*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K603 - Anal fistula - as a primary diagnosis code | K603 - Anal fistula - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.83 | |
| Readmission Rate (%) | 27.29 | |
| Unplanned Readmission Rate (%) | 16.62 | |
| 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 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 349: ANAL AND STOMAL PROCEDURES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K603 - Anal fistula | 95 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K603 - Anal fistula in DRG | 22.41 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K603 - Anal fistula | 4.21 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K603 - Anal fistula | 25.84 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K603 - Anal fistula | 19.1 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K603 - Anal fistula | $626,813 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K603 - Anal fistula | $1,567 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K603 - Anal fistula | $6,598 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K603 - Anal fistula | $2,980,794 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K603 - Anal fistula | $31,377 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K603 - Anal fistula | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K603 - Anal fistula | 21.05 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K603 - Anal fistula | 46.32 |
*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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 347: ANAL AND STOMAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,606 | ||||
| Total Hospitalizations with ICD K603 - Anal fistula | 30 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K603 - Anal fistula in DRG | 7.08 | ||||
| Avg LOS at DRG | 2.67 | ||||
| Avg LOS with ICD K603 - Anal fistula | 3.53 | ||||
| Readmission Rate at DRG | 13.3 | ||||
| Readmission Rate with ICD K603 - Anal fistula | NA | ||||
| Unplanned Readmission Rate at DRG | 8.72 | ||||
| Unplanned Readmission Rate with ICD K603 - Anal fistula | NA | ||||
| Total Medicare payments at DRG | $152,080,579 | ||||
| Total Medicare payments with ICD K603 - Anal fistula | $127,359 | ||||
| Total Medicare payment per Day at DRG | $1,436 | ||||
| Total Medicare payment per Day with ICD K603 - Anal fistula | $1,202 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,840 | ||||
| Total Medicare payment per Hospitalization with ICD K603 - Anal fistula | $4,245 | ||||
| Total Medicare Charges at DRG | $921,857,813 | ||||
| Total Medicare Charges with ICD K603 - Anal fistula | $732,439 | ||||
| Avg Charges at DRG | $23,276 | ||||
| Avg Charges with ICD K603 - Anal fistula | $24,415 | ||||
| Mortality Rate at DRG | 0.54 | ||||
| Mortality Rate with ICD K603 - Anal fistula | NA | ||||
| SNF Discharge Rate at DRG | 7.46 | ||||
| SNF Discharge Rate with ICD K603 - Anal fistula | NA | ||||
| Home Discharge Rate at DRG | 75.53 | ||||
| Home Discharge Rate with ICD K603 - Anal fistula | 73.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,000 | ||||
| Total Hospitalizations with ICD K603 - Anal fistula | 183 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K603 - Anal fistula in DRG | 5.58 | ||||
| Avg LOS at DRG | 4.23 | ||||
| Avg LOS with ICD K603 - Anal fistula | 4.83 | ||||
| Readmission Rate at DRG | 22.98 | ||||
| Readmission Rate with ICD K603 - Anal fistula | 29.89 | ||||
| Unplanned Readmission Rate at DRG | 17.78 | ||||
| Unplanned Readmission Rate with ICD K603 - Anal fistula | 20.69 | ||||
| Total Medicare payments at DRG | $172,301,710 | ||||
| Total Medicare payments with ICD K603 - Anal fistula | $1,299,457 | ||||
| Total Medicare payment per Day at DRG | $1,406 | ||||
| Total Medicare payment per Day with ICD K603 - Anal fistula | $1,470 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,941 | ||||
| Total Medicare payment per Hospitalization with ICD K603 - Anal fistula | $7,101 | ||||
| Total Medicare Charges at DRG | $933,956,738 | ||||
| Total Medicare Charges with ICD K603 - Anal fistula | $6,083,089 | ||||
| Avg Charges at DRG | $32,205 | ||||
| Avg Charges with ICD K603 - Anal fistula | $33,241 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD K603 - Anal fistula | NA | ||||
| SNF Discharge Rate at DRG | 6.28 | ||||
| SNF Discharge Rate with ICD K603 - Anal fistula | NA | ||||
| Home Discharge Rate at DRG | 77.02 | ||||
| Home Discharge Rate with ICD K603 - Anal fistula | 83.61 |
*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 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD K603 - Anal fistula | 118 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD K603 - Anal fistula in DRG | 3.6 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD K603 - Anal fistula | 13.23 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD K603 - Anal fistula | 30.77 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD K603 - Anal fistula | 12.5 | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD K603 - Anal fistula | $3,758,958 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD K603 - Anal fistula | $2,408 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD K603 - Anal fistula | $31,856 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD K603 - Anal fistula | $16,278,202 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD K603 - Anal fistula | $137,951 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD K603 - Anal fistula | NA | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD K603 - Anal fistula | 22.88 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD K603 - Anal fistula | 19.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 385: INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 349: ANAL AND STOMAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 347: ANAL AND STOMAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,165 | ||||
| Total Hospitalizations with ICD K603 - Anal fistula | 58 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K603 - Anal fistula in DRG | 1.77 | ||||
| Avg LOS at DRG | 7.2 | ||||
| Avg LOS with ICD K603 - Anal fistula | 7.79 | ||||
| Readmission Rate at DRG | 31.13 | ||||
| Readmission Rate with ICD K603 - Anal fistula | 35.19 | ||||
| Unplanned Readmission Rate at DRG | 23.85 | ||||
| Unplanned Readmission Rate with ICD K603 - Anal fistula | 25.93 | ||||
| Total Medicare payments at DRG | $93,937,044 | ||||
| Total Medicare payments with ICD K603 - Anal fistula | $737,274 | ||||
| Total Medicare payment per Day at DRG | $1,598 | ||||
| Total Medicare payment per Day with ICD K603 - Anal fistula | $1,631 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,505 | ||||
| Total Medicare payment per Hospitalization with ICD K603 - Anal fistula | $12,712 | ||||
| Total Medicare Charges at DRG | $454,148,110 | ||||
| Total Medicare Charges with ICD K603 - Anal fistula | $3,076,950 | ||||
| Avg Charges at DRG | $55,621 | ||||
| Avg Charges with ICD K603 - Anal fistula | $53,051 | ||||
| Mortality Rate at DRG | 2.42 | ||||
| Mortality Rate with ICD K603 - Anal fistula | NA | ||||
| SNF Discharge Rate at DRG | 15.38 | ||||
| SNF Discharge Rate with ICD K603 - Anal fistula | NA | ||||
| Home Discharge Rate at DRG | 53.69 | ||||
| Home Discharge Rate with ICD K603 - Anal fistula | 55.17 |
*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 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,606 | ||||
| Total Hospitalizations with ICD K603 - Anal fistula | 47 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K603 - Anal fistula in DRG | 1.43 | ||||
| Avg LOS at DRG | 2.67 | ||||
| Avg LOS with ICD K603 - Anal fistula | 3.17 | ||||
| Readmission Rate at DRG | 13.3 | ||||
| Readmission Rate with ICD K603 - Anal fistula | NA | ||||
| Unplanned Readmission Rate at DRG | 8.72 | ||||
| Unplanned Readmission Rate with ICD K603 - Anal fistula | NA | ||||
| Total Medicare payments at DRG | $152,080,579 | ||||
| Total Medicare payments with ICD K603 - Anal fistula | $200,208 | ||||
| Total Medicare payment per Day at DRG | $1,436 | ||||
| Total Medicare payment per Day with ICD K603 - Anal fistula | $1,344 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,840 | ||||
| Total Medicare payment per Hospitalization with ICD K603 - Anal fistula | $4,260 | ||||
| Total Medicare Charges at DRG | $921,857,813 | ||||
| Total Medicare Charges with ICD K603 - Anal fistula | $1,121,854 | ||||
| Avg Charges at DRG | $23,276 | ||||
| Avg Charges with ICD K603 - Anal fistula | $23,869 | ||||
| Mortality Rate at DRG | 0.54 | ||||
| Mortality Rate with ICD K603 - Anal fistula | NA | ||||
| SNF Discharge Rate at DRG | 7.46 | ||||
| SNF Discharge Rate with ICD K603 - Anal fistula | NA | ||||
| Home Discharge Rate at DRG | 75.53 | ||||
| Home Discharge Rate with ICD K603 - Anal fistula | 78.72 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 38 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 29 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 17 |