| 53089 - Other specified disorders of esophagus - as a primary diagnosis code | 53089 - Other specified disorders of esophagus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.66 | |
| Readmission Rate (%) | 23.51 | |
| Unplanned Readmission Rate (%) | 15.72 | |
| 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 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 53089 - Other specified disorders of esophagus | 642 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 53089 - Other specified disorders of esophagus in DRG | 57.79 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 53089 - Other specified disorders of esophagus | 3.72 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 53089 - Other specified disorders of esophagus | 18.76 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 53089 - Other specified disorders of esophagus | 13.51 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 53089 - Other specified disorders of esophagus | $2,990,207 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 53089 - Other specified disorders of esophagus | $1,253 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 53089 - Other specified disorders of esophagus | $4,658 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 53089 - Other specified disorders of esophagus | $18,142,705 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 53089 - Other specified disorders of esophagus | $28,260 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 53089 - Other specified disorders of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 53089 - Other specified disorders of esophagus | 15.89 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 53089 - Other specified disorders of esophagus | 59.81 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | 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 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 53089 - Other specified disorders of esophagus | 2,262 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 53089 - Other specified disorders of esophagus in DRG | 9.74 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 53089 - Other specified disorders of esophagus | 3.98 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 53089 - Other specified disorders of esophagus | 18.17 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 53089 - Other specified disorders of esophagus | 13.39 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 53089 - Other specified disorders of esophagus | $10,327,470 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 53089 - Other specified disorders of esophagus | $1,148 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 53089 - Other specified disorders of esophagus | $4,566 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 53089 - Other specified disorders of esophagus | $64,608,224 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 53089 - Other specified disorders of esophagus | $28,562 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 53089 - Other specified disorders of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 53089 - Other specified disorders of esophagus | 16.22 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 53089 - Other specified disorders of esophagus | 60.83 |
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 151,975 | ||||
| Total Hospitalizations with ICD 53089 - Other specified disorders of esophagus | 535 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 53089 - Other specified disorders of esophagus in DRG | 2.3 | ||||
| Avg LOS at DRG | 8.26 | ||||
| Avg LOS with ICD 53089 - Other specified disorders of esophagus | 9.1 | ||||
| Readmission Rate at DRG | 27.23 | ||||
| Readmission Rate with ICD 53089 - Other specified disorders of esophagus | 28.03 | ||||
| Unplanned Readmission Rate at DRG | 18.84 | ||||
| Unplanned Readmission Rate with ICD 53089 - Other specified disorders of esophagus | 18.83 | ||||
| Total Medicare payments at DRG | $2,014,358,740 | ||||
| Total Medicare payments with ICD 53089 - Other specified disorders of esophagus | $6,993,252 | ||||
| Total Medicare payment per Day at DRG | $1,605 | ||||
| Total Medicare payment per Day with ICD 53089 - Other specified disorders of esophagus | $1,436 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,255 | ||||
| Total Medicare payment per Hospitalization with ICD 53089 - Other specified disorders of esophagus | $13,071 | ||||
| Total Medicare Charges at DRG | $8,492,043,787 | ||||
| Total Medicare Charges with ICD 53089 - Other specified disorders of esophagus | $32,720,838 | ||||
| Avg Charges at DRG | $55,878 | ||||
| Avg Charges with ICD 53089 - Other specified disorders of esophagus | $61,160 | ||||
| Mortality Rate at DRG | 9.63 | ||||
| Mortality Rate with ICD 53089 - Other specified disorders of esophagus | 7.48 | ||||
| SNF Discharge Rate at DRG | 33.6 | ||||
| SNF Discharge Rate with ICD 53089 - Other specified disorders of esophagus | 38.13 | ||||
| Home Discharge Rate at DRG | 18.52 | ||||
| Home Discharge Rate with ICD 53089 - Other specified disorders of esophagus | 17.2 |
| DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 66,429 | ||||
| Total Hospitalizations with ICD 53089 - Other specified disorders of esophagus | 341 | ||||
| DRG Share of Total Hospitalizations | 0.29 | ||||
| % of Total ICD 53089 - Other specified disorders of esophagus in DRG | 1.47 | ||||
| Avg LOS at DRG | 2.65 | ||||
| Avg LOS with ICD 53089 - Other specified disorders of esophagus | 2.72 | ||||
| Readmission Rate at DRG | 12.24 | ||||
| Readmission Rate with ICD 53089 - Other specified disorders of esophagus | 14.03 | ||||
| Unplanned Readmission Rate at DRG | 8.88 | ||||
| Unplanned Readmission Rate with ICD 53089 - Other specified disorders of esophagus | 11.34 | ||||
| Total Medicare payments at DRG | $268,668,712 | ||||
| Total Medicare payments with ICD 53089 - Other specified disorders of esophagus | $1,350,402 | ||||
| Total Medicare payment per Day at DRG | $1,525 | ||||
| Total Medicare payment per Day with ICD 53089 - Other specified disorders of esophagus | $1,455 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,044 | ||||
| Total Medicare payment per Hospitalization with ICD 53089 - Other specified disorders of esophagus | $3,960 | ||||
| Total Medicare Charges at DRG | $1,305,110,138 | ||||
| Total Medicare Charges with ICD 53089 - Other specified disorders of esophagus | $7,689,089 | ||||
| Avg Charges at DRG | $19,647 | ||||
| Avg Charges with ICD 53089 - Other specified disorders of esophagus | $22,549 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD 53089 - Other specified disorders of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 8.78 | ||||
| SNF Discharge Rate with ICD 53089 - Other specified disorders of esophagus | 7.62 | ||||
| Home Discharge Rate at DRG | 75.03 | ||||
| Home Discharge Rate with ICD 53089 - Other specified disorders of esophagus | 80.35 |
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 305,326 | ||||
| Total Hospitalizations with ICD 53089 - Other specified disorders of esophagus | 268 | ||||
| DRG Share of Total Hospitalizations | 1.34 | ||||
| % of Total ICD 53089 - Other specified disorders of esophagus in DRG | 1.15 | ||||
| Avg LOS at DRG | 5.11 | ||||
| Avg LOS with ICD 53089 - Other specified disorders of esophagus | 7.07 | ||||
| Readmission Rate at DRG | 24.58 | ||||
| Readmission Rate with ICD 53089 - Other specified disorders of esophagus | 28.52 | ||||
| Unplanned Readmission Rate at DRG | 18.98 | ||||
| Unplanned Readmission Rate with ICD 53089 - Other specified disorders of esophagus | 22.05 | ||||
| Total Medicare payments at DRG | $2,231,748,038 | ||||
| Total Medicare payments with ICD 53089 - Other specified disorders of esophagus | $2,021,645 | ||||
| Total Medicare payment per Day at DRG | $1,430 | ||||
| Total Medicare payment per Day with ICD 53089 - Other specified disorders of esophagus | $1,067 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
| Total Medicare payment per Hospitalization with ICD 53089 - Other specified disorders of esophagus | $7,543 | ||||
| Total Medicare Charges at DRG | $10,098,826,638 | ||||
| Total Medicare Charges with ICD 53089 - Other specified disorders of esophagus | $11,988,779 | ||||
| Avg Charges at DRG | $33,076 | ||||
| Avg Charges with ICD 53089 - Other specified disorders of esophagus | $44,734 | ||||
| Mortality Rate at DRG | 1.47 | ||||
| Mortality Rate with ICD 53089 - Other specified disorders of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 14.55 | ||||
| SNF Discharge Rate with ICD 53089 - Other specified disorders of esophagus | 20.15 | ||||
| Home Discharge Rate at DRG | 53.12 | ||||
| Home Discharge Rate with ICD 53089 - Other specified disorders of esophagus | 50.75 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 71 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 68 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 61 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JINFENG J GUO | 21600 HWY 99 | EDMONDS | WA | 98026 | 31 |
| Dr. LAURA G BALMAIN | 1920 MOORES LN | TEXARKANA | TX | 75503 | 28 |
| Dr. ROBIN A MATUK | 5959 TRUXTUN AVE STE 200 | BAKERSFIELD | CA | 93309 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. GEORGE H WATHEN | 11345 PEMBROOKE SQ | WALDORF | MD | 20603 | 12 |
| Dr. WARREN PIERCE | 1555 BARRINGTON ROAD | HOFFMAN ESTATES | IL | 60169 | 11 |