*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C3431 - Malignant neoplasm of lower lobe, right bronchus or lung - as a primary diagnosis code | C3431 - Malignant neoplasm of lower lobe, right bronchus or lung - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.39 | |
| Readmission Rate (%) | 23.89 | |
| Unplanned Readmission Rate (%) | 12.81 | |
| 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 5,826 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung in DRG | 30.19 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 5.6 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 13.09 | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 8.08 | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $97,737,413 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $2,998 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $16,776 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $532,188,068 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $91,347 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 0.22 | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 6.57 | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 61.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 182: RESPIRATORY NEOPLASMS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 1,177 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung in DRG | 6.1 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 9.27 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 29.65 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 22.0 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $26,863,664 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $2,462 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $22,824 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $117,087,878 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $99,480 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 8.33 | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 15.04 | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 39.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 981: EXTENSIVE O.R. PROCEDURE 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) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 97 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung in DRG | 0.5 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 8.63 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | NA | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | NA | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $1,668,805 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $1,994 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $17,204 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $10,256,867 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $105,741 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 64.95 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | NA | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 52,726 |
| Total Hospitalizations with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 23 |
| DRG Share of Total Hospitalizations | 0.16 |
| % of Total ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung in DRG | 0.12 |
| Avg LOS at DRG | 6.68 |
| Avg LOS with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 8.13 |
| Readmission Rate at DRG | 24.76 |
| Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | NA |
| Unplanned Readmission Rate at DRG | 14.45 |
| Unplanned Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | NA |
| Total Medicare payments at DRG | $902,862,104 |
| Total Medicare payments with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $426,776 |
| Total Medicare payment per Day at DRG | $2,565 |
| Total Medicare payment per Day with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $2,282 |
| Total Medicare payment per Hospitalization at DRG | $17,124 |
| Total Medicare payment per Hospitalization with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $18,555 |
| Total Medicare Charges at DRG | $4,216,562,728 |
| Total Medicare Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $2,674,397 |
| Avg Charges at DRG | $79,971 |
| Avg Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $116,278 |
| Mortality Rate at DRG | 0.83 |
| Mortality Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | NA |
| SNF Discharge Rate at DRG | 22.41 |
| SNF Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | NA |
| Home Discharge Rate at DRG | 43.51 |
| Home Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 52.17 |
| 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 | 238 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 159 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 137 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT JOSEPH MCKENNA | 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 56 |
| Dr. VALERIE W RUSCH | 1275 YORK AVE | NEW YORK | NY | 10021 | 46 |
| Dr. MARK DENNIS WIDMANN | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 45 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT JOSEPH MCKENNA | 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 51 |
| Dr. VALERIE W RUSCH | 1275 YORK AVE | NEW YORK | NY | 10021 | 46 |
| Dr. MARK DENNIS WIDMANN | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 6,281 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung in DRG | 14.14 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 5.59 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 13.33 | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 8.18 | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $105,621,652 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $3,009 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $16,816 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $571,763,103 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $91,031 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 0.21 | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 6.45 | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 61.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,276 | ||||
| Total Hospitalizations with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 2,177 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung in DRG | 4.9 | ||||
| Avg LOS at DRG | 12.15 | ||||
| Avg LOS with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 10.43 | ||||
| Readmission Rate at DRG | 27.64 | ||||
| Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 25.66 | ||||
| Unplanned Readmission Rate at DRG | 14.04 | ||||
| Unplanned Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 12.85 | ||||
| Total Medicare payments at DRG | $1,238,611,931 | ||||
| Total Medicare payments with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $70,416,186 | ||||
| Total Medicare payment per Day at DRG | $2,735 | ||||
| Total Medicare payment per Day with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $3,102 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,228 | ||||
| Total Medicare payment per Hospitalization with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $32,346 | ||||
| Total Medicare Charges at DRG | $5,969,079,351 | ||||
| Total Medicare Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $332,507,125 | ||||
| Avg Charges at DRG | $160,132 | ||||
| Avg Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $152,736 | ||||
| Mortality Rate at DRG | 8.94 | ||||
| Mortality Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 7.9 | ||||
| SNF Discharge Rate at DRG | 17.97 | ||||
| SNF Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 14.24 | ||||
| Home Discharge Rate at DRG | 31.66 | ||||
| Home Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 33.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 1,013 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung in DRG | 2.28 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 5.32 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 29.66 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 24.05 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $7,730,674 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $1,435 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $7,631 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $43,094,164 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $42,541 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 3.26 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 13.33 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 46.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,696 | ||||
| Total Hospitalizations with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 460 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung in DRG | 1.04 | ||||
| Avg LOS at DRG | 4.09 | ||||
| Avg LOS with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 3.54 | ||||
| Readmission Rate at DRG | 17.76 | ||||
| Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 20.63 | ||||
| Unplanned Readmission Rate at DRG | 9.94 | ||||
| Unplanned Readmission Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 9.3 | ||||
| Total Medicare payments at DRG | $185,027,607 | ||||
| Total Medicare payments with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $3,007,296 | ||||
| Total Medicare payment per Day at DRG | $1,575 | ||||
| Total Medicare payment per Day with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $1,847 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,448 | ||||
| Total Medicare payment per Hospitalization with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $6,538 | ||||
| Total Medicare Charges at DRG | $1,002,898,282 | ||||
| Total Medicare Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $13,205,679 | ||||
| Avg Charges at DRG | $34,949 | ||||
| Avg Charges with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | $28,708 | ||||
| Mortality Rate at DRG | 0.51 | ||||
| Mortality Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | NA | ||||
| SNF Discharge Rate at DRG | 15.23 | ||||
| SNF Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 2.83 | ||||
| Home Discharge Rate at DRG | 58.97 | ||||
| Home Discharge Rate with ICD C3431 - Malignant neoplasm of lower lobe, right bronchus or lung | 79.35 |
| 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 | 500 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 337 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 255 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VALERIE W RUSCH | 1275 YORK AVE | NEW YORK | NY | 10021 | 58 |
| Dr. ROBERT JOSEPH MCKENNA | 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 58 |
| Dr. LOUIS F. JACQUES | 6545 FRANCE AVE S | EDINA | MN | 55435 | 50 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VALERIE W RUSCH | 1275 YORK AVE | NEW YORK | NY | 10021 | 62 |
| Dr. ROBERT JOSEPH MCKENNA | 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 53 |
| Dr. MARK DENNIS WIDMANN | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 47 |