5533 - Diaphragmatic hernia without mention of obstruction or gangrene - as a primary diagnosis code | 5533 - Diaphragmatic hernia without mention of obstruction or gangrene - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.54 | |
Readmission Rate (%) | 20.51 | |
Unplanned Readmission Rate (%) | 7.72 | |
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 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 18,937 | ||||
Total Hospitalizations with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 7,982 | ||||
DRG Share of Total Hospitalizations | 0.08 | ||||
% of Total ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene in DRG | 42.03 | ||||
Avg LOS at DRG | 3.32 | ||||
Avg LOS with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 2.46 | ||||
Readmission Rate at DRG | 8.83 | ||||
Readmission Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 7.53 | ||||
Unplanned Readmission Rate at DRG | 5.83 | ||||
Unplanned Readmission Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 5.12 | ||||
Total Medicare payments at DRG | $174,572,643 | ||||
Total Medicare payments with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $70,857,550 | ||||
Total Medicare payment per Day at DRG | $2,780 | ||||
Total Medicare payment per Day with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $3,610 | ||||
Total Medicare payment per Hospitalization at DRG | $9,219 | ||||
Total Medicare payment per Hospitalization with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $8,877 | ||||
Total Medicare Charges at DRG | $918,495,700 | ||||
Total Medicare Charges with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $352,716,941 | ||||
Avg Charges at DRG | $48,503 | ||||
Avg Charges with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $44,189 | ||||
Mortality Rate at DRG | 0.07 | ||||
Mortality Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | NA | ||||
SNF Discharge Rate at DRG | 3.92 | ||||
SNF Discharge Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 2.82 | ||||
Home Discharge Rate at DRG | 85.56 | ||||
Home Discharge Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 90.32 |
DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|
Total Hospitalizations at DRG | 34,870 | |||
Total Hospitalizations with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 79 | |||
DRG Share of Total Hospitalizations | 0.15 | |||
% of Total ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene in DRG | 0.42 | |||
Avg LOS at DRG | 32.29 | |||
Avg LOS with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 32.72 | |||
Readmission Rate at DRG | 77.59 | |||
Readmission Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 84.48 | |||
Unplanned Readmission Rate at DRG | 6.64 | |||
Unplanned Readmission Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | NA | |||
Total Medicare payments at DRG | $4,332,531,897 | |||
Total Medicare payments with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $9,239,103 | |||
Total Medicare payment per Day at DRG | $3,848 | |||
Total Medicare payment per Day with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $3,574 | |||
Total Medicare payment per Hospitalization at DRG | $124,248 | |||
Total Medicare payment per Hospitalization with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $116,951 | |||
Total Medicare Charges at DRG | $18,041,668,887 | |||
Total Medicare Charges with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $39,492,527 | |||
Avg Charges at DRG | $517,398 | |||
Avg Charges with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $499,905 | |||
Mortality Rate at DRG | 19.09 | |||
Mortality Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 20.25 | |||
SNF Discharge Rate at DRG | 14.38 | |||
SNF Discharge Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | NA | |||
Home Discharge Rate at DRG | 1.86 | |||
Home Discharge Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 139 |
ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER | 350 W THOMAS RD | PHOENIX | AZ | 85013 | 119 |
BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 96 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. STEPHEN R HAZELRIGG | 315 W CARPENTER ST | SPRINGFIELD | IL | 62702 | 52 |
Dr. JAMES D LUKETICH | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 52 |
Dr. REGINALD C.W. BELL | 401 W HAMPDEN PL | ENGLEWOOD | CO | 80110 | 50 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. JAMES D LUKETICH | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 56 |
Dr. STEPHEN R HAZELRIGG | 315 W CARPENTER ST | SPRINGFIELD | IL | 62702 | 51 |
Dr. REGINALD C.W. BELL | 401 W HAMPDEN PL | ENGLEWOOD | CO | 80110 | 51 |
DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 293,121 | ||||
Total Hospitalizations with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 60,822 | ||||
DRG Share of Total Hospitalizations | 1.28 | ||||
% of Total ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene in DRG | 9.23 | ||||
Avg LOS at DRG | 3.78 | ||||
Avg LOS with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 3.89 | ||||
Readmission Rate at DRG | 17.73 | ||||
Readmission Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 16.32 | ||||
Unplanned Readmission Rate at DRG | 13.44 | ||||
Unplanned Readmission Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 12.45 | ||||
Total Medicare payments at DRG | $1,776,508,891 | ||||
Total Medicare payments with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $362,378,167 | ||||
Total Medicare payment per Day at DRG | $1,604 | ||||
Total Medicare payment per Day with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $1,530 | ||||
Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
Total Medicare payment per Hospitalization with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $5,958 | ||||
Total Medicare Charges at DRG | $8,470,312,778 | ||||
Total Medicare Charges with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $1,893,272,527 | ||||
Avg Charges at DRG | $28,897 | ||||
Avg Charges with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $31,128 | ||||
Mortality Rate at DRG | 0.95 | ||||
Mortality Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 0.36 | ||||
SNF Discharge Rate at DRG | 14.94 | ||||
SNF Discharge Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 15.54 | ||||
Home Discharge Rate at DRG | 62.44 | ||||
Home Discharge Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 63.78 |
DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 166,476 | ||||
Total Hospitalizations with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 15,853 | ||||
DRG Share of Total Hospitalizations | 0.73 | ||||
% of Total ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene in DRG | 2.41 | ||||
Avg LOS at DRG | 3.42 | ||||
Avg LOS with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 3.53 | ||||
Readmission Rate at DRG | 24.89 | ||||
Readmission Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 15.36 | ||||
Unplanned Readmission Rate at DRG | 18.86 | ||||
Unplanned Readmission Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 11.27 | ||||
Total Medicare payments at DRG | $827,236,531 | ||||
Total Medicare payments with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $73,114,966 | ||||
Total Medicare payment per Day at DRG | $1,454 | ||||
Total Medicare payment per Day with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $1,305 | ||||
Total Medicare payment per Hospitalization at DRG | $4,969 | ||||
Total Medicare payment per Hospitalization with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $4,612 | ||||
Total Medicare Charges at DRG | $3,946,027,775 | ||||
Total Medicare Charges with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $457,517,908 | ||||
Avg Charges at DRG | $23,703 | ||||
Avg Charges with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $28,860 | ||||
Mortality Rate at DRG | 0.45 | ||||
Mortality Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 0.13 | ||||
SNF Discharge Rate at DRG | 14.41 | ||||
SNF Discharge Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 13.87 | ||||
Home Discharge Rate at DRG | 64.74 | ||||
Home Discharge Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 67.99 |
DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 602,372 | ||||
Total Hospitalizations with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 8,341 | ||||
DRG Share of Total Hospitalizations | 2.64 | ||||
% of Total ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene in DRG | 1.27 | ||||
Avg LOS at DRG | 13.11 | ||||
Avg LOS with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 12.87 | ||||
Readmission Rate at DRG | 15.99 | ||||
Readmission Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 16.62 | ||||
Unplanned Readmission Rate at DRG | 12.22 | ||||
Unplanned Readmission Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 12.87 | ||||
Total Medicare payments at DRG | $11,047,686,856 | ||||
Total Medicare payments with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $148,665,420 | ||||
Total Medicare payment per Day at DRG | $1,399 | ||||
Total Medicare payment per Day with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $1,385 | ||||
Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
Total Medicare payment per Hospitalization with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $17,823 | ||||
Total Medicare Charges at DRG | $25,171,736,043 | ||||
Total Medicare Charges with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $360,527,481 | ||||
Avg Charges at DRG | $41,788 | ||||
Avg Charges with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $43,224 | ||||
Mortality Rate at DRG | 0.21 | ||||
Mortality Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 0.3 | ||||
SNF Discharge Rate at DRG | 17.37 | ||||
SNF Discharge Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 17.05 | ||||
Home Discharge Rate at DRG | 21.02 | ||||
Home Discharge Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 19.52 |
DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 305,326 | ||||
Total Hospitalizations with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 6,830 | ||||
DRG Share of Total Hospitalizations | 1.34 | ||||
% of Total ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene in DRG | 1.04 | ||||
Avg LOS at DRG | 5.11 | ||||
Avg LOS with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 6.06 | ||||
Readmission Rate at DRG | 24.58 | ||||
Readmission Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 24.91 | ||||
Unplanned Readmission Rate at DRG | 18.98 | ||||
Unplanned Readmission Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 19.16 | ||||
Total Medicare payments at DRG | $2,231,748,038 | ||||
Total Medicare payments with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $49,347,770 | ||||
Total Medicare payment per Day at DRG | $1,430 | ||||
Total Medicare payment per Day with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $1,193 | ||||
Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
Total Medicare payment per Hospitalization with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $7,225 | ||||
Total Medicare Charges at DRG | $10,098,826,638 | ||||
Total Medicare Charges with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $272,195,063 | ||||
Avg Charges at DRG | $33,076 | ||||
Avg Charges with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | $39,853 | ||||
Mortality Rate at DRG | 1.47 | ||||
Mortality Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 1.38 | ||||
SNF Discharge Rate at DRG | 14.55 | ||||
SNF Discharge Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 17.67 | ||||
Home Discharge Rate at DRG | 53.12 | ||||
Home Discharge Rate with ICD 5533 - Diaphragmatic hernia without mention of obstruction or gangrene | 49.17 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
COVENANT MEDICAL CENTER | 1447 N HARRISON ST | SAGINAW | MI | 48602 | 2,178 |
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,983 |
BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 1,816 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. HERSHEL JACKSON | 3990 JOHN R ST | DETROIT | MI | 48201 | 568 |
Dr. VISHVINDER SHARMA | 2031 MCDANIEL ST | NORTH LAS VEGAS | NV | 89030 | 501 |
Dr. SAKHAWAT HUSSAIN | 16250 LOUIS AVE | SOUTH HOLLAND | IL | 60473 | 316 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. XAJE A HASANAJ | 507 HIGHLAND PARK DR | EDEN | NC | 27288 | 242 |
Dr. MELVIN MURPHY | 23077 GREENFIELD RD | SOUTHFIELD | MI | 48075 | 233 |
Dr. WALTER JOSEPH SZYDLOWSKI | 11347 CORTEZ BLVD | BROOKSVILLE | FL | 34613 | 231 |