*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C499 - Malignant neoplasm of connective and soft tissue, unspecified - as a primary diagnosis code | C499 - Malignant neoplasm of connective and soft tissue, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.86 | |
| Readmission Rate (%) | 30.76 | |
| Unplanned Readmission Rate (%) | 14.59 | |
| 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 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 544: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 47,199 | ||||
| Total Hospitalizations with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 138 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified in DRG | 36.51 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 4.84 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 15.52 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $1,122,125 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $1,680 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $8,131 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $4,390,235 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $31,813 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 9.42 | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 10.87 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 44.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 11,926 |
| Total Hospitalizations with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 11 |
| DRG Share of Total Hospitalizations | 0.04 |
| % of Total ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified in DRG | 2.91 |
| Avg LOS at DRG | 2.83 |
| Avg LOS with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 2.73 |
| Readmission Rate at DRG | 11.81 |
| Readmission Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | NA |
| Unplanned Readmission Rate at DRG | 4.21 |
| Unplanned Readmission Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | NA |
| Total Medicare payments at DRG | $83,897,096 |
| Total Medicare payments with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $84,106 |
| Total Medicare payment per Day at DRG | $2,482 |
| Total Medicare payment per Day with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $2,804 |
| Total Medicare payment per Hospitalization at DRG | $7,035 |
| Total Medicare payment per Hospitalization with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $7,646 |
| Total Medicare Charges at DRG | $520,541,143 |
| Total Medicare Charges with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $661,627 |
| Avg Charges at DRG | $43,648 |
| Avg Charges with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $60,148 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | NA |
| SNF Discharge Rate at DRG | 23.87 |
| SNF Discharge Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | NA |
| Home Discharge Rate at DRG | 46.55 |
| Home Discharge Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 417 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified in DRG | 8.22 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 5.99 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 23.61 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 15.63 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $5,095,259 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $2,040 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $12,219 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $26,344,254 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $63,176 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 24.7 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 12.71 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 24.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT 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 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 94 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified in DRG | 1.85 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 4.12 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 32.22 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 25.56 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $460,883 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $1,191 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $4,903 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $2,690,933 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $28,627 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 12.77 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 42.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 74 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified in DRG | 1.46 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 5.7 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | NA | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $722,319 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $1,712 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $9,761 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $3,346,970 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $45,229 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | NA | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 20.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 61 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified in DRG | 1.2 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 5.2 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 42.55 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 34.04 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $554,685 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $1,750 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $9,093 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $3,077,657 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | $50,453 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | NA | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD C499 - Malignant neoplasm of connective and soft tissue, unspecified | 49.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 47 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 42 |
| UCHEALTH UNIVERSITY OF COLORADO HOSPITAL | 12605 E 16TH AVE | AURORA | CO | 80045 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ARTHUR PETRIE STADDON | 230 W WASHINGTON SQ | PHILADELPHIA | PA | 19106 | 14 |