| 5569 - Ulcerative colitis, unspecified - as a primary diagnosis code | 5569 - Ulcerative colitis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.39 | |
| Readmission Rate (%) | 23.53 | |
| Unplanned Readmission Rate (%) | 17.98 | |
| 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 5569 - Ulcerative colitis, unspecified | 3,173 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 5569 - Ulcerative colitis, unspecified in DRG | 48.19 | ||||
| Avg LOS at DRG | 4.77 | ||||
| Avg LOS with ICD 5569 - Ulcerative colitis, unspecified | 5.05 | ||||
| Readmission Rate at DRG | 24.29 | ||||
| Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | 23.61 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | 18.06 | ||||
| Total Medicare payments at DRG | $114,228,154 | ||||
| Total Medicare payments with ICD 5569 - Ulcerative colitis, unspecified | $20,039,108 | ||||
| Total Medicare payment per Day at DRG | $1,306 | ||||
| Total Medicare payment per Day with ICD 5569 - Ulcerative colitis, unspecified | $1,251 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,229 | ||||
| Total Medicare payment per Hospitalization with ICD 5569 - Ulcerative colitis, unspecified | $6,316 | ||||
| Total Medicare Charges at DRG | $553,757,261 | ||||
| Total Medicare Charges with ICD 5569 - Ulcerative colitis, unspecified | $101,336,674 | ||||
| Avg Charges at DRG | $30,197 | ||||
| Avg Charges with ICD 5569 - Ulcerative colitis, unspecified | $31,937 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 5569 - Ulcerative colitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 7.18 | ||||
| SNF Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | 11.85 | ||||
| Home Discharge Rate at DRG | 76.48 | ||||
| Home Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | 70.25 |
| DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,482 | ||||
| Total Hospitalizations with ICD 5569 - Ulcerative colitis, unspecified | 185 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD 5569 - Ulcerative colitis, unspecified in DRG | 2.81 | ||||
| Avg LOS at DRG | 4.69 | ||||
| Avg LOS with ICD 5569 - Ulcerative colitis, unspecified | 5.06 | ||||
| Readmission Rate at DRG | 9.66 | ||||
| Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | 25.41 | ||||
| Unplanned Readmission Rate at DRG | 6.57 | ||||
| Unplanned Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | 17.84 | ||||
| Total Medicare payments at DRG | $481,328,194 | ||||
| Total Medicare payments with ICD 5569 - Ulcerative colitis, unspecified | $1,939,007 | ||||
| Total Medicare payment per Day at DRG | $2,072 | ||||
| Total Medicare payment per Day with ICD 5569 - Ulcerative colitis, unspecified | $2,072 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,727 | ||||
| Total Medicare payment per Hospitalization with ICD 5569 - Ulcerative colitis, unspecified | $10,481 | ||||
| Total Medicare Charges at DRG | $2,422,800,664 | ||||
| Total Medicare Charges with ICD 5569 - Ulcerative colitis, unspecified | $12,057,561 | ||||
| Avg Charges at DRG | $48,963 | ||||
| Avg Charges with ICD 5569 - Ulcerative colitis, unspecified | $65,176 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD 5569 - Ulcerative colitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.79 | ||||
| SNF Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | NA | ||||
| Home Discharge Rate at DRG | 78.06 | ||||
| Home Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | 36.22 |
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 31,742 |
| Total Hospitalizations with ICD 5569 - Ulcerative colitis, unspecified | 15 |
| DRG Share of Total Hospitalizations | 0.14 |
| % of Total ICD 5569 - Ulcerative colitis, unspecified in DRG | 0.23 |
| Avg LOS at DRG | 7.58 |
| Avg LOS with ICD 5569 - Ulcerative colitis, unspecified | 10.2 |
| Readmission Rate at DRG | 25.44 |
| Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | NA |
| Unplanned Readmission Rate at DRG | 14.47 |
| Unplanned Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | NA |
| Total Medicare payments at DRG | $583,003,764 |
| Total Medicare payments with ICD 5569 - Ulcerative colitis, unspecified | $244,364 |
| Total Medicare payment per Day at DRG | $2,422 |
| Total Medicare payment per Day with ICD 5569 - Ulcerative colitis, unspecified | $1,597 |
| Total Medicare payment per Hospitalization at DRG | $18,367 |
| Total Medicare payment per Hospitalization with ICD 5569 - Ulcerative colitis, unspecified | $16,291 |
| Total Medicare Charges at DRG | $2,600,081,468 |
| Total Medicare Charges with ICD 5569 - Ulcerative colitis, unspecified | $1,214,180 |
| Avg Charges at DRG | $81,913 |
| Avg Charges with ICD 5569 - Ulcerative colitis, unspecified | $80,945 |
| Mortality Rate at DRG | 0.96 |
| Mortality Rate with ICD 5569 - Ulcerative colitis, unspecified | NA |
| SNF Discharge Rate at DRG | 25.55 |
| SNF Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | NA |
| Home Discharge Rate at DRG | 40.29 |
| Home Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 40 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 36 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. PHILLIP ROBERT FLESHNER | 8737 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. PHILLIP ROBERT FLESHNER | 8737 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 13 |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,338 | ||||
| Total Hospitalizations with ICD 5569 - Ulcerative colitis, unspecified | 3,233 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 5569 - Ulcerative colitis, unspecified in DRG | 5.45 | ||||
| Avg LOS at DRG | 4.77 | ||||
| Avg LOS with ICD 5569 - Ulcerative colitis, unspecified | 5.05 | ||||
| Readmission Rate at DRG | 24.29 | ||||
| Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | 23.65 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | 18.07 | ||||
| Total Medicare payments at DRG | $114,228,154 | ||||
| Total Medicare payments with ICD 5569 - Ulcerative colitis, unspecified | $20,428,335 | ||||
| Total Medicare payment per Day at DRG | $1,306 | ||||
| Total Medicare payment per Day with ICD 5569 - Ulcerative colitis, unspecified | $1,250 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,229 | ||||
| Total Medicare payment per Hospitalization with ICD 5569 - Ulcerative colitis, unspecified | $6,319 | ||||
| Total Medicare Charges at DRG | $553,757,261 | ||||
| Total Medicare Charges with ICD 5569 - Ulcerative colitis, unspecified | $103,176,044 | ||||
| Avg Charges at DRG | $30,197 | ||||
| Avg Charges with ICD 5569 - Ulcerative colitis, unspecified | $31,913 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 5569 - Ulcerative colitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 7.18 | ||||
| SNF Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | 11.78 | ||||
| Home Discharge Rate at DRG | 76.48 | ||||
| Home Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | 70.21 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 5569 - Ulcerative colitis, unspecified | 1,319 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 5569 - Ulcerative colitis, unspecified in DRG | 2.22 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 5569 - Ulcerative colitis, unspecified | 3.42 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | 17.93 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | 13.23 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 5569 - Ulcerative colitis, unspecified | $5,956,195 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 5569 - Ulcerative colitis, unspecified | $1,322 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 5569 - Ulcerative colitis, unspecified | $4,516 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 5569 - Ulcerative colitis, unspecified | $30,683,889 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 5569 - Ulcerative colitis, unspecified | $23,263 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 5569 - Ulcerative colitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | 6.44 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | 76.19 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD 5569 - Ulcerative colitis, unspecified | 1,053 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 5569 - Ulcerative colitis, unspecified in DRG | 1.77 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 5569 - Ulcerative colitis, unspecified | 4.22 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | 13.86 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | 10.17 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 5569 - Ulcerative colitis, unspecified | $6,191,360 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 5569 - Ulcerative colitis, unspecified | $1,394 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 5569 - Ulcerative colitis, unspecified | $5,880 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 5569 - Ulcerative colitis, unspecified | $26,556,148 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 5569 - Ulcerative colitis, unspecified | $25,220 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 5569 - Ulcerative colitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | 15.95 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | 60.02 |
| DRG 385: INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,494 | ||||
| Total Hospitalizations with ICD 5569 - Ulcerative colitis, unspecified | 860 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 5569 - Ulcerative colitis, unspecified in DRG | 1.45 | ||||
| Avg LOS at DRG | 7.88 | ||||
| Avg LOS with ICD 5569 - Ulcerative colitis, unspecified | 7.88 | ||||
| Readmission Rate at DRG | 31.71 | ||||
| Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | 32.07 | ||||
| Unplanned Readmission Rate at DRG | 22.49 | ||||
| Unplanned Readmission Rate with ICD 5569 - Ulcerative colitis, unspecified | 23.08 | ||||
| Total Medicare payments at DRG | $56,900,012 | ||||
| Total Medicare payments with ICD 5569 - Ulcerative colitis, unspecified | $10,538,645 | ||||
| Total Medicare payment per Day at DRG | $1,607 | ||||
| Total Medicare payment per Day with ICD 5569 - Ulcerative colitis, unspecified | $1,555 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,661 | ||||
| Total Medicare payment per Hospitalization with ICD 5569 - Ulcerative colitis, unspecified | $12,254 | ||||
| Total Medicare Charges at DRG | $238,092,741 | ||||
| Total Medicare Charges with ICD 5569 - Ulcerative colitis, unspecified | $44,683,804 | ||||
| Avg Charges at DRG | $52,980 | ||||
| Avg Charges with ICD 5569 - Ulcerative colitis, unspecified | $51,958 | ||||
| Mortality Rate at DRG | 3.36 | ||||
| Mortality Rate with ICD 5569 - Ulcerative colitis, unspecified | 5.35 | ||||
| SNF Discharge Rate at DRG | 15.47 | ||||
| SNF Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | 21.16 | ||||
| Home Discharge Rate at DRG | 52.87 | ||||
| Home Discharge Rate with ICD 5569 - Ulcerative colitis, unspecified | 44.19 |
| 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 | 238 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 234 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 226 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. PHILLIP ROBERT FLESHNER | 8737 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 18 |
| Dr. JOEL J BAUER | 25 EAST 69TH STREET | NEW YORK | NY | 10021 | 14 |
| Dr. JEFFREY W MILSOM | 1315 YORK AVE | NEW YORK | NY | 10021 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. PHILLIP ROBERT FLESHNER | 8737 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 21 |
| Dr. JOEL J BAUER | 25 EAST 69TH STREET | NEW YORK | NY | 10021 | 20 |
| Dr. HARBHAJAN S PARMAR | 36100 EUCLID AVE | WILLOUGHBY | OH | 44094 | 15 |