*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K643 - Fourth degree hemorrhoids - as a primary diagnosis code | K643 - Fourth degree hemorrhoids - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.48 | |
| Readmission Rate (%) | 20.92 | |
| Unplanned Readmission Rate (%) | 14.39 | |
| 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 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 349: ANAL AND STOMAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 347: ANAL AND STOMAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,316 | ||||
| Total Hospitalizations with ICD K643 - Fourth degree hemorrhoids | 211 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K643 - Fourth degree hemorrhoids in DRG | 29.8 | ||||
| Avg LOS at DRG | 4.9 | ||||
| Avg LOS with ICD K643 - Fourth degree hemorrhoids | 4.45 | ||||
| Readmission Rate at DRG | 17.02 | ||||
| Readmission Rate with ICD K643 - Fourth degree hemorrhoids | 21.39 | ||||
| Unplanned Readmission Rate at DRG | 12.32 | ||||
| Unplanned Readmission Rate with ICD K643 - Fourth degree hemorrhoids | 13.93 | ||||
| Total Medicare payments at DRG | $76,401,122 | ||||
| Total Medicare payments with ICD K643 - Fourth degree hemorrhoids | $1,722,655 | ||||
| Total Medicare payment per Day at DRG | $1,873 | ||||
| Total Medicare payment per Day with ICD K643 - Fourth degree hemorrhoids | $1,837 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,187 | ||||
| Total Medicare payment per Hospitalization with ICD K643 - Fourth degree hemorrhoids | $8,164 | ||||
| Total Medicare Charges at DRG | $416,769,489 | ||||
| Total Medicare Charges with ICD K643 - Fourth degree hemorrhoids | $9,830,479 | ||||
| Avg Charges at DRG | $50,117 | ||||
| Avg Charges with ICD K643 - Fourth degree hemorrhoids | $46,590 | ||||
| Mortality Rate at DRG | 0.26 | ||||
| Mortality Rate with ICD K643 - Fourth degree hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 11.22 | ||||
| SNF Discharge Rate with ICD K643 - Fourth degree hemorrhoids | 8.53 | ||||
| Home Discharge Rate at DRG | 64.53 | ||||
| Home Discharge Rate with ICD K643 - Fourth degree hemorrhoids | 69.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 39,606 |
| Total Hospitalizations with ICD K643 - Fourth degree hemorrhoids | 36 |
| DRG Share of Total Hospitalizations | 0.12 |
| % of Total ICD K643 - Fourth degree hemorrhoids in DRG | 5.08 |
| Avg LOS at DRG | 2.67 |
| Avg LOS with ICD K643 - Fourth degree hemorrhoids | 2.56 |
| Readmission Rate at DRG | 13.3 |
| Readmission Rate with ICD K643 - Fourth degree hemorrhoids | NA |
| Unplanned Readmission Rate at DRG | 8.72 |
| Unplanned Readmission Rate with ICD K643 - Fourth degree hemorrhoids | NA |
| Total Medicare payments at DRG | $152,080,579 |
| Total Medicare payments with ICD K643 - Fourth degree hemorrhoids | $141,540 |
| Total Medicare payment per Day at DRG | $1,436 |
| Total Medicare payment per Day with ICD K643 - Fourth degree hemorrhoids | $1,538 |
| Total Medicare payment per Hospitalization at DRG | $3,840 |
| Total Medicare payment per Hospitalization with ICD K643 - Fourth degree hemorrhoids | $3,932 |
| Total Medicare Charges at DRG | $921,857,813 |
| Total Medicare Charges with ICD K643 - Fourth degree hemorrhoids | $745,980 |
| Avg Charges at DRG | $23,276 |
| Avg Charges with ICD K643 - Fourth degree hemorrhoids | $20,722 |
| Mortality Rate at DRG | 0.54 |
| Mortality Rate with ICD K643 - Fourth degree hemorrhoids | NA |
| SNF Discharge Rate at DRG | 7.46 |
| SNF Discharge Rate with ICD K643 - Fourth degree hemorrhoids | NA |
| Home Discharge Rate at DRG | 75.53 |
| Home Discharge Rate with ICD K643 - Fourth degree hemorrhoids | 97.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 349: ANAL AND STOMAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 347: ANAL AND STOMAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,316 | ||||
| Total Hospitalizations with ICD K643 - Fourth degree hemorrhoids | 248 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K643 - Fourth degree hemorrhoids in DRG | 14.29 | ||||
| Avg LOS at DRG | 4.9 | ||||
| Avg LOS with ICD K643 - Fourth degree hemorrhoids | 4.58 | ||||
| Readmission Rate at DRG | 17.02 | ||||
| Readmission Rate with ICD K643 - Fourth degree hemorrhoids | 20.76 | ||||
| Unplanned Readmission Rate at DRG | 12.32 | ||||
| Unplanned Readmission Rate with ICD K643 - Fourth degree hemorrhoids | 13.98 | ||||
| Total Medicare payments at DRG | $76,401,122 | ||||
| Total Medicare payments with ICD K643 - Fourth degree hemorrhoids | $2,027,275 | ||||
| Total Medicare payment per Day at DRG | $1,873 | ||||
| Total Medicare payment per Day with ICD K643 - Fourth degree hemorrhoids | $1,786 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,187 | ||||
| Total Medicare payment per Hospitalization with ICD K643 - Fourth degree hemorrhoids | $8,174 | ||||
| Total Medicare Charges at DRG | $416,769,489 | ||||
| Total Medicare Charges with ICD K643 - Fourth degree hemorrhoids | $11,743,700 | ||||
| Avg Charges at DRG | $50,117 | ||||
| Avg Charges with ICD K643 - Fourth degree hemorrhoids | $47,354 | ||||
| Mortality Rate at DRG | 0.26 | ||||
| Mortality Rate with ICD K643 - Fourth degree hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 11.22 | ||||
| SNF Discharge Rate with ICD K643 - Fourth degree hemorrhoids | 7.66 | ||||
| Home Discharge Rate at DRG | 64.53 | ||||
| Home Discharge Rate with ICD K643 - Fourth degree hemorrhoids | 70.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 77,444 | ||||
| Total Hospitalizations with ICD K643 - Fourth degree hemorrhoids | 90 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD K643 - Fourth degree hemorrhoids in DRG | 5.18 | ||||
| Avg LOS at DRG | 6.72 | ||||
| Avg LOS with ICD K643 - Fourth degree hemorrhoids | 5.02 | ||||
| Readmission Rate at DRG | 28.36 | ||||
| Readmission Rate with ICD K643 - Fourth degree hemorrhoids | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 20.29 | ||||
| Unplanned Readmission Rate with ICD K643 - Fourth degree hemorrhoids | 22.62 | ||||
| Total Medicare payments at DRG | $929,345,247 | ||||
| Total Medicare payments with ICD K643 - Fourth degree hemorrhoids | $965,260 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD K643 - Fourth degree hemorrhoids | $2,136 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,000 | ||||
| Total Medicare payment per Hospitalization with ICD K643 - Fourth degree hemorrhoids | $10,725 | ||||
| Total Medicare Charges at DRG | $4,453,573,782 | ||||
| Total Medicare Charges with ICD K643 - Fourth degree hemorrhoids | $4,495,606 | ||||
| Avg Charges at DRG | $57,507 | ||||
| Avg Charges with ICD K643 - Fourth degree hemorrhoids | $49,951 | ||||
| Mortality Rate at DRG | 5.64 | ||||
| Mortality Rate with ICD K643 - Fourth degree hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 22.62 | ||||
| SNF Discharge Rate with ICD K643 - Fourth degree hemorrhoids | 14.44 | ||||
| Home Discharge Rate at DRG | 38.94 | ||||
| Home Discharge Rate with ICD K643 - Fourth degree hemorrhoids | 53.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT 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) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,142 | ||||
| Total Hospitalizations with ICD K643 - Fourth degree hemorrhoids | 25 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K643 - Fourth degree hemorrhoids in DRG | 1.44 | ||||
| Avg LOS at DRG | 5.88 | ||||
| Avg LOS with ICD K643 - Fourth degree hemorrhoids | 8.2 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD K643 - Fourth degree hemorrhoids | NA | ||||
| Unplanned Readmission Rate at DRG | 15.33 | ||||
| Unplanned Readmission Rate with ICD K643 - Fourth degree hemorrhoids | NA | ||||
| Total Medicare payments at DRG | $317,761,689 | ||||
| Total Medicare payments with ICD K643 - Fourth degree hemorrhoids | $277,492 | ||||
| Total Medicare payment per Day at DRG | $1,919 | ||||
| Total Medicare payment per Day with ICD K643 - Fourth degree hemorrhoids | $1,354 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,291 | ||||
| Total Medicare payment per Hospitalization with ICD K643 - Fourth degree hemorrhoids | $11,100 | ||||
| Total Medicare Charges at DRG | $1,612,718,515 | ||||
| Total Medicare Charges with ICD K643 - Fourth degree hemorrhoids | $1,872,660 | ||||
| Avg Charges at DRG | $57,306 | ||||
| Avg Charges with ICD K643 - Fourth degree hemorrhoids | $74,906 | ||||
| Mortality Rate at DRG | 0.56 | ||||
| Mortality Rate with ICD K643 - Fourth degree hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 18.42 | ||||
| SNF Discharge Rate with ICD K643 - Fourth degree hemorrhoids | NA | ||||
| Home Discharge Rate at DRG | 50.45 | ||||
| Home Discharge Rate with ICD K643 - Fourth degree hemorrhoids | 48.0 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,061 | ||||
| Total Hospitalizations with ICD K643 - Fourth degree hemorrhoids | 19 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD K643 - Fourth degree hemorrhoids in DRG | 1.09 | ||||
| Avg LOS at DRG | 4.08 | ||||
| Avg LOS with ICD K643 - Fourth degree hemorrhoids | 3.74 | ||||
| Readmission Rate at DRG | 9.45 | ||||
| Readmission Rate with ICD K643 - Fourth degree hemorrhoids | NA | ||||
| Unplanned Readmission Rate at DRG | 6.69 | ||||
| Unplanned Readmission Rate with ICD K643 - Fourth degree hemorrhoids | NA | ||||
| Total Medicare payments at DRG | $818,105,892 | ||||
| Total Medicare payments with ICD K643 - Fourth degree hemorrhoids | $181,770 | ||||
| Total Medicare payment per Day at DRG | $2,445 | ||||
| Total Medicare payment per Day with ICD K643 - Fourth degree hemorrhoids | $2,560 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,969 | ||||
| Total Medicare payment per Hospitalization with ICD K643 - Fourth degree hemorrhoids | $9,567 | ||||
| Total Medicare Charges at DRG | $4,652,792,838 | ||||
| Total Medicare Charges with ICD K643 - Fourth degree hemorrhoids | $957,257 | ||||
| Avg Charges at DRG | $56,699 | ||||
| Avg Charges with ICD K643 - Fourth degree hemorrhoids | $50,382 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD K643 - Fourth degree hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 4.97 | ||||
| SNF Discharge Rate with ICD K643 - Fourth degree hemorrhoids | NA | ||||
| Home Discharge Rate at DRG | 77.96 | ||||
| Home Discharge Rate with ICD K643 - Fourth degree hemorrhoids | 73.68 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOUSTON MEDICAL CENTER | 1601 WATSON BLVD | WARNER ROBINS | GA | 31093 | 16 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 13 |
| MISSISSIPPI BAPTIST MEDICAL CENTER | 1225 N STATE ST | JACKSON | MS | 39202 | 13 |