*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C253 - Malignant neoplasm of pancreatic duct - as a primary diagnosis code | C253 - Malignant neoplasm of pancreatic duct - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.75 | |
| Readmission Rate (%) | 29.37 | |
| Unplanned Readmission Rate (%) | 16.28 | |
| 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 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 407: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,116 | ||||
| Total Hospitalizations with ICD C253 - Malignant neoplasm of pancreatic duct | 200 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD C253 - Malignant neoplasm of pancreatic duct in DRG | 28.69 | ||||
| Avg LOS at DRG | 6.14 | ||||
| Avg LOS with ICD C253 - Malignant neoplasm of pancreatic duct | 6.75 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD C253 - Malignant neoplasm of pancreatic duct | 29.89 | ||||
| Unplanned Readmission Rate at DRG | 18.3 | ||||
| Unplanned Readmission Rate with ICD C253 - Malignant neoplasm of pancreatic duct | 20.69 | ||||
| Total Medicare payments at DRG | $472,915,537 | ||||
| Total Medicare payments with ICD C253 - Malignant neoplasm of pancreatic duct | $2,487,197 | ||||
| Total Medicare payment per Day at DRG | $1,921 | ||||
| Total Medicare payment per Day with ICD C253 - Malignant neoplasm of pancreatic duct | $1,841 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,789 | ||||
| Total Medicare payment per Hospitalization with ICD C253 - Malignant neoplasm of pancreatic duct | $12,436 | ||||
| Total Medicare Charges at DRG | $2,356,079,688 | ||||
| Total Medicare Charges with ICD C253 - Malignant neoplasm of pancreatic duct | $12,420,430 | ||||
| Avg Charges at DRG | $58,732 | ||||
| Avg Charges with ICD C253 - Malignant neoplasm of pancreatic duct | $62,102 | ||||
| Mortality Rate at DRG | 10.79 | ||||
| Mortality Rate with ICD C253 - Malignant neoplasm of pancreatic duct | 6.5 | ||||
| SNF Discharge Rate at DRG | 10.16 | ||||
| SNF Discharge Rate with ICD C253 - Malignant neoplasm of pancreatic duct | 9.5 | ||||
| Home Discharge Rate at DRG | 35.89 | ||||
| Home Discharge Rate with ICD C253 - Malignant neoplasm of pancreatic duct | 49.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 7,399 | |
| Total Hospitalizations with ICD C253 - Malignant neoplasm of pancreatic duct | 20 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD C253 - Malignant neoplasm of pancreatic duct in DRG | 2.87 | |
| Avg LOS at DRG | 10.08 | |
| Avg LOS with ICD C253 - Malignant neoplasm of pancreatic duct | 9.7 | |
| Readmission Rate at DRG | 30.77 | |
| Readmission Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | |
| Unplanned Readmission Rate at DRG | 18.51 | |
| Unplanned Readmission Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | |
| Total Medicare payments at DRG | $196,785,449 | |
| Total Medicare payments with ICD C253 - Malignant neoplasm of pancreatic duct | $507,611 | |
| Total Medicare payment per Day at DRG | $2,637 | |
| Total Medicare payment per Day with ICD C253 - Malignant neoplasm of pancreatic duct | $2,617 | |
| Total Medicare payment per Hospitalization at DRG | $26,596 | |
| Total Medicare payment per Hospitalization with ICD C253 - Malignant neoplasm of pancreatic duct | $25,381 | |
| Total Medicare Charges at DRG | $810,338,749 | |
| Total Medicare Charges with ICD C253 - Malignant neoplasm of pancreatic duct | $1,651,149 | |
| Avg Charges at DRG | $109,520 | |
| Avg Charges with ICD C253 - Malignant neoplasm of pancreatic duct | $82,557 | |
| Mortality Rate at DRG | 5.53 | |
| Mortality Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | |
| SNF Discharge Rate at DRG | 19.87 | |
| SNF Discharge Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | |
| Home Discharge Rate at DRG | 31.45 | |
| Home Discharge Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 21 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 16 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 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 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,116 | ||||
| Total Hospitalizations with ICD C253 - Malignant neoplasm of pancreatic duct | 231 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD C253 - Malignant neoplasm of pancreatic duct in DRG | 13.47 | ||||
| Avg LOS at DRG | 6.14 | ||||
| Avg LOS with ICD C253 - Malignant neoplasm of pancreatic duct | 6.75 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD C253 - Malignant neoplasm of pancreatic duct | 30.5 | ||||
| Unplanned Readmission Rate at DRG | 18.3 | ||||
| Unplanned Readmission Rate with ICD C253 - Malignant neoplasm of pancreatic duct | 22.0 | ||||
| Total Medicare payments at DRG | $472,915,537 | ||||
| Total Medicare payments with ICD C253 - Malignant neoplasm of pancreatic duct | $2,906,911 | ||||
| Total Medicare payment per Day at DRG | $1,921 | ||||
| Total Medicare payment per Day with ICD C253 - Malignant neoplasm of pancreatic duct | $1,863 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,789 | ||||
| Total Medicare payment per Hospitalization with ICD C253 - Malignant neoplasm of pancreatic duct | $12,584 | ||||
| Total Medicare Charges at DRG | $2,356,079,688 | ||||
| Total Medicare Charges with ICD C253 - Malignant neoplasm of pancreatic duct | $14,212,421 | ||||
| Avg Charges at DRG | $58,732 | ||||
| Avg Charges with ICD C253 - Malignant neoplasm of pancreatic duct | $61,526 | ||||
| Mortality Rate at DRG | 10.79 | ||||
| Mortality Rate with ICD C253 - Malignant neoplasm of pancreatic duct | 6.93 | ||||
| SNF Discharge Rate at DRG | 10.16 | ||||
| SNF Discharge Rate with ICD C253 - Malignant neoplasm of pancreatic duct | 9.09 | ||||
| Home Discharge Rate at DRG | 35.89 | ||||
| Home Discharge Rate with ICD C253 - Malignant neoplasm of pancreatic duct | 45.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 407: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,745 | ||||
| Total Hospitalizations with ICD C253 - Malignant neoplasm of pancreatic duct | 54 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C253 - Malignant neoplasm of pancreatic duct in DRG | 3.15 | ||||
| Avg LOS at DRG | 4.57 | ||||
| Avg LOS with ICD C253 - Malignant neoplasm of pancreatic duct | 6.35 | ||||
| Readmission Rate at DRG | 12.33 | ||||
| Readmission Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | ||||
| Unplanned Readmission Rate at DRG | 8.29 | ||||
| Unplanned Readmission Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | ||||
| Total Medicare payments at DRG | $80,007,154 | ||||
| Total Medicare payments with ICD C253 - Malignant neoplasm of pancreatic duct | $914,734 | ||||
| Total Medicare payment per Day at DRG | $3,048 | ||||
| Total Medicare payment per Day with ICD C253 - Malignant neoplasm of pancreatic duct | $2,667 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,926 | ||||
| Total Medicare payment per Hospitalization with ICD C253 - Malignant neoplasm of pancreatic duct | $16,940 | ||||
| Total Medicare Charges at DRG | $449,200,078 | ||||
| Total Medicare Charges with ICD C253 - Malignant neoplasm of pancreatic duct | $4,859,666 | ||||
| Avg Charges at DRG | $78,190 | ||||
| Avg Charges with ICD C253 - Malignant neoplasm of pancreatic duct | $89,994 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | ||||
| SNF Discharge Rate at DRG | 4.16 | ||||
| SNF Discharge Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | ||||
| Home Discharge Rate at DRG | 74.73 | ||||
| Home Discharge Rate with ICD C253 - Malignant neoplasm of pancreatic duct | 53.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,227 | ||||
| Total Hospitalizations with ICD C253 - Malignant neoplasm of pancreatic duct | 22 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD C253 - Malignant neoplasm of pancreatic duct in DRG | 1.28 | ||||
| Avg LOS at DRG | 8.02 | ||||
| Avg LOS with ICD C253 - Malignant neoplasm of pancreatic duct | 5.68 | ||||
| Readmission Rate at DRG | 30.44 | ||||
| Readmission Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | ||||
| Unplanned Readmission Rate at DRG | 20.14 | ||||
| Unplanned Readmission Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | ||||
| Total Medicare payments at DRG | $641,315,623 | ||||
| Total Medicare payments with ICD C253 - Malignant neoplasm of pancreatic duct | $266,542 | ||||
| Total Medicare payment per Day at DRG | $1,808 | ||||
| Total Medicare payment per Day with ICD C253 - Malignant neoplasm of pancreatic duct | $2,132 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,501 | ||||
| Total Medicare payment per Hospitalization with ICD C253 - Malignant neoplasm of pancreatic duct | $12,116 | ||||
| Total Medicare Charges at DRG | $3,055,824,019 | ||||
| Total Medicare Charges with ICD C253 - Malignant neoplasm of pancreatic duct | $1,033,341 | ||||
| Avg Charges at DRG | $69,094 | ||||
| Avg Charges with ICD C253 - Malignant neoplasm of pancreatic duct | $46,970 | ||||
| Mortality Rate at DRG | 3.89 | ||||
| Mortality Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | ||||
| SNF Discharge Rate at DRG | 16.17 | ||||
| SNF Discharge Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | ||||
| Home Discharge Rate at DRG | 45.86 | ||||
| Home Discharge Rate with ICD C253 - Malignant neoplasm of pancreatic duct | 68.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD C253 - Malignant neoplasm of pancreatic duct | 16 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD C253 - Malignant neoplasm of pancreatic duct in DRG | 0.93 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD C253 - Malignant neoplasm of pancreatic duct | 2.81 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD C253 - Malignant neoplasm of pancreatic duct | $98,640 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD C253 - Malignant neoplasm of pancreatic duct | $2,192 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD C253 - Malignant neoplasm of pancreatic duct | $6,165 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD C253 - Malignant neoplasm of pancreatic duct | $417,544 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD C253 - Malignant neoplasm of pancreatic duct | $26,097 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD C253 - Malignant neoplasm of pancreatic duct | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 32 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 31 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES J. YEO | 1100 WALNUT ST | PHILADELPHIA | PA | 19107 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES J. YEO | 1100 WALNUT ST | PHILADELPHIA | PA | 19107 | 14 |
| Dr. ARTHUR JAMES MOSER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 11 |
| Dr. CHRISTOPHER WOLFGANG | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 11 |