*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z86010 - Personal history of colonic polyps - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.68 | |
| 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD Z86010 - Personal history of colonic polyps | 19,321 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z86010 - Personal history of colonic polyps in DRG | 6.07 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z86010 - Personal history of colonic polyps | 3.16 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z86010 - Personal history of colonic polyps | 13.86 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z86010 - Personal history of colonic polyps | 10.72 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z86010 - Personal history of colonic polyps | $108,022,552 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z86010 - Personal history of colonic polyps | $1,768 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z86010 - Personal history of colonic polyps | $5,591 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z86010 - Personal history of colonic polyps | $553,044,817 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z86010 - Personal history of colonic polyps | $28,624 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z86010 - Personal history of colonic polyps | 0.19 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z86010 - Personal history of colonic polyps | 7.52 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z86010 - Personal history of colonic polyps | 76.3 |
*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 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD Z86010 - Personal history of colonic polyps | 6,412 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD Z86010 - Personal history of colonic polyps in DRG | 2.01 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD Z86010 - Personal history of colonic polyps | 6.49 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD Z86010 - Personal history of colonic polyps | 13.33 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD Z86010 - Personal history of colonic polyps | 8.99 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD Z86010 - Personal history of colonic polyps | $97,410,291 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD Z86010 - Personal history of colonic polyps | $2,341 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD Z86010 - Personal history of colonic polyps | $15,192 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD Z86010 - Personal history of colonic polyps | $489,750,850 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD Z86010 - Personal history of colonic polyps | $76,380 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD Z86010 - Personal history of colonic polyps | 0.23 | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD Z86010 - Personal history of colonic polyps | 10.73 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD Z86010 - Personal history of colonic polyps | 62.26 |
*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 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD Z86010 - Personal history of colonic polyps | 4,423 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD Z86010 - Personal history of colonic polyps in DRG | 1.39 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z86010 - Personal history of colonic polyps | 3.39 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD Z86010 - Personal history of colonic polyps | 14.61 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD Z86010 - Personal history of colonic polyps | 10.9 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD Z86010 - Personal history of colonic polyps | $24,122,385 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD Z86010 - Personal history of colonic polyps | $1,609 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD Z86010 - Personal history of colonic polyps | $5,454 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD Z86010 - Personal history of colonic polyps | $122,225,091 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD Z86010 - Personal history of colonic polyps | $27,634 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD Z86010 - Personal history of colonic polyps | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD Z86010 - Personal history of colonic polyps | 6.53 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD Z86010 - Personal history of colonic polyps | 76.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z86010 - Personal history of colonic polyps | 3,440 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z86010 - Personal history of colonic polyps in DRG | 1.08 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z86010 - Personal history of colonic polyps | 3.64 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z86010 - Personal history of colonic polyps | 14.67 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z86010 - Personal history of colonic polyps | 11.14 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z86010 - Personal history of colonic polyps | $19,394,643 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z86010 - Personal history of colonic polyps | $1,550 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z86010 - Personal history of colonic polyps | $5,638 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z86010 - Personal history of colonic polyps | $88,117,962 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z86010 - Personal history of colonic polyps | $25,616 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z86010 - Personal history of colonic polyps | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z86010 - Personal history of colonic polyps | 13.81 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z86010 - Personal history of colonic polyps | 61.6 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 2,138 |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM EVANSTON HOSPITAL | 2650 RIDGE AVE | EVANSTON | IL | 60201 | 1,762 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,569 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHAUKAT IFTIKHAR | 2905 CROUSE LN | BURLINGTON | NC | 27215 | 88 |
| Dr. LOUIS C JORDAN | 5716 CLEVELAND ST | VIRGINIA BEACH | VA | 23462 | 77 |
| Dr. JOSEPH E MUMFORD | 2660 SW 3RD ST. | TOPEKA | KS | 66606 | 76 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. J D REEVES | 1400 E 2ND ST | DEFIANCE | OH | 43512 | 118 |
| Dr. MANAF MADOUN | 468 CADIEUX RD | GROSSE POINTE | MI | 48230 | 116 |
| Dr. JASON FONTAN | 2809 DENNY AVE | PASCAGOULA | MS | 39581 | 111 |