*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C153 - Malignant neoplasm of upper third of esophagus - as a primary diagnosis code | C153 - Malignant neoplasm of upper third of esophagus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.1 | |
| Readmission Rate (%) | 30.55 | |
| Unplanned Readmission Rate (%) | 18.06 | |
| 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 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,646 | ||||
| Total Hospitalizations with ICD C153 - Malignant neoplasm of upper third of esophagus | 256 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD C153 - Malignant neoplasm of upper third of esophagus in DRG | 35.21 | ||||
| Avg LOS at DRG | 7.59 | ||||
| Avg LOS with ICD C153 - Malignant neoplasm of upper third of esophagus | 8.16 | ||||
| Readmission Rate at DRG | 28.12 | ||||
| Readmission Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 25.56 | ||||
| Unplanned Readmission Rate at DRG | 19.5 | ||||
| Unplanned Readmission Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 19.28 | ||||
| Total Medicare payments at DRG | $468,044,879 | ||||
| Total Medicare payments with ICD C153 - Malignant neoplasm of upper third of esophagus | $3,812,669 | ||||
| Total Medicare payment per Day at DRG | $1,889 | ||||
| Total Medicare payment per Day with ICD C153 - Malignant neoplasm of upper third of esophagus | $1,824 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,337 | ||||
| Total Medicare payment per Hospitalization with ICD C153 - Malignant neoplasm of upper third of esophagus | $14,893 | ||||
| Total Medicare Charges at DRG | $2,155,025,187 | ||||
| Total Medicare Charges with ICD C153 - Malignant neoplasm of upper third of esophagus | $19,676,272 | ||||
| Avg Charges at DRG | $66,012 | ||||
| Avg Charges with ICD C153 - Malignant neoplasm of upper third of esophagus | $76,860 | ||||
| Mortality Rate at DRG | 11.79 | ||||
| Mortality Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 7.03 | ||||
| SNF Discharge Rate at DRG | 13.92 | ||||
| SNF Discharge Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 14.06 | ||||
| Home Discharge Rate at DRG | 26.98 | ||||
| Home Discharge Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 22.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | |||
| Total Hospitalizations with ICD C153 - Malignant neoplasm of upper third of esophagus | 25 | |||
| DRG Share of Total Hospitalizations | 0.14 | |||
| % of Total ICD C153 - Malignant neoplasm of upper third of esophagus in DRG | 3.44 | |||
| Avg LOS at DRG | 25.29 | |||
| Avg LOS with ICD C153 - Malignant neoplasm of upper third of esophagus | 14.8 | |||
| Readmission Rate at DRG | 74.5 | |||
| Readmission Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 50.0 | |||
| Unplanned Readmission Rate at DRG | 8.79 | |||
| Unplanned Readmission Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA | |||
| Total Medicare payments at DRG | $3,386,848,549 | |||
| Total Medicare payments with ICD C153 - Malignant neoplasm of upper third of esophagus | $1,670,984 | |||
| Total Medicare payment per Day at DRG | $2,945 | |||
| Total Medicare payment per Day with ICD C153 - Malignant neoplasm of upper third of esophagus | $4,516 | |||
| Total Medicare payment per Hospitalization at DRG | $74,472 | |||
| Total Medicare payment per Hospitalization with ICD C153 - Malignant neoplasm of upper third of esophagus | $66,839 | |||
| Total Medicare Charges at DRG | $15,882,518,852 | |||
| Total Medicare Charges with ICD C153 - Malignant neoplasm of upper third of esophagus | $3,548,540 | |||
| Avg Charges at DRG | $349,235 | |||
| Avg Charges with ICD C153 - Malignant neoplasm of upper third of esophagus | $141,942 | |||
| Mortality Rate at DRG | 13.7 | |||
| Mortality Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA | |||
| SNF Discharge Rate at DRG | 17.77 | |||
| SNF Discharge Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA | |||
| Home Discharge Rate at DRG | 1.95 | |||
| Home Discharge Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,646 | ||||
| Total Hospitalizations with ICD C153 - Malignant neoplasm of upper third of esophagus | 261 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD C153 - Malignant neoplasm of upper third of esophagus in DRG | 16.49 | ||||
| Avg LOS at DRG | 7.59 | ||||
| Avg LOS with ICD C153 - Malignant neoplasm of upper third of esophagus | 8.18 | ||||
| Readmission Rate at DRG | 28.12 | ||||
| Readmission Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 25.44 | ||||
| Unplanned Readmission Rate at DRG | 19.5 | ||||
| Unplanned Readmission Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 19.3 | ||||
| Total Medicare payments at DRG | $468,044,879 | ||||
| Total Medicare payments with ICD C153 - Malignant neoplasm of upper third of esophagus | $3,870,049 | ||||
| Total Medicare payment per Day at DRG | $1,889 | ||||
| Total Medicare payment per Day with ICD C153 - Malignant neoplasm of upper third of esophagus | $1,812 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,337 | ||||
| Total Medicare payment per Hospitalization with ICD C153 - Malignant neoplasm of upper third of esophagus | $14,828 | ||||
| Total Medicare Charges at DRG | $2,155,025,187 | ||||
| Total Medicare Charges with ICD C153 - Malignant neoplasm of upper third of esophagus | $20,092,198 | ||||
| Avg Charges at DRG | $66,012 | ||||
| Avg Charges with ICD C153 - Malignant neoplasm of upper third of esophagus | $76,982 | ||||
| Mortality Rate at DRG | 11.79 | ||||
| Mortality Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 6.9 | ||||
| SNF Discharge Rate at DRG | 13.92 | ||||
| SNF Discharge Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 14.18 | ||||
| Home Discharge Rate at DRG | 26.98 | ||||
| Home Discharge Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 22.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,987 | ||||
| Total Hospitalizations with ICD C153 - Malignant neoplasm of upper third of esophagus | 55 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD C153 - Malignant neoplasm of upper third of esophagus in DRG | 3.47 | ||||
| Avg LOS at DRG | 6.28 | ||||
| Avg LOS with ICD C153 - Malignant neoplasm of upper third of esophagus | 9.89 | ||||
| Readmission Rate at DRG | 18.15 | ||||
| Readmission Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 24.53 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA | ||||
| Total Medicare payments at DRG | $704,450,909 | ||||
| Total Medicare payments with ICD C153 - Malignant neoplasm of upper third of esophagus | $1,159,964 | ||||
| Total Medicare payment per Day at DRG | $2,610 | ||||
| Total Medicare payment per Day with ICD C153 - Malignant neoplasm of upper third of esophagus | $2,132 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,388 | ||||
| Total Medicare payment per Hospitalization with ICD C153 - Malignant neoplasm of upper third of esophagus | $21,090 | ||||
| Total Medicare Charges at DRG | $3,447,544,151 | ||||
| Total Medicare Charges with ICD C153 - Malignant neoplasm of upper third of esophagus | $6,836,240 | ||||
| Avg Charges at DRG | $80,200 | ||||
| Avg Charges with ICD C153 - Malignant neoplasm of upper third of esophagus | $124,295 | ||||
| Mortality Rate at DRG | 0.62 | ||||
| Mortality Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 13.32 | ||||
| SNF Discharge Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 25.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD C153 - Malignant neoplasm of upper third of esophagus | 25 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD C153 - Malignant neoplasm of upper third of esophagus in DRG | 1.58 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD C153 - Malignant neoplasm of upper third of esophagus | 23.64 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | 60.0 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD C153 - Malignant neoplasm of upper third of esophagus | $2,925,399 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD C153 - Malignant neoplasm of upper third of esophagus | $4,950 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD C153 - Malignant neoplasm of upper third of esophagus | $117,016 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD C153 - Malignant neoplasm of upper third of esophagus | $9,821,221 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD C153 - Malignant neoplasm of upper third of esophagus | $392,849 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD C153 - Malignant neoplasm of upper third of esophagus | 18 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD C153 - Malignant neoplasm of upper third of esophagus in DRG | 1.14 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD C153 - Malignant neoplasm of upper third of esophagus | 6.44 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD C153 - Malignant neoplasm of upper third of esophagus | $159,565 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD C153 - Malignant neoplasm of upper third of esophagus | $1,376 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD C153 - Malignant neoplasm of upper third of esophagus | $8,865 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD C153 - Malignant neoplasm of upper third of esophagus | $767,337 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD C153 - Malignant neoplasm of upper third of esophagus | $42,630 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD C153 - Malignant neoplasm of upper third of esophagus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 22 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 19 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 16 |