*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R102 - Pelvic and perineal pain - as a primary diagnosis code | R102 - Pelvic and perineal pain - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.43 | |
| Readmission Rate (%) | 20.29 | |
| Unplanned Readmission Rate (%) | 12.08 | |
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R102 - Pelvic and perineal pain | 427 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R102 - Pelvic and perineal pain in DRG | 60.4 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R102 - Pelvic and perineal pain | 3.35 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R102 - Pelvic and perineal pain | 21.41 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R102 - Pelvic and perineal pain | 13.87 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R102 - Pelvic and perineal pain | $2,060,157 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R102 - Pelvic and perineal pain | $1,441 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R102 - Pelvic and perineal pain | $4,825 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R102 - Pelvic and perineal pain | $9,994,501 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R102 - Pelvic and perineal pain | $23,406 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R102 - Pelvic and perineal pain | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R102 - Pelvic and perineal pain | 16.86 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R102 - Pelvic and perineal pain | 59.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 30,689 |
| Total Hospitalizations with ICD R102 - Pelvic and perineal pain | 14 |
| DRG Share of Total Hospitalizations | 0.09 |
| % of Total ICD R102 - Pelvic and perineal pain in DRG | 1.98 |
| Avg LOS at DRG | 7.62 |
| Avg LOS with ICD R102 - Pelvic and perineal pain | 3.14 |
| Readmission Rate at DRG | 15.2 |
| Readmission Rate with ICD R102 - Pelvic and perineal pain | NA |
| Unplanned Readmission Rate at DRG | 10.41 |
| Unplanned Readmission Rate with ICD R102 - Pelvic and perineal pain | NA |
| Total Medicare payments at DRG | $451,870,690 |
| Total Medicare payments with ICD R102 - Pelvic and perineal pain | $181,360 |
| Total Medicare payment per Day at DRG | $1,931 |
| Total Medicare payment per Day with ICD R102 - Pelvic and perineal pain | $4,122 |
| Total Medicare payment per Hospitalization at DRG | $14,724 |
| Total Medicare payment per Hospitalization with ICD R102 - Pelvic and perineal pain | $12,954 |
| Total Medicare Charges at DRG | $2,328,618,768 |
| Total Medicare Charges with ICD R102 - Pelvic and perineal pain | $836,231 |
| Avg Charges at DRG | $75,878 |
| Avg Charges with ICD R102 - Pelvic and perineal pain | $59,731 |
| Mortality Rate at DRG | 0.31 |
| Mortality Rate with ICD R102 - Pelvic and perineal pain | NA |
| SNF Discharge Rate at DRG | 13.82 |
| SNF Discharge Rate with ICD R102 - Pelvic and perineal pain | NA |
| Home Discharge Rate at DRG | 61.62 |
| Home Discharge Rate with ICD R102 - Pelvic and perineal pain | 92.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 743: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 742: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,415 | ||||
| Total Hospitalizations with ICD R102 - Pelvic and perineal pain | 1,322 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD R102 - Pelvic and perineal pain in DRG | 8.43 | ||||
| Avg LOS at DRG | 1.87 | ||||
| Avg LOS with ICD R102 - Pelvic and perineal pain | 1.95 | ||||
| Readmission Rate at DRG | 4.31 | ||||
| Readmission Rate with ICD R102 - Pelvic and perineal pain | 5.24 | ||||
| Unplanned Readmission Rate at DRG | 3.22 | ||||
| Unplanned Readmission Rate with ICD R102 - Pelvic and perineal pain | 4.08 | ||||
| Total Medicare payments at DRG | $140,286,858 | ||||
| Total Medicare payments with ICD R102 - Pelvic and perineal pain | $6,937,508 | ||||
| Total Medicare payment per Day at DRG | $3,081 | ||||
| Total Medicare payment per Day with ICD R102 - Pelvic and perineal pain | $2,687 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,746 | ||||
| Total Medicare payment per Hospitalization with ICD R102 - Pelvic and perineal pain | $5,248 | ||||
| Total Medicare Charges at DRG | $1,015,345,035 | ||||
| Total Medicare Charges with ICD R102 - Pelvic and perineal pain | $48,395,824 | ||||
| Avg Charges at DRG | $41,587 | ||||
| Avg Charges with ICD R102 - Pelvic and perineal pain | $36,608 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD R102 - Pelvic and perineal pain | NA | ||||
| SNF Discharge Rate at DRG | 1.08 | ||||
| SNF Discharge Rate with ICD R102 - Pelvic and perineal pain | NA | ||||
| Home Discharge Rate at DRG | 95.44 | ||||
| Home Discharge Rate with ICD R102 - Pelvic and perineal pain | 98.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R102 - Pelvic and perineal pain | 333 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R102 - Pelvic and perineal pain in DRG | 2.12 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R102 - Pelvic and perineal pain | 7.02 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R102 - Pelvic and perineal pain | 25.08 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R102 - Pelvic and perineal pain | 16.95 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R102 - Pelvic and perineal pain | $3,967,931 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R102 - Pelvic and perineal pain | $1,696 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R102 - Pelvic and perineal pain | $11,916 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R102 - Pelvic and perineal pain | $20,820,017 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R102 - Pelvic and perineal pain | $62,523 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R102 - Pelvic and perineal pain | 5.71 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R102 - Pelvic and perineal pain | 30.03 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R102 - Pelvic and perineal pain | 29.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD R102 - Pelvic and perineal pain | 210 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD R102 - Pelvic and perineal pain in DRG | 1.34 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD R102 - Pelvic and perineal pain | 3.23 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD R102 - Pelvic and perineal pain | 17.0 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD R102 - Pelvic and perineal pain | 11.5 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD R102 - Pelvic and perineal pain | $1,033,876 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD R102 - Pelvic and perineal pain | $1,523 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD R102 - Pelvic and perineal pain | $4,923 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD R102 - Pelvic and perineal pain | $4,669,441 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD R102 - Pelvic and perineal pain | $22,235 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD R102 - Pelvic and perineal pain | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD R102 - Pelvic and perineal pain | 25.24 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD R102 - Pelvic and perineal pain | 45.71 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD R102 - Pelvic and perineal pain | 144 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD R102 - Pelvic and perineal pain in DRG | 0.92 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD R102 - Pelvic and perineal pain | 5.47 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD R102 - Pelvic and perineal pain | 27.61 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD R102 - Pelvic and perineal pain | 23.88 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD R102 - Pelvic and perineal pain | $1,348,764 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD R102 - Pelvic and perineal pain | $1,714 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD R102 - Pelvic and perineal pain | $9,366 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD R102 - Pelvic and perineal pain | $5,590,296 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD R102 - Pelvic and perineal pain | $38,822 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD R102 - Pelvic and perineal pain | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD R102 - Pelvic and perineal pain | 25.0 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD R102 - Pelvic and perineal pain | 27.78 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 83 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 74 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 55 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HOA N. NGUYEN | 3341 JOHNSON ST | HOLLYWOOD | FL | 33021 | 24 |
| Dr. KENNY-BAO TRAN | 1215 RED RIVER ST | AUSTIN | TX | 78701 | 13 |
| Dr. JOSEPH T SANTOSO | 1588 UNION AVE | MEMPHIS | TN | 38104 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SANDEEP CHAPALAMADUGU RAO | 1239 STAR ST | PERRYVILLE | MO | 63775 | 31 |
| Dr. NATHAN J WRIGHT | 2014 GALLERIA OAKS DR | TEXARKANA | TX | 75503 | 19 |
| Dr. KENNY-BAO TRAN | 1215 RED RIVER ST | AUSTIN | TX | 78701 | 15 |