||
Readmission Rate at DRG | 23.4 | ||||
Readmission Rate with ICD 53081 - Esophageal reflux | 24.08 | ||||
Unplanned Readmission Rate at DRG | 18.25 | ||||
Unplanned Readmission Rate with ICD 53081 - Esophageal reflux | 19.01 | ||||
Total Medicare payments at DRG | $1,493,154,986 | ||||
Total Medicare payments with ICD 53081 - Esophageal reflux | $402,264,056 | ||||
Total Medicare payment per Day at DRG | $1,391 | ||||
Total Medicare payment per Day with ICD 53081 - Esophageal reflux | $1,321 | ||||
Total Medicare payment per Hospitalization at DRG | $5,701 | ||||
Total Medicare payment per Hospitalization with ICD 53081 - Esophageal reflux | $5,608 | ||||
Total Medicare Charges at DRG | $6,844,391,093 | ||||
Total Medicare Charges with ICD 53081 - Esophageal reflux | $1,881,982,812 | ||||
Avg Charges at DRG | $26,130 | ||||
Avg Charges with ICD 53081 - Esophageal reflux | $26,236 | ||||
Mortality Rate at DRG | 0.36 | ||||
Mortality Rate with ICD 53081 - Esophageal reflux | 0.26 | ||||
SNF Discharge Rate at DRG | 12.08 | ||||
SNF Discharge Rate with ICD 53081 - Esophageal reflux | 12.03 | ||||
Home Discharge Rate at DRG | 59.35 | ||||
Home Discharge Rate with ICD 53081 - Esophageal reflux | 58.95 |
DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 285,530 | ||||
Total Hospitalizations with ICD 53081 - Esophageal reflux | 60,531 | ||||
DRG Share of Total Hospitalizations | 1.25 | ||||
% of Total ICD 53081 - Esophageal reflux in DRG | 1.2 | ||||
Avg LOS at DRG | 4.72 | ||||
Avg LOS with ICD 53081 - Esophageal reflux | 4.68 | ||||
Readmission Rate at DRG | 18.55 | ||||
Readmission Rate with ICD 53081 - Esophageal reflux | 18.66 | ||||
Unplanned Readmission Rate at DRG | 12.87 | ||||
Unplanned Readmission Rate with ICD 53081 - Esophageal reflux | 13.26 | ||||
Total Medicare payments at DRG | $1,922,582,097 | ||||
Total Medicare payments with ICD 53081 - Esophageal reflux | $396,450,940 | ||||
Total Medicare payment per Day at DRG | $1,427 | ||||
Total Medicare payment per Day with ICD 53081 - Esophageal reflux | $1,399 | ||||
Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
Total Medicare payment per Hospitalization with ICD 53081 - Esophageal reflux | $6,550 | ||||
Total Medicare Charges at DRG | $8,696,353,387 | ||||
Total Medicare Charges with ICD 53081 - Esophageal reflux | $1,771,556,712 | ||||
Avg Charges at DRG | $30,457 | ||||
Avg Charges with ICD 53081 - Esophageal reflux | $29,267 | ||||
Mortality Rate at DRG | 2.4 | ||||
Mortality Rate with ICD 53081 - Esophageal reflux | 1.75 | ||||
SNF Discharge Rate at DRG | 23.54 | ||||
SNF Discharge Rate with ICD 53081 - Esophageal reflux | 24.14 | ||||
Home Discharge Rate at DRG | 44.6 | ||||
Home Discharge Rate with ICD 53081 - Esophageal reflux | 45.25 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 14,854 |
CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 12,888 |
DCH REGIONAL MEDICAL CENTER | 809 UNIVERSITY BLVD E | TUSCALOOSA | AL | 35401 | 11,859 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 563 |
Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 502 |
Dr. WANDA J GOBIN | 1511 W. THIRD AVE | ALBANY | GA | 31707 | 483 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 1,113 |
Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 821 |
Dr. SUNIL K JAISWAL | 107 MAIN STREET | COLLINSVILLE | AL | 35961 | 810 |