| 5309 - Unspecified disorder of esophagus - as a primary diagnosis code | 5309 - Unspecified disorder of esophagus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.15 | |
| Readmission Rate (%) | 23.17 | |
| Unplanned Readmission Rate (%) | 12.28 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 417,595 | |
| Total Hospitalizations with ICD 5309 - Unspecified disorder of esophagus | 124 | |
| DRG Share of Total Hospitalizations | 1.83 | |
| % of Total ICD 5309 - Unspecified disorder of esophagus in DRG | 65.96 | |
| Avg LOS at DRG | 3.34 | |
| Avg LOS with ICD 5309 - Unspecified disorder of esophagus | 3.63 | |
| Readmission Rate at DRG | 17.47 | |
| Readmission Rate with ICD 5309 - Unspecified disorder of esophagus | 20.54 | |
| Unplanned Readmission Rate at DRG | 12.56 | |
| Unplanned Readmission Rate with ICD 5309 - Unspecified disorder of esophagus | 9.82 | |
| Total Medicare payments at DRG | $1,834,433,235 | |
| Total Medicare payments with ICD 5309 - Unspecified disorder of esophagus | $586,585 | |
| Total Medicare payment per Day at DRG | $1,317 | |
| Total Medicare payment per Day with ICD 5309 - Unspecified disorder of esophagus | $1,304 | |
| Total Medicare payment per Hospitalization at DRG | $4,393 | |
| Total Medicare payment per Hospitalization with ICD 5309 - Unspecified disorder of esophagus | $4,731 | |
| Total Medicare Charges at DRG | $9,558,780,965 | |
| Total Medicare Charges with ICD 5309 - Unspecified disorder of esophagus | $3,425,126 | |
| Avg Charges at DRG | $22,890 | |
| Avg Charges with ICD 5309 - Unspecified disorder of esophagus | $27,622 | |
| Mortality Rate at DRG | 0.23 | |
| Mortality Rate with ICD 5309 - Unspecified disorder of esophagus | NA | |
| SNF Discharge Rate at DRG | 8.82 | |
| SNF Discharge Rate with ICD 5309 - Unspecified disorder of esophagus | 12.1 | |
| Home Discharge Rate at DRG | 73.03 | |
| Home Discharge Rate with ICD 5309 - Unspecified disorder of esophagus | 58.87 |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 5309 - Unspecified disorder of esophagus | 309 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 5309 - Unspecified disorder of esophagus in DRG | 9.07 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 5309 - Unspecified disorder of esophagus | 3.63 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 5309 - Unspecified disorder of esophagus | 19.93 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 5309 - Unspecified disorder of esophagus | 12.24 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 5309 - Unspecified disorder of esophagus | $1,407,600 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 5309 - Unspecified disorder of esophagus | $1,256 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 5309 - Unspecified disorder of esophagus | $4,555 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 5309 - Unspecified disorder of esophagus | $8,209,006 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 5309 - Unspecified disorder of esophagus | $26,566 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 5309 - Unspecified disorder of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 5309 - Unspecified disorder of esophagus | 9.06 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 5309 - Unspecified disorder of esophagus | 63.75 |
| DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,005 | ||||
| Total Hospitalizations with ICD 5309 - Unspecified disorder of esophagus | 68 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 5309 - Unspecified disorder of esophagus in DRG | 2.0 | ||||
| Avg LOS at DRG | 5.25 | ||||
| Avg LOS with ICD 5309 - Unspecified disorder of esophagus | 4.87 | ||||
| Readmission Rate at DRG | 30.51 | ||||
| Readmission Rate with ICD 5309 - Unspecified disorder of esophagus | 26.98 | ||||
| Unplanned Readmission Rate at DRG | 17.08 | ||||
| Unplanned Readmission Rate with ICD 5309 - Unspecified disorder of esophagus | NA | ||||
| Total Medicare payments at DRG | $267,354,979 | ||||
| Total Medicare payments with ICD 5309 - Unspecified disorder of esophagus | $478,652 | ||||
| Total Medicare payment per Day at DRG | $1,592 | ||||
| Total Medicare payment per Day with ICD 5309 - Unspecified disorder of esophagus | $1,446 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,354 | ||||
| Total Medicare payment per Hospitalization with ICD 5309 - Unspecified disorder of esophagus | $7,039 | ||||
| Total Medicare Charges at DRG | $1,201,942,460 | ||||
| Total Medicare Charges with ICD 5309 - Unspecified disorder of esophagus | $2,704,058 | ||||
| Avg Charges at DRG | $37,555 | ||||
| Avg Charges with ICD 5309 - Unspecified disorder of esophagus | $39,766 | ||||
| Mortality Rate at DRG | 4.09 | ||||
| Mortality Rate with ICD 5309 - Unspecified disorder of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 11.04 | ||||
| SNF Discharge Rate with ICD 5309 - Unspecified disorder of esophagus | NA | ||||
| Home Discharge Rate at DRG | 45.19 | ||||
| Home Discharge Rate with ICD 5309 - Unspecified disorder of esophagus | 51.47 |
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 151,975 | ||||
| Total Hospitalizations with ICD 5309 - Unspecified disorder of esophagus | 55 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 5309 - Unspecified disorder of esophagus in DRG | 1.61 | ||||
| Avg LOS at DRG | 8.26 | ||||
| Avg LOS with ICD 5309 - Unspecified disorder of esophagus | 8.36 | ||||
| Readmission Rate at DRG | 27.23 | ||||
| Readmission Rate with ICD 5309 - Unspecified disorder of esophagus | NA | ||||
| Unplanned Readmission Rate at DRG | 18.84 | ||||
| Unplanned Readmission Rate with ICD 5309 - Unspecified disorder of esophagus | NA | ||||
| Total Medicare payments at DRG | $2,014,358,740 | ||||
| Total Medicare payments with ICD 5309 - Unspecified disorder of esophagus | $742,598 | ||||
| Total Medicare payment per Day at DRG | $1,605 | ||||
| Total Medicare payment per Day with ICD 5309 - Unspecified disorder of esophagus | $1,614 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,255 | ||||
| Total Medicare payment per Hospitalization with ICD 5309 - Unspecified disorder of esophagus | $13,502 | ||||
| Total Medicare Charges at DRG | $8,492,043,787 | ||||
| Total Medicare Charges with ICD 5309 - Unspecified disorder of esophagus | $2,597,830 | ||||
| Avg Charges at DRG | $55,878 | ||||
| Avg Charges with ICD 5309 - Unspecified disorder of esophagus | $47,233 | ||||
| Mortality Rate at DRG | 9.63 | ||||
| Mortality Rate with ICD 5309 - Unspecified disorder of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 33.6 | ||||
| SNF Discharge Rate with ICD 5309 - Unspecified disorder of esophagus | 25.45 | ||||
| Home Discharge Rate at DRG | 18.52 | ||||
| Home Discharge Rate with ICD 5309 - Unspecified disorder of esophagus | 27.27 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 5309 - Unspecified disorder of esophagus | 42 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 5309 - Unspecified disorder of esophagus in DRG | 1.23 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 5309 - Unspecified disorder of esophagus | 6.38 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 5309 - Unspecified disorder of esophagus | NA | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 5309 - Unspecified disorder of esophagus | NA | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 5309 - Unspecified disorder of esophagus | $268,606 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 5309 - Unspecified disorder of esophagus | $1,002 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 5309 - Unspecified disorder of esophagus | $6,395 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 5309 - Unspecified disorder of esophagus | $1,629,200 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 5309 - Unspecified disorder of esophagus | $38,790 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 5309 - Unspecified disorder of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 5309 - Unspecified disorder of esophagus | NA | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 5309 - Unspecified disorder of esophagus | 38.1 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 14 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 12 |
| ST. LUKE'S UNIVERSITY HOSPITAL - BETHLEHEM CAMPUS | 801 OSTRUM ST | BETHLEHEM | PA | 18015 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JESSE WALLACE | 225 MEDICAL CENTER DRIVE | PADUCAH | KY | 42003 | 12 |