*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K635 - Polyp of colon - as a primary diagnosis code | K635 - Polyp of colon - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.57 | |
| Readmission Rate (%) | 21.11 | |
| Unplanned Readmission Rate (%) | 9.41 | |
| 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 331: MAJOR SMALL AND LARGE BOWEL 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,061 | ||||
| Total Hospitalizations with ICD K635 - Polyp of colon | 1,295 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD K635 - Polyp of colon in DRG | 36.33 | ||||
| Avg LOS at DRG | 4.08 | ||||
| Avg LOS with ICD K635 - Polyp of colon | 3.34 | ||||
| Readmission Rate at DRG | 9.45 | ||||
| Readmission Rate with ICD K635 - Polyp of colon | 6.93 | ||||
| Unplanned Readmission Rate at DRG | 6.69 | ||||
| Unplanned Readmission Rate with ICD K635 - Polyp of colon | 5.1 | ||||
| Total Medicare payments at DRG | $818,105,892 | ||||
| Total Medicare payments with ICD K635 - Polyp of colon | $12,019,993 | ||||
| Total Medicare payment per Day at DRG | $2,445 | ||||
| Total Medicare payment per Day with ICD K635 - Polyp of colon | $2,781 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,969 | ||||
| Total Medicare payment per Hospitalization with ICD K635 - Polyp of colon | $9,282 | ||||
| Total Medicare Charges at DRG | $4,652,792,838 | ||||
| Total Medicare Charges with ICD K635 - Polyp of colon | $70,667,395 | ||||
| Avg Charges at DRG | $56,699 | ||||
| Avg Charges with ICD K635 - Polyp of colon | $54,569 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD K635 - Polyp of colon | NA | ||||
| SNF Discharge Rate at DRG | 4.97 | ||||
| SNF Discharge Rate with ICD K635 - Polyp of colon | 1.78 | ||||
| Home Discharge Rate at DRG | 77.96 | ||||
| Home Discharge Rate with ICD K635 - Polyp of colon | 91.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 346: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 39,606 | ||
| Total Hospitalizations with ICD K635 - Polyp of colon | 143 | ||
| DRG Share of Total Hospitalizations | 0.12 | ||
| % of Total ICD K635 - Polyp of colon in DRG | 4.01 | ||
| Avg LOS at DRG | 2.67 | ||
| Avg LOS with ICD K635 - Polyp of colon | 2.44 | ||
| Readmission Rate at DRG | 13.3 | ||
| Readmission Rate with ICD K635 - Polyp of colon | 13.87 | ||
| Unplanned Readmission Rate at DRG | 8.72 | ||
| Unplanned Readmission Rate with ICD K635 - Polyp of colon | NA | ||
| Total Medicare payments at DRG | $152,080,579 | ||
| Total Medicare payments with ICD K635 - Polyp of colon | $455,124 | ||
| Total Medicare payment per Day at DRG | $1,436 | ||
| Total Medicare payment per Day with ICD K635 - Polyp of colon | $1,304 | ||
| Total Medicare payment per Hospitalization at DRG | $3,840 | ||
| Total Medicare payment per Hospitalization with ICD K635 - Polyp of colon | $3,183 | ||
| Total Medicare Charges at DRG | $921,857,813 | ||
| Total Medicare Charges with ICD K635 - Polyp of colon | $4,086,158 | ||
| Avg Charges at DRG | $23,276 | ||
| Avg Charges with ICD K635 - Polyp of colon | $28,575 | ||
| Mortality Rate at DRG | 0.54 | ||
| Mortality Rate with ICD K635 - Polyp of colon | NA | ||
| SNF Discharge Rate at DRG | 7.46 | ||
| SNF Discharge Rate with ICD K635 - Polyp of colon | NA | ||
| Home Discharge Rate at DRG | 75.53 | ||
| Home Discharge Rate with ICD K635 - Polyp of colon | 92.31 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 29 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 21 |
| CJW MEDICAL CENTER | 7102 JAHNKE RD | RICHMOND | VA | 23225 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HOAT MINH HOANG | 806 EARL FRYE BLVD | AMORY | MS | 38821 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HOAT MINH HOANG | 806 EARL FRYE BLVD | AMORY | MS | 38821 | 13 |
| Dr. MICHAEL JOSEPH PAGE | 1212 PLEASANT ST | DES MOINES | IA | 50309 | 11 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K635 - Polyp of colon | 16,954 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K635 - Polyp of colon in DRG | 20.18 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K635 - Polyp of colon | 3.78 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K635 - Polyp of colon | 17.24 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K635 - Polyp of colon | 13.09 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K635 - Polyp of colon | $101,167,448 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K635 - Polyp of colon | $1,580 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K635 - Polyp of colon | $5,967 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K635 - Polyp of colon | $656,658,148 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K635 - Polyp of colon | $38,732 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K635 - Polyp of colon | 0.11 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K635 - Polyp of colon | 10.07 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K635 - Polyp of colon | 71.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 379: G.I. HEMORRHAGE 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD K635 - Polyp of colon | 3,425 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD K635 - Polyp of colon in DRG | 4.08 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD K635 - Polyp of colon | 3.69 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD K635 - Polyp of colon | 15.57 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD K635 - Polyp of colon | 10.87 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD K635 - Polyp of colon | $18,190,249 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD K635 - Polyp of colon | $1,438 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD K635 - Polyp of colon | $5,311 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD K635 - Polyp of colon | $131,222,335 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD K635 - Polyp of colon | $38,313 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD K635 - Polyp of colon | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD K635 - Polyp of colon | 11.71 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD K635 - Polyp of colon | 70.89 |
*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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 84,943 | ||||
| Total Hospitalizations with ICD K635 - Polyp of colon | 1,573 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K635 - Polyp of colon in DRG | 1.87 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD K635 - Polyp of colon | 5.08 | ||||
| Readmission Rate at DRG | 29.98 | ||||
| Readmission Rate with ICD K635 - Polyp of colon | 22.7 | ||||
| Unplanned Readmission Rate at DRG | 23.75 | ||||
| Unplanned Readmission Rate with ICD K635 - Polyp of colon | 16.72 | ||||
| Total Medicare payments at DRG | $730,869,349 | ||||
| Total Medicare payments with ICD K635 - Polyp of colon | $13,549,880 | ||||
| Total Medicare payment per Day at DRG | $1,782 | ||||
| Total Medicare payment per Day with ICD K635 - Polyp of colon | $1,696 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,604 | ||||
| Total Medicare payment per Hospitalization with ICD K635 - Polyp of colon | $8,614 | ||||
| Total Medicare Charges at DRG | $3,626,959,517 | ||||
| Total Medicare Charges with ICD K635 - Polyp of colon | $78,044,061 | ||||
| Avg Charges at DRG | $42,699 | ||||
| Avg Charges with ICD K635 - Polyp of colon | $49,615 | ||||
| Mortality Rate at DRG | 2.39 | ||||
| Mortality Rate with ICD K635 - Polyp of colon | NA | ||||
| SNF Discharge Rate at DRG | 20.54 | ||||
| SNF Discharge Rate with ICD K635 - Polyp of colon | 16.91 | ||||
| Home Discharge Rate at DRG | 49.17 | ||||
| Home Discharge Rate with ICD K635 - Polyp of colon | 59.44 |
*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 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,606 | ||||
| Total Hospitalizations with ICD K635 - Polyp of colon | 825 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K635 - Polyp of colon in DRG | 0.98 | ||||
| Avg LOS at DRG | 2.67 | ||||
| Avg LOS with ICD K635 - Polyp of colon | 2.83 | ||||
| Readmission Rate at DRG | 13.3 | ||||
| Readmission Rate with ICD K635 - Polyp of colon | 7.92 | ||||
| Unplanned Readmission Rate at DRG | 8.72 | ||||
| Unplanned Readmission Rate with ICD K635 - Polyp of colon | 4.28 | ||||
| Total Medicare payments at DRG | $152,080,579 | ||||
| Total Medicare payments with ICD K635 - Polyp of colon | $2,869,786 | ||||
| Total Medicare payment per Day at DRG | $1,436 | ||||
| Total Medicare payment per Day with ICD K635 - Polyp of colon | $1,230 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,840 | ||||
| Total Medicare payment per Hospitalization with ICD K635 - Polyp of colon | $3,479 | ||||
| Total Medicare Charges at DRG | $921,857,813 | ||||
| Total Medicare Charges with ICD K635 - Polyp of colon | $24,036,359 | ||||
| Avg Charges at DRG | $23,276 | ||||
| Avg Charges with ICD K635 - Polyp of colon | $29,135 | ||||
| Mortality Rate at DRG | 0.54 | ||||
| Mortality Rate with ICD K635 - Polyp of colon | NA | ||||
| SNF Discharge Rate at DRG | 7.46 | ||||
| SNF Discharge Rate with ICD K635 - Polyp of colon | 2.79 | ||||
| Home Discharge Rate at DRG | 75.53 | ||||
| Home Discharge Rate with ICD K635 - Polyp of colon | 88.48 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 319 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 305 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 298 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHIA CHI GEORGE LAI | 500 N GARFIELD AVE | MONTEREY PARK | CA | 91754 | 80 |
| Dr. LONG PHI DANG | 10161 BOLSA AVE | WESTMINSTER | CA | 92683 | 69 |
| Dr. JUNE Y YONG | 1401 HARRODSBURG RD | LEXINGTON | KY | 40504 | 50 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSE MATHEW | 1101 PORT ARTHUR TER | LEESVILLE | LA | 71446 | 57 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 36 |
| Dr. ABDULLAH ARSHAD | 907 E REED ST | HAYTI | MO | 63851 | 32 |