5691 - Rectal prolapse - as a primary diagnosis code | 5691 - Rectal prolapse - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.55 | |
Readmission Rate (%) | 19.31 | |
Unplanned Readmission Rate (%) | 9.49 | |
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 |
DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 49,482 | ||||
Total Hospitalizations with ICD 5691 - Rectal prolapse | 2,207 | ||||
DRG Share of Total Hospitalizations | 0.22 | ||||
% of Total ICD 5691 - Rectal prolapse in DRG | 24.34 | ||||
Avg LOS at DRG | 4.69 | ||||
Avg LOS with ICD 5691 - Rectal prolapse | 3.13 | ||||
Readmission Rate at DRG | 9.66 | ||||
Readmission Rate with ICD 5691 - Rectal prolapse | 6.95 | ||||
Unplanned Readmission Rate at DRG | 6.57 | ||||
Unplanned Readmission Rate with ICD 5691 - Rectal prolapse | 4.77 | ||||
Total Medicare payments at DRG | $481,328,194 | ||||
Total Medicare payments with ICD 5691 - Rectal prolapse | $21,806,783 | ||||
Total Medicare payment per Day at DRG | $2,072 | ||||
Total Medicare payment per Day with ICD 5691 - Rectal prolapse | $3,154 | ||||
Total Medicare payment per Hospitalization at DRG | $9,727 | ||||
Total Medicare payment per Hospitalization with ICD 5691 - Rectal prolapse | $9,881 | ||||
Total Medicare Charges at DRG | $2,422,800,664 | ||||
Total Medicare Charges with ICD 5691 - Rectal prolapse | $87,477,365 | ||||
Avg Charges at DRG | $48,963 | ||||
Avg Charges with ICD 5691 - Rectal prolapse | $39,636 | ||||
Mortality Rate at DRG | 0.11 | ||||
Mortality Rate with ICD 5691 - Rectal prolapse | NA | ||||
SNF Discharge Rate at DRG | 5.79 | ||||
SNF Discharge Rate with ICD 5691 - Rectal prolapse | 9.29 | ||||
Home Discharge Rate at DRG | 78.06 | ||||
Home Discharge Rate with ICD 5691 - Rectal prolapse | 77.8 |
DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 332: RECTAL RESECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 349: ANAL AND STOMAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 80,086 | ||||
Total Hospitalizations with ICD 5691 - Rectal prolapse | 478 | ||||
DRG Share of Total Hospitalizations | 0.35 | ||||
% of Total ICD 5691 - Rectal prolapse in DRG | 5.27 | ||||
Avg LOS at DRG | 14.11 | ||||
Avg LOS with ICD 5691 - Rectal prolapse | 10.71 | ||||
Readmission Rate at DRG | 31.0 | ||||
Readmission Rate with ICD 5691 - Rectal prolapse | 25.79 | ||||
Unplanned Readmission Rate at DRG | 15.31 | ||||
Unplanned Readmission Rate with ICD 5691 - Rectal prolapse | 18.78 | ||||
Total Medicare payments at DRG | $2,732,223,351 | ||||
Total Medicare payments with ICD 5691 - Rectal prolapse | $15,290,520 | ||||
Total Medicare payment per Day at DRG | $2,417 | ||||
Total Medicare payment per Day with ICD 5691 - Rectal prolapse | $2,986 | ||||
Total Medicare payment per Hospitalization at DRG | $34,116 | ||||
Total Medicare payment per Hospitalization with ICD 5691 - Rectal prolapse | $31,989 | ||||
Total Medicare Charges at DRG | $11,473,909,298 | ||||
Total Medicare Charges with ICD 5691 - Rectal prolapse | $53,957,065 | ||||
Avg Charges at DRG | $143,270 | ||||
Avg Charges with ICD 5691 - Rectal prolapse | $112,881 | ||||
Mortality Rate at DRG | 10.85 | ||||
Mortality Rate with ICD 5691 - Rectal prolapse | 5.65 | ||||
SNF Discharge Rate at DRG | 29.09 | ||||
SNF Discharge Rate with ICD 5691 - Rectal prolapse | 28.87 | ||||
Home Discharge Rate at DRG | 20.21 | ||||
Home Discharge Rate with ICD 5691 - Rectal prolapse | 32.22 |
DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 347: ANAL AND STOMAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|
Total Hospitalizations at DRG | 8,025 | |
Total Hospitalizations with ICD 5691 - Rectal prolapse | 41 | |
DRG Share of Total Hospitalizations | 0.04 | |
% of Total ICD 5691 - Rectal prolapse in DRG | 0.45 | |
Avg LOS at DRG | 5.04 | |
Avg LOS with ICD 5691 - Rectal prolapse | 4.22 | |
Readmission Rate at DRG | 17.86 | |
Readmission Rate with ICD 5691 - Rectal prolapse | NA | |
Unplanned Readmission Rate at DRG | 11.93 | |
Unplanned Readmission Rate with ICD 5691 - Rectal prolapse | NA | |
Total Medicare payments at DRG | $69,107,034 | |
Total Medicare payments with ICD 5691 - Rectal prolapse | $342,524 | |
Total Medicare payment per Day at DRG | $1,708 | |
Total Medicare payment per Day with ICD 5691 - Rectal prolapse | $1,980 | |
Total Medicare payment per Hospitalization at DRG | $8,611 | |
Total Medicare payment per Hospitalization with ICD 5691 - Rectal prolapse | $8,354 | |
Total Medicare Charges at DRG | $341,480,705 | |
Total Medicare Charges with ICD 5691 - Rectal prolapse | $1,404,696 | |
Avg Charges at DRG | $42,552 | |
Avg Charges with ICD 5691 - Rectal prolapse | $34,261 | |
Mortality Rate at DRG | 0.17 | |
Mortality Rate with ICD 5691 - Rectal prolapse | NA | |
SNF Discharge Rate at DRG | 12.12 | |
SNF Discharge Rate with ICD 5691 - Rectal prolapse | 29.27 | |
Home Discharge Rate at DRG | 60.24 | |
Home Discharge Rate with ICD 5691 - Rectal prolapse | 46.34 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
INTEGRIS BAPTIST MEDICAL CENTER | 3300 NW EXPRESSWAY ST | OKLAHOMA CITY | OK | 73112 | 62 |
PROVIDENCE SACRED HEART MEDICAL CENTER | 101 W 8TH AVE | SPOKANE | WA | 99204 | 57 |
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 55 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. MICHAEL S MCNEVIN | 217 W CATALDO AVE | SPOKANE | WA | 99201 | 45 |
Dr. CHRIS MYRON DAVIS | 3433 NW 56TH ST | OKLAHOMA CITY | OK | 73112 | 33 |
Dr. BROOKE HEIDI GURLAND | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 26 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. MICHAEL S MCNEVIN | 217 W CATALDO AVE | SPOKANE | WA | 99201 | 45 |
Dr. CHRIS MYRON DAVIS | 3433 NW 56TH ST | OKLAHOMA CITY | OK | 73112 | 31 |
Dr. BROOKE HEIDI GURLAND | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 22 |
DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 49,482 | ||||
Total Hospitalizations with ICD 5691 - Rectal prolapse | 2,296 | ||||
DRG Share of Total Hospitalizations | 0.22 | ||||
% of Total ICD 5691 - Rectal prolapse in DRG | 12.8 | ||||
Avg LOS at DRG | 4.69 | ||||
Avg LOS with ICD 5691 - Rectal prolapse | 3.18 | ||||
Readmission Rate at DRG | 9.66 | ||||
Readmission Rate with ICD 5691 - Rectal prolapse | 7.24 | ||||
Unplanned Readmission Rate at DRG | 6.57 | ||||
Unplanned Readmission Rate with ICD 5691 - Rectal prolapse | 5.02 | ||||
Total Medicare payments at DRG | $481,328,194 | ||||
Total Medicare payments with ICD 5691 - Rectal prolapse | $22,676,722 | ||||
Total Medicare payment per Day at DRG | $2,072 | ||||
Total Medicare payment per Day with ICD 5691 - Rectal prolapse | $3,105 | ||||
Total Medicare payment per Hospitalization at DRG | $9,727 | ||||
Total Medicare payment per Hospitalization with ICD 5691 - Rectal prolapse | $9,877 | ||||
Total Medicare Charges at DRG | $2,422,800,664 | ||||
Total Medicare Charges with ICD 5691 - Rectal prolapse | $91,621,387 | ||||
Avg Charges at DRG | $48,963 | ||||
Avg Charges with ICD 5691 - Rectal prolapse | $39,905 | ||||
Mortality Rate at DRG | 0.11 | ||||
Mortality Rate with ICD 5691 - Rectal prolapse | NA | ||||
SNF Discharge Rate at DRG | 5.79 | ||||
SNF Discharge Rate with ICD 5691 - Rectal prolapse | 9.45 | ||||
Home Discharge Rate at DRG | 78.06 | ||||
Home Discharge Rate with ICD 5691 - Rectal prolapse | 77.57 |
DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 332: RECTAL RESECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 80,086 | ||||
Total Hospitalizations with ICD 5691 - Rectal prolapse | 576 | ||||
DRG Share of Total Hospitalizations | 0.35 | ||||
% of Total ICD 5691 - Rectal prolapse in DRG | 3.21 | ||||
Avg LOS at DRG | 14.11 | ||||
Avg LOS with ICD 5691 - Rectal prolapse | 11.36 | ||||
Readmission Rate at DRG | 31.0 | ||||
Readmission Rate with ICD 5691 - Rectal prolapse | 24.62 | ||||
Unplanned Readmission Rate at DRG | 15.31 | ||||
Unplanned Readmission Rate with ICD 5691 - Rectal prolapse | 17.05 | ||||
Total Medicare payments at DRG | $2,732,223,351 | ||||
Total Medicare payments with ICD 5691 - Rectal prolapse | $18,578,746 | ||||
Total Medicare payment per Day at DRG | $2,417 | ||||
Total Medicare payment per Day with ICD 5691 - Rectal prolapse | $2,839 | ||||
Total Medicare payment per Hospitalization at DRG | $34,116 | ||||
Total Medicare payment per Hospitalization with ICD 5691 - Rectal prolapse | $32,255 | ||||
Total Medicare Charges at DRG | $11,473,909,298 | ||||
Total Medicare Charges with ICD 5691 - Rectal prolapse | $67,615,142 | ||||
Avg Charges at DRG | $143,270 | ||||
Avg Charges with ICD 5691 - Rectal prolapse | $117,387 | ||||
Mortality Rate at DRG | 10.85 | ||||
Mortality Rate with ICD 5691 - Rectal prolapse | 6.25 | ||||
SNF Discharge Rate at DRG | 29.09 | ||||
SNF Discharge Rate with ICD 5691 - Rectal prolapse | 30.38 | ||||
Home Discharge Rate at DRG | 20.21 | ||||
Home Discharge Rate with ICD 5691 - Rectal prolapse | 29.17 |
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 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 48,677 | ||||
Total Hospitalizations with ICD 5691 - Rectal prolapse | 247 | ||||
DRG Share of Total Hospitalizations | 0.21 | ||||
% of Total ICD 5691 - Rectal prolapse in DRG | 1.38 | ||||
Avg LOS at DRG | 7.32 | ||||
Avg LOS with ICD 5691 - Rectal prolapse | 6.27 | ||||
Readmission Rate at DRG | 28.28 | ||||
Readmission Rate with ICD 5691 - Rectal prolapse | 34.35 | ||||
Unplanned Readmission Rate at DRG | 19.25 | ||||
Unplanned Readmission Rate with ICD 5691 - Rectal prolapse | 21.3 | ||||
Total Medicare payments at DRG | $611,802,626 | ||||
Total Medicare payments with ICD 5691 - Rectal prolapse | $2,756,646 | ||||
Total Medicare payment per Day at DRG | $1,718 | ||||
Total Medicare payment per Day with ICD 5691 - Rectal prolapse | $1,780 | ||||
Total Medicare payment per Hospitalization at DRG | $12,569 | ||||
Total Medicare payment per Hospitalization with ICD 5691 - Rectal prolapse | $11,161 | ||||
Total Medicare Charges at DRG | $2,593,312,157 | ||||
Total Medicare Charges with ICD 5691 - Rectal prolapse | $10,753,507 | ||||
Avg Charges at DRG | $53,276 | ||||
Avg Charges with ICD 5691 - Rectal prolapse | $43,536 | ||||
Mortality Rate at DRG | 7.09 | ||||
Mortality Rate with ICD 5691 - Rectal prolapse | NA | ||||
SNF Discharge Rate at DRG | 23.83 | ||||
SNF Discharge Rate with ICD 5691 - Rectal prolapse | 22.67 | ||||
Home Discharge Rate at DRG | 37.49 | ||||
Home Discharge Rate with ICD 5691 - Rectal prolapse | 39.27 |
DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 119,208 | ||||
Total Hospitalizations with ICD 5691 - Rectal prolapse | 159 | ||||
DRG Share of Total Hospitalizations | 0.52 | ||||
% of Total ICD 5691 - Rectal prolapse in DRG | 0.89 | ||||
Avg LOS at DRG | 5.97 | ||||
Avg LOS with ICD 5691 - Rectal prolapse | 6.58 | ||||
Readmission Rate at DRG | 28.49 | ||||
Readmission Rate with ICD 5691 - Rectal prolapse | 31.03 | ||||
Unplanned Readmission Rate at DRG | 21.2 | ||||
Unplanned Readmission Rate with ICD 5691 - Rectal prolapse | 21.38 | ||||
Total Medicare payments at DRG | $1,381,744,311 | ||||
Total Medicare payments with ICD 5691 - Rectal prolapse | $1,773,933 | ||||
Total Medicare payment per Day at DRG | $1,942 | ||||
Total Medicare payment per Day with ICD 5691 - Rectal prolapse | $1,696 | ||||
Total Medicare payment per Hospitalization at DRG | $11,591 | ||||
Total Medicare payment per Hospitalization with ICD 5691 - Rectal prolapse | $11,157 | ||||
Total Medicare Charges at DRG | $6,006,105,446 | ||||
Total Medicare Charges with ICD 5691 - Rectal prolapse | $7,928,020 | ||||
Avg Charges at DRG | $50,383 | ||||
Avg Charges with ICD 5691 - Rectal prolapse | $49,862 | ||||
Mortality Rate at DRG | 6.32 | ||||
Mortality Rate with ICD 5691 - Rectal prolapse | NA | ||||
SNF Discharge Rate at DRG | 24.09 | ||||
SNF Discharge Rate with ICD 5691 - Rectal prolapse | 23.9 | ||||
Home Discharge Rate at DRG | 39.74 | ||||
Home Discharge Rate with ICD 5691 - Rectal prolapse | 32.7 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 82 |
CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 72 |
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 71 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. MICHAEL S MCNEVIN | 217 W CATALDO AVE | SPOKANE | WA | 99201 | 45 |
Dr. CHRIS MYRON DAVIS | 3433 NW 56TH ST | OKLAHOMA CITY | OK | 73112 | 36 |
Dr. BROOKE HEIDI GURLAND | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 26 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. MICHAEL S MCNEVIN | 217 W CATALDO AVE | SPOKANE | WA | 99201 | 46 |
Dr. CHRIS MYRON DAVIS | 3433 NW 56TH ST | OKLAHOMA CITY | OK | 73112 | 33 |
Dr. HEIDI K CHUA | 200 1ST ST SW | ROCHESTER | MN | 55905 | 22 |