*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K627 - Radiation proctitis - as a primary diagnosis code | K627 - Radiation proctitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.62 | |
| Readmission Rate (%) | 26.47 | |
| Unplanned Readmission Rate (%) | 19.57 | |
| 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 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K627 - Radiation proctitis | 2,150 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K627 - Radiation proctitis in DRG | 56.86 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K627 - Radiation proctitis | 3.41 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K627 - Radiation proctitis | 21.9 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K627 - Radiation proctitis | 17.48 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K627 - Radiation proctitis | $12,522,463 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K627 - Radiation proctitis | $1,710 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K627 - Radiation proctitis | $5,824 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K627 - Radiation proctitis | $64,456,172 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K627 - Radiation proctitis | $29,980 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K627 - Radiation proctitis | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K627 - Radiation proctitis | 10.7 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K627 - Radiation proctitis | 69.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,795 | ||||
| Total Hospitalizations with ICD K627 - Radiation proctitis | 39 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD K627 - Radiation proctitis in DRG | 1.03 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD K627 - Radiation proctitis | 6.51 | ||||
| Readmission Rate at DRG | 22.8 | ||||
| Readmission Rate with ICD K627 - Radiation proctitis | 28.95 | ||||
| Unplanned Readmission Rate at DRG | 15.79 | ||||
| Unplanned Readmission Rate with ICD K627 - Radiation proctitis | NA | ||||
| Total Medicare payments at DRG | $318,968,562 | ||||
| Total Medicare payments with ICD K627 - Radiation proctitis | $572,365 | ||||
| Total Medicare payment per Day at DRG | $2,326 | ||||
| Total Medicare payment per Day with ICD K627 - Radiation proctitis | $2,253 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,405 | ||||
| Total Medicare payment per Hospitalization with ICD K627 - Radiation proctitis | $14,676 | ||||
| Total Medicare Charges at DRG | $1,616,786,200 | ||||
| Total Medicare Charges with ICD K627 - Radiation proctitis | $2,452,872 | ||||
| Avg Charges at DRG | $67,946 | ||||
| Avg Charges with ICD K627 - Radiation proctitis | $62,894 | ||||
| Mortality Rate at DRG | 1.17 | ||||
| Mortality Rate with ICD K627 - Radiation proctitis | NA | ||||
| SNF Discharge Rate at DRG | 14.59 | ||||
| SNF Discharge Rate with ICD K627 - Radiation proctitis | NA | ||||
| Home Discharge Rate at DRG | 56.77 | ||||
| Home Discharge Rate with ICD K627 - Radiation proctitis | 46.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 52,726 | |
| Total Hospitalizations with ICD K627 - Radiation proctitis | 14 | |
| DRG Share of Total Hospitalizations | 0.16 | |
| % of Total ICD K627 - Radiation proctitis in DRG | 0.37 | |
| Avg LOS at DRG | 6.68 | |
| Avg LOS with ICD K627 - Radiation proctitis | 5.0 | |
| Readmission Rate at DRG | 24.76 | |
| Readmission Rate with ICD K627 - Radiation proctitis | NA | |
| Unplanned Readmission Rate at DRG | 14.45 | |
| Unplanned Readmission Rate with ICD K627 - Radiation proctitis | NA | |
| Total Medicare payments at DRG | $902,862,104 | |
| Total Medicare payments with ICD K627 - Radiation proctitis | $257,186 | |
| Total Medicare payment per Day at DRG | $2,565 | |
| Total Medicare payment per Day with ICD K627 - Radiation proctitis | $3,674 | |
| Total Medicare payment per Hospitalization at DRG | $17,124 | |
| Total Medicare payment per Hospitalization with ICD K627 - Radiation proctitis | $18,370 | |
| Total Medicare Charges at DRG | $4,216,562,728 | |
| Total Medicare Charges with ICD K627 - Radiation proctitis | $909,107 | |
| Avg Charges at DRG | $79,971 | |
| Avg Charges with ICD K627 - Radiation proctitis | $64,936 | |
| Mortality Rate at DRG | 0.83 | |
| Mortality Rate with ICD K627 - Radiation proctitis | NA | |
| SNF Discharge Rate at DRG | 22.41 | |
| SNF Discharge Rate with ICD K627 - Radiation proctitis | NA | |
| Home Discharge Rate at DRG | 43.51 | |
| Home Discharge Rate with ICD K627 - Radiation proctitis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 21 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 20 |
| BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 19 |
*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 K627 - Radiation proctitis | 2,566 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K627 - Radiation proctitis in DRG | 17.82 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K627 - Radiation proctitis | 3.51 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K627 - Radiation proctitis | 22.3 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K627 - Radiation proctitis | 17.62 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K627 - Radiation proctitis | $15,039,068 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K627 - Radiation proctitis | $1,672 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K627 - Radiation proctitis | $5,861 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K627 - Radiation proctitis | $79,038,370 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K627 - Radiation proctitis | $30,802 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K627 - Radiation proctitis | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K627 - Radiation proctitis | 10.64 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K627 - Radiation proctitis | 68.75 |
*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 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD K627 - Radiation proctitis | 352 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD K627 - Radiation proctitis in DRG | 2.44 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD K627 - Radiation proctitis | 7.56 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD K627 - Radiation proctitis | 20.87 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD K627 - Radiation proctitis | 13.04 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD K627 - Radiation proctitis | $5,620,559 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD K627 - Radiation proctitis | $2,112 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD K627 - Radiation proctitis | $15,967 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD K627 - Radiation proctitis | $28,394,318 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD K627 - Radiation proctitis | $80,666 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD K627 - Radiation proctitis | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD K627 - Radiation proctitis | 18.18 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD K627 - Radiation proctitis | 35.51 |
*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 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 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD K627 - Radiation proctitis | 202 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K627 - Radiation proctitis in DRG | 1.4 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K627 - Radiation proctitis | 5.33 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K627 - Radiation proctitis | 30.0 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K627 - Radiation proctitis | 21.58 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K627 - Radiation proctitis | $1,377,168 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K627 - Radiation proctitis | $1,279 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K627 - Radiation proctitis | $6,818 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K627 - Radiation proctitis | $8,264,854 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K627 - Radiation proctitis | $40,915 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K627 - Radiation proctitis | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K627 - Radiation proctitis | 22.77 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K627 - Radiation proctitis | 47.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD K627 - Radiation proctitis | 134 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD K627 - Radiation proctitis in DRG | 0.93 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD K627 - Radiation proctitis | 3.93 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD K627 - Radiation proctitis | 25.4 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD K627 - Radiation proctitis | 20.63 | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD K627 - Radiation proctitis | $710,015 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD K627 - Radiation proctitis | $1,350 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD K627 - Radiation proctitis | $5,299 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD K627 - Radiation proctitis | $3,863,081 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD K627 - Radiation proctitis | $28,829 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K627 - Radiation proctitis | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD K627 - Radiation proctitis | NA | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD K627 - Radiation proctitis | 78.36 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 72 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 57 |
| VIRTUA MEMORIAL HOSPITAL | 175 MADISON AVE | MOUNT HOLLY | NJ | 08060 | 53 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT SULO | 2160 S 1ST AVE | MAYWOOD | IL | 60153 | 14 |