*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K6289 - Other specified diseases of anus and rectum - as a primary diagnosis code | K6289 - Other specified diseases of anus and rectum - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.38 | |
| Readmission Rate (%) | 23.48 | |
| Unplanned Readmission Rate (%) | 15.6 | |
| 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 K6289 - Other specified diseases of anus and rectum | 2,476 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K6289 - Other specified diseases of anus and rectum in DRG | 56.65 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K6289 - Other specified diseases of anus and rectum | 3.7 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | 18.89 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | 14.27 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K6289 - Other specified diseases of anus and rectum | $14,330,716 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K6289 - Other specified diseases of anus and rectum | $1,566 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K6289 - Other specified diseases of anus and rectum | $5,788 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K6289 - Other specified diseases of anus and rectum | $77,366,230 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K6289 - Other specified diseases of anus and rectum | $31,246 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K6289 - Other specified diseases of anus and rectum | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K6289 - Other specified diseases of anus and rectum | 21.37 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K6289 - Other specified diseases of anus and rectum | 51.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 349: ANAL AND STOMAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,061 | ||||
| Total Hospitalizations with ICD K6289 - Other specified diseases of anus and rectum | 32 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD K6289 - Other specified diseases of anus and rectum in DRG | 0.73 | ||||
| Avg LOS at DRG | 4.08 | ||||
| Avg LOS with ICD K6289 - Other specified diseases of anus and rectum | 4.13 | ||||
| Readmission Rate at DRG | 9.45 | ||||
| Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | NA | ||||
| Unplanned Readmission Rate at DRG | 6.69 | ||||
| Unplanned Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | NA | ||||
| Total Medicare payments at DRG | $818,105,892 | ||||
| Total Medicare payments with ICD K6289 - Other specified diseases of anus and rectum | $314,325 | ||||
| Total Medicare payment per Day at DRG | $2,445 | ||||
| Total Medicare payment per Day with ICD K6289 - Other specified diseases of anus and rectum | $2,381 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,969 | ||||
| Total Medicare payment per Hospitalization with ICD K6289 - Other specified diseases of anus and rectum | $9,823 | ||||
| Total Medicare Charges at DRG | $4,652,792,838 | ||||
| Total Medicare Charges with ICD K6289 - Other specified diseases of anus and rectum | $2,212,996 | ||||
| Avg Charges at DRG | $56,699 | ||||
| Avg Charges with ICD K6289 - Other specified diseases of anus and rectum | $69,156 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD K6289 - Other specified diseases of anus and rectum | NA | ||||
| SNF Discharge Rate at DRG | 4.97 | ||||
| SNF Discharge Rate with ICD K6289 - Other specified diseases of anus and rectum | NA | ||||
| Home Discharge Rate at DRG | 77.96 | ||||
| Home Discharge Rate with ICD K6289 - Other specified diseases of anus and rectum | 43.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 2,548 |
| Total Hospitalizations with ICD K6289 - Other specified diseases of anus and rectum | 11 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD K6289 - Other specified diseases of anus and rectum in DRG | 0.25 |
| Avg LOS at DRG | 3.01 |
| Avg LOS with ICD K6289 - Other specified diseases of anus and rectum | 2.27 |
| Readmission Rate at DRG | 10.75 |
| Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | NA |
| Unplanned Readmission Rate at DRG | 7.49 |
| Unplanned Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | NA |
| Total Medicare payments at DRG | $23,451,405 |
| Total Medicare payments with ICD K6289 - Other specified diseases of anus and rectum | $95,078 |
| Total Medicare payment per Day at DRG | $3,063 |
| Total Medicare payment per Day with ICD K6289 - Other specified diseases of anus and rectum | $3,803 |
| Total Medicare payment per Hospitalization at DRG | $9,204 |
| Total Medicare payment per Hospitalization with ICD K6289 - Other specified diseases of anus and rectum | $8,643 |
| Total Medicare Charges at DRG | $122,433,305 |
| Total Medicare Charges with ICD K6289 - Other specified diseases of anus and rectum | $422,463 |
| Avg Charges at DRG | $48,051 |
| Avg Charges with ICD K6289 - Other specified diseases of anus and rectum | $38,406 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD K6289 - Other specified diseases of anus and rectum | NA |
| SNF Discharge Rate at DRG | 7.61 |
| SNF Discharge Rate with ICD K6289 - Other specified diseases of anus and rectum | NA |
| Home Discharge Rate at DRG | 76.33 |
| Home Discharge Rate with ICD K6289 - Other specified diseases 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 | 28 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 24 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K6289 - Other specified diseases of anus and rectum | 3,493 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K6289 - Other specified diseases of anus and rectum in DRG | 10.33 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K6289 - Other specified diseases of anus and rectum | 3.87 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | 19.34 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | 14.47 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K6289 - Other specified diseases of anus and rectum | $20,509,686 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K6289 - Other specified diseases of anus and rectum | $1,519 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K6289 - Other specified diseases of anus and rectum | $5,872 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K6289 - Other specified diseases of anus and rectum | $115,282,034 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K6289 - Other specified diseases of anus and rectum | $33,004 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K6289 - Other specified diseases of anus and rectum | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K6289 - Other specified diseases of anus and rectum | 20.1 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K6289 - Other specified diseases of anus and rectum | 53.85 |
*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 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD K6289 - Other specified diseases of anus and rectum | 1,118 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K6289 - Other specified diseases of anus and rectum in DRG | 3.31 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K6289 - Other specified diseases of anus and rectum | 4.95 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | 17.55 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | 13.5 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K6289 - Other specified diseases of anus and rectum | $7,783,000 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K6289 - Other specified diseases of anus and rectum | $1,405 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K6289 - Other specified diseases of anus and rectum | $6,962 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K6289 - Other specified diseases of anus and rectum | $46,297,830 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K6289 - Other specified diseases of anus and rectum | $41,411 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K6289 - Other specified diseases of anus and rectum | 1.16 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K6289 - Other specified diseases of anus and rectum | 24.78 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K6289 - Other specified diseases of anus and rectum | 42.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD K6289 - Other specified diseases of anus and rectum | 608 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD K6289 - Other specified diseases of anus and rectum in DRG | 1.8 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD K6289 - Other specified diseases of anus and rectum | 4.32 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | 21.34 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | 15.32 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD K6289 - Other specified diseases of anus and rectum | $3,194,157 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K6289 - Other specified diseases of anus and rectum | $1,217 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD K6289 - Other specified diseases of anus and rectum | $5,254 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD K6289 - Other specified diseases of anus and rectum | $18,914,437 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD K6289 - Other specified diseases of anus and rectum | $31,109 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD K6289 - Other specified diseases of anus and rectum | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD K6289 - Other specified diseases of anus and rectum | 25.66 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD K6289 - Other specified diseases 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 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | 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 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,000 | ||||
| Total Hospitalizations with ICD K6289 - Other specified diseases of anus and rectum | 403 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K6289 - Other specified diseases of anus and rectum in DRG | 1.19 | ||||
| Avg LOS at DRG | 4.23 | ||||
| Avg LOS with ICD K6289 - Other specified diseases of anus and rectum | 5.32 | ||||
| Readmission Rate at DRG | 22.98 | ||||
| Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | 28.5 | ||||
| Unplanned Readmission Rate at DRG | 17.78 | ||||
| Unplanned Readmission Rate with ICD K6289 - Other specified diseases of anus and rectum | 21.76 | ||||
| Total Medicare payments at DRG | $172,301,710 | ||||
| Total Medicare payments with ICD K6289 - Other specified diseases of anus and rectum | $2,601,131 | ||||
| Total Medicare payment per Day at DRG | $1,406 | ||||
| Total Medicare payment per Day with ICD K6289 - Other specified diseases of anus and rectum | $1,213 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,941 | ||||
| Total Medicare payment per Hospitalization with ICD K6289 - Other specified diseases of anus and rectum | $6,454 | ||||
| Total Medicare Charges at DRG | $933,956,738 | ||||
| Total Medicare Charges with ICD K6289 - Other specified diseases of anus and rectum | $16,845,330 | ||||
| Avg Charges at DRG | $32,205 | ||||
| Avg Charges with ICD K6289 - Other specified diseases of anus and rectum | $41,800 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD K6289 - Other specified diseases of anus and rectum | NA | ||||
| SNF Discharge Rate at DRG | 6.28 | ||||
| SNF Discharge Rate with ICD K6289 - Other specified diseases of anus and rectum | 8.19 | ||||
| Home Discharge Rate at DRG | 77.02 | ||||
| Home Discharge Rate with ICD K6289 - Other specified diseases of anus and rectum | 71.22 |
| 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 | 141 |
| NEW YORK - PRESBYTERIAN/QUEENS | 56-45 MAIN STREET | NEW YORK | NY | 11355 | 139 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 138 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LIJIAN WANG | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MOHAMMED SHAKEEL UR REHMAN | 609 W MAPLE AVE | SPRINGDALE | AR | 72764 | 14 |
| Dr. PATRICK DAVID MORTON | 21150 BISCAYNE BLVD | AVENTURA | FL | 33180 | 13 |
| Dr. ELENA A SCHMUTER | 333 BROADWAY | AMITYVILLE | NY | 11701 | 12 |