Examples: ICD M32, ICD R6521, ICD 8210, ICD 1970

K4020 - ICD 10 Diagnosis Code - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent - as a primary diagnosis code K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 5.57
Readmission Rate (%) 19.52
Unplanned Readmission Rate (%) 9.57
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

Top DRGs Associated With K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 352: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 351: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 350: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 10,002
Total Hospitalizations with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 477
DRG Share of Total Hospitalizations 0.03
% of Total ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG 33.26
Avg LOS at DRG 2.34
Avg LOS with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 2.16
Readmission Rate at DRG 7.32
Readmission Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 7.71
Unplanned Readmission Rate at DRG 5.25
Unplanned Readmission Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 5.35
Total Medicare payments at DRG $54,910,238
Total Medicare payments with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $2,366,974
Total Medicare payment per Day at DRG $2,348
Total Medicare payment per Day with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $2,294
Total Medicare payment per Hospitalization at DRG $5,490
Total Medicare payment per Hospitalization with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $4,962
Total Medicare Charges at DRG $382,201,686
Total Medicare Charges with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $21,624,242
Avg Charges at DRG $38,213
Avg Charges with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $45,334
Mortality Rate at DRG NA
Mortality Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent NA
SNF Discharge Rate at DRG 7.74
SNF Discharge Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 6.92
Home Discharge Rate at DRG 79.72
Home Discharge Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 81.13

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 77,444
Total Hospitalizations with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 53
DRG Share of Total Hospitalizations 0.24
% of Total ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG 3.7
Avg LOS at DRG 6.72
Avg LOS with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 5.64
Readmission Rate at DRG 28.36
Readmission Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 24.0
Unplanned Readmission Rate at DRG 20.29
Unplanned Readmission Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent NA
Total Medicare payments at DRG $929,345,247
Total Medicare payments with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $613,707
Total Medicare payment per Day at DRG $1,786
Total Medicare payment per Day with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $2,053
Total Medicare payment per Hospitalization at DRG $12,000
Total Medicare payment per Hospitalization with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $11,579
Total Medicare Charges at DRG $4,453,573,782
Total Medicare Charges with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $2,504,890
Avg Charges at DRG $57,507
Avg Charges with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $47,262
Mortality Rate at DRG 5.64
Mortality Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent NA
SNF Discharge Rate at DRG 22.62
SNF Discharge Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent NA
Home Discharge Rate at DRG 38.94
Home Discharge Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 47.17

Top Hospitals Associated With K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
ADVENTHEALTH ORLANDO 601 E ROLLINS ST ORLANDO FL 32803 14

Top DRGs Associated With K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 352: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 351: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 1,808,415
Total Hospitalizations with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 865
DRG Share of Total Hospitalizations 5.5
% of Total ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG 5.46
Avg LOS at DRG 6.34
Avg LOS with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 6.99
Readmission Rate at DRG 24.2
Readmission Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 25.45
Unplanned Readmission Rate at DRG 16.78
Unplanned Readmission Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 15.8
Total Medicare payments at DRG $21,288,214,047
Total Medicare payments with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $10,777,411
Total Medicare payment per Day at DRG $1,857
Total Medicare payment per Day with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $1,783
Total Medicare payment per Hospitalization at DRG $11,772
Total Medicare payment per Hospitalization with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $12,459
Total Medicare Charges at DRG $107,155,481,388
Total Medicare Charges with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $58,226,827
Avg Charges at DRG $59,254
Avg Charges with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $67,314
Mortality Rate at DRG 12.11
Mortality Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 11.45
SNF Discharge Rate at DRG 27.18
SNF Discharge Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 30.98
Home Discharge Rate at DRG 25.81
Home Discharge Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 24.28

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 708: MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 41,026
Total Hospitalizations with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 355
DRG Share of Total Hospitalizations 0.12
% of Total ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG 2.24
Avg LOS at DRG 1.47
Avg LOS with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 1.47
Readmission Rate at DRG 4.09
Readmission Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 5.13
Unplanned Readmission Rate at DRG 3.2
Unplanned Readmission Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 3.7
Total Medicare payments at DRG $301,816,837
Total Medicare payments with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $2,625,024
Total Medicare payment per Day at DRG $5,001
Total Medicare payment per Day with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $5,038
Total Medicare payment per Hospitalization at DRG $7,357
Total Medicare payment per Hospitalization with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $7,394
Total Medicare Charges at DRG $2,330,115,586
Total Medicare Charges with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $24,342,062
Avg Charges at DRG $56,796
Avg Charges with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $68,569
Mortality Rate at DRG NA
Mortality Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent NA
SNF Discharge Rate at DRG 0.28
SNF Discharge Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent NA
Home Discharge Rate at DRG 95.0
Home Discharge Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 93.8

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) DRG 350: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 130,303
Total Hospitalizations with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 263
DRG Share of Total Hospitalizations 0.4
% of Total ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG 1.66
Avg LOS at DRG 3.94
Avg LOS with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 3.4
Readmission Rate at DRG 20.31
Readmission Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 15.38
Unplanned Readmission Rate at DRG 14.61
Unplanned Readmission Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 9.72
Total Medicare payments at DRG $778,992,768
Total Medicare payments with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $1,471,785
Total Medicare payment per Day at DRG $1,517
Total Medicare payment per Day with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $1,644
Total Medicare payment per Hospitalization at DRG $5,978
Total Medicare payment per Hospitalization with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $5,596
Total Medicare Charges at DRG $4,222,655,144
Total Medicare Charges with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $7,766,303
Avg Charges at DRG $32,406
Avg Charges with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $29,530
Mortality Rate at DRG 0.93
Mortality Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent NA
SNF Discharge Rate at DRG 14.17
SNF Discharge Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 12.17
Home Discharge Rate at DRG 60.3
Home Discharge Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 66.54

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 106,645
Total Hospitalizations with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 183
DRG Share of Total Hospitalizations 0.32
% of Total ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG 1.16
Avg LOS at DRG 2.86
Avg LOS with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 2.8
Readmission Rate at DRG 11.36
Readmission Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 16.48
Unplanned Readmission Rate at DRG 8.32
Unplanned Readmission Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 13.64
Total Medicare payments at DRG $363,941,412
Total Medicare payments with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $615,414
Total Medicare payment per Day at DRG $1,193
Total Medicare payment per Day with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $1,200
Total Medicare payment per Hospitalization at DRG $3,413
Total Medicare payment per Hospitalization with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $3,363
Total Medicare Charges at DRG $2,140,622,653
Total Medicare Charges with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $3,839,356
Avg Charges at DRG $20,072
Avg Charges with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent $20,980
Mortality Rate at DRG 0.22
Mortality Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent NA
SNF Discharge Rate at DRG 3.46
SNF Discharge Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent NA
Home Discharge Rate at DRG 85.03
Home Discharge Rate with ICD K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent 83.61

Top Hospitals Associated With K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048 103
ST. FRANCIS HOSPITAL ROSLYN 100 PORT WASHINGTON BLVD ROSLYN NY 11576 65
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 55

Top Operating Physicians Associated With K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. GEORGE DENOTO 139 PLANDOME ROAD MANHASSET NY 11030 14
Dr. JOSEPH ROBERT WAGNER 85 SEYMOUR ST HARTFORD CT 06106 12

Top Attending Physicians Associated With K4020 - Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. GEORGE DENOTO 139 PLANDOME ROAD MANHASSET NY 11030 14
Dr. JOSEPH ROBERT WAGNER 85 SEYMOUR ST HARTFORD CT 06106 12