*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent - as a primary diagnosis code | K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.84 | |
| Readmission Rate (%) | 21.18 | |
| Unplanned Readmission Rate (%) | 9.55 | |
| 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 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 K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 1,709 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG | 31.93 | ||||
| Avg LOS at DRG | 2.34 | ||||
| Avg LOS with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 2.03 | ||||
| Readmission Rate at DRG | 7.32 | ||||
| Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 7.81 | ||||
| Unplanned Readmission Rate at DRG | 5.25 | ||||
| Unplanned Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 5.23 | ||||
| Total Medicare payments at DRG | $54,910,238 | ||||
| Total Medicare payments with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $8,738,501 | ||||
| Total Medicare payment per Day at DRG | $2,348 | ||||
| Total Medicare payment per Day with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $2,520 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,490 | ||||
| Total Medicare payment per Hospitalization with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $5,113 | ||||
| Total Medicare Charges at DRG | $382,201,686 | ||||
| Total Medicare Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $59,357,083 | ||||
| Avg Charges at DRG | $38,213 | ||||
| Avg Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $34,732 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | NA | ||||
| SNF Discharge Rate at DRG | 7.74 | ||||
| SNF Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 7.43 | ||||
| Home Discharge Rate at DRG | 79.72 | ||||
| Home Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 78.88 |
*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 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 77,444 | ||||
| Total Hospitalizations with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 272 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG | 5.08 | ||||
| Avg LOS at DRG | 6.72 | ||||
| Avg LOS with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 4.42 | ||||
| Readmission Rate at DRG | 28.36 | ||||
| Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 30.61 | ||||
| Unplanned Readmission Rate at DRG | 20.29 | ||||
| Unplanned Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 21.63 | ||||
| Total Medicare payments at DRG | $929,345,247 | ||||
| Total Medicare payments with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $2,907,172 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $2,417 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,000 | ||||
| Total Medicare payment per Hospitalization with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $10,688 | ||||
| Total Medicare Charges at DRG | $4,453,573,782 | ||||
| Total Medicare Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $9,911,951 | ||||
| Avg Charges at DRG | $57,507 | ||||
| Avg Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $36,441 | ||||
| Mortality Rate at DRG | 5.64 | ||||
| Mortality Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | NA | ||||
| SNF Discharge Rate at DRG | 22.62 | ||||
| SNF Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 14.34 | ||||
| Home Discharge Rate at DRG | 38.94 | ||||
| Home Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 51.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL 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 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,841 | ||||
| Total Hospitalizations with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 28 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG | 0.52 | ||||
| Avg LOS at DRG | 4.57 | ||||
| Avg LOS with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 4.07 | ||||
| Readmission Rate at DRG | 13.03 | ||||
| Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | NA | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | NA | ||||
| Total Medicare payments at DRG | $269,044,019 | ||||
| Total Medicare payments with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $279,918 | ||||
| Total Medicare payment per Day at DRG | $2,278 | ||||
| Total Medicare payment per Day with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $2,455 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,412 | ||||
| Total Medicare payment per Hospitalization with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $9,997 | ||||
| Total Medicare Charges at DRG | $1,525,494,373 | ||||
| Total Medicare Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $1,479,252 | ||||
| Avg Charges at DRG | $59,034 | ||||
| Avg Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $52,830 | ||||
| Mortality Rate at DRG | 0.15 | ||||
| Mortality Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | NA | ||||
| SNF Discharge Rate at DRG | 10.82 | ||||
| SNF Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | NA | ||||
| Home Discharge Rate at DRG | 68.14 | ||||
| Home Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 67.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 9,732 | |
| Total Hospitalizations with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 13 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG | 0.24 | |
| Avg LOS at DRG | 5.53 | |
| Avg LOS with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 3.0 | |
| Readmission Rate at DRG | 19.38 | |
| Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | NA | |
| Unplanned Readmission Rate at DRG | 13.36 | |
| Unplanned Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | NA | |
| Total Medicare payments at DRG | $100,062,390 | |
| Total Medicare payments with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $114,407 | |
| Total Medicare payment per Day at DRG | $1,858 | |
| Total Medicare payment per Day with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $2,934 | |
| Total Medicare payment per Hospitalization at DRG | $10,282 | |
| Total Medicare payment per Hospitalization with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $8,801 | |
| Total Medicare Charges at DRG | $511,834,570 | |
| Total Medicare Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $604,020 | |
| Avg Charges at DRG | $52,593 | |
| Avg Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $46,463 | |
| Mortality Rate at DRG | 0.4 | |
| Mortality Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | NA | |
| SNF Discharge Rate at DRG | 12.85 | |
| SNF Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | NA | |
| Home Discharge Rate at DRG | 59.69 | |
| Home Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 42 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 28 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 21 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 3,968 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG | 5.46 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 6.82 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 23.51 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 16.5 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $48,431,344 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $1,790 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $12,205 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $262,676,155 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $66,199 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 11.82 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 32.03 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 22.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 1,521 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG | 2.09 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 4.72 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 15.78 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 11.18 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $10,205,400 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $1,422 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $6,710 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $59,425,551 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $39,070 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 1.18 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 20.12 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 50.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 708: MAJOR MALE PELVIC PROCEDURES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 1,103 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG | 1.52 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 7.64 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 16.1 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 10.49 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $17,624,830 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $2,091 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $15,979 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $94,987,207 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $86,117 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 16.77 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 53.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 350: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,395 | ||||
| Total Hospitalizations with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 817 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent in DRG | 1.12 | ||||
| Avg LOS at DRG | 6.77 | ||||
| Avg LOS with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 5.59 | ||||
| Readmission Rate at DRG | 20.79 | ||||
| Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 19.61 | ||||
| Unplanned Readmission Rate at DRG | 13.77 | ||||
| Unplanned Readmission Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 12.99 | ||||
| Total Medicare payments at DRG | $71,369,630 | ||||
| Total Medicare payments with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $12,720,651 | ||||
| Total Medicare payment per Day at DRG | $2,400 | ||||
| Total Medicare payment per Day with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $2,786 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,239 | ||||
| Total Medicare payment per Hospitalization with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $15,570 | ||||
| Total Medicare Charges at DRG | $366,971,131 | ||||
| Total Medicare Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $61,615,210 | ||||
| Avg Charges at DRG | $83,497 | ||||
| Avg Charges with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | $75,416 | ||||
| Mortality Rate at DRG | 5.46 | ||||
| Mortality Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 2.69 | ||||
| SNF Discharge Rate at DRG | 25.21 | ||||
| SNF Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 16.65 | ||||
| Home Discharge Rate at DRG | 42.14 | ||||
| Home Discharge Rate with ICD K4090 - Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | 56.79 |
| 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 | 311 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 231 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 213 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RONNEY ABAZA | 7450 HOSPITAL DR | DUBLIN | OH | 43016 | 29 |
| Dr. THOMAS E AHLERING | 101 THE CITY DR S | ORANGE | CA | 92868 | 16 |
| Dr. GERALD W HULL | 391 SERPENTINE DR | SPARTANBURG | SC | 29303 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RONNEY ABAZA | 7450 HOSPITAL DR | DUBLIN | OH | 43016 | 30 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 27 |
| Dr. C. DEAN MILNE | 2010 GOLDRING AVE. | LAS VEGAS | NV | 89106 | 21 |