*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
K626 - Ulcer of anus and rectum - as a primary diagnosis code | K626 - Ulcer of anus and rectum - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 9.97 | |
Readmission Rate (%) | 30.95 | |
Unplanned Readmission Rate (%) | 20.05 | |
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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 130,303 | ||||
Total Hospitalizations with ICD K626 - Ulcer of anus and rectum | 2,220 | ||||
DRG Share of Total Hospitalizations | 0.4 | ||||
% of Total ICD K626 - Ulcer of anus and rectum in DRG | 45.07 | ||||
Avg LOS at DRG | 3.94 | ||||
Avg LOS with ICD K626 - Ulcer of anus and rectum | 4.07 | ||||
Readmission Rate at DRG | 20.31 | ||||
Readmission Rate with ICD K626 - Ulcer of anus and rectum | 23.33 | ||||
Unplanned Readmission Rate at DRG | 14.61 | ||||
Unplanned Readmission Rate with ICD K626 - Ulcer of anus and rectum | 17.25 | ||||
Total Medicare payments at DRG | $778,992,768 | ||||
Total Medicare payments with ICD K626 - Ulcer of anus and rectum | $13,386,368 | ||||
Total Medicare payment per Day at DRG | $1,517 | ||||
Total Medicare payment per Day with ICD K626 - Ulcer of anus and rectum | $1,482 | ||||
Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
Total Medicare payment per Hospitalization with ICD K626 - Ulcer of anus and rectum | $6,030 | ||||
Total Medicare Charges at DRG | $4,222,655,144 | ||||
Total Medicare Charges with ICD K626 - Ulcer of anus and rectum | $86,351,562 | ||||
Avg Charges at DRG | $32,406 | ||||
Avg Charges with ICD K626 - Ulcer of anus and rectum | $38,897 | ||||
Mortality Rate at DRG | 0.93 | ||||
Mortality Rate with ICD K626 - Ulcer of anus and rectum | NA | ||||
SNF Discharge Rate at DRG | 14.17 | ||||
SNF Discharge Rate with ICD K626 - Ulcer of anus and rectum | 29.32 | ||||
Home Discharge Rate at DRG | 60.3 | ||||
Home Discharge Rate with ICD K626 - Ulcer of anus and rectum | 45.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 347: ANAL AND STOMAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 25,783 | ||||
Total Hospitalizations with ICD K626 - Ulcer of anus and rectum | 95 | ||||
DRG Share of Total Hospitalizations | 0.08 | ||||
% of Total ICD K626 - Ulcer of anus and rectum in DRG | 1.93 | ||||
Avg LOS at DRG | 10.43 | ||||
Avg LOS with ICD K626 - Ulcer of anus and rectum | 11.22 | ||||
Readmission Rate at DRG | 32.71 | ||||
Readmission Rate with ICD K626 - Ulcer of anus and rectum | 43.21 | ||||
Unplanned Readmission Rate at DRG | 21.41 | ||||
Unplanned Readmission Rate with ICD K626 - Ulcer of anus and rectum | 30.86 | ||||
Total Medicare payments at DRG | $679,252,743 | ||||
Total Medicare payments with ICD K626 - Ulcer of anus and rectum | $2,368,558 | ||||
Total Medicare payment per Day at DRG | $2,526 | ||||
Total Medicare payment per Day with ICD K626 - Ulcer of anus and rectum | $2,222 | ||||
Total Medicare payment per Hospitalization at DRG | $26,345 | ||||
Total Medicare payment per Hospitalization with ICD K626 - Ulcer of anus and rectum | $24,932 | ||||
Total Medicare Charges at DRG | $3,189,491,346 | ||||
Total Medicare Charges with ICD K626 - Ulcer of anus and rectum | $14,561,774 | ||||
Avg Charges at DRG | $123,705 | ||||
Avg Charges with ICD K626 - Ulcer of anus and rectum | $153,282 | ||||
Mortality Rate at DRG | 9.27 | ||||
Mortality Rate with ICD K626 - Ulcer of anus and rectum | NA | ||||
SNF Discharge Rate at DRG | 24.4 | ||||
SNF Discharge Rate with ICD K626 - Ulcer of anus and rectum | 36.84 | ||||
Home Discharge Rate at DRG | 30.46 | ||||
Home Discharge Rate with ICD K626 - Ulcer of anus and rectum | 11.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 344: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|
Total Hospitalizations at DRG | 82,061 | |||
Total Hospitalizations with ICD K626 - Ulcer of anus and rectum | 17 | |||
DRG Share of Total Hospitalizations | 0.25 | |||
% of Total ICD K626 - Ulcer of anus and rectum in DRG | 0.35 | |||
Avg LOS at DRG | 4.08 | |||
Avg LOS with ICD K626 - Ulcer of anus and rectum | 2.94 | |||
Readmission Rate at DRG | 9.45 | |||
Readmission Rate with ICD K626 - Ulcer of anus and rectum | NA | |||
Unplanned Readmission Rate at DRG | 6.69 | |||
Unplanned Readmission Rate with ICD K626 - Ulcer of anus and rectum | NA | |||
Total Medicare payments at DRG | $818,105,892 | |||
Total Medicare payments with ICD K626 - Ulcer of anus and rectum | $157,360 | |||
Total Medicare payment per Day at DRG | $2,445 | |||
Total Medicare payment per Day with ICD K626 - Ulcer of anus and rectum | $3,147 | |||
Total Medicare payment per Hospitalization at DRG | $9,969 | |||
Total Medicare payment per Hospitalization with ICD K626 - Ulcer of anus and rectum | $9,256 | |||
Total Medicare Charges at DRG | $4,652,792,838 | |||
Total Medicare Charges with ICD K626 - Ulcer of anus and rectum | $625,269 | |||
Avg Charges at DRG | $56,699 | |||
Avg Charges with ICD K626 - Ulcer of anus and rectum | $36,781 | |||
Mortality Rate at DRG | 0.07 | |||
Mortality Rate with ICD K626 - Ulcer of anus and rectum | NA | |||
SNF Discharge Rate at DRG | 4.97 | |||
SNF Discharge Rate with ICD K626 - Ulcer of anus and rectum | NA | |||
Home Discharge Rate at DRG | 77.96 | |||
Home Discharge Rate with ICD K626 - Ulcer of anus and rectum | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 18 |
JERSEY SHORE UNIVERSITY MEDICAL CENTER | 1945 ROUTE 33 | NEPTUNE | NJ | 07753 | 17 |
METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 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 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 377: G.I. HEMORRHAGE 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 | 130,303 | ||||
Total Hospitalizations with ICD K626 - Ulcer of anus and rectum | 3,170 | ||||
DRG Share of Total Hospitalizations | 0.4 | ||||
% of Total ICD K626 - Ulcer of anus and rectum in DRG | 13.14 | ||||
Avg LOS at DRG | 3.94 | ||||
Avg LOS with ICD K626 - Ulcer of anus and rectum | 4.09 | ||||
Readmission Rate at DRG | 20.31 | ||||
Readmission Rate with ICD K626 - Ulcer of anus and rectum | 22.94 | ||||
Unplanned Readmission Rate at DRG | 14.61 | ||||
Unplanned Readmission Rate with ICD K626 - Ulcer of anus and rectum | 16.76 | ||||
Total Medicare payments at DRG | $778,992,768 | ||||
Total Medicare payments with ICD K626 - Ulcer of anus and rectum | $19,031,957 | ||||
Total Medicare payment per Day at DRG | $1,517 | ||||
Total Medicare payment per Day with ICD K626 - Ulcer of anus and rectum | $1,466 | ||||
Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
Total Medicare payment per Hospitalization with ICD K626 - Ulcer of anus and rectum | $6,004 | ||||
Total Medicare Charges at DRG | $4,222,655,144 | ||||
Total Medicare Charges with ICD K626 - Ulcer of anus and rectum | $121,018,289 | ||||
Avg Charges at DRG | $32,406 | ||||
Avg Charges with ICD K626 - Ulcer of anus and rectum | $38,176 | ||||
Mortality Rate at DRG | 0.93 | ||||
Mortality Rate with ICD K626 - Ulcer of anus and rectum | NA | ||||
SNF Discharge Rate at DRG | 14.17 | ||||
SNF Discharge Rate with ICD K626 - Ulcer of anus and rectum | 26.25 | ||||
Home Discharge Rate at DRG | 60.3 | ||||
Home Discharge Rate with ICD K626 - Ulcer of anus and rectum | 49.5 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 169,880 | ||||
Total Hospitalizations with ICD K626 - Ulcer of anus and rectum | 675 | ||||
DRG Share of Total Hospitalizations | 0.52 | ||||
% of Total ICD K626 - Ulcer of anus and rectum in DRG | 2.8 | ||||
Avg LOS at DRG | 7.24 | ||||
Avg LOS with ICD K626 - Ulcer of anus and rectum | 6.74 | ||||
Readmission Rate at DRG | 16.58 | ||||
Readmission Rate with ICD K626 - Ulcer of anus and rectum | 22.78 | ||||
Unplanned Readmission Rate at DRG | 10.87 | ||||
Unplanned Readmission Rate with ICD K626 - Ulcer of anus and rectum | 15.99 | ||||
Total Medicare payments at DRG | $2,683,693,576 | ||||
Total Medicare payments with ICD K626 - Ulcer of anus and rectum | $10,419,550 | ||||
Total Medicare payment per Day at DRG | $2,183 | ||||
Total Medicare payment per Day with ICD K626 - Ulcer of anus and rectum | $2,292 | ||||
Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
Total Medicare payment per Hospitalization with ICD K626 - Ulcer of anus and rectum | $15,436 | ||||
Total Medicare Charges at DRG | $13,978,014,634 | ||||
Total Medicare Charges with ICD K626 - Ulcer of anus and rectum | $49,897,329 | ||||
Avg Charges at DRG | $82,282 | ||||
Avg Charges with ICD K626 - Ulcer of anus and rectum | $73,922 | ||||
Mortality Rate at DRG | 0.35 | ||||
Mortality Rate with ICD K626 - Ulcer of anus and rectum | NA | ||||
SNF Discharge Rate at DRG | 14.58 | ||||
SNF Discharge Rate with ICD K626 - Ulcer of anus and rectum | 23.7 | ||||
Home Discharge Rate at DRG | 53.56 | ||||
Home Discharge Rate with ICD K626 - Ulcer of anus and rectum | 40.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 109,018 | ||||
Total Hospitalizations with ICD K626 - Ulcer of anus and rectum | 320 | ||||
DRG Share of Total Hospitalizations | 0.33 | ||||
% of Total ICD K626 - Ulcer of anus and rectum in DRG | 1.33 | ||||
Avg LOS at DRG | 12.66 | ||||
Avg LOS with ICD K626 - Ulcer of anus and rectum | 21.22 | ||||
Readmission Rate at DRG | 35.31 | ||||
Readmission Rate with ICD K626 - Ulcer of anus and rectum | 49.05 | ||||
Unplanned Readmission Rate at DRG | 20.73 | ||||
Unplanned Readmission Rate with ICD K626 - Ulcer of anus and rectum | 29.66 | ||||
Total Medicare payments at DRG | $3,554,922,428 | ||||
Total Medicare payments with ICD K626 - Ulcer of anus and rectum | $13,280,708 | ||||
Total Medicare payment per Day at DRG | $2,575 | ||||
Total Medicare payment per Day with ICD K626 - Ulcer of anus and rectum | $1,956 | ||||
Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
Total Medicare payment per Hospitalization with ICD K626 - Ulcer of anus and rectum | $41,502 | ||||
Total Medicare Charges at DRG | $15,445,232,132 | ||||
Total Medicare Charges with ICD K626 - Ulcer of anus and rectum | $73,561,962 | ||||
Avg Charges at DRG | $141,676 | ||||
Avg Charges with ICD K626 - Ulcer of anus and rectum | $229,881 | ||||
Mortality Rate at DRG | 8.99 | ||||
Mortality Rate with ICD K626 - Ulcer of anus and rectum | 11.88 | ||||
SNF Discharge Rate at DRG | 27.26 | ||||
SNF Discharge Rate with ICD K626 - Ulcer of anus and rectum | 42.5 | ||||
Home Discharge Rate at DRG | 27.78 | ||||
Home Discharge Rate with ICD K626 - Ulcer of anus and rectum | 11.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 365,119 | ||||
Total Hospitalizations with ICD K626 - Ulcer of anus and rectum | 232 | ||||
DRG Share of Total Hospitalizations | 1.11 | ||||
% of Total ICD K626 - Ulcer of anus and rectum in DRG | 0.96 | ||||
Avg LOS at DRG | 5.91 | ||||
Avg LOS with ICD K626 - Ulcer of anus and rectum | 13.6 | ||||
Readmission Rate at DRG | 27.73 | ||||
Readmission Rate with ICD K626 - Ulcer of anus and rectum | 40.7 | ||||
Unplanned Readmission Rate at DRG | 20.3 | ||||
Unplanned Readmission Rate with ICD K626 - Ulcer of anus and rectum | 29.15 | ||||
Total Medicare payments at DRG | $3,552,910,533 | ||||
Total Medicare payments with ICD K626 - Ulcer of anus and rectum | $3,329,293 | ||||
Total Medicare payment per Day at DRG | $1,646 | ||||
Total Medicare payment per Day with ICD K626 - Ulcer of anus and rectum | $1,055 | ||||
Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
Total Medicare payment per Hospitalization with ICD K626 - Ulcer of anus and rectum | $14,350 | ||||
Total Medicare Charges at DRG | $16,860,985,198 | ||||
Total Medicare Charges with ICD K626 - Ulcer of anus and rectum | $25,472,618 | ||||
Avg Charges at DRG | $46,179 | ||||
Avg Charges with ICD K626 - Ulcer of anus and rectum | $109,796 | ||||
Mortality Rate at DRG | 5.06 | ||||
Mortality Rate with ICD K626 - Ulcer of anus and rectum | 5.17 | ||||
SNF Discharge Rate at DRG | 28.7 | ||||
SNF Discharge Rate with ICD K626 - Ulcer of anus and rectum | 40.09 | ||||
Home Discharge Rate at DRG | 32.16 | ||||
Home Discharge Rate with ICD K626 - Ulcer of anus and rectum | 18.1 |
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 | 111 |
CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 77 |
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 75 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MICHAEL J RENSCH | 420 WATER ST | KERRVILLE | TX | 78028 | 23 |
Dr. MIN S WIN | 7405 N FRESNO ST | FRESNO | CA | 93720 | 22 |
Dr. MOUSTAFA E ALAMY | 16660 PARAMOUNT BLVD | PARAMOUNT | CA | 90723 | 22 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MICHAEL RUSSO | 1111 MEDICAL CENTER BLVD | MARRERO | LA | 70072 | 20 |
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 18 |
Dr. CARMEN GNATENCO | 4938 W 95TH ST | OAK LAWN | IL | 60453 | 13 |