DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS

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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

Table of Contents

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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DRG Code DRG Description Category Sub Category DRG Group Surgical Category Case Mix Level Total National Projected Hospitalizations - Annualized Total Medicare Hospitalizations - Jan 2017 to Dec 2017 Total Medicare Hospitalizations - Jan 2013 to Dec 2017 Total Medicare Hospitalizations After Exclusion Avg. LOS GMLOS All Cause Readmission Rate (%) Unplanned Readmission Rate (%) Total Medicare Payments Payment per Day Payment per Discharge Total Medicare Charges Avg. Charges Mortality Rate (%) SNF Discharge Rate (%) Home Discharge Rate (%)
334 RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Colorectal Rectal Resection Rectal Resection Surgical 37.36 NA 729 10,013 9,984
332 RECTAL RESECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Colorectal Rectal Resection Rectal Resection Surgical 14.13 NA 177 3,787 3,520
333 RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) Colorectal Rectal Resection Rectal Resection Surgical 48.51 NA 670 12,999 12,922

DEMOGRAPHIC DETAILS OF DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 8,948 89.36
Black 480 4.79
Other 159 1.59
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
65 to 69 2,367 23.64
70 to 74 1,900 18.98
Greater than 84 1,830 18.28

TOP ICD DIAGNOSIS CODES FOR DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 4,487 44.81
5691 Rectal prolapse 2,620 26.17
2724 Other and unspecified hyperlipidemia 2,152 21.49

TOP ICD PROCEDURE CODES FOR DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4863 Other Anterior Resection Of Rectum 3,240 32.36
4869 Other 1,332 13.3
598 Ureteral Catheterization 940 9.39

TOP HOSPITALS ASSOCIATED WITH DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 79 0.79
INTEGRIS Baptist Medical Center 3300 NW EXPRESSWAY ST Oklahoma City OK 73112 64 0.64
St. Vincent's Birmingham 810 SAINT VINCENTS DR Birmingham AL 35205 62 0.62

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. HANI B BARADI 3433 NW 56TH ST OKLAHOMA CITY OK 73112 40 0.4
DR. MICHAEL S MCNEVIN 217 W CATALDO AVE SPOKANE WA 99201 37 0.37
DR. MICHAEL AKPEKE 1118 S ORANGE AVE STE 202 ORLANDO FL 32806 36 0.36

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. HANI B BARADI 3433 NW 56TH ST OKLAHOMA CITY OK 73112 40 0.4
DR. MICHAEL S MCNEVIN 217 W CATALDO AVE SPOKANE WA 99201 37 0.37
DR. STEVEN J. LOWRY 1163 ROUTE 37 W TOMS RIVER NJ 08755 30 0.3

DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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Category Sub Category DRG Group ICD Codes ICD Description National Projected Hospitalizations (Present on Admission - All) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - All) Jan 2013 to Dec 2017 National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - Yes) Jan 2013 to Dec 2017 National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - Not Y) Jan 2013 to Dec 2017 Total Discharges After Exclusion Avg. LOS GMLOS All Cause Readmission Rate (%) Unplanned Readmission Rate (%) Total Medicare Payments Payment per Day Payment per Discharge Total Medicare Charges Avg. Charges Mortality Rate (%) SNF Discharge Rate (%) Home Discharge Rate (%)
Colorectal Rectal Resection Rectal Resection 4019 Unspecified essential hypertension NA 4,487
Colorectal Rectal Resection Rectal Resection 5691 Rectal prolapse NA 2,620
Colorectal Rectal Resection Rectal Resection 2724 Other and unspecified hyperlipidemia NA 2,152
Colorectal Rectal Resection Rectal Resection 1541 Malignant neoplasm of rectum NA 2,023
Colorectal Rectal Resection Rectal Resection 53081 Esophageal reflux NA 1,885
Colorectal Rectal Resection Rectal Resection V1582 Personal history of tobacco use NA 1,436
Colorectal Rectal Resection Rectal Resection 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 1,306
Colorectal Rectal Resection Rectal Resection 2449 Unspecified acquired hypothyroidism NA 1,197
Colorectal Rectal Resection Rectal Resection I10 Essential (primary) hypertension 1,224 1,192
Colorectal Rectal Resection Rectal Resection 1540 Malignant neoplasm of rectosigmoid junction NA 1,156