*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent - as a primary diagnosis code | K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.74 | |
| Readmission Rate (%) | 16.93 | |
| Unplanned Readmission Rate (%) | 9.85 | |
| 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 351: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 352: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,550 | ||||
| Total Hospitalizations with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 4,865 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent in DRG | 28.51 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 4.1 | ||||
| Readmission Rate at DRG | 13.41 | ||||
| Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 13.47 | ||||
| Unplanned Readmission Rate at DRG | 9.27 | ||||
| Unplanned Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 9.26 | ||||
| Total Medicare payments at DRG | $93,240,042 | ||||
| Total Medicare payments with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $43,023,092 | ||||
| Total Medicare payment per Day at DRG | $2,184 | ||||
| Total Medicare payment per Day with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $2,155 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,838 | ||||
| Total Medicare payment per Hospitalization with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $8,843 | ||||
| Total Medicare Charges at DRG | $555,697,843 | ||||
| Total Medicare Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $254,874,769 | ||||
| Avg Charges at DRG | $52,673 | ||||
| Avg Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $52,389 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 0.27 | ||||
| SNF Discharge Rate at DRG | 18.02 | ||||
| SNF Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 20.86 | ||||
| Home Discharge Rate at DRG | 60.36 | ||||
| Home Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 57.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,606 | ||||
| Total Hospitalizations with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 869 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent in DRG | 5.09 | ||||
| Avg LOS at DRG | 2.67 | ||||
| Avg LOS with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 1.79 | ||||
| Readmission Rate at DRG | 13.3 | ||||
| Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 13.2 | ||||
| Unplanned Readmission Rate at DRG | 8.72 | ||||
| Unplanned Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 9.31 | ||||
| Total Medicare payments at DRG | $152,080,579 | ||||
| Total Medicare payments with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $3,087,260 | ||||
| Total Medicare payment per Day at DRG | $1,436 | ||||
| Total Medicare payment per Day with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $1,987 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,840 | ||||
| Total Medicare payment per Hospitalization with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $3,553 | ||||
| Total Medicare Charges at DRG | $921,857,813 | ||||
| Total Medicare Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $14,479,188 | ||||
| Avg Charges at DRG | $23,276 | ||||
| Avg Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $16,662 | ||||
| Mortality Rate at DRG | 0.54 | ||||
| Mortality Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | NA | ||||
| SNF Discharge Rate at DRG | 7.46 | ||||
| SNF Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 6.1 | ||||
| Home Discharge Rate at DRG | 75.53 | ||||
| Home Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 75.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | DRG 342: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,594 | ||||
| Total Hospitalizations with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 139 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent in DRG | 0.81 | ||||
| Avg LOS at DRG | 12.13 | ||||
| Avg LOS with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 10.42 | ||||
| Readmission Rate at DRG | 25.35 | ||||
| Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 25.81 | ||||
| Unplanned Readmission Rate at DRG | 13.98 | ||||
| Unplanned Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 13.71 | ||||
| Total Medicare payments at DRG | $474,877,451 | ||||
| Total Medicare payments with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $3,548,893 | ||||
| Total Medicare payment per Day at DRG | $2,226 | ||||
| Total Medicare payment per Day with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $2,449 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,991 | ||||
| Total Medicare payment per Hospitalization with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $25,532 | ||||
| Total Medicare Charges at DRG | $2,299,623,294 | ||||
| Total Medicare Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $16,309,740 | ||||
| Avg Charges at DRG | $130,705 | ||||
| Avg Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $117,336 | ||||
| Mortality Rate at DRG | 6.92 | ||||
| Mortality Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | NA | ||||
| SNF Discharge Rate at DRG | 26.1 | ||||
| SNF Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 30.22 | ||||
| Home Discharge Rate at DRG | 31.48 | ||||
| Home Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 28.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 344: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 341: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 343: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 353: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,117 | ||||
| Total Hospitalizations with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 52 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent in DRG | 0.3 | ||||
| Avg LOS at DRG | 9.46 | ||||
| Avg LOS with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 9.54 | ||||
| Readmission Rate at DRG | 30.77 | ||||
| Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 35.56 | ||||
| Unplanned Readmission Rate at DRG | 21.23 | ||||
| Unplanned Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | NA | ||||
| Total Medicare payments at DRG | $108,269,262 | ||||
| Total Medicare payments with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $1,071,497 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $2,160 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,159 | ||||
| Total Medicare payment per Hospitalization with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $20,606 | ||||
| Total Medicare Charges at DRG | $483,726,294 | ||||
| Total Medicare Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $4,980,790 | ||||
| Avg Charges at DRG | $94,533 | ||||
| Avg Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $95,784 | ||||
| Mortality Rate at DRG | 5.41 | ||||
| Mortality Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | NA | ||||
| SNF Discharge Rate at DRG | 22.61 | ||||
| SNF Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 28.85 | ||||
| Home Discharge Rate at DRG | 37.35 | ||||
| Home Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 23.08 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 66 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 44 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KARIN A BLUMOFE | 1601 CLINT MOORE RD | BOCA RATON | FL | 33487 | 13 |
| Dr. MUDJIANTO CHANDRA | 18370 BURBANK BLVD | TARZANA | CA | 91356 | 13 |
| Dr. RAYMOND HENDERSON | 1411 N FLAGLER DR | WEST PALM BEACH | FL | 33401 | 12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 351: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 352: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 350: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,550 | ||||
| Total Hospitalizations with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 5,152 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent in DRG | 22.1 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 4.12 | ||||
| Readmission Rate at DRG | 13.41 | ||||
| Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 13.26 | ||||
| Unplanned Readmission Rate at DRG | 9.27 | ||||
| Unplanned Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 9.17 | ||||
| Total Medicare payments at DRG | $93,240,042 | ||||
| Total Medicare payments with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $45,582,474 | ||||
| Total Medicare payment per Day at DRG | $2,184 | ||||
| Total Medicare payment per Day with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $2,148 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,838 | ||||
| Total Medicare payment per Hospitalization with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $8,848 | ||||
| Total Medicare Charges at DRG | $555,697,843 | ||||
| Total Medicare Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $270,048,272 | ||||
| Avg Charges at DRG | $52,673 | ||||
| Avg Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $52,416 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 0.27 | ||||
| SNF Discharge Rate at DRG | 18.02 | ||||
| SNF Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 20.56 | ||||
| Home Discharge Rate at DRG | 60.36 | ||||
| Home Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 57.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 938 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent in DRG | 4.02 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 7.04 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 17.24 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 11.27 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $14,417,512 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $2,182 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $15,370 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $73,507,177 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $78,366 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 20.26 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 49.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,689 | ||||
| Total Hospitalizations with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 320 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent in DRG | 1.37 | ||||
| Avg LOS at DRG | 7.62 | ||||
| Avg LOS with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 6.39 | ||||
| Readmission Rate at DRG | 15.2 | ||||
| Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 14.1 | ||||
| Unplanned Readmission Rate at DRG | 10.41 | ||||
| Unplanned Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 10.26 | ||||
| Total Medicare payments at DRG | $451,870,690 | ||||
| Total Medicare payments with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $4,526,982 | ||||
| Total Medicare payment per Day at DRG | $1,931 | ||||
| Total Medicare payment per Day with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $2,215 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,724 | ||||
| Total Medicare payment per Hospitalization with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $14,147 | ||||
| Total Medicare Charges at DRG | $2,328,618,768 | ||||
| Total Medicare Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $22,536,263 | ||||
| Avg Charges at DRG | $75,878 | ||||
| Avg Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $70,426 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | NA | ||||
| SNF Discharge Rate at DRG | 13.82 | ||||
| SNF Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 19.06 | ||||
| Home Discharge Rate at DRG | 61.62 | ||||
| Home Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 56.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | DRG 342: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,212 | ||||
| Total Hospitalizations with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 121 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent in DRG | 0.52 | ||||
| Avg LOS at DRG | 4.78 | ||||
| Avg LOS with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 3.58 | ||||
| Readmission Rate at DRG | 10.27 | ||||
| Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | NA | ||||
| Unplanned Readmission Rate at DRG | 7.42 | ||||
| Unplanned Readmission Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | NA | ||||
| Total Medicare payments at DRG | $157,263,431 | ||||
| Total Medicare payments with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $1,139,733 | ||||
| Total Medicare payment per Day at DRG | $2,031 | ||||
| Total Medicare payment per Day with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $2,632 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,700 | ||||
| Total Medicare payment per Hospitalization with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $9,419 | ||||
| Total Medicare Charges at DRG | $886,139,904 | ||||
| Total Medicare Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $5,820,673 | ||||
| Avg Charges at DRG | $54,660 | ||||
| Avg Charges with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | $48,105 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | NA | ||||
| SNF Discharge Rate at DRG | 5.12 | ||||
| SNF Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 10.74 | ||||
| Home Discharge Rate at DRG | 80.24 | ||||
| Home Discharge Rate with ICD K4030 - Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 76.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 82 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 54 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 51 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUDJIANTO CHANDRA | 18370 BURBANK BLVD | TARZANA | CA | 91356 | 16 |
| Dr. PLACIDO M ROQUIZ | 6801 US HIGHWAY 27 N | SEBRING | FL | 33870 | 13 |
| Dr. KARIN A BLUMOFE | 1601 CLINT MOORE RD | BOCA RATON | FL | 33487 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GLEN FITTERMAN | 700 OLD COUNTRY ROAD | PLAINVIEW | NY | 11803 | 11 |