*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.88 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 390: G.I. OBSTRUCTION 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 4,001 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus in DRG | 4.42 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 6.09 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 24.86 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 17.65 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $46,983,938 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $1,927 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $11,743 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $222,245,024 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $55,547 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 10.7 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 24.77 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 26.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 1,951 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus in DRG | 2.16 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 2.78 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 11.57 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 4.7 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $23,772,552 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $4,380 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $12,185 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $120,026,280 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $61,520 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 30.04 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 24.6 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 1,653 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus in DRG | 1.83 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 3.19 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 20.66 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 15.53 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $7,555,492 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $1,435 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $4,571 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $41,455,640 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $25,079 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 8.17 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 69.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 964 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus in DRG | 1.07 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 5.66 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 26.74 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 20.6 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $8,912,254 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $1,633 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $9,245 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $40,357,953 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | $41,865 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 5.08 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 15.98 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z85048 - Personal history of other malignant neoplasm of rectum, rectosigmoid junction, and anus | 39.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CARILION ROANOKE MEMORIAL HOSPITAL | 1906 BELLEVIEW AVE SE | ROANOKE | VA | 24014 | 486 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 454 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 443 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN H MARKS | 100 E LANCASTER AVE | WYNNEWOOD | PA | 19096 | 33 |
| Dr. CHARLES M. FRIEL | LEE ST | CHARLOTTESVILLE | VA | 22908 | 31 |
| Dr. DOUGLAS D BERGLUND | 222 N 7TH ST | BISMARCK | ND | 58501 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN H MARKS | 100 E LANCASTER AVE | WYNNEWOOD | PA | 19096 | 42 |
| Dr. STEVEN R HUNT | 216 S KINGSHIGHWAY BLVD | SAINT LOUIS | MO | 63110 | 41 |
| Dr. JONATHAN E EFRON | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 39 |