*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K602 - Anal fissure, unspecified - as a primary diagnosis code | K602 - Anal fissure, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.51 | |
| Readmission Rate (%) | 25.11 | |
| Unplanned Readmission Rate (%) | 16.4 | |
| 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 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 347: ANAL AND STOMAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K602 - Anal fissure, unspecified | 501 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K602 - Anal fissure, unspecified in DRG | 54.52 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K602 - Anal fissure, unspecified | 3.14 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K602 - Anal fissure, unspecified | 20.99 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K602 - Anal fissure, unspecified | 16.26 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K602 - Anal fissure, unspecified | $2,737,467 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K602 - Anal fissure, unspecified | $1,739 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K602 - Anal fissure, unspecified | $5,464 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K602 - Anal fissure, unspecified | $13,514,190 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K602 - Anal fissure, unspecified | $26,974 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K602 - Anal fissure, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K602 - Anal fissure, unspecified | 13.97 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K602 - Anal fissure, unspecified | 62.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 349: ANAL AND STOMAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 4,953 |
| Total Hospitalizations with ICD K602 - Anal fissure, unspecified | 16 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD K602 - Anal fissure, unspecified in DRG | 1.74 |
| Avg LOS at DRG | 2.79 |
| Avg LOS with ICD K602 - Anal fissure, unspecified | 2.19 |
| Readmission Rate at DRG | 8.93 |
| Readmission Rate with ICD K602 - Anal fissure, unspecified | NA |
| Unplanned Readmission Rate at DRG | 6.45 |
| Unplanned Readmission Rate with ICD K602 - Anal fissure, unspecified | NA |
| Total Medicare payments at DRG | $27,956,145 |
| Total Medicare payments with ICD K602 - Anal fissure, unspecified | $60,620 |
| Total Medicare payment per Day at DRG | $2,026 |
| Total Medicare payment per Day with ICD K602 - Anal fissure, unspecified | $1,732 |
| Total Medicare payment per Hospitalization at DRG | $5,644 |
| Total Medicare payment per Hospitalization with ICD K602 - Anal fissure, unspecified | $3,789 |
| Total Medicare Charges at DRG | $170,909,947 |
| Total Medicare Charges with ICD K602 - Anal fissure, unspecified | $357,405 |
| Avg Charges at DRG | $34,506 |
| Avg Charges with ICD K602 - Anal fissure, unspecified | $22,338 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD K602 - Anal fissure, unspecified | NA |
| SNF Discharge Rate at DRG | 5.17 |
| SNF Discharge Rate with ICD K602 - Anal fissure, unspecified | NA |
| Home Discharge Rate at DRG | 79.73 |
| Home Discharge Rate with ICD K602 - Anal fissure, unspecified | 100.0 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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 | 130,303 | ||||
| Total Hospitalizations with ICD K602 - Anal fissure, unspecified | 820 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K602 - Anal fissure, unspecified in DRG | 11.07 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K602 - Anal fissure, unspecified | 3.24 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K602 - Anal fissure, unspecified | 21.42 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K602 - Anal fissure, unspecified | 16.35 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K602 - Anal fissure, unspecified | $4,549,499 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K602 - Anal fissure, unspecified | $1,710 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K602 - Anal fissure, unspecified | $5,548 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K602 - Anal fissure, unspecified | $23,130,800 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K602 - Anal fissure, unspecified | $28,208 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K602 - Anal fissure, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K602 - Anal fissure, unspecified | 13.66 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K602 - Anal fissure, unspecified | 63.9 |
*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 885: PSYCHOSES | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD K602 - Anal fissure, unspecified | 221 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD K602 - Anal fissure, unspecified in DRG | 2.98 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD K602 - Anal fissure, unspecified | 5.48 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD K602 - Anal fissure, unspecified | 29.38 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD K602 - Anal fissure, unspecified | 21.33 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD K602 - Anal fissure, unspecified | $2,473,913 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD K602 - Anal fissure, unspecified | $2,045 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD K602 - Anal fissure, unspecified | $11,194 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD K602 - Anal fissure, unspecified | $11,234,450 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD K602 - Anal fissure, unspecified | $50,835 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD K602 - Anal fissure, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD K602 - Anal fissure, unspecified | 21.27 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD K602 - Anal fissure, unspecified | 43.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD K602 - Anal fissure, unspecified | 103 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD K602 - Anal fissure, unspecified in DRG | 1.39 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD K602 - Anal fissure, unspecified | 7.02 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD K602 - Anal fissure, unspecified | 36.78 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD K602 - Anal fissure, unspecified | 31.03 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD K602 - Anal fissure, unspecified | $1,096,215 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD K602 - Anal fissure, unspecified | $1,516 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD K602 - Anal fissure, unspecified | $10,643 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD K602 - Anal fissure, unspecified | $5,570,696 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD K602 - Anal fissure, unspecified | $54,084 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD K602 - Anal fissure, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD K602 - Anal fissure, unspecified | 25.24 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD K602 - Anal fissure, unspecified | 28.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE 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 | 201,938 | ||||
| Total Hospitalizations with ICD K602 - Anal fissure, unspecified | 91 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD K602 - Anal fissure, unspecified in DRG | 1.23 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD K602 - Anal fissure, unspecified | 3.29 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD K602 - Anal fissure, unspecified | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD K602 - Anal fissure, unspecified | 12.5 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD K602 - Anal fissure, unspecified | $513,213 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD K602 - Anal fissure, unspecified | $1,716 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD K602 - Anal fissure, unspecified | $5,640 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD K602 - Anal fissure, unspecified | $3,015,954 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD K602 - Anal fissure, unspecified | $33,142 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD K602 - Anal fissure, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD K602 - Anal fissure, unspecified | NA | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD K602 - Anal fissure, unspecified | 68.13 |
| 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 | 53 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 48 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MONTE GENE FINCH | 300 S 8TH ST | MURRAY | KY | 42071 | 14 |