*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K621 - Rectal polyp - as a primary diagnosis code | K621 - Rectal polyp - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.55 | |
| Readmission Rate (%) | 20.49 | |
| Unplanned Readmission Rate (%) | 12.66 | |
| 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 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K621 - Rectal polyp | 268 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K621 - Rectal polyp in DRG | 36.81 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K621 - Rectal polyp | 3.22 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K621 - Rectal polyp | 16.92 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K621 - Rectal polyp | 14.23 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K621 - Rectal polyp | $1,514,066 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K621 - Rectal polyp | $1,754 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K621 - Rectal polyp | $5,650 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K621 - Rectal polyp | $8,988,747 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K621 - Rectal polyp | $33,540 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K621 - Rectal polyp | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K621 - Rectal polyp | 9.7 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K621 - Rectal polyp | 72.39 |
*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) | DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,953 | ||||
| Total Hospitalizations with ICD K621 - Rectal polyp | 34 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K621 - Rectal polyp in DRG | 4.67 | ||||
| Avg LOS at DRG | 2.79 | ||||
| Avg LOS with ICD K621 - Rectal polyp | 1.35 | ||||
| Readmission Rate at DRG | 8.93 | ||||
| Readmission Rate with ICD K621 - Rectal polyp | NA | ||||
| Unplanned Readmission Rate at DRG | 6.45 | ||||
| Unplanned Readmission Rate with ICD K621 - Rectal polyp | NA | ||||
| Total Medicare payments at DRG | $27,956,145 | ||||
| Total Medicare payments with ICD K621 - Rectal polyp | $136,466 | ||||
| Total Medicare payment per Day at DRG | $2,026 | ||||
| Total Medicare payment per Day with ICD K621 - Rectal polyp | $2,967 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,644 | ||||
| Total Medicare payment per Hospitalization with ICD K621 - Rectal polyp | $4,014 | ||||
| Total Medicare Charges at DRG | $170,909,947 | ||||
| Total Medicare Charges with ICD K621 - Rectal polyp | $1,055,965 | ||||
| Avg Charges at DRG | $34,506 | ||||
| Avg Charges with ICD K621 - Rectal polyp | $31,058 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD K621 - Rectal polyp | NA | ||||
| SNF Discharge Rate at DRG | 5.17 | ||||
| SNF Discharge Rate with ICD K621 - Rectal polyp | NA | ||||
| Home Discharge Rate at DRG | 79.73 | ||||
| Home Discharge Rate with ICD K621 - Rectal polyp | 88.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 347: ANAL AND STOMAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 3,650 |
| Total Hospitalizations with ICD K621 - Rectal polyp | 12 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD K621 - Rectal polyp in DRG | 1.65 |
| Avg LOS at DRG | 8.6 |
| Avg LOS with ICD K621 - Rectal polyp | 5.25 |
| Readmission Rate at DRG | 29.64 |
| Readmission Rate with ICD K621 - Rectal polyp | NA |
| Unplanned Readmission Rate at DRG | 20.36 |
| Unplanned Readmission Rate with ICD K621 - Rectal polyp | NA |
| Total Medicare payments at DRG | $65,035,380 |
| Total Medicare payments with ICD K621 - Rectal polyp | $190,170 |
| Total Medicare payment per Day at DRG | $2,071 |
| Total Medicare payment per Day with ICD K621 - Rectal polyp | $3,019 |
| Total Medicare payment per Hospitalization at DRG | $17,818 |
| Total Medicare payment per Hospitalization with ICD K621 - Rectal polyp | $15,848 |
| Total Medicare Charges at DRG | $335,969,764 |
| Total Medicare Charges with ICD K621 - Rectal polyp | $607,743 |
| Avg Charges at DRG | $92,047 |
| Avg Charges with ICD K621 - Rectal polyp | $50,645 |
| Mortality Rate at DRG | 4.36 |
| Mortality Rate with ICD K621 - Rectal polyp | NA |
| SNF Discharge Rate at DRG | 21.12 |
| SNF Discharge Rate with ICD K621 - Rectal polyp | NA |
| Home Discharge Rate at DRG | 42.93 |
| Home Discharge Rate with ICD K621 - Rectal polyp | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K621 - Rectal polyp | 5,980 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K621 - Rectal polyp in DRG | 22.39 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K621 - Rectal polyp | 3.74 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K621 - Rectal polyp | 15.17 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K621 - Rectal polyp | 11.4 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K621 - Rectal polyp | $34,914,162 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K621 - Rectal polyp | $1,560 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K621 - Rectal polyp | $5,838 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K621 - Rectal polyp | $225,257,727 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K621 - Rectal polyp | $37,669 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K621 - Rectal polyp | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K621 - Rectal polyp | 8.53 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K621 - Rectal polyp | 74.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 379: G.I. HEMORRHAGE 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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES 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 | 68,111 | ||||
| Total Hospitalizations with ICD K621 - Rectal polyp | 1,111 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K621 - Rectal polyp in DRG | 4.16 | ||||
| Avg LOS at DRG | 2.39 | ||||
| Avg LOS with ICD K621 - Rectal polyp | 2.61 | ||||
| Readmission Rate at DRG | 11.08 | ||||
| Readmission Rate with ICD K621 - Rectal polyp | 10.08 | ||||
| Unplanned Readmission Rate at DRG | 8.15 | ||||
| Unplanned Readmission Rate with ICD K621 - Rectal polyp | 7.49 | ||||
| Total Medicare payments at DRG | $254,469,696 | ||||
| Total Medicare payments with ICD K621 - Rectal polyp | $4,311,130 | ||||
| Total Medicare payment per Day at DRG | $1,562 | ||||
| Total Medicare payment per Day with ICD K621 - Rectal polyp | $1,489 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,736 | ||||
| Total Medicare payment per Hospitalization with ICD K621 - Rectal polyp | $3,880 | ||||
| Total Medicare Charges at DRG | $1,450,920,901 | ||||
| Total Medicare Charges with ICD K621 - Rectal polyp | $30,607,931 | ||||
| Avg Charges at DRG | $21,302 | ||||
| Avg Charges with ICD K621 - Rectal polyp | $27,550 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD K621 - Rectal polyp | NA | ||||
| SNF Discharge Rate at DRG | 7.64 | ||||
| SNF Discharge Rate with ICD K621 - Rectal polyp | 2.88 | ||||
| Home Discharge Rate at DRG | 75.95 | ||||
| Home Discharge Rate with ICD K621 - Rectal polyp | 87.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 84,943 | ||||
| Total Hospitalizations with ICD K621 - Rectal polyp | 491 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K621 - Rectal polyp in DRG | 1.84 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD K621 - Rectal polyp | 4.93 | ||||
| Readmission Rate at DRG | 29.98 | ||||
| Readmission Rate with ICD K621 - Rectal polyp | 22.57 | ||||
| Unplanned Readmission Rate at DRG | 23.75 | ||||
| Unplanned Readmission Rate with ICD K621 - Rectal polyp | 17.3 | ||||
| Total Medicare payments at DRG | $730,869,349 | ||||
| Total Medicare payments with ICD K621 - Rectal polyp | $3,962,231 | ||||
| Total Medicare payment per Day at DRG | $1,782 | ||||
| Total Medicare payment per Day with ICD K621 - Rectal polyp | $1,636 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,604 | ||||
| Total Medicare payment per Hospitalization with ICD K621 - Rectal polyp | $8,070 | ||||
| Total Medicare Charges at DRG | $3,626,959,517 | ||||
| Total Medicare Charges with ICD K621 - Rectal polyp | $25,351,641 | ||||
| Avg Charges at DRG | $42,699 | ||||
| Avg Charges with ICD K621 - Rectal polyp | $51,633 | ||||
| Mortality Rate at DRG | 2.39 | ||||
| Mortality Rate with ICD K621 - Rectal polyp | NA | ||||
| SNF Discharge Rate at DRG | 20.54 | ||||
| SNF Discharge Rate with ICD K621 - Rectal polyp | 14.46 | ||||
| Home Discharge Rate at DRG | 49.17 | ||||
| Home Discharge Rate with ICD K621 - Rectal polyp | 62.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,422 | ||||
| Total Hospitalizations with ICD K621 - Rectal polyp | 276 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD K621 - Rectal polyp in DRG | 1.03 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD K621 - Rectal polyp | 6.26 | ||||
| Readmission Rate at DRG | 26.98 | ||||
| Readmission Rate with ICD K621 - Rectal polyp | 24.51 | ||||
| Unplanned Readmission Rate at DRG | 20.97 | ||||
| Unplanned Readmission Rate with ICD K621 - Rectal polyp | 16.34 | ||||
| Total Medicare payments at DRG | $1,078,703,587 | ||||
| Total Medicare payments with ICD K621 - Rectal polyp | $2,399,093 | ||||
| Total Medicare payment per Day at DRG | $1,614 | ||||
| Total Medicare payment per Day with ICD K621 - Rectal polyp | $1,388 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,025 | ||||
| Total Medicare payment per Hospitalization with ICD K621 - Rectal polyp | $8,692 | ||||
| Total Medicare Charges at DRG | $5,564,930,414 | ||||
| Total Medicare Charges with ICD K621 - Rectal polyp | $17,579,720 | ||||
| Avg Charges at DRG | $41,399 | ||||
| Avg Charges with ICD K621 - Rectal polyp | $63,695 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD K621 - Rectal polyp | NA | ||||
| SNF Discharge Rate at DRG | 16.97 | ||||
| SNF Discharge Rate with ICD K621 - Rectal polyp | 12.32 | ||||
| Home Discharge Rate at DRG | 52.45 | ||||
| Home Discharge Rate with ICD K621 - Rectal polyp | 67.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HUNTSVILLE HOSPITAL | 101 SIVLEY RD SW | HUNTSVILLE | AL | 35801 | 86 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 85 |
| CAPE FEAR VALLEY MEDICAL CENTER | 1638 OWEN DR | FAYETTEVILLE | NC | 28304 | 77 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BASHAR HAMAD | 1100 HOUBOLT RD | JOLIET | IL | 60431 | 35 |
| Dr. JIGNESHKUMAR BABUBHAI PATEL | 1818 SHORT BRANCH DR | TRINITY | FL | 34655 | 33 |
| Dr. KEVIN M REID | 425 W GRAND AVE | DAYTON | OH | 45405 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN M REID | 425 W GRAND AVE | DAYTON | OH | 45405 | 27 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 12 |
| Dr. SANKAR NAIDU ADUSUMILLI | 2501 ATRIUM DR | RALEIGH | NC | 27607 | 12 |