56400 - Constipation, unspecified - as a primary diagnosis code | 56400 - Constipation, unspecified - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 7.55 | |
Readmission Rate (%) | 23.73 | |
Unplanned Readmission Rate (%) | 15.45 | |
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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 417,595 | ||||
Total Hospitalizations with ICD 56400 - Constipation, unspecified | 19,180 | ||||
DRG Share of Total Hospitalizations | 1.83 | ||||
% of Total ICD 56400 - Constipation, unspecified in DRG | 75.65 | ||||
Avg LOS at DRG | 3.34 | ||||
Avg LOS with ICD 56400 - Constipation, unspecified | 3.04 | ||||
Readmission Rate at DRG | 17.47 | ||||
Readmission Rate with ICD 56400 - Constipation, unspecified | 19.2 | ||||
Unplanned Readmission Rate at DRG | 12.56 | ||||
Unplanned Readmission Rate with ICD 56400 - Constipation, unspecified | 14.07 | ||||
Total Medicare payments at DRG | $1,834,433,235 | ||||
Total Medicare payments with ICD 56400 - Constipation, unspecified | $86,908,717 | ||||
Total Medicare payment per Day at DRG | $1,317 | ||||
Total Medicare payment per Day with ICD 56400 - Constipation, unspecified | $1,489 | ||||
Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
Total Medicare payment per Hospitalization with ICD 56400 - Constipation, unspecified | $4,531 | ||||
Total Medicare Charges at DRG | $9,558,780,965 | ||||
Total Medicare Charges with ICD 56400 - Constipation, unspecified | $404,192,406 | ||||
Avg Charges at DRG | $22,890 | ||||
Avg Charges with ICD 56400 - Constipation, unspecified | $21,074 | ||||
Mortality Rate at DRG | 0.23 | ||||
Mortality Rate with ICD 56400 - Constipation, unspecified | 0.4 | ||||
SNF Discharge Rate at DRG | 8.82 | ||||
SNF Discharge Rate with ICD 56400 - Constipation, unspecified | 14.85 | ||||
Home Discharge Rate at DRG | 73.03 | ||||
Home Discharge Rate with ICD 56400 - Constipation, unspecified | 60.97 |
DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 14,144 | ||||
Total Hospitalizations with ICD 56400 - Constipation, unspecified | 52 | ||||
DRG Share of Total Hospitalizations | 0.06 | ||||
% of Total ICD 56400 - Constipation, unspecified in DRG | 0.21 | ||||
Avg LOS at DRG | 6.62 | ||||
Avg LOS with ICD 56400 - Constipation, unspecified | 5.79 | ||||
Readmission Rate at DRG | 23.76 | ||||
Readmission Rate with ICD 56400 - Constipation, unspecified | 25.0 | ||||
Unplanned Readmission Rate at DRG | 15.85 | ||||
Unplanned Readmission Rate with ICD 56400 - Constipation, unspecified | NA | ||||
Total Medicare payments at DRG | $196,682,647 | ||||
Total Medicare payments with ICD 56400 - Constipation, unspecified | $692,892 | ||||
Total Medicare payment per Day at DRG | $2,100 | ||||
Total Medicare payment per Day with ICD 56400 - Constipation, unspecified | $2,302 | ||||
Total Medicare payment per Hospitalization at DRG | $13,906 | ||||
Total Medicare payment per Hospitalization with ICD 56400 - Constipation, unspecified | $13,325 | ||||
Total Medicare Charges at DRG | $887,003,445 | ||||
Total Medicare Charges with ICD 56400 - Constipation, unspecified | $2,589,457 | ||||
Avg Charges at DRG | $62,712 | ||||
Avg Charges with ICD 56400 - Constipation, unspecified | $49,797 | ||||
Mortality Rate at DRG | 1.67 | ||||
Mortality Rate with ICD 56400 - Constipation, unspecified | NA | ||||
SNF Discharge Rate at DRG | 17.0 | ||||
SNF Discharge Rate with ICD 56400 - Constipation, unspecified | NA | ||||
Home Discharge Rate at DRG | 52.36 | ||||
Home Discharge Rate with ICD 56400 - Constipation, unspecified | 53.85 |
DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|
Total Hospitalizations at DRG | 15,434 | ||
Total Hospitalizations with ICD 56400 - Constipation, unspecified | 14 | ||
DRG Share of Total Hospitalizations | 0.07 | ||
% of Total ICD 56400 - Constipation, unspecified in DRG | 0.06 | ||
Avg LOS at DRG | 13.22 | ||
Avg LOS with ICD 56400 - Constipation, unspecified | 10.64 | ||
Readmission Rate at DRG | 33.5 | ||
Readmission Rate with ICD 56400 - Constipation, unspecified | NA | ||
Unplanned Readmission Rate at DRG | 18.81 | ||
Unplanned Readmission Rate with ICD 56400 - Constipation, unspecified | NA | ||
Total Medicare payments at DRG | $382,542,088 | ||
Total Medicare payments with ICD 56400 - Constipation, unspecified | $271,818 | ||
Total Medicare payment per Day at DRG | $1,874 | ||
Total Medicare payment per Day with ICD 56400 - Constipation, unspecified | $1,824 | ||
Total Medicare payment per Hospitalization at DRG | $24,786 | ||
Total Medicare payment per Hospitalization with ICD 56400 - Constipation, unspecified | $19,416 | ||
Total Medicare Charges at DRG | $1,564,323,426 | ||
Total Medicare Charges with ICD 56400 - Constipation, unspecified | $1,122,634 | ||
Avg Charges at DRG | $101,356 | ||
Avg Charges with ICD 56400 - Constipation, unspecified | $80,188 | ||
Mortality Rate at DRG | 6.36 | ||
Mortality Rate with ICD 56400 - Constipation, unspecified | NA | ||
SNF Discharge Rate at DRG | 29.41 | ||
SNF Discharge Rate with ICD 56400 - Constipation, unspecified | NA | ||
Home Discharge Rate at DRG | 26.0 | ||
Home Discharge Rate with ICD 56400 - Constipation, 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 | 239 |
NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 87 |
RUSH UNIVERSITY MEDICAL CENTER | 1653 W CONGRESS PKWY | CHICAGO | IL | 60612 | 81 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. WATERS MERRILL HICKS | 334 SMITH AVE | THOMASVILLE | GA | 31792 | 14 |
Dr. LUIS S VERAS | 747 PONCE DE LEON BLVD | MIAMI | FL | 33134 | 12 |
Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 12 |
DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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 | 602,372 | ||||
Total Hospitalizations with ICD 56400 - Constipation, unspecified | 104,329 | ||||
DRG Share of Total Hospitalizations | 2.64 | ||||
% of Total ICD 56400 - Constipation, unspecified in DRG | 7.06 | ||||
Avg LOS at DRG | 13.11 | ||||
Avg LOS with ICD 56400 - Constipation, unspecified | 13.5 | ||||
Readmission Rate at DRG | 15.99 | ||||
Readmission Rate with ICD 56400 - Constipation, unspecified | 13.31 | ||||
Unplanned Readmission Rate at DRG | 12.22 | ||||
Unplanned Readmission Rate with ICD 56400 - Constipation, unspecified | 9.95 | ||||
Total Medicare payments at DRG | $11,047,686,856 | ||||
Total Medicare payments with ICD 56400 - Constipation, unspecified | $1,934,882,170 | ||||
Total Medicare payment per Day at DRG | $1,399 | ||||
Total Medicare payment per Day with ICD 56400 - Constipation, unspecified | $1,374 | ||||
Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
Total Medicare payment per Hospitalization with ICD 56400 - Constipation, unspecified | $18,546 | ||||
Total Medicare Charges at DRG | $25,171,736,043 | ||||
Total Medicare Charges with ICD 56400 - Constipation, unspecified | $4,439,303,261 | ||||
Avg Charges at DRG | $41,788 | ||||
Avg Charges with ICD 56400 - Constipation, unspecified | $42,551 | ||||
Mortality Rate at DRG | 0.21 | ||||
Mortality Rate with ICD 56400 - Constipation, unspecified | 0.11 | ||||
SNF Discharge Rate at DRG | 17.37 | ||||
SNF Discharge Rate with ICD 56400 - Constipation, unspecified | 17.87 | ||||
Home Discharge Rate at DRG | 21.02 | ||||
Home Discharge Rate with ICD 56400 - Constipation, unspecified | 22.3 |
DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 368,382 | ||||
Total Hospitalizations with ICD 56400 - Constipation, unspecified | 30,257 | ||||
DRG Share of Total Hospitalizations | 1.61 | ||||
% of Total ICD 56400 - Constipation, unspecified in DRG | 2.05 | ||||
Avg LOS at DRG | 3.76 | ||||
Avg LOS with ICD 56400 - Constipation, unspecified | 4.31 | ||||
Readmission Rate at DRG | 18.51 | ||||
Readmission Rate with ICD 56400 - Constipation, unspecified | 19.44 | ||||
Unplanned Readmission Rate at DRG | 12.91 | ||||
Unplanned Readmission Rate with ICD 56400 - Constipation, unspecified | 13.69 | ||||
Total Medicare payments at DRG | $1,761,365,865 | ||||
Total Medicare payments with ICD 56400 - Constipation, unspecified | $150,292,502 | ||||
Total Medicare payment per Day at DRG | $1,270 | ||||
Total Medicare payment per Day with ICD 56400 - Constipation, unspecified | $1,152 | ||||
Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
Total Medicare payment per Hospitalization with ICD 56400 - Constipation, unspecified | $4,967 | ||||
Total Medicare Charges at DRG | $7,996,276,956 | ||||
Total Medicare Charges with ICD 56400 - Constipation, unspecified | $728,017,224 | ||||
Avg Charges at DRG | $21,706 | ||||
Avg Charges with ICD 56400 - Constipation, unspecified | $24,061 | ||||
Mortality Rate at DRG | 0.32 | ||||
Mortality Rate with ICD 56400 - Constipation, unspecified | 0.26 | ||||
SNF Discharge Rate at DRG | 27.88 | ||||
SNF Discharge Rate with ICD 56400 - Constipation, unspecified | 31.14 | ||||
Home Discharge Rate at DRG | 42.37 | ||||
Home Discharge Rate with ICD 56400 - Constipation, unspecified | 37.13 |
DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 311,763 | ||||
Total Hospitalizations with ICD 56400 - Constipation, unspecified | 21,322 | ||||
DRG Share of Total Hospitalizations | 1.36 | ||||
% of Total ICD 56400 - Constipation, unspecified in DRG | 1.44 | ||||
Avg LOS at DRG | 4.34 | ||||
Avg LOS with ICD 56400 - Constipation, unspecified | 5.09 | ||||
Readmission Rate at DRG | 23.41 | ||||
Readmission Rate with ICD 56400 - Constipation, unspecified | 24.34 | ||||
Unplanned Readmission Rate at DRG | 16.67 | ||||
Unplanned Readmission Rate with ICD 56400 - Constipation, unspecified | 17.19 | ||||
Total Medicare payments at DRG | $1,867,955,174 | ||||
Total Medicare payments with ICD 56400 - Constipation, unspecified | $132,598,468 | ||||
Total Medicare payment per Day at DRG | $1,382 | ||||
Total Medicare payment per Day with ICD 56400 - Constipation, unspecified | $1,221 | ||||
Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
Total Medicare payment per Hospitalization with ICD 56400 - Constipation, unspecified | $6,219 | ||||
Total Medicare Charges at DRG | $8,358,483,119 | ||||
Total Medicare Charges with ICD 56400 - Constipation, unspecified | $637,858,334 | ||||
Avg Charges at DRG | $26,810 | ||||
Avg Charges with ICD 56400 - Constipation, unspecified | $29,916 | ||||
Mortality Rate at DRG | 1.37 | ||||
Mortality Rate with ICD 56400 - Constipation, unspecified | 1.06 | ||||
SNF Discharge Rate at DRG | 23.3 | ||||
SNF Discharge Rate with ICD 56400 - Constipation, unspecified | 27.69 | ||||
Home Discharge Rate at DRG | 45.55 | ||||
Home Discharge Rate with ICD 56400 - Constipation, unspecified | 38.97 |
DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 293,121 | ||||
Total Hospitalizations with ICD 56400 - Constipation, unspecified | 17,055 | ||||
DRG Share of Total Hospitalizations | 1.28 | ||||
% of Total ICD 56400 - Constipation, unspecified in DRG | 1.15 | ||||
Avg LOS at DRG | 3.78 | ||||
Avg LOS with ICD 56400 - Constipation, unspecified | 4.3 | ||||
Readmission Rate at DRG | 17.73 | ||||
Readmission Rate with ICD 56400 - Constipation, unspecified | 18.63 | ||||
Unplanned Readmission Rate at DRG | 13.44 | ||||
Unplanned Readmission Rate with ICD 56400 - Constipation, unspecified | 14.16 | ||||
Total Medicare payments at DRG | $1,776,508,891 | ||||
Total Medicare payments with ICD 56400 - Constipation, unspecified | $105,229,875 | ||||
Total Medicare payment per Day at DRG | $1,604 | ||||
Total Medicare payment per Day with ICD 56400 - Constipation, unspecified | $1,433 | ||||
Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
Total Medicare payment per Hospitalization with ICD 56400 - Constipation, unspecified | $6,170 | ||||
Total Medicare Charges at DRG | $8,470,312,778 | ||||
Total Medicare Charges with ICD 56400 - Constipation, unspecified | $513,059,094 | ||||
Avg Charges at DRG | $28,897 | ||||
Avg Charges with ICD 56400 - Constipation, unspecified | $30,083 | ||||
Mortality Rate at DRG | 0.95 | ||||
Mortality Rate with ICD 56400 - Constipation, unspecified | 0.78 | ||||
SNF Discharge Rate at DRG | 14.94 | ||||
SNF Discharge Rate with ICD 56400 - Constipation, unspecified | 21.26 | ||||
Home Discharge Rate at DRG | 62.44 | ||||
Home Discharge Rate with ICD 56400 - Constipation, unspecified | 52.73 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 3,601 |
CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 3,544 |
CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 3,443 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. KELLY S ESCHBACH | 4735 OGLETOWN-STANTON RD | NEWARK | DE | 19713 | 418 |
Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 360 |
Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 353 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. TRAVIS W HIRD | 1501 RIVER POINTE DR | CONROE | TX | 77304 | 781 |
Dr. DANIEL LEO COLLINS | 900 E CHEVES ST | FLORENCE | SC | 29506 | 770 |
Dr. KELCEY L WILLIAMS | 2541 S IH 35 | ROUND ROCK | TX | 78664 | 639 |