| 5559 - Regional enteritis of unspecified site - as a primary diagnosis code | 5559 - Regional enteritis of unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.95 | |
| Readmission Rate (%) | 26.58 | |
| Unplanned Readmission Rate (%) | 21.02 | |
| 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 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 385: INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,338 | ||||
| Total Hospitalizations with ICD 5559 - Regional enteritis of unspecified site | 5,939 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 5559 - Regional enteritis of unspecified site in DRG | 54.98 | ||||
| Avg LOS at DRG | 4.77 | ||||
| Avg LOS with ICD 5559 - Regional enteritis of unspecified site | 4.33 | ||||
| Readmission Rate at DRG | 24.29 | ||||
| Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | 27.64 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | 21.59 | ||||
| Total Medicare payments at DRG | $114,228,154 | ||||
| Total Medicare payments with ICD 5559 - Regional enteritis of unspecified site | $35,829,776 | ||||
| Total Medicare payment per Day at DRG | $1,306 | ||||
| Total Medicare payment per Day with ICD 5559 - Regional enteritis of unspecified site | $1,392 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,229 | ||||
| Total Medicare payment per Hospitalization with ICD 5559 - Regional enteritis of unspecified site | $6,033 | ||||
| Total Medicare Charges at DRG | $553,757,261 | ||||
| Total Medicare Charges with ICD 5559 - Regional enteritis of unspecified site | $158,196,315 | ||||
| Avg Charges at DRG | $30,197 | ||||
| Avg Charges with ICD 5559 - Regional enteritis of unspecified site | $26,637 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 5559 - Regional enteritis of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 7.18 | ||||
| SNF Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | 3.06 | ||||
| Home Discharge Rate at DRG | 76.48 | ||||
| Home Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | 81.87 |
| DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,482 | ||||
| Total Hospitalizations with ICD 5559 - Regional enteritis of unspecified site | 71 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD 5559 - Regional enteritis of unspecified site in DRG | 0.66 | ||||
| Avg LOS at DRG | 4.69 | ||||
| Avg LOS with ICD 5559 - Regional enteritis of unspecified site | 5.38 | ||||
| Readmission Rate at DRG | 9.66 | ||||
| Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | 25.35 | ||||
| Unplanned Readmission Rate at DRG | 6.57 | ||||
| Unplanned Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | 16.9 | ||||
| Total Medicare payments at DRG | $481,328,194 | ||||
| Total Medicare payments with ICD 5559 - Regional enteritis of unspecified site | $608,354 | ||||
| Total Medicare payment per Day at DRG | $2,072 | ||||
| Total Medicare payment per Day with ICD 5559 - Regional enteritis of unspecified site | $1,593 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,727 | ||||
| Total Medicare payment per Hospitalization with ICD 5559 - Regional enteritis of unspecified site | $8,568 | ||||
| Total Medicare Charges at DRG | $2,422,800,664 | ||||
| Total Medicare Charges with ICD 5559 - Regional enteritis of unspecified site | $3,722,656 | ||||
| Avg Charges at DRG | $48,963 | ||||
| Avg Charges with ICD 5559 - Regional enteritis of unspecified site | $52,432 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD 5559 - Regional enteritis of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 5.79 | ||||
| SNF Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | NA | ||||
| Home Discharge Rate at DRG | 78.06 | ||||
| Home Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | 59.15 |
| DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 6,991 | |
| Total Hospitalizations with ICD 5559 - Regional enteritis of unspecified site | 17 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD 5559 - Regional enteritis of unspecified site in DRG | 0.16 | |
| Avg LOS at DRG | 6.2 | |
| Avg LOS with ICD 5559 - Regional enteritis of unspecified site | 4.59 | |
| Readmission Rate at DRG | 15.56 | |
| Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | NA | |
| Unplanned Readmission Rate at DRG | 10.16 | |
| Unplanned Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | NA | |
| Total Medicare payments at DRG | $76,521,379 | |
| Total Medicare payments with ICD 5559 - Regional enteritis of unspecified site | $192,807 | |
| Total Medicare payment per Day at DRG | $1,765 | |
| Total Medicare payment per Day with ICD 5559 - Regional enteritis of unspecified site | $2,472 | |
| Total Medicare payment per Hospitalization at DRG | $10,946 | |
| Total Medicare payment per Hospitalization with ICD 5559 - Regional enteritis of unspecified site | $11,342 | |
| Total Medicare Charges at DRG | $344,290,009 | |
| Total Medicare Charges with ICD 5559 - Regional enteritis of unspecified site | $637,185 | |
| Avg Charges at DRG | $49,248 | |
| Avg Charges with ICD 5559 - Regional enteritis of unspecified site | $37,481 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD 5559 - Regional enteritis of unspecified site | NA | |
| SNF Discharge Rate at DRG | 9.28 | |
| SNF Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | NA | |
| Home Discharge Rate at DRG | 63.02 | |
| Home Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | 100.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 64 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 46 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SUSAN GALANDIUK | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL P HONAN | 600 S 13TH ST | PEKIN | IL | 61554 | 27 |
| Dr. SUSAN GALANDIUK | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | 12 |
| Dr. ADAM ABODEELY | 2249 STATE ROUTE 86 | SARANAC LAKE | NY | 12983 | 11 |
| DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,338 | ||||
| Total Hospitalizations with ICD 5559 - Regional enteritis of unspecified site | 6,032 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 5559 - Regional enteritis of unspecified site in DRG | 5.73 | ||||
| Avg LOS at DRG | 4.77 | ||||
| Avg LOS with ICD 5559 - Regional enteritis of unspecified site | 4.35 | ||||
| Readmission Rate at DRG | 24.29 | ||||
| Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | 27.69 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | 21.61 | ||||
| Total Medicare payments at DRG | $114,228,154 | ||||
| Total Medicare payments with ICD 5559 - Regional enteritis of unspecified site | $36,383,247 | ||||
| Total Medicare payment per Day at DRG | $1,306 | ||||
| Total Medicare payment per Day with ICD 5559 - Regional enteritis of unspecified site | $1,388 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,229 | ||||
| Total Medicare payment per Hospitalization with ICD 5559 - Regional enteritis of unspecified site | $6,032 | ||||
| Total Medicare Charges at DRG | $553,757,261 | ||||
| Total Medicare Charges with ICD 5559 - Regional enteritis of unspecified site | $161,018,160 | ||||
| Avg Charges at DRG | $30,197 | ||||
| Avg Charges with ICD 5559 - Regional enteritis of unspecified site | $26,694 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 5559 - Regional enteritis of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 7.18 | ||||
| SNF Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | 3.07 | ||||
| Home Discharge Rate at DRG | 76.48 | ||||
| Home Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | 81.88 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 5559 - Regional enteritis of unspecified site | 2,796 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 5559 - Regional enteritis of unspecified site in DRG | 2.66 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 5559 - Regional enteritis of unspecified site | 4.29 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | 29.2 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | 21.74 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 5559 - Regional enteritis of unspecified site | $16,218,227 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 5559 - Regional enteritis of unspecified site | $1,353 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 5559 - Regional enteritis of unspecified site | $5,801 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 5559 - Regional enteritis of unspecified site | $70,627,943 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 5559 - Regional enteritis of unspecified site | $25,260 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 5559 - Regional enteritis of unspecified site | 0.57 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | 11.48 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | 62.55 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD 5559 - Regional enteritis of unspecified site | 1,674 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 5559 - Regional enteritis of unspecified site in DRG | 1.59 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD 5559 - Regional enteritis of unspecified site | 4.91 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | 25.19 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | 19.8 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD 5559 - Regional enteritis of unspecified site | $11,245,728 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD 5559 - Regional enteritis of unspecified site | $1,369 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD 5559 - Regional enteritis of unspecified site | $6,718 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD 5559 - Regional enteritis of unspecified site | $54,845,782 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD 5559 - Regional enteritis of unspecified site | $32,763 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD 5559 - Regional enteritis of unspecified site | 1.19 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | 13.62 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | 57.83 |
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 385: INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 5559 - Regional enteritis of unspecified site | 1,444 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 5559 - Regional enteritis of unspecified site in DRG | 1.37 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 5559 - Regional enteritis of unspecified site | 4.47 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | 21.02 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 5559 - Regional enteritis of unspecified site | 14.23 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 5559 - Regional enteritis of unspecified site | $7,301,693 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 5559 - Regional enteritis of unspecified site | $1,130 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 5559 - Regional enteritis of unspecified site | $5,057 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 5559 - Regional enteritis of unspecified site | $36,926,006 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 5559 - Regional enteritis of unspecified site | $25,572 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 5559 - Regional enteritis of unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | 9.28 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 5559 - Regional enteritis of unspecified site | 62.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 461 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 387 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 297 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MARK J KORUDA | 101 MANNING DR | CHAPEL HILL | NC | 27514 | 24 |
| Dr. SUSAN GALANDIUK | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | 23 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MARK J KORUDA | 101 MANNING DR | CHAPEL HILL | NC | 27514 | 38 |
| Dr. SRINIVAS RAO DONTINENI | 1264 MALABAR RD SE | PALM BAY | FL | 32907 | 36 |
| Dr. SUSAN GALANDIUK | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | 36 |