*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K642 - Third degree hemorrhoids - as a primary diagnosis code | K642 - Third degree hemorrhoids - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.49 | |
| Readmission Rate (%) | 21.01 | |
| Unplanned Readmission Rate (%) | 16.36 | |
| 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 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 347: ANAL AND STOMAL PROCEDURES WITH 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 | 130,303 | ||||
| Total Hospitalizations with ICD K642 - Third degree hemorrhoids | 394 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K642 - Third degree hemorrhoids in DRG | 34.47 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K642 - Third degree hemorrhoids | 3.12 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K642 - Third degree hemorrhoids | 19.35 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K642 - Third degree hemorrhoids | 15.86 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K642 - Third degree hemorrhoids | $2,166,242 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K642 - Third degree hemorrhoids | $1,761 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K642 - Third degree hemorrhoids | $5,498 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K642 - Third degree hemorrhoids | $12,004,611 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K642 - Third degree hemorrhoids | $30,469 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K642 - Third degree hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K642 - Third degree hemorrhoids | 10.15 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K642 - Third degree hemorrhoids | 70.81 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 4,953 |
| Total Hospitalizations with ICD K642 - Third degree hemorrhoids | 72 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD K642 - Third degree hemorrhoids in DRG | 6.3 |
| Avg LOS at DRG | 2.79 |
| Avg LOS with ICD K642 - Third degree hemorrhoids | 2.64 |
| Readmission Rate at DRG | 8.93 |
| Readmission Rate with ICD K642 - Third degree hemorrhoids | NA |
| Unplanned Readmission Rate at DRG | 6.45 |
| Unplanned Readmission Rate with ICD K642 - Third degree hemorrhoids | NA |
| Total Medicare payments at DRG | $27,956,145 |
| Total Medicare payments with ICD K642 - Third degree hemorrhoids | $364,392 |
| Total Medicare payment per Day at DRG | $2,026 |
| Total Medicare payment per Day with ICD K642 - Third degree hemorrhoids | $1,918 |
| Total Medicare payment per Hospitalization at DRG | $5,644 |
| Total Medicare payment per Hospitalization with ICD K642 - Third degree hemorrhoids | $5,061 |
| Total Medicare Charges at DRG | $170,909,947 |
| Total Medicare Charges with ICD K642 - Third degree hemorrhoids | $2,093,449 |
| Avg Charges at DRG | $34,506 |
| Avg Charges with ICD K642 - Third degree hemorrhoids | $29,076 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD K642 - Third degree hemorrhoids | NA |
| SNF Discharge Rate at DRG | 5.17 |
| SNF Discharge Rate with ICD K642 - Third degree hemorrhoids | NA |
| Home Discharge Rate at DRG | 79.73 |
| Home Discharge Rate with ICD K642 - Third degree hemorrhoids | 83.33 |
*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 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K642 - Third degree hemorrhoids | 787 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K642 - Third degree hemorrhoids in DRG | 16.2 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K642 - Third degree hemorrhoids | 3.72 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K642 - Third degree hemorrhoids | 15.97 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K642 - Third degree hemorrhoids | 12.48 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K642 - Third degree hemorrhoids | $4,552,552 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K642 - Third degree hemorrhoids | $1,553 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K642 - Third degree hemorrhoids | $5,785 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K642 - Third degree hemorrhoids | $29,180,309 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K642 - Third degree hemorrhoids | $37,078 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K642 - Third degree hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K642 - Third degree hemorrhoids | 10.55 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K642 - Third degree hemorrhoids | 70.01 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 347: ANAL AND STOMAL PROCEDURES WITH 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 | 201,938 | ||||
| Total Hospitalizations with ICD K642 - Third degree hemorrhoids | 178 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD K642 - Third degree hemorrhoids in DRG | 3.66 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD K642 - Third degree hemorrhoids | 3.43 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD K642 - Third degree hemorrhoids | 19.54 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD K642 - Third degree hemorrhoids | 13.79 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD K642 - Third degree hemorrhoids | $833,053 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD K642 - Third degree hemorrhoids | $1,366 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD K642 - Third degree hemorrhoids | $4,680 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD K642 - Third degree hemorrhoids | $6,476,234 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD K642 - Third degree hemorrhoids | $36,383 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD K642 - Third degree hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD K642 - Third degree hemorrhoids | 8.99 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD K642 - Third degree hemorrhoids | 75.84 |
*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 349: ANAL AND STOMAL 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD K642 - Third degree hemorrhoids | 116 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD K642 - Third degree hemorrhoids in DRG | 2.39 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD K642 - Third degree hemorrhoids | 7.51 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD K642 - Third degree hemorrhoids | 11.21 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD K642 - Third degree hemorrhoids | NA | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD K642 - Third degree hemorrhoids | $1,777,233 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD K642 - Third degree hemorrhoids | $2,040 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD K642 - Third degree hemorrhoids | $15,321 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD K642 - Third degree hemorrhoids | $9,965,032 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD K642 - Third degree hemorrhoids | $85,905 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD K642 - Third degree hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD K642 - Third degree hemorrhoids | 19.83 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD K642 - Third degree hemorrhoids | 54.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK 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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD K642 - Third degree hemorrhoids | 58 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD K642 - Third degree hemorrhoids in DRG | 1.19 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD K642 - Third degree hemorrhoids | 8.38 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD K642 - Third degree hemorrhoids | 36.84 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD K642 - Third degree hemorrhoids | 28.07 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD K642 - Third degree hemorrhoids | $618,597 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD K642 - Third degree hemorrhoids | $1,273 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD K642 - Third degree hemorrhoids | $10,665 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD K642 - Third degree hemorrhoids | $4,930,655 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD K642 - Third degree hemorrhoids | $85,011 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD K642 - Third degree hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD K642 - Third degree hemorrhoids | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD K642 - Third degree hemorrhoids | 36.21 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OUR LADY OF THE ANGELS HOSPITAL | 433 PLAZA ST | BOGALUSA | LA | 70427 | 49 |
| UNIVERSITY MEDICAL CENTER | 602 INDIANA AVE | LUBBOCK | TX | 79415 | 41 |
| PALOS HEALTH | 12251 S 80TH AVE | PALOS HEIGHTS | IL | 60463 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HAMID HUSSAIN | 433 PLAZA ST | BOGALUSA | LA | 70427 | 55 |
| Dr. OLLIE DEMARRE JONES | UNIVERSITY OF KENTUCKY AND AFFILIATES 800 ST | LEXINGTON | KY | 40536 | 27 |
| Dr. BASHAR HAMAD | 1100 HOUBOLT RD | JOLIET | IL | 60431 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JIHAD S MOUKDAD | 1265 PATERSON PLANK RD | SECAUCUS | NJ | 07094 | 15 |
| Dr. HOSSEIN K TABARI | 1616 S. COLUMBIA ST. | BOGALUSA | LA | 70427 | 12 |