5400 - Acute appendicitis with generalized peritonitis - as a primary diagnosis code | 5400 - Acute appendicitis with generalized peritonitis - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.5 | |
Readmission Rate (%) | 14.3 | |
Unplanned Readmission Rate (%) | 7.77 | |
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 340: APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 339: APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 338: APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 5,717 | ||||
Total Hospitalizations with ICD 5400 - Acute appendicitis with generalized peritonitis | 3,664 | ||||
DRG Share of Total Hospitalizations | 0.03 | ||||
% of Total ICD 5400 - Acute appendicitis with generalized peritonitis in DRG | 34.41 | ||||
Avg LOS at DRG | 3.42 | ||||
Avg LOS with ICD 5400 - Acute appendicitis with generalized peritonitis | 3.2 | ||||
Readmission Rate at DRG | 8.85 | ||||
Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 8.98 | ||||
Unplanned Readmission Rate at DRG | 6.11 | ||||
Unplanned Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 6.46 | ||||
Total Medicare payments at DRG | $38,527,573 | ||||
Total Medicare payments with ICD 5400 - Acute appendicitis with generalized peritonitis | $24,673,552 | ||||
Total Medicare payment per Day at DRG | $1,969 | ||||
Total Medicare payment per Day with ICD 5400 - Acute appendicitis with generalized peritonitis | $2,105 | ||||
Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
Total Medicare payment per Hospitalization with ICD 5400 - Acute appendicitis with generalized peritonitis | $6,734 | ||||
Total Medicare Charges at DRG | $217,511,666 | ||||
Total Medicare Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $135,858,527 | ||||
Avg Charges at DRG | $38,046 | ||||
Avg Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $37,079 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | NA | ||||
SNF Discharge Rate at DRG | 3.24 | ||||
SNF Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 2.89 | ||||
Home Discharge Rate at DRG | 88.11 | ||||
Home Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 89.6 |
DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 69,855 | ||||
Total Hospitalizations with ICD 5400 - Acute appendicitis with generalized peritonitis | 286 | ||||
DRG Share of Total Hospitalizations | 0.31 | ||||
% of Total ICD 5400 - Acute appendicitis with generalized peritonitis in DRG | 2.69 | ||||
Avg LOS at DRG | 5.55 | ||||
Avg LOS with ICD 5400 - Acute appendicitis with generalized peritonitis | 5.38 | ||||
Readmission Rate at DRG | 26.23 | ||||
Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 15.56 | ||||
Unplanned Readmission Rate at DRG | 19.7 | ||||
Unplanned Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 10.74 | ||||
Total Medicare payments at DRG | $527,819,529 | ||||
Total Medicare payments with ICD 5400 - Acute appendicitis with generalized peritonitis | $2,417,479 | ||||
Total Medicare payment per Day at DRG | $1,361 | ||||
Total Medicare payment per Day with ICD 5400 - Acute appendicitis with generalized peritonitis | $1,571 | ||||
Total Medicare payment per Hospitalization at DRG | $7,556 | ||||
Total Medicare payment per Hospitalization with ICD 5400 - Acute appendicitis with generalized peritonitis | $8,453 | ||||
Total Medicare Charges at DRG | $2,203,085,800 | ||||
Total Medicare Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $8,467,897 | ||||
Avg Charges at DRG | $31,538 | ||||
Avg Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $29,608 | ||||
Mortality Rate at DRG | 0.83 | ||||
Mortality Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | NA | ||||
SNF Discharge Rate at DRG | 23.83 | ||||
SNF Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 8.04 | ||||
Home Discharge Rate at DRG | 47.39 | ||||
Home Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 68.53 |
DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
---|---|---|---|
Total Hospitalizations at DRG | 13,794 | ||
Total Hospitalizations with ICD 5400 - Acute appendicitis with generalized peritonitis | 95 | ||
DRG Share of Total Hospitalizations | 0.06 | ||
% of Total ICD 5400 - Acute appendicitis with generalized peritonitis in DRG | 0.89 | ||
Avg LOS at DRG | 12.79 | ||
Avg LOS with ICD 5400 - Acute appendicitis with generalized peritonitis | 12.95 | ||
Readmission Rate at DRG | 27.0 | ||
Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 27.27 | ||
Unplanned Readmission Rate at DRG | 14.54 | ||
Unplanned Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 15.91 | ||
Total Medicare payments at DRG | $382,179,362 | ||
Total Medicare payments with ICD 5400 - Acute appendicitis with generalized peritonitis | $2,685,621 | ||
Total Medicare payment per Day at DRG | $2,166 | ||
Total Medicare payment per Day with ICD 5400 - Acute appendicitis with generalized peritonitis | $2,183 | ||
Total Medicare payment per Hospitalization at DRG | $27,706 | ||
Total Medicare payment per Hospitalization with ICD 5400 - Acute appendicitis with generalized peritonitis | $28,270 | ||
Total Medicare Charges at DRG | $1,668,141,036 | ||
Total Medicare Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $12,888,764 | ||
Avg Charges at DRG | $120,932 | ||
Avg Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $135,671 | ||
Mortality Rate at DRG | 7.74 | ||
Mortality Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | NA | ||
SNF Discharge Rate at DRG | 26.46 | ||
SNF Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 22.11 | ||
Home Discharge Rate at DRG | 30.42 | ||
Home Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 33.68 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 33 |
EISENHOWER MEDICAL CENTER | 39000 BOB HOPE DR | RANCHO MIRAGE | CA | 92270 | 27 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 24 |
DRG 340: APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 339: APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 338: APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 5,717 | ||||
Total Hospitalizations with ICD 5400 - Acute appendicitis with generalized peritonitis | 3,665 | ||||
DRG Share of Total Hospitalizations | 0.03 | ||||
% of Total ICD 5400 - Acute appendicitis with generalized peritonitis in DRG | 27.63 | ||||
Avg LOS at DRG | 3.42 | ||||
Avg LOS with ICD 5400 - Acute appendicitis with generalized peritonitis | 3.2 | ||||
Readmission Rate at DRG | 8.85 | ||||
Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 8.98 | ||||
Unplanned Readmission Rate at DRG | 6.11 | ||||
Unplanned Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 6.46 | ||||
Total Medicare payments at DRG | $38,527,573 | ||||
Total Medicare payments with ICD 5400 - Acute appendicitis with generalized peritonitis | $24,679,949 | ||||
Total Medicare payment per Day at DRG | $1,969 | ||||
Total Medicare payment per Day with ICD 5400 - Acute appendicitis with generalized peritonitis | $2,105 | ||||
Total Medicare payment per Hospitalization at DRG | $6,739 | ||||
Total Medicare payment per Hospitalization with ICD 5400 - Acute appendicitis with generalized peritonitis | $6,734 | ||||
Total Medicare Charges at DRG | $217,511,666 | ||||
Total Medicare Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $135,886,156 | ||||
Avg Charges at DRG | $38,046 | ||||
Avg Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $37,077 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | NA | ||||
SNF Discharge Rate at DRG | 3.24 | ||||
SNF Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 2.89 | ||||
Home Discharge Rate at DRG | 88.11 | ||||
Home Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 89.6 |
DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 109,396 | ||||
Total Hospitalizations with ICD 5400 - Acute appendicitis with generalized peritonitis | 360 | ||||
DRG Share of Total Hospitalizations | 0.48 | ||||
% of Total ICD 5400 - Acute appendicitis with generalized peritonitis in DRG | 2.71 | ||||
Avg LOS at DRG | 8.18 | ||||
Avg LOS with ICD 5400 - Acute appendicitis with generalized peritonitis | 8.37 | ||||
Readmission Rate at DRG | 17.57 | ||||
Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 14.16 | ||||
Unplanned Readmission Rate at DRG | 11.1 | ||||
Unplanned Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 8.78 | ||||
Total Medicare payments at DRG | $1,748,330,612 | ||||
Total Medicare payments with ICD 5400 - Acute appendicitis with generalized peritonitis | $5,612,345 | ||||
Total Medicare payment per Day at DRG | $1,954 | ||||
Total Medicare payment per Day with ICD 5400 - Acute appendicitis with generalized peritonitis | $1,863 | ||||
Total Medicare payment per Hospitalization at DRG | $15,982 | ||||
Total Medicare payment per Hospitalization with ICD 5400 - Acute appendicitis with generalized peritonitis | $15,590 | ||||
Total Medicare Charges at DRG | $8,057,639,281 | ||||
Total Medicare Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $26,692,472 | ||||
Avg Charges at DRG | $73,656 | ||||
Avg Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $74,146 | ||||
Mortality Rate at DRG | 0.58 | ||||
Mortality Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | NA | ||||
SNF Discharge Rate at DRG | 16.21 | ||||
SNF Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 11.67 | ||||
Home Discharge Rate at DRG | 52.59 | ||||
Home Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 56.11 |
DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 13,794 | ||||
Total Hospitalizations with ICD 5400 - Acute appendicitis with generalized peritonitis | 136 | ||||
DRG Share of Total Hospitalizations | 0.06 | ||||
% of Total ICD 5400 - Acute appendicitis with generalized peritonitis in DRG | 1.03 | ||||
Avg LOS at DRG | 12.79 | ||||
Avg LOS with ICD 5400 - Acute appendicitis with generalized peritonitis | 12.6 | ||||
Readmission Rate at DRG | 27.0 | ||||
Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 23.26 | ||||
Unplanned Readmission Rate at DRG | 14.54 | ||||
Unplanned Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 13.95 | ||||
Total Medicare payments at DRG | $382,179,362 | ||||
Total Medicare payments with ICD 5400 - Acute appendicitis with generalized peritonitis | $3,679,389 | ||||
Total Medicare payment per Day at DRG | $2,166 | ||||
Total Medicare payment per Day with ICD 5400 - Acute appendicitis with generalized peritonitis | $2,147 | ||||
Total Medicare payment per Hospitalization at DRG | $27,706 | ||||
Total Medicare payment per Hospitalization with ICD 5400 - Acute appendicitis with generalized peritonitis | $27,054 | ||||
Total Medicare Charges at DRG | $1,668,141,036 | ||||
Total Medicare Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $16,629,976 | ||||
Avg Charges at DRG | $120,932 | ||||
Avg Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $122,279 | ||||
Mortality Rate at DRG | 7.74 | ||||
Mortality Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | NA | ||||
SNF Discharge Rate at DRG | 26.46 | ||||
SNF Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 21.32 | ||||
Home Discharge Rate at DRG | 30.42 | ||||
Home Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 36.76 |
DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 341: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 34,870 | ||||
Total Hospitalizations with ICD 5400 - Acute appendicitis with generalized peritonitis | 85 | ||||
DRG Share of Total Hospitalizations | 0.15 | ||||
% of Total ICD 5400 - Acute appendicitis with generalized peritonitis in DRG | 0.64 | ||||
Avg LOS at DRG | 32.29 | ||||
Avg LOS with ICD 5400 - Acute appendicitis with generalized peritonitis | 32.8 | ||||
Readmission Rate at DRG | 77.59 | ||||
Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 80.65 | ||||
Unplanned Readmission Rate at DRG | 6.64 | ||||
Unplanned Readmission Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | NA | ||||
Total Medicare payments at DRG | $4,332,531,897 | ||||
Total Medicare payments with ICD 5400 - Acute appendicitis with generalized peritonitis | $9,932,830 | ||||
Total Medicare payment per Day at DRG | $3,848 | ||||
Total Medicare payment per Day with ICD 5400 - Acute appendicitis with generalized peritonitis | $3,563 | ||||
Total Medicare payment per Hospitalization at DRG | $124,248 | ||||
Total Medicare payment per Hospitalization with ICD 5400 - Acute appendicitis with generalized peritonitis | $116,857 | ||||
Total Medicare Charges at DRG | $18,041,668,887 | ||||
Total Medicare Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $39,397,376 | ||||
Avg Charges at DRG | $517,398 | ||||
Avg Charges with ICD 5400 - Acute appendicitis with generalized peritonitis | $463,499 | ||||
Mortality Rate at DRG | 19.09 | ||||
Mortality Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 22.35 | ||||
SNF Discharge Rate at DRG | 14.38 | ||||
SNF Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | 12.94 | ||||
Home Discharge Rate at DRG | 1.86 | ||||
Home Discharge Rate with ICD 5400 - Acute appendicitis with generalized peritonitis | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 35 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 34 |
EISENHOWER MEDICAL CENTER | 39000 BOB HOPE DR | RANCHO MIRAGE | CA | 92270 | 31 |