*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C259 - Malignant neoplasm of pancreas, unspecified - as a primary diagnosis code | C259 - Malignant neoplasm of pancreas, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.63 | |
| Readmission Rate (%) | 28.07 | |
| 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 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | 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 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,116 | ||||
| Total Hospitalizations with ICD C259 - Malignant neoplasm of pancreas, unspecified | 7,287 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD C259 - Malignant neoplasm of pancreas, unspecified in DRG | 44.58 | ||||
| Avg LOS at DRG | 6.14 | ||||
| Avg LOS with ICD C259 - Malignant neoplasm of pancreas, unspecified | 5.92 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 24.86 | ||||
| Unplanned Readmission Rate at DRG | 18.3 | ||||
| Unplanned Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 17.42 | ||||
| Total Medicare payments at DRG | $472,915,537 | ||||
| Total Medicare payments with ICD C259 - Malignant neoplasm of pancreas, unspecified | $82,342,008 | ||||
| Total Medicare payment per Day at DRG | $1,921 | ||||
| Total Medicare payment per Day with ICD C259 - Malignant neoplasm of pancreas, unspecified | $1,908 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,789 | ||||
| Total Medicare payment per Hospitalization with ICD C259 - Malignant neoplasm of pancreas, unspecified | $11,300 | ||||
| Total Medicare Charges at DRG | $2,356,079,688 | ||||
| Total Medicare Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $401,204,291 | ||||
| Avg Charges at DRG | $58,732 | ||||
| Avg Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $55,058 | ||||
| Mortality Rate at DRG | 10.79 | ||||
| Mortality Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 11.91 | ||||
| SNF Discharge Rate at DRG | 10.16 | ||||
| SNF Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 9.87 | ||||
| Home Discharge Rate at DRG | 35.89 | ||||
| Home Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 32.94 |
*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 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 407: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,399 | ||||
| Total Hospitalizations with ICD C259 - Malignant neoplasm of pancreas, unspecified | 328 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C259 - Malignant neoplasm of pancreas, unspecified in DRG | 2.01 | ||||
| Avg LOS at DRG | 10.08 | ||||
| Avg LOS with ICD C259 - Malignant neoplasm of pancreas, unspecified | 9.6 | ||||
| Readmission Rate at DRG | 30.77 | ||||
| Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 31.86 | ||||
| Unplanned Readmission Rate at DRG | 18.51 | ||||
| Unplanned Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 21.02 | ||||
| Total Medicare payments at DRG | $196,785,449 | ||||
| Total Medicare payments with ICD C259 - Malignant neoplasm of pancreas, unspecified | $8,227,235 | ||||
| Total Medicare payment per Day at DRG | $2,637 | ||||
| Total Medicare payment per Day with ICD C259 - Malignant neoplasm of pancreas, unspecified | $2,612 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,596 | ||||
| Total Medicare payment per Hospitalization with ICD C259 - Malignant neoplasm of pancreas, unspecified | $25,083 | ||||
| Total Medicare Charges at DRG | $810,338,749 | ||||
| Total Medicare Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $34,471,129 | ||||
| Avg Charges at DRG | $109,520 | ||||
| Avg Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $105,095 | ||||
| Mortality Rate at DRG | 5.53 | ||||
| Mortality Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 6.71 | ||||
| SNF Discharge Rate at DRG | 19.87 | ||||
| SNF Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 13.11 | ||||
| Home Discharge Rate at DRG | 31.45 | ||||
| Home Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 31.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 409: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,412 | ||||
| Total Hospitalizations with ICD C259 - Malignant neoplasm of pancreas, unspecified | 110 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD C259 - Malignant neoplasm of pancreas, unspecified in DRG | 0.67 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD C259 - Malignant neoplasm of pancreas, unspecified | 8.91 | ||||
| Readmission Rate at DRG | 29.01 | ||||
| Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 28.44 | ||||
| Unplanned Readmission Rate at DRG | 19.52 | ||||
| Unplanned Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 17.43 | ||||
| Total Medicare payments at DRG | $22,469,921 | ||||
| Total Medicare payments with ICD C259 - Malignant neoplasm of pancreas, unspecified | $1,696,441 | ||||
| Total Medicare payment per Day at DRG | $2,198 | ||||
| Total Medicare payment per Day with ICD C259 - Malignant neoplasm of pancreas, unspecified | $1,731 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,914 | ||||
| Total Medicare payment per Hospitalization with ICD C259 - Malignant neoplasm of pancreas, unspecified | $15,422 | ||||
| Total Medicare Charges at DRG | $107,081,444 | ||||
| Total Medicare Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $8,662,473 | ||||
| Avg Charges at DRG | $75,837 | ||||
| Avg Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $78,750 | ||||
| Mortality Rate at DRG | 1.35 | ||||
| Mortality Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 12.82 | ||||
| SNF Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | NA | ||||
| Home Discharge Rate at DRG | 54.39 | ||||
| Home Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 46.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 422: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 415: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 414: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 425: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 925 | ||||
| Total Hospitalizations with ICD C259 - Malignant neoplasm of pancreas, unspecified | 38 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD C259 - Malignant neoplasm of pancreas, unspecified in DRG | 0.23 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD C259 - Malignant neoplasm of pancreas, unspecified | 3.63 | ||||
| Readmission Rate at DRG | 17.55 | ||||
| Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 11.55 | ||||
| Unplanned Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | NA | ||||
| Total Medicare payments at DRG | $7,900,832 | ||||
| Total Medicare payments with ICD C259 - Malignant neoplasm of pancreas, unspecified | $335,109 | ||||
| Total Medicare payment per Day at DRG | $2,558 | ||||
| Total Medicare payment per Day with ICD C259 - Malignant neoplasm of pancreas, unspecified | $2,428 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,541 | ||||
| Total Medicare payment per Hospitalization with ICD C259 - Malignant neoplasm of pancreas, unspecified | $8,819 | ||||
| Total Medicare Charges at DRG | $45,682,355 | ||||
| Total Medicare Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $1,794,701 | ||||
| Avg Charges at DRG | $49,386 | ||||
| Avg Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $47,229 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 4.43 | ||||
| SNF Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | NA | ||||
| Home Discharge Rate at DRG | 78.05 | ||||
| Home Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 84.21 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CALVARY HOSPITAL | 1740 EASTCHESTER RD | BRONX | NY | 10461 | 162 |
| NEWYORK PRESBYTERIAN - COLUMBIA UNIVERSITY MEDICAL CENTER | 622 W 168TH ST | NEW YORK | NY | 10032 | 86 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 79 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN CHABOT | 161 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 36 |
| Dr. JOHN J BREMS | 1435 N RANDALL RD | ELGIN | IL | 60123 | 22 |
| Dr. WILLIAM HOWARD POLK | 356 24TH AVE N | NASHVILLE | TN | 37203 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN CHABOT | 161 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 36 |
| Dr. JOHN J BREMS | 1435 N RANDALL RD | ELGIN | IL | 60123 | 22 |
| Dr. ROBERT CG MARTIN | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | 22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD C259 - Malignant neoplasm of pancreas, unspecified | 8,125 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD C259 - Malignant neoplasm of pancreas, unspecified in DRG | 10.3 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD C259 - Malignant neoplasm of pancreas, unspecified | 5.92 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 25.07 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 17.78 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD C259 - Malignant neoplasm of pancreas, unspecified | $98,897,902 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD C259 - Malignant neoplasm of pancreas, unspecified | $2,055 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD C259 - Malignant neoplasm of pancreas, unspecified | $12,172 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $507,471,326 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $62,458 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 21.06 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 11.8 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 21.77 |
*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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD C259 - Malignant neoplasm of pancreas, unspecified | 1,234 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD C259 - Malignant neoplasm of pancreas, unspecified in DRG | 1.56 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD C259 - Malignant neoplasm of pancreas, unspecified | 3.27 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 32.79 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 23.78 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD C259 - Malignant neoplasm of pancreas, unspecified | $5,845,968 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD C259 - Malignant neoplasm of pancreas, unspecified | $1,451 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD C259 - Malignant neoplasm of pancreas, unspecified | $4,737 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $32,131,214 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $26,038 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 5.02 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 66.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD C259 - Malignant neoplasm of pancreas, unspecified | 967 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD C259 - Malignant neoplasm of pancreas, unspecified in DRG | 1.23 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD C259 - Malignant neoplasm of pancreas, unspecified | 5.19 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 31.5 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 25.99 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD C259 - Malignant neoplasm of pancreas, unspecified | $11,119,473 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD C259 - Malignant neoplasm of pancreas, unspecified | $2,214 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD C259 - Malignant neoplasm of pancreas, unspecified | $11,499 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $53,568,667 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $55,397 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 12.62 | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 11.27 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 34.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,269 | ||||
| Total Hospitalizations with ICD C259 - Malignant neoplasm of pancreas, unspecified | 806 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD C259 - Malignant neoplasm of pancreas, unspecified in DRG | 1.02 | ||||
| Avg LOS at DRG | 6.88 | ||||
| Avg LOS with ICD C259 - Malignant neoplasm of pancreas, unspecified | 8.35 | ||||
| Readmission Rate at DRG | 21.01 | ||||
| Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 23.54 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 12.72 | ||||
| Total Medicare payments at DRG | $312,725,342 | ||||
| Total Medicare payments with ICD C259 - Malignant neoplasm of pancreas, unspecified | $16,424,079 | ||||
| Total Medicare payment per Day at DRG | $2,975 | ||||
| Total Medicare payment per Day with ICD C259 - Malignant neoplasm of pancreas, unspecified | $2,439 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,481 | ||||
| Total Medicare payment per Hospitalization with ICD C259 - Malignant neoplasm of pancreas, unspecified | $20,377 | ||||
| Total Medicare Charges at DRG | $1,647,470,849 | ||||
| Total Medicare Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $106,021,429 | ||||
| Avg Charges at DRG | $107,896 | ||||
| Avg Charges with ICD C259 - Malignant neoplasm of pancreas, unspecified | $131,540 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 9.71 | ||||
| SNF Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 13.65 | ||||
| Home Discharge Rate at DRG | 60.02 | ||||
| Home Discharge Rate with ICD C259 - Malignant neoplasm of pancreas, unspecified | 48.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 358 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 334 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 302 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN CHABOT | 161 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 40 |
| Dr. GARY C VITALE | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | 34 |
| Dr. KENNETH M SIGMAN | 1 INDEPENDENCE PLZ | BIRMINGHAM | AL | 35209 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN CHABOT | 161 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 49 |
| Dr. NICHOLAS NISSEN | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 47 |
| Dr. ROBERT CG MARTIN | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | 39 |