*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C158 - Malignant neoplasm of overlapping sites of esophagus - as a primary diagnosis code | C158 - Malignant neoplasm of overlapping sites of esophagus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.31 | |
| Readmission Rate (%) | 24.75 | |
| Unplanned Readmission Rate (%) | 16.34 | |
| 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 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,646 | ||||
| Total Hospitalizations with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 127 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD C158 - Malignant neoplasm of overlapping sites of esophagus in DRG | 30.38 | ||||
| Avg LOS at DRG | 7.59 | ||||
| Avg LOS with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 8.56 | ||||
| Readmission Rate at DRG | 28.12 | ||||
| Readmission Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 20.21 | ||||
| Unplanned Readmission Rate at DRG | 19.5 | ||||
| Unplanned Readmission Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 14.89 | ||||
| Total Medicare payments at DRG | $468,044,879 | ||||
| Total Medicare payments with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $2,095,330 | ||||
| Total Medicare payment per Day at DRG | $1,889 | ||||
| Total Medicare payment per Day with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $1,928 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,337 | ||||
| Total Medicare payment per Hospitalization with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $16,499 | ||||
| Total Medicare Charges at DRG | $2,155,025,187 | ||||
| Total Medicare Charges with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $9,562,612 | ||||
| Avg Charges at DRG | $66,012 | ||||
| Avg Charges with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $75,296 | ||||
| Mortality Rate at DRG | 11.79 | ||||
| Mortality Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 22.83 | ||||
| SNF Discharge Rate at DRG | 13.92 | ||||
| SNF Discharge Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 8.66 | ||||
| Home Discharge Rate at DRG | 26.98 | ||||
| Home Discharge Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 22.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 25,783 |
| Total Hospitalizations with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 14 |
| DRG Share of Total Hospitalizations | 0.08 |
| % of Total ICD C158 - Malignant neoplasm of overlapping sites of esophagus in DRG | 3.35 |
| Avg LOS at DRG | 10.43 |
| Avg LOS with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 12.71 |
| Readmission Rate at DRG | 32.71 |
| Readmission Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | NA |
| Unplanned Readmission Rate at DRG | 21.41 |
| Unplanned Readmission Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | NA |
| Total Medicare payments at DRG | $679,252,743 |
| Total Medicare payments with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $367,896 |
| Total Medicare payment per Day at DRG | $2,526 |
| Total Medicare payment per Day with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $2,067 |
| Total Medicare payment per Hospitalization at DRG | $26,345 |
| Total Medicare payment per Hospitalization with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $26,278 |
| Total Medicare Charges at DRG | $3,189,491,346 |
| Total Medicare Charges with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $2,308,776 |
| Avg Charges at DRG | $123,705 |
| Avg Charges with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $164,913 |
| Mortality Rate at DRG | 9.27 |
| Mortality Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | NA |
| SNF Discharge Rate at DRG | 24.4 |
| SNF Discharge Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | NA |
| Home Discharge Rate at DRG | 30.46 |
| Home Discharge Rate with ICD C158 - Malignant neoplasm of overlapping sites 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 | 13 |
*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 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,646 | ||||
| Total Hospitalizations with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 131 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD C158 - Malignant neoplasm of overlapping sites of esophagus in DRG | 16.07 | ||||
| Avg LOS at DRG | 7.59 | ||||
| Avg LOS with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 8.52 | ||||
| Readmission Rate at DRG | 28.12 | ||||
| Readmission Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 20.83 | ||||
| Unplanned Readmission Rate at DRG | 19.5 | ||||
| Unplanned Readmission Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 14.58 | ||||
| Total Medicare payments at DRG | $468,044,879 | ||||
| Total Medicare payments with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $2,142,725 | ||||
| Total Medicare payment per Day at DRG | $1,889 | ||||
| Total Medicare payment per Day with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $1,920 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,337 | ||||
| Total Medicare payment per Hospitalization with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $16,357 | ||||
| Total Medicare Charges at DRG | $2,155,025,187 | ||||
| Total Medicare Charges with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $9,817,499 | ||||
| Avg Charges at DRG | $66,012 | ||||
| Avg Charges with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $74,943 | ||||
| Mortality Rate at DRG | 11.79 | ||||
| Mortality Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 22.9 | ||||
| SNF Discharge Rate at DRG | 13.92 | ||||
| SNF Discharge Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 8.4 | ||||
| Home Discharge Rate at DRG | 26.98 | ||||
| Home Discharge Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 23.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,564 | ||||
| Total Hospitalizations with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 22 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD C158 - Malignant neoplasm of overlapping sites of esophagus in DRG | 2.7 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 3.36 | ||||
| Readmission Rate at DRG | 29.85 | ||||
| Readmission Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | NA | ||||
| Unplanned Readmission Rate at DRG | 11.98 | ||||
| Unplanned Readmission Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | NA | ||||
| Total Medicare payments at DRG | $25,534,445 | ||||
| Total Medicare payments with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $129,486 | ||||
| Total Medicare payment per Day at DRG | $1,783 | ||||
| Total Medicare payment per Day with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $1,750 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,595 | ||||
| Total Medicare payment per Hospitalization with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $5,886 | ||||
| Total Medicare Charges at DRG | $146,112,254 | ||||
| Total Medicare Charges with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $675,721 | ||||
| Avg Charges at DRG | $32,014 | ||||
| Avg Charges with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $30,715 | ||||
| Mortality Rate at DRG | 1.38 | ||||
| Mortality Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | NA | ||||
| SNF Discharge Rate at DRG | 5.89 | ||||
| SNF Discharge Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | NA | ||||
| Home Discharge Rate at DRG | 67.2 | ||||
| Home Discharge Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 54.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|
| Total Hospitalizations at DRG | 522,791 | |
| Total Hospitalizations with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 11 | |
| DRG Share of Total Hospitalizations | 1.59 | |
| % of Total ICD C158 - Malignant neoplasm of overlapping sites of esophagus in DRG | 1.35 | |
| Avg LOS at DRG | 3.14 | |
| Avg LOS with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | 6.0 | |
| Readmission Rate at DRG | 17.1 | |
| Readmission Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | NA | |
| Unplanned Readmission Rate at DRG | 12.62 | |
| Unplanned Readmission Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | NA | |
| Total Medicare payments at DRG | $2,290,151,156 | |
| Total Medicare payments with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $73,423 | |
| Total Medicare payment per Day at DRG | $1,394 | |
| Total Medicare payment per Day with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $1,112 | |
| Total Medicare payment per Hospitalization at DRG | $4,381 | |
| Total Medicare payment per Hospitalization with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $6,675 | |
| Total Medicare Charges at DRG | $13,619,287,561 | |
| Total Medicare Charges with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $635,687 | |
| Avg Charges at DRG | $26,051 | |
| Avg Charges with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | $57,790 | |
| Mortality Rate at DRG | 0.18 | |
| Mortality Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | NA | |
| SNF Discharge Rate at DRG | 8.57 | |
| SNF Discharge Rate with ICD C158 - Malignant neoplasm of overlapping sites of esophagus | NA | |
| Home Discharge Rate at DRG | 72.49 | |
| Home Discharge Rate with ICD C158 - Malignant neoplasm of overlapping sites 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 | 21 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 11 |