*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D375 - Neoplasm of uncertain behavior of rectum - as a primary diagnosis code | D375 - Neoplasm of uncertain behavior of rectum - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.18 | |
| Readmission Rate (%) | 25.39 | |
| Unplanned Readmission Rate (%) | 10.9 | |
| 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 | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL 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 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,664 | ||||
| Total Hospitalizations with ICD D375 - Neoplasm of uncertain behavior of rectum | 69 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD D375 - Neoplasm of uncertain behavior of rectum in DRG | 24.38 | ||||
| Avg LOS at DRG | 4.85 | ||||
| Avg LOS with ICD D375 - Neoplasm of uncertain behavior of rectum | 4.16 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | 20.0 | ||||
| Unplanned Readmission Rate at DRG | 18.47 | ||||
| Unplanned Readmission Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | ||||
| Total Medicare payments at DRG | $359,623,549 | ||||
| Total Medicare payments with ICD D375 - Neoplasm of uncertain behavior of rectum | $511,671 | ||||
| Total Medicare payment per Day at DRG | $1,698 | ||||
| Total Medicare payment per Day with ICD D375 - Neoplasm of uncertain behavior of rectum | $1,783 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,236 | ||||
| Total Medicare payment per Hospitalization with ICD D375 - Neoplasm of uncertain behavior of rectum | $7,416 | ||||
| Total Medicare Charges at DRG | $1,799,320,832 | ||||
| Total Medicare Charges with ICD D375 - Neoplasm of uncertain behavior of rectum | $2,446,353 | ||||
| Avg Charges at DRG | $41,208 | ||||
| Avg Charges with ICD D375 - Neoplasm of uncertain behavior of rectum | $35,454 | ||||
| Mortality Rate at DRG | 3.31 | ||||
| Mortality Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | ||||
| SNF Discharge Rate at DRG | 10.13 | ||||
| SNF Discharge Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | ||||
| Home Discharge Rate at DRG | 48.24 | ||||
| Home Discharge Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | 56.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 106,782 | |
| Total Hospitalizations with ICD D375 - Neoplasm of uncertain behavior of rectum | 15 | |
| DRG Share of Total Hospitalizations | 0.32 | |
| % of Total ICD D375 - Neoplasm of uncertain behavior of rectum in DRG | 5.3 | |
| Avg LOS at DRG | 13.16 | |
| Avg LOS with ICD D375 - Neoplasm of uncertain behavior of rectum | 18.33 | |
| Readmission Rate at DRG | 30.28 | |
| Readmission Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | |
| Unplanned Readmission Rate at DRG | 15.8 | |
| Unplanned Readmission Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | |
| Total Medicare payments at DRG | $3,545,118,598 | |
| Total Medicare payments with ICD D375 - Neoplasm of uncertain behavior of rectum | $822,242 | |
| Total Medicare payment per Day at DRG | $2,523 | |
| Total Medicare payment per Day with ICD D375 - Neoplasm of uncertain behavior of rectum | $2,990 | |
| Total Medicare payment per Hospitalization at DRG | $33,200 | |
| Total Medicare payment per Hospitalization with ICD D375 - Neoplasm of uncertain behavior of rectum | $54,816 | |
| Total Medicare Charges at DRG | $16,714,197,313 | |
| Total Medicare Charges with ICD D375 - Neoplasm of uncertain behavior of rectum | $4,699,233 | |
| Avg Charges at DRG | $156,526 | |
| Avg Charges with ICD D375 - Neoplasm of uncertain behavior of rectum | $313,282 | |
| Mortality Rate at DRG | 9.42 | |
| Mortality Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | |
| SNF Discharge Rate at DRG | 28.14 | |
| SNF Discharge Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | |
| Home Discharge Rate at DRG | 22.53 | |
| Home Discharge Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,664 | ||||
| Total Hospitalizations with ICD D375 - Neoplasm of uncertain behavior of rectum | 78 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD D375 - Neoplasm of uncertain behavior of rectum in DRG | 12.48 | ||||
| Avg LOS at DRG | 4.85 | ||||
| Avg LOS with ICD D375 - Neoplasm of uncertain behavior of rectum | 4.23 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | 20.59 | ||||
| Unplanned Readmission Rate at DRG | 18.47 | ||||
| Unplanned Readmission Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | ||||
| Total Medicare payments at DRG | $359,623,549 | ||||
| Total Medicare payments with ICD D375 - Neoplasm of uncertain behavior of rectum | $578,385 | ||||
| Total Medicare payment per Day at DRG | $1,698 | ||||
| Total Medicare payment per Day with ICD D375 - Neoplasm of uncertain behavior of rectum | $1,753 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,236 | ||||
| Total Medicare payment per Hospitalization with ICD D375 - Neoplasm of uncertain behavior of rectum | $7,415 | ||||
| Total Medicare Charges at DRG | $1,799,320,832 | ||||
| Total Medicare Charges with ICD D375 - Neoplasm of uncertain behavior of rectum | $2,908,943 | ||||
| Avg Charges at DRG | $41,208 | ||||
| Avg Charges with ICD D375 - Neoplasm of uncertain behavior of rectum | $37,294 | ||||
| Mortality Rate at DRG | 3.31 | ||||
| Mortality Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | ||||
| SNF Discharge Rate at DRG | 10.13 | ||||
| SNF Discharge Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | ||||
| Home Discharge Rate at DRG | 48.24 | ||||
| Home Discharge Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | 57.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD D375 - Neoplasm of uncertain behavior of rectum | 31 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD D375 - Neoplasm of uncertain behavior of rectum in DRG | 4.96 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD D375 - Neoplasm of uncertain behavior of rectum | 14.84 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | 40.74 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD D375 - Neoplasm of uncertain behavior of rectum | $1,335,571 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD D375 - Neoplasm of uncertain behavior of rectum | $2,903 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD D375 - Neoplasm of uncertain behavior of rectum | $43,083 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD D375 - Neoplasm of uncertain behavior of rectum | $6,712,513 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD D375 - Neoplasm of uncertain behavior of rectum | $216,533 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | 38.71 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 190,819 | |
| Total Hospitalizations with ICD D375 - Neoplasm of uncertain behavior of rectum | 11 | |
| DRG Share of Total Hospitalizations | 0.58 | |
| % of Total ICD D375 - Neoplasm of uncertain behavior of rectum in DRG | 1.76 | |
| Avg LOS at DRG | 5.63 | |
| Avg LOS with ICD D375 - Neoplasm of uncertain behavior of rectum | 6.64 | |
| Readmission Rate at DRG | 28.97 | |
| Readmission Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | |
| Unplanned Readmission Rate at DRG | 22.07 | |
| Unplanned Readmission Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | |
| Total Medicare payments at DRG | $2,165,853,817 | |
| Total Medicare payments with ICD D375 - Neoplasm of uncertain behavior of rectum | $102,684 | |
| Total Medicare payment per Day at DRG | $2,015 | |
| Total Medicare payment per Day with ICD D375 - Neoplasm of uncertain behavior of rectum | $1,407 | |
| Total Medicare payment per Hospitalization at DRG | $11,350 | |
| Total Medicare payment per Hospitalization with ICD D375 - Neoplasm of uncertain behavior of rectum | $9,335 | |
| Total Medicare Charges at DRG | $10,686,431,125 | |
| Total Medicare Charges with ICD D375 - Neoplasm of uncertain behavior of rectum | $817,075 | |
| Avg Charges at DRG | $56,003 | |
| Avg Charges with ICD D375 - Neoplasm of uncertain behavior of rectum | $74,280 | |
| Mortality Rate at DRG | 5.35 | |
| Mortality Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | |
| SNF Discharge Rate at DRG | 23.91 | |
| SNF Discharge Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA | |
| Home Discharge Rate at DRG | 39.51 | |
| Home Discharge Rate with ICD D375 - Neoplasm of uncertain behavior of rectum | NA |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | D62 | Acute posthemorrhagic anemia |
| 2 | E876 | Hypokalemia |
| 3 | N179 | Acute kidney failure, unspecified |
| 4 | Z7982 | Long term (current) use of aspirin |
| 5 | I10 | Essential (primary) hypertension |