V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus - as a primary or secondary diagnosis code | ||
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OUTCOMES | ||
Avg. LOS | ||
Readmission Rate (%) | ||
Unplanned Readmission Rate (%) | 14.37 | |
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 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
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Total Hospitalizations at DRG | 112,879 | ||||
Total Hospitalizations with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 1,924 | ||||
DRG Share of Total Hospitalizations | 0.49 | ||||
% of Total ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus in DRG | 3.52 | ||||
Avg LOS at DRG | 4.3 | ||||
Avg LOS with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 4.17 | ||||
Readmission Rate at DRG | 19.89 | ||||
Readmission Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 23.46 | ||||
Unplanned Readmission Rate at DRG | 14.72 | ||||
Unplanned Readmission Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 17.03 | ||||
Total Medicare payments at DRG | $615,346,360 | ||||
Total Medicare payments with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $10,471,318 | ||||
Total Medicare payment per Day at DRG | $1,267 | ||||
Total Medicare payment per Day with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $1,304 | ||||
Total Medicare payment per Hospitalization at DRG | $5,451 | ||||
Total Medicare payment per Hospitalization with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $5,442 | ||||
Total Medicare Charges at DRG | $2,910,060,003 | ||||
Total Medicare Charges with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $46,091,476 | ||||
Avg Charges at DRG | $25,780 | ||||
Avg Charges with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $23,956 | ||||
Mortality Rate at DRG | 1.02 | ||||
Mortality Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | NA | ||||
SNF Discharge Rate at DRG | 12.59 | ||||
SNF Discharge Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 7.22 | ||||
Home Discharge Rate at DRG | 64.19 | ||||
Home Discharge Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 73.8 |
DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 346: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
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Total Hospitalizations at DRG | 939,378 | ||||
Total Hospitalizations with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 1,157 | ||||
DRG Share of Total Hospitalizations | 4.11 | ||||
% of Total ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus in DRG | 2.11 | ||||
Avg LOS at DRG | 3.12 | ||||
Avg LOS with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 3.34 | ||||
Readmission Rate at DRG | 12.54 | ||||
Readmission Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 15.49 | ||||
Unplanned Readmission Rate at DRG | 3.52 | ||||
Unplanned Readmission Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 5.31 | ||||
Total Medicare payments at DRG | $11,301,359,598 | ||||
Total Medicare payments with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $14,699,287 | ||||
Total Medicare payment per Day at DRG | $3,853 | ||||
Total Medicare payment per Day with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $3,805 | ||||
Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
Total Medicare payment per Hospitalization with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $12,705 | ||||
Total Medicare Charges at DRG | $51,993,364,479 | ||||
Total Medicare Charges with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $64,893,925 | ||||
Avg Charges at DRG | $55,349 | ||||
Avg Charges with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $56,088 | ||||
Mortality Rate at DRG | 0.07 | ||||
Mortality Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | NA | ||||
SNF Discharge Rate at DRG | 32.49 | ||||
SNF Discharge Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 40.8 | ||||
Home Discharge Rate at DRG | 21.06 | ||||
Home Discharge Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 16.77 |
DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
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Total Hospitalizations at DRG | 368,382 | ||||
Total Hospitalizations with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 947 | ||||
DRG Share of Total Hospitalizations | 1.61 | ||||
% of Total ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus in DRG | 1.73 | ||||
Avg LOS at DRG | 3.76 | ||||
Avg LOS with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 3.65 | ||||
Readmission Rate at DRG | 18.51 | ||||
Readmission Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 21.94 | ||||
Unplanned Readmission Rate at DRG | 12.91 | ||||
Unplanned Readmission Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 17.1 | ||||
Total Medicare payments at DRG | $1,761,365,865 | ||||
Total Medicare payments with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $4,661,280 | ||||
Total Medicare payment per Day at DRG | $1,270 | ||||
Total Medicare payment per Day with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $1,349 | ||||
Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
Total Medicare payment per Hospitalization with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $4,922 | ||||
Total Medicare Charges at DRG | $7,996,276,956 | ||||
Total Medicare Charges with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $20,383,912 | ||||
Avg Charges at DRG | $21,706 | ||||
Avg Charges with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $21,525 | ||||
Mortality Rate at DRG | 0.32 | ||||
Mortality Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | NA | ||||
SNF Discharge Rate at DRG | 27.88 | ||||
SNF Discharge Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 22.6 | ||||
Home Discharge Rate at DRG | 42.37 | ||||
Home Discharge Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 49.1 |
DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
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Total Hospitalizations at DRG | 257,265 | ||||
Total Hospitalizations with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 707 | ||||
DRG Share of Total Hospitalizations | 1.13 | ||||
% of Total ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus in DRG | 1.29 | ||||
Avg LOS at DRG | 3.34 | ||||
Avg LOS with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 3.45 | ||||
Readmission Rate at DRG | 20.42 | ||||
Readmission Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 25.8 | ||||
Unplanned Readmission Rate at DRG | 13.45 | ||||
Unplanned Readmission Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 17.78 | ||||
Total Medicare payments at DRG | $1,129,638,166 | ||||
Total Medicare payments with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $3,325,186 | ||||
Total Medicare payment per Day at DRG | $1,314 | ||||
Total Medicare payment per Day with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $1,364 | ||||
Total Medicare payment per Hospitalization at DRG | $4,391 | ||||
Total Medicare payment per Hospitalization with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $4,703 | ||||
Total Medicare Charges at DRG | $5,148,191,149 | ||||
Total Medicare Charges with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $13,748,479 | ||||
Avg Charges at DRG | $20,011 | ||||
Avg Charges with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | $19,446 | ||||
Mortality Rate at DRG | 0.85 | ||||
Mortality Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | NA | ||||
SNF Discharge Rate at DRG | 20.19 | ||||
SNF Discharge Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 18.95 | ||||
Home Discharge Rate at DRG | 51.02 | ||||
Home Discharge Rate with ICD V1006 - Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus | 51.91 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 366 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 241 |
MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 241 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. PHILIP B PATY | 1275 YORK AVE | NEW YORK | NY | 10021 | 24 |
Dr. JOEL EDWARD GOLDBERG | 75 FRANCIS STREET | BOSTON | MA | 02115 | 21 |
Dr. THEODORE J SACLARIDES | 1725 W HARRISON | CHICAGO | IL | 60612 | 21 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. JOEL EDWARD GOLDBERG | 75 FRANCIS STREET | BOSTON | MA | 02115 | 32 |
Dr. PHILIP B PATY | 1275 YORK AVE | NEW YORK | NY | 10021 | 31 |
Dr. THEODORE J SACLARIDES | 1725 W HARRISON | CHICAGO | IL | 60612 | 27 |