Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 599: MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE | Back to Top |
| DRG Code | DRG Description | Category | Sub Category | DRG Group | Surgical Category | Case Mix Level | Total National Projected Hospitalizations - Annualized | Total Medicare Hospitalizations - Jan 2017 to Dec 2017 | Total Medicare Hospitalizations - Jan 2013 to Dec 2017 | Total Medicare Hospitalizations After Exclusion | Avg. LOS | GMLOS | All Cause Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment per Day | Payment per Discharge | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 599 | MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | Non Surgical | 4.86 | NA | 155 | 719 | 650 | ||||||||||||
| 597 | MALIGNANT BREAST DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | Non Surgical | 37.99 | NA | 1,465 | 5,617 | 4,548 | ||||||||||||
| 598 | MALIGNANT BREAST DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | Non Surgical | 57.15 | NA | 1,730 | 8,450 | 7,632 |
DEMOGRAPHIC DETAILS OF DRG 599: MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 525 | 73.02 |
| Black | 145 | 20.17 |
| North American Native | 12 | 1.67 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 172 | 23.92 |
| Greater than 84 | 139 | 19.33 |
| 70 to 74 | 127 | 17.66 |
TOP ICD DIAGNOSIS CODES FOR DRG 599: MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 1749 | Malignant neoplasm of breast (female), unspecified | 260 | 36.16 |
| 4019 | Unspecified essential hypertension | 187 | 26.01 |
| 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 71 | 9.87 |
TOP ICD PROCEDURE CODES FOR DRG 599: MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 8511 | Closed [Percutaneous] [Needle] Biopsy Of Breast | 92 | 12.8 |
| 30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 33 | 4.59 |
| 0HBT3ZX | Excision of Right Breast, Percutaneous Approach, Diagnostic | 25 | 3.48 |
TOP HOSPITALS ASSOCIATED WITH DRG 599: MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Calvary Hospital | 1740 EASTCHESTER RD | Bronx | NY | 10461 | 19 | 2.64 |
| Massachusetts General Hospital | 55 FRUIT ST | Boston | MA | 02114 | NA | NA |
| Beaumont Hospital Troy | 44201 DEQUINDRE RD | Troy | MI | 48085 | NA | NA |
DRG 599: MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE | Back to Top |
| Category | Sub Category | DRG Group | ICD Codes | ICD Description | National Projected Hospitalizations (Present on Admission - All) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - All) Jan 2013 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2013 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2013 to Dec 2017 | Total Discharges After Exclusion | Avg. LOS | GMLOS | All Cause Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment per Day | Payment per Discharge | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | 1749 | Malignant neoplasm of breast (female), unspecified | NA | 260 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | 4019 | Unspecified essential hypertension | NA | 187 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | I10 | Essential (primary) hypertension | 280 | 175 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | C50912 | Malignant neoplasm of unspecified site of left female breast | 216 | 93 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | C50911 | Malignant neoplasm of unspecified site of right female breast | 221 | 92 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | 2724 | Other and unspecified hyperlipidemia | NA | 71 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 71 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | E785 | Hyperlipidemia, unspecified | 85 | 66 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | 1748 | Malignant neoplasm of other specified sites of female breast | NA | 60 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | 6110 | Inflammatory disease of breast | NA | 55 |