| 538 - Gastrointestinal mucositis (ulcerative) - as a primary diagnosis code | 538 - Gastrointestinal mucositis (ulcerative) - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.57 | |
| Readmission Rate (%) | 27.87 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 538 - Gastrointestinal mucositis (ulcerative) | 30 | |
| DRG Share of Total Hospitalizations | 1.83 | |
| % of Total ICD 538 - Gastrointestinal mucositis (ulcerative) in DRG | 55.56 | |
| Avg LOS at DRG | 3.34 | |
| Avg LOS with ICD 538 - Gastrointestinal mucositis (ulcerative) | 4.83 | |
| Readmission Rate at DRG | 17.47 | |
| Readmission Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | NA | |
| Unplanned Readmission Rate at DRG | 12.56 | |
| Unplanned Readmission Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | NA | |
| Total Medicare payments at DRG | $1,834,433,235 | |
| Total Medicare payments with ICD 538 - Gastrointestinal mucositis (ulcerative) | $145,349 | |
| Total Medicare payment per Day at DRG | $1,317 | |
| Total Medicare payment per Day with ICD 538 - Gastrointestinal mucositis (ulcerative) | $1,002 | |
| Total Medicare payment per Hospitalization at DRG | $4,393 | |
| Total Medicare payment per Hospitalization with ICD 538 - Gastrointestinal mucositis (ulcerative) | $4,845 | |
| Total Medicare Charges at DRG | $9,558,780,965 | |
| Total Medicare Charges with ICD 538 - Gastrointestinal mucositis (ulcerative) | $1,014,214 | |
| Avg Charges at DRG | $22,890 | |
| Avg Charges with ICD 538 - Gastrointestinal mucositis (ulcerative) | $33,807 | |
| Mortality Rate at DRG | 0.23 | |
| Mortality Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | NA | |
| SNF Discharge Rate at DRG | 8.82 | |
| SNF Discharge Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | NA | |
| Home Discharge Rate at DRG | 73.03 | |
| Home Discharge Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | 73.33 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 016: AUTOLOGOUS BONE MARROW TRANSPLANT WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 538 - Gastrointestinal mucositis (ulcerative) | 45 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 538 - Gastrointestinal mucositis (ulcerative) in DRG | 11.34 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 538 - Gastrointestinal mucositis (ulcerative) | 4.44 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | NA | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 538 - Gastrointestinal mucositis (ulcerative) | $217,938 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 538 - Gastrointestinal mucositis (ulcerative) | $1,090 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 538 - Gastrointestinal mucositis (ulcerative) | $4,843 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 538 - Gastrointestinal mucositis (ulcerative) | $1,398,854 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 538 - Gastrointestinal mucositis (ulcerative) | $31,086 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | NA | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | 75.56 |
| DRG 808: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 837: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 16,592 | |
| Total Hospitalizations with ICD 538 - Gastrointestinal mucositis (ulcerative) | 19 | |
| DRG Share of Total Hospitalizations | 0.07 | |
| % of Total ICD 538 - Gastrointestinal mucositis (ulcerative) in DRG | 4.79 | |
| Avg LOS at DRG | 8.03 | |
| Avg LOS with ICD 538 - Gastrointestinal mucositis (ulcerative) | 10.95 | |
| Readmission Rate at DRG | 32.85 | |
| Readmission Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | NA | |
| Unplanned Readmission Rate at DRG | 20.84 | |
| Unplanned Readmission Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | NA | |
| Total Medicare payments at DRG | $263,313,304 | |
| Total Medicare payments with ICD 538 - Gastrointestinal mucositis (ulcerative) | $265,559 | |
| Total Medicare payment per Day at DRG | $1,977 | |
| Total Medicare payment per Day with ICD 538 - Gastrointestinal mucositis (ulcerative) | $1,277 | |
| Total Medicare payment per Hospitalization at DRG | $15,870 | |
| Total Medicare payment per Hospitalization with ICD 538 - Gastrointestinal mucositis (ulcerative) | $13,977 | |
| Total Medicare Charges at DRG | $1,107,640,371 | |
| Total Medicare Charges with ICD 538 - Gastrointestinal mucositis (ulcerative) | $1,995,408 | |
| Avg Charges at DRG | $66,757 | |
| Avg Charges with ICD 538 - Gastrointestinal mucositis (ulcerative) | $105,021 | |
| Mortality Rate at DRG | 8.91 | |
| Mortality Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | NA | |
| SNF Discharge Rate at DRG | 14.56 | |
| SNF Discharge Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | NA | |
| Home Discharge Rate at DRG | 42.65 | |
| Home Discharge Rate with ICD 538 - Gastrointestinal mucositis (ulcerative) | NA |