*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K649 - Unspecified hemorrhoids - as a primary diagnosis code | K649 - Unspecified hemorrhoids - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.69 | |
| Readmission Rate (%) | 23.12 | |
| Unplanned Readmission Rate (%) | 16.29 | |
| 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 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD K649 - Unspecified hemorrhoids | 3,342 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD K649 - Unspecified hemorrhoids in DRG | 53.61 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K649 - Unspecified hemorrhoids | 2.71 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD K649 - Unspecified hemorrhoids | 18.61 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD K649 - Unspecified hemorrhoids | 15.54 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD K649 - Unspecified hemorrhoids | $18,035,175 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD K649 - Unspecified hemorrhoids | $1,990 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD K649 - Unspecified hemorrhoids | $5,397 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD K649 - Unspecified hemorrhoids | $81,693,688 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD K649 - Unspecified hemorrhoids | $24,445 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD K649 - Unspecified hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD K649 - Unspecified hemorrhoids | 17.21 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K649 - Unspecified hemorrhoids | 59.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 347: ANAL AND STOMAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 349: ANAL AND STOMAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. 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 | 3,650 | |||
| Total Hospitalizations with ICD K649 - Unspecified hemorrhoids | 20 | |||
| DRG Share of Total Hospitalizations | 0.01 | |||
| % of Total ICD K649 - Unspecified hemorrhoids in DRG | 0.32 | |||
| Avg LOS at DRG | 8.6 | |||
| Avg LOS with ICD K649 - Unspecified hemorrhoids | 7.3 | |||
| Readmission Rate at DRG | 29.64 | |||
| Readmission Rate with ICD K649 - Unspecified hemorrhoids | 55.0 | |||
| Unplanned Readmission Rate at DRG | 20.36 | |||
| Unplanned Readmission Rate with ICD K649 - Unspecified hemorrhoids | NA | |||
| Total Medicare payments at DRG | $65,035,380 | |||
| Total Medicare payments with ICD K649 - Unspecified hemorrhoids | $343,838 | |||
| Total Medicare payment per Day at DRG | $2,071 | |||
| Total Medicare payment per Day with ICD K649 - Unspecified hemorrhoids | $2,355 | |||
| Total Medicare payment per Hospitalization at DRG | $17,818 | |||
| Total Medicare payment per Hospitalization with ICD K649 - Unspecified hemorrhoids | $17,192 | |||
| Total Medicare Charges at DRG | $335,969,764 | |||
| Total Medicare Charges with ICD K649 - Unspecified hemorrhoids | $2,101,636 | |||
| Avg Charges at DRG | $92,047 | |||
| Avg Charges with ICD K649 - Unspecified hemorrhoids | $105,082 | |||
| Mortality Rate at DRG | 4.36 | |||
| Mortality Rate with ICD K649 - Unspecified hemorrhoids | NA | |||
| SNF Discharge Rate at DRG | 21.12 | |||
| SNF Discharge Rate with ICD K649 - Unspecified hemorrhoids | NA | |||
| Home Discharge Rate at DRG | 42.93 | |||
| Home Discharge Rate with ICD K649 - Unspecified hemorrhoids | 55.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 46 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 30 |
| COMMUNITY MEDICAL CENTER | 99 ROUTE 37 W | TOMS RIVER | NJ | 08755 | 28 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD K649 - Unspecified hemorrhoids | 10,885 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD K649 - Unspecified hemorrhoids in DRG | 8.75 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD K649 - Unspecified hemorrhoids | 3.55 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD K649 - Unspecified hemorrhoids | 16.75 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD K649 - Unspecified hemorrhoids | 13.32 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD K649 - Unspecified hemorrhoids | $63,435,844 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD K649 - Unspecified hemorrhoids | $1,641 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD K649 - Unspecified hemorrhoids | $5,828 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD K649 - Unspecified hemorrhoids | $358,544,186 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD K649 - Unspecified hemorrhoids | $32,939 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD K649 - Unspecified hemorrhoids | 0.3 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD K649 - Unspecified hemorrhoids | 12.59 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD K649 - Unspecified hemorrhoids | 65.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD K649 - Unspecified hemorrhoids | 4,053 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD K649 - Unspecified hemorrhoids in DRG | 3.26 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD K649 - Unspecified hemorrhoids | 15.99 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD K649 - Unspecified hemorrhoids | 26.15 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD K649 - Unspecified hemorrhoids | 10.94 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD K649 - Unspecified hemorrhoids | $44,810,032 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD K649 - Unspecified hemorrhoids | $691 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD K649 - Unspecified hemorrhoids | $11,056 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD K649 - Unspecified hemorrhoids | $150,467,354 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD K649 - Unspecified hemorrhoids | $37,125 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD K649 - Unspecified hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD K649 - Unspecified hemorrhoids | 6.04 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD K649 - Unspecified hemorrhoids | 78.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD K649 - Unspecified hemorrhoids | 1,786 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD K649 - Unspecified hemorrhoids in DRG | 1.44 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD K649 - Unspecified hemorrhoids | 16.07 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD K649 - Unspecified hemorrhoids | 14.95 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD K649 - Unspecified hemorrhoids | 10.86 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD K649 - Unspecified hemorrhoids | $37,417,588 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD K649 - Unspecified hemorrhoids | $1,304 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD K649 - Unspecified hemorrhoids | $20,950 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD K649 - Unspecified hemorrhoids | $94,752,476 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD K649 - Unspecified hemorrhoids | $53,053 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K649 - Unspecified hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD K649 - Unspecified hemorrhoids | 29.23 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD K649 - Unspecified hemorrhoids | 22.79 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,606 | ||||
| Total Hospitalizations with ICD K649 - Unspecified hemorrhoids | 1,365 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K649 - Unspecified hemorrhoids in DRG | 1.1 | ||||
| Avg LOS at DRG | 2.67 | ||||
| Avg LOS with ICD K649 - Unspecified hemorrhoids | 2.06 | ||||
| Readmission Rate at DRG | 13.3 | ||||
| Readmission Rate with ICD K649 - Unspecified hemorrhoids | 10.81 | ||||
| Unplanned Readmission Rate at DRG | 8.72 | ||||
| Unplanned Readmission Rate with ICD K649 - Unspecified hemorrhoids | 8.54 | ||||
| Total Medicare payments at DRG | $152,080,579 | ||||
| Total Medicare payments with ICD K649 - Unspecified hemorrhoids | $4,466,301 | ||||
| Total Medicare payment per Day at DRG | $1,436 | ||||
| Total Medicare payment per Day with ICD K649 - Unspecified hemorrhoids | $1,585 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,840 | ||||
| Total Medicare payment per Hospitalization with ICD K649 - Unspecified hemorrhoids | $3,272 | ||||
| Total Medicare Charges at DRG | $921,857,813 | ||||
| Total Medicare Charges with ICD K649 - Unspecified hemorrhoids | $26,435,598 | ||||
| Avg Charges at DRG | $23,276 | ||||
| Avg Charges with ICD K649 - Unspecified hemorrhoids | $19,367 | ||||
| Mortality Rate at DRG | 0.54 | ||||
| Mortality Rate with ICD K649 - Unspecified hemorrhoids | NA | ||||
| SNF Discharge Rate at DRG | 7.46 | ||||
| SNF Discharge Rate with ICD K649 - Unspecified hemorrhoids | 7.84 | ||||
| Home Discharge Rate at DRG | 75.53 | ||||
| Home Discharge Rate with ICD K649 - Unspecified hemorrhoids | 77.73 |
| 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 | 478 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 410 |
| ST. MARY'S MEDICAL CENTER | 2900 FIRST AVENUE | HUNTINGTON | WV | 25702 | 387 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. IHEANYICHUKWU AJA ONU | 1 HEALTHY WAY | OCEANSIDE | NY | 11572 | 183 |
| Dr. CHARLES HUH | 5170 US RT 60 EAST | HUNTINGTON | WV | 25705 | 146 |
| Dr. KEVIN M REID | 425 W GRAND AVE | DAYTON | OH | 45405 | 117 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN M REID | 425 W GRAND AVE | DAYTON | OH | 45405 | 118 |
| Dr. WALTER JOSEPH SZYDLOWSKI | 11347 CORTEZ BLVD | BROOKSVILLE | FL | 34613 | 95 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 90 |