| 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) - as a primary diagnosis code | 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.75 | |
| Readmission Rate (%) | 20.54 | |
| Unplanned Readmission Rate (%) | 12.02 | |
| 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 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 112,879 | ||||
| Total Hospitalizations with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 12,128 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) in DRG | 18.57 | ||||
| Avg LOS at DRG | 4.3 | ||||
| Avg LOS with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 4.36 | ||||
| Readmission Rate at DRG | 19.89 | ||||
| Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 17.52 | ||||
| Unplanned Readmission Rate at DRG | 14.72 | ||||
| Unplanned Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 13.58 | ||||
| Total Medicare payments at DRG | $615,346,360 | ||||
| Total Medicare payments with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $65,571,632 | ||||
| Total Medicare payment per Day at DRG | $1,267 | ||||
| Total Medicare payment per Day with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $1,241 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,451 | ||||
| Total Medicare payment per Hospitalization with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $5,407 | ||||
| Total Medicare Charges at DRG | $2,910,060,003 | ||||
| Total Medicare Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $321,911,101 | ||||
| Avg Charges at DRG | $25,780 | ||||
| Avg Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $26,543 | ||||
| Mortality Rate at DRG | 1.02 | ||||
| Mortality Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 0.55 | ||||
| SNF Discharge Rate at DRG | 12.59 | ||||
| SNF Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 6.74 | ||||
| Home Discharge Rate at DRG | 64.19 | ||||
| Home Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 76.25 |
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 109,396 | ||||
| Total Hospitalizations with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 5,916 | ||||
| DRG Share of Total Hospitalizations | 0.48 | ||||
| % of Total ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) in DRG | 9.06 | ||||
| Avg LOS at DRG | 8.18 | ||||
| Avg LOS with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 11.41 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 21.79 | ||||
| Unplanned Readmission Rate at DRG | 11.1 | ||||
| Unplanned Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 13.66 | ||||
| Total Medicare payments at DRG | $1,748,330,612 | ||||
| Total Medicare payments with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $101,878,199 | ||||
| Total Medicare payment per Day at DRG | $1,954 | ||||
| Total Medicare payment per Day with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $1,509 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,982 | ||||
| Total Medicare payment per Hospitalization with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $17,221 | ||||
| Total Medicare Charges at DRG | $8,057,639,281 | ||||
| Total Medicare Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $531,302,827 | ||||
| Avg Charges at DRG | $73,656 | ||||
| Avg Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $89,808 | ||||
| Mortality Rate at DRG | 0.58 | ||||
| Mortality Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 0.85 | ||||
| SNF Discharge Rate at DRG | 16.21 | ||||
| SNF Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 19.93 | ||||
| Home Discharge Rate at DRG | 52.59 | ||||
| Home Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 46.87 |
| DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 21,731 | ||||
| Total Hospitalizations with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 165 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) in DRG | 0.25 | ||||
| Avg LOS at DRG | 14.25 | ||||
| Avg LOS with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 18.53 | ||||
| Readmission Rate at DRG | 31.08 | ||||
| Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 30.5 | ||||
| Unplanned Readmission Rate at DRG | 15.03 | ||||
| Unplanned Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 12.77 | ||||
| Total Medicare payments at DRG | $836,873,741 | ||||
| Total Medicare payments with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $6,724,614 | ||||
| Total Medicare payment per Day at DRG | $2,703 | ||||
| Total Medicare payment per Day with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $2,200 | ||||
| Total Medicare payment per Hospitalization at DRG | $38,511 | ||||
| Total Medicare payment per Hospitalization with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $40,755 | ||||
| Total Medicare Charges at DRG | $3,468,167,648 | ||||
| Total Medicare Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $29,893,598 | ||||
| Avg Charges at DRG | $159,595 | ||||
| Avg Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $181,173 | ||||
| Mortality Rate at DRG | 11.16 | ||||
| Mortality Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 12.12 | ||||
| SNF Discharge Rate at DRG | 25.91 | ||||
| SNF Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 27.88 | ||||
| Home Discharge Rate at DRG | 25.27 | ||||
| Home Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 21.21 |
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,742 | ||||
| Total Hospitalizations with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 32 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) in DRG | 0.05 | ||||
| Avg LOS at DRG | 7.58 | ||||
| Avg LOS with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 8.25 | ||||
| Readmission Rate at DRG | 25.44 | ||||
| Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 34.38 | ||||
| Unplanned Readmission Rate at DRG | 14.47 | ||||
| Unplanned Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | NA | ||||
| Total Medicare payments at DRG | $583,003,764 | ||||
| Total Medicare payments with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $623,450 | ||||
| Total Medicare payment per Day at DRG | $2,422 | ||||
| Total Medicare payment per Day with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $2,362 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,367 | ||||
| Total Medicare payment per Hospitalization with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $19,483 | ||||
| Total Medicare Charges at DRG | $2,600,081,468 | ||||
| Total Medicare Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $3,036,208 | ||||
| Avg Charges at DRG | $81,913 | ||||
| Avg Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $94,882 | ||||
| Mortality Rate at DRG | 0.96 | ||||
| Mortality Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | NA | ||||
| SNF Discharge Rate at DRG | 25.55 | ||||
| SNF Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | NA | ||||
| Home Discharge Rate at DRG | 40.29 | ||||
| Home Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 46.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 209 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 178 |
| BOCA RATON REGIONAL HOSPITAL | 800 MEADOWS ROAD | BOCA RATON | FL | 33486 | 137 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. BASSAM SAYEGH | 224 CHIMNEY CORNER LN | JUPITER | FL | 33458 | 28 |
| Dr. ALAN S WALTERS | 804 AINSWORTH DR | PRESCOTT | AZ | 86301 | 25 |
| Dr. LUIGI QUERUSIO | 311 9TH STREET NORTH | NAPLES | FL | 34102 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM E BAIR | 100 BRAMBLE ST | CAMBRIDGE | MD | 21613 | 29 |
| Dr. CHARLES ALLEN WALCH | 255 NORTH 4TH STREET | OAKLAND | MD | 21550 | 23 |
| Dr. GREGORY STANFORD | 1840 AMHERST ST | WINCHESTER | VA | 22601 | 23 |
| DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,199 | ||||
| Total Hospitalizations with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 12,490 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) in DRG | 15.07 | ||||
| Avg LOS at DRG | 8.14 | ||||
| Avg LOS with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 9.57 | ||||
| Readmission Rate at DRG | 16.16 | ||||
| Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 15.24 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 10.07 | ||||
| Total Medicare payments at DRG | $386,287,796 | ||||
| Total Medicare payments with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $185,969,776 | ||||
| Total Medicare payment per Day at DRG | $1,811 | ||||
| Total Medicare payment per Day with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $1,556 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,744 | ||||
| Total Medicare payment per Hospitalization with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $14,889 | ||||
| Total Medicare Charges at DRG | $1,789,758,706 | ||||
| Total Medicare Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $876,807,738 | ||||
| Avg Charges at DRG | $68,314 | ||||
| Avg Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $70,201 | ||||
| Mortality Rate at DRG | 0.43 | ||||
| Mortality Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 0.47 | ||||
| SNF Discharge Rate at DRG | 14.79 | ||||
| SNF Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 17.57 | ||||
| Home Discharge Rate at DRG | 60.1 | ||||
| Home Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 58.08 |
| DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,794 | ||||
| Total Hospitalizations with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 7,625 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) in DRG | 9.2 | ||||
| Avg LOS at DRG | 12.79 | ||||
| Avg LOS with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 13.85 | ||||
| Readmission Rate at DRG | 27.0 | ||||
| Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 26.25 | ||||
| Unplanned Readmission Rate at DRG | 14.54 | ||||
| Unplanned Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 13.99 | ||||
| Total Medicare payments at DRG | $382,179,362 | ||||
| Total Medicare payments with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $212,069,955 | ||||
| Total Medicare payment per Day at DRG | $2,166 | ||||
| Total Medicare payment per Day with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $2,009 | ||||
| Total Medicare payment per Hospitalization at DRG | $27,706 | ||||
| Total Medicare payment per Hospitalization with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $27,812 | ||||
| Total Medicare Charges at DRG | $1,668,141,036 | ||||
| Total Medicare Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $930,237,684 | ||||
| Avg Charges at DRG | $120,932 | ||||
| Avg Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $121,998 | ||||
| Mortality Rate at DRG | 7.74 | ||||
| Mortality Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 8.18 | ||||
| SNF Discharge Rate at DRG | 26.46 | ||||
| SNF Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 29.43 | ||||
| Home Discharge Rate at DRG | 30.42 | ||||
| Home Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 27.63 |
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 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 | 34,870 | ||||
| Total Hospitalizations with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 626 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) in DRG | 0.76 | ||||
| Avg LOS at DRG | 32.29 | ||||
| Avg LOS with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 36.54 | ||||
| Readmission Rate at DRG | 77.59 | ||||
| Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 78.69 | ||||
| Unplanned Readmission Rate at DRG | 6.64 | ||||
| Unplanned Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 6.33 | ||||
| Total Medicare payments at DRG | $4,332,531,897 | ||||
| Total Medicare payments with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $79,385,168 | ||||
| Total Medicare payment per Day at DRG | $3,848 | ||||
| Total Medicare payment per Day with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $3,471 | ||||
| Total Medicare payment per Hospitalization at DRG | $124,248 | ||||
| Total Medicare payment per Hospitalization with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $126,813 | ||||
| Total Medicare Charges at DRG | $18,041,668,887 | ||||
| Total Medicare Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $323,106,033 | ||||
| Avg Charges at DRG | $517,398 | ||||
| Avg Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $516,144 | ||||
| Mortality Rate at DRG | 19.09 | ||||
| Mortality Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 21.73 | ||||
| SNF Discharge Rate at DRG | 14.38 | ||||
| SNF Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 13.1 | ||||
| Home Discharge Rate at DRG | 1.86 | ||||
| Home Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | NA |
| 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 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 20,992 | ||||
| Total Hospitalizations with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 265 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) in DRG | 0.32 | ||||
| Avg LOS at DRG | 7.58 | ||||
| Avg LOS with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 10.91 | ||||
| Readmission Rate at DRG | 18.26 | ||||
| Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 26.05 | ||||
| Unplanned Readmission Rate at DRG | 11.0 | ||||
| Unplanned Readmission Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 14.18 | ||||
| Total Medicare payments at DRG | $375,619,852 | ||||
| Total Medicare payments with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $5,313,057 | ||||
| Total Medicare payment per Day at DRG | $2,359 | ||||
| Total Medicare payment per Day with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $1,838 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,893 | ||||
| Total Medicare payment per Hospitalization with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $20,049 | ||||
| Total Medicare Charges at DRG | $1,728,629,391 | ||||
| Total Medicare Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $28,689,580 | ||||
| Avg Charges at DRG | $82,347 | ||||
| Avg Charges with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | $108,263 | ||||
| Mortality Rate at DRG | 0.7 | ||||
| Mortality Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | NA | ||||
| SNF Discharge Rate at DRG | 13.96 | ||||
| SNF Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 15.47 | ||||
| Home Discharge Rate at DRG | 57.11 | ||||
| Home Discharge Rate with ICD 56081 - Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) | 57.36 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 289 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 206 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 190 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ALAN S WALTERS | 804 AINSWORTH DR | PRESCOTT | AZ | 86301 | 35 |
| Dr. BASSAM SAYEGH | 224 CHIMNEY CORNER LN | JUPITER | FL | 33458 | 34 |
| Dr. PETER C WANG | 510 SUPERIOR AVE | NEWPORT BEACH | CA | 92663 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SANKAR NAIDU ADUSUMILLI | 2501 ATRIUM DR | RALEIGH | NC | 27607 | 33 |
| Dr. WILLIAM E BAIR | 100 BRAMBLE ST | CAMBRIDGE | MD | 21613 | 33 |
| Dr. DANIEL A SMITH | 705 PLEASANT AVE S | PARK RAPIDS | MN | 56470 | 29 |