| 78959 - Other ascites - as a primary diagnosis code | 78959 - Other ascites - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.63 | |
| Readmission Rate (%) | 35.89 | |
| Unplanned Readmission Rate (%) | 28.65 | |
| 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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,276 | ||||
| Total Hospitalizations with ICD 78959 - Other ascites | 2,974 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD 78959 - Other ascites in DRG | 51.5 | ||||
| Avg LOS at DRG | 3.39 | ||||
| Avg LOS with ICD 78959 - Other ascites | 3.4 | ||||
| Readmission Rate at DRG | 21.71 | ||||
| Readmission Rate with ICD 78959 - Other ascites | 35.47 | ||||
| Unplanned Readmission Rate at DRG | 13.45 | ||||
| Unplanned Readmission Rate with ICD 78959 - Other ascites | 25.5 | ||||
| Total Medicare payments at DRG | $466,195,388 | ||||
| Total Medicare payments with ICD 78959 - Other ascites | $13,928,506 | ||||
| Total Medicare payment per Day at DRG | $1,371 | ||||
| Total Medicare payment per Day with ICD 78959 - Other ascites | $1,378 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,649 | ||||
| Total Medicare payment per Hospitalization with ICD 78959 - Other ascites | $4,683 | ||||
| Total Medicare Charges at DRG | $2,100,980,417 | ||||
| Total Medicare Charges with ICD 78959 - Other ascites | $68,901,969 | ||||
| Avg Charges at DRG | $20,952 | ||||
| Avg Charges with ICD 78959 - Other ascites | $23,168 | ||||
| Mortality Rate at DRG | 1.0 | ||||
| Mortality Rate with ICD 78959 - Other ascites | 0.74 | ||||
| SNF Discharge Rate at DRG | 24.48 | ||||
| SNF Discharge Rate with ICD 78959 - Other ascites | 9.21 | ||||
| Home Discharge Rate at DRG | 41.26 | ||||
| Home Discharge Rate with ICD 78959 - Other ascites | 64.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 25 |
| PENINSULA REGIONAL MEDICAL CENTER | 100 E CARROLL ST | SALISBURY | MD | 21801 | 25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RUBEN LUGO ZAMBRANA | A-3 VILLA ROSA III | GUAYAMA | PR | 00784 | 12 |
| Dr. THOMAS MARTIN PALLAN | 52 MAIN ST | BEDFORD HILLS | NY | 10507 | 11 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 78959 - Other ascites | 20,335 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 78959 - Other ascites in DRG | 6.5 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 78959 - Other ascites | 8.77 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 78959 - Other ascites | 34.36 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 78959 - Other ascites | 22.64 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 78959 - Other ascites | $294,877,313 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 78959 - Other ascites | $1,653 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 78959 - Other ascites | $14,501 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 78959 - Other ascites | $1,655,260,620 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 78959 - Other ascites | $81,400 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 78959 - Other ascites | 29.7 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 78959 - Other ascites | 18.56 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 78959 - Other ascites | 15.26 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD 78959 - Other ascites | 11,134 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 78959 - Other ascites in DRG | 3.56 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 78959 - Other ascites | 5.64 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 78959 - Other ascites | 29.45 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 78959 - Other ascites | 21.74 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 78959 - Other ascites | $73,239,306 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 78959 - Other ascites | $1,167 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 78959 - Other ascites | $6,578 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 78959 - Other ascites | $381,311,084 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 78959 - Other ascites | $34,247 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 78959 - Other ascites | 1.81 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 78959 - Other ascites | 14.14 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 78959 - Other ascites | 46.35 |
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 119,208 | ||||
| Total Hospitalizations with ICD 78959 - Other ascites | 4,747 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD 78959 - Other ascites in DRG | 1.52 | ||||
| Avg LOS at DRG | 5.97 | ||||
| Avg LOS with ICD 78959 - Other ascites | 7.26 | ||||
| Readmission Rate at DRG | 28.49 | ||||
| Readmission Rate with ICD 78959 - Other ascites | 38.83 | ||||
| Unplanned Readmission Rate at DRG | 21.2 | ||||
| Unplanned Readmission Rate with ICD 78959 - Other ascites | 29.89 | ||||
| Total Medicare payments at DRG | $1,381,744,311 | ||||
| Total Medicare payments with ICD 78959 - Other ascites | $61,182,153 | ||||
| Total Medicare payment per Day at DRG | $1,942 | ||||
| Total Medicare payment per Day with ICD 78959 - Other ascites | $1,775 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,591 | ||||
| Total Medicare payment per Hospitalization with ICD 78959 - Other ascites | $12,889 | ||||
| Total Medicare Charges at DRG | $6,006,105,446 | ||||
| Total Medicare Charges with ICD 78959 - Other ascites | $318,460,103 | ||||
| Avg Charges at DRG | $50,383 | ||||
| Avg Charges with ICD 78959 - Other ascites | $67,087 | ||||
| Mortality Rate at DRG | 6.32 | ||||
| Mortality Rate with ICD 78959 - Other ascites | 10.47 | ||||
| SNF Discharge Rate at DRG | 24.09 | ||||
| SNF Discharge Rate with ICD 78959 - Other ascites | 18.9 | ||||
| Home Discharge Rate at DRG | 39.74 | ||||
| Home Discharge Rate with ICD 78959 - Other ascites | 38.21 |
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,276 | ||||
| Total Hospitalizations with ICD 78959 - Other ascites | 3,719 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD 78959 - Other ascites in DRG | 1.19 | ||||
| Avg LOS at DRG | 3.39 | ||||
| Avg LOS with ICD 78959 - Other ascites | 3.56 | ||||
| Readmission Rate at DRG | 21.71 | ||||
| Readmission Rate with ICD 78959 - Other ascites | 34.31 | ||||
| Unplanned Readmission Rate at DRG | 13.45 | ||||
| Unplanned Readmission Rate with ICD 78959 - Other ascites | 24.73 | ||||
| Total Medicare payments at DRG | $466,195,388 | ||||
| Total Medicare payments with ICD 78959 - Other ascites | $17,987,344 | ||||
| Total Medicare payment per Day at DRG | $1,371 | ||||
| Total Medicare payment per Day with ICD 78959 - Other ascites | $1,358 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,649 | ||||
| Total Medicare payment per Hospitalization with ICD 78959 - Other ascites | $4,837 | ||||
| Total Medicare Charges at DRG | $2,100,980,417 | ||||
| Total Medicare Charges with ICD 78959 - Other ascites | $88,829,644 | ||||
| Avg Charges at DRG | $20,952 | ||||
| Avg Charges with ICD 78959 - Other ascites | $23,885 | ||||
| Mortality Rate at DRG | 1.0 | ||||
| Mortality Rate with ICD 78959 - Other ascites | 1.51 | ||||
| SNF Discharge Rate at DRG | 24.48 | ||||
| SNF Discharge Rate with ICD 78959 - Other ascites | 10.27 | ||||
| Home Discharge Rate at DRG | 41.26 | ||||
| Home Discharge Rate with ICD 78959 - Other ascites | 59.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,174 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 1,172 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 1,096 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 210 |
| Dr. MEHUL HARSHAD DOSHI | 1611 NW 12TH AVE | MIAMI | FL | 33136 | 112 |
| Dr. RANDALL RYAN | 4755 OGLETOWN STANTON RD | NEWARK | DE | 19718 | 87 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SANJAY PALLEGAR | 6565 FANNIN ST | HOUSTON | TX | 77030 | 100 |
| Dr. RAJAN KAPOOR | 471 N SEMORAN BLVD | WINTER PARK | FL | 32792 | 93 |
| Dr. DAVID CARY WOLF | 100 WOODS RD | VALHALLA | NY | 10595 | 90 |