*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C719 - Malignant neoplasm of brain, unspecified - as a primary diagnosis code | C719 - Malignant neoplasm of brain, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.54 | |
| Readmission Rate (%) | 28.44 | |
| Unplanned Readmission Rate (%) | 11.46 | |
| 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 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 027: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 026: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,598 | ||||
| Total Hospitalizations with ICD C719 - Malignant neoplasm of brain, unspecified | 3,692 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD C719 - Malignant neoplasm of brain, unspecified in DRG | 44.83 | ||||
| Avg LOS at DRG | 5.58 | ||||
| Avg LOS with ICD C719 - Malignant neoplasm of brain, unspecified | 5.94 | ||||
| Readmission Rate at DRG | 27.89 | ||||
| Readmission Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 26.16 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 11.34 | ||||
| Total Medicare payments at DRG | $420,580,748 | ||||
| Total Medicare payments with ICD C719 - Malignant neoplasm of brain, unspecified | $36,438,998 | ||||
| Total Medicare payment per Day at DRG | $1,728 | ||||
| Total Medicare payment per Day with ICD C719 - Malignant neoplasm of brain, unspecified | $1,662 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,647 | ||||
| Total Medicare payment per Hospitalization with ICD C719 - Malignant neoplasm of brain, unspecified | $9,870 | ||||
| Total Medicare Charges at DRG | $2,165,508,049 | ||||
| Total Medicare Charges with ICD C719 - Malignant neoplasm of brain, unspecified | $185,583,128 | ||||
| Avg Charges at DRG | $49,670 | ||||
| Avg Charges with ICD C719 - Malignant neoplasm of brain, unspecified | $50,266 | ||||
| Mortality Rate at DRG | 4.23 | ||||
| Mortality Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 4.96 | ||||
| SNF Discharge Rate at DRG | 18.01 | ||||
| SNF Discharge Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 20.02 | ||||
| Home Discharge Rate at DRG | 29.57 | ||||
| Home Discharge Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 22.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 023: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT | DRG 031: VENTRICULAR SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,067 | |||
| Total Hospitalizations with ICD C719 - Malignant neoplasm of brain, unspecified | 52 | |||
| DRG Share of Total Hospitalizations | 0.05 | |||
| % of Total ICD C719 - Malignant neoplasm of brain, unspecified in DRG | 0.63 | |||
| Avg LOS at DRG | 11.35 | |||
| Avg LOS with ICD C719 - Malignant neoplasm of brain, unspecified | 8.13 | |||
| Readmission Rate at DRG | 40.12 | |||
| Readmission Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 29.79 | |||
| Unplanned Readmission Rate at DRG | 16.2 | |||
| Unplanned Readmission Rate with ICD C719 - Malignant neoplasm of brain, unspecified | NA | |||
| Total Medicare payments at DRG | $406,046,615 | |||
| Total Medicare payments with ICD C719 - Malignant neoplasm of brain, unspecified | $1,242,133 | |||
| Total Medicare payment per Day at DRG | $2,374 | |||
| Total Medicare payment per Day with ICD C719 - Malignant neoplasm of brain, unspecified | $2,936 | |||
| Total Medicare payment per Hospitalization at DRG | $26,949 | |||
| Total Medicare payment per Hospitalization with ICD C719 - Malignant neoplasm of brain, unspecified | $23,887 | |||
| Total Medicare Charges at DRG | $1,945,203,850 | |||
| Total Medicare Charges with ICD C719 - Malignant neoplasm of brain, unspecified | $4,958,924 | |||
| Avg Charges at DRG | $129,104 | |||
| Avg Charges with ICD C719 - Malignant neoplasm of brain, unspecified | $95,364 | |||
| Mortality Rate at DRG | 5.02 | |||
| Mortality Rate with ICD C719 - Malignant neoplasm of brain, unspecified | NA | |||
| SNF Discharge Rate at DRG | 31.29 | |||
| SNF Discharge Rate with ICD C719 - Malignant neoplasm of brain, unspecified | NA | |||
| Home Discharge Rate at DRG | 18.56 | |||
| Home Discharge Rate with ICD C719 - Malignant neoplasm of brain, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER | 350 W THOMAS RD | PHOENIX | AZ | 85013 | 76 |
| UNIVERSITY OF KANSAS HOSPITAL | 4000 Cambridge St. | KANSAS CITY | KS | 66160 | 55 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROUKOZ BOULOS CHAMOUN | 3901 RAINBOW BLVD | KANSAS CITY | KS | 66103 | 23 |
| Dr. JAMES BRADLEY ELDER | 300 W 10TH AVE | COLUMBUS | OH | 43210 | 23 |
| Dr. RICARDO JORGE KOMOTAR | 1095 NW 14TH TER RM 2-06 | MIAMI | FL | 33136 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROUKOZ BOULOS CHAMOUN | 3901 RAINBOW BLVD | KANSAS CITY | KS | 66103 | 25 |
| Dr. JAMES BRADLEY ELDER | 300 W 10TH AVE | COLUMBUS | OH | 43210 | 24 |
| Dr. JON WEINGART | 10755 FALLS RD | LUTHERVILLE | MD | 21093 | 21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,598 | ||||
| Total Hospitalizations with ICD C719 - Malignant neoplasm of brain, unspecified | 3,776 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD C719 - Malignant neoplasm of brain, unspecified in DRG | 16.56 | ||||
| Avg LOS at DRG | 5.58 | ||||
| Avg LOS with ICD C719 - Malignant neoplasm of brain, unspecified | 5.99 | ||||
| Readmission Rate at DRG | 27.89 | ||||
| Readmission Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 26.15 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 11.27 | ||||
| Total Medicare payments at DRG | $420,580,748 | ||||
| Total Medicare payments with ICD C719 - Malignant neoplasm of brain, unspecified | $37,253,106 | ||||
| Total Medicare payment per Day at DRG | $1,728 | ||||
| Total Medicare payment per Day with ICD C719 - Malignant neoplasm of brain, unspecified | $1,648 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,647 | ||||
| Total Medicare payment per Hospitalization with ICD C719 - Malignant neoplasm of brain, unspecified | $9,866 | ||||
| Total Medicare Charges at DRG | $2,165,508,049 | ||||
| Total Medicare Charges with ICD C719 - Malignant neoplasm of brain, unspecified | $191,631,390 | ||||
| Avg Charges at DRG | $49,670 | ||||
| Avg Charges with ICD C719 - Malignant neoplasm of brain, unspecified | $50,750 | ||||
| Mortality Rate at DRG | 4.23 | ||||
| Mortality Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 5.03 | ||||
| SNF Discharge Rate at DRG | 18.01 | ||||
| SNF Discharge Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 20.02 | ||||
| Home Discharge Rate at DRG | 29.57 | ||||
| Home Discharge Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 22.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 027: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 026: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD C719 - Malignant neoplasm of brain, unspecified | 630 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD C719 - Malignant neoplasm of brain, unspecified in DRG | 2.76 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD C719 - Malignant neoplasm of brain, unspecified | 12.68 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 21.34 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 15.91 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD C719 - Malignant neoplasm of brain, unspecified | $12,212,379 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD C719 - Malignant neoplasm of brain, unspecified | $1,529 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD C719 - Malignant neoplasm of brain, unspecified | $19,385 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD C719 - Malignant neoplasm of brain, unspecified | $32,303,796 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD C719 - Malignant neoplasm of brain, unspecified | $51,276 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD C719 - Malignant neoplasm of brain, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 12.54 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 27.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD C719 - Malignant neoplasm of brain, unspecified | 259 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD C719 - Malignant neoplasm of brain, unspecified in DRG | 1.14 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD C719 - Malignant neoplasm of brain, unspecified | 12.03 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 24.12 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 12.28 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD C719 - Malignant neoplasm of brain, unspecified | $5,001,253 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD C719 - Malignant neoplasm of brain, unspecified | $1,606 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD C719 - Malignant neoplasm of brain, unspecified | $19,310 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD C719 - Malignant neoplasm of brain, unspecified | $12,725,548 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD C719 - Malignant neoplasm of brain, unspecified | $49,133 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD C719 - Malignant neoplasm of brain, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 22.39 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 27.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD C719 - Malignant neoplasm of brain, unspecified | 223 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD C719 - Malignant neoplasm of brain, unspecified in DRG | 0.98 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD C719 - Malignant neoplasm of brain, unspecified | 4.55 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 26.6 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 17.24 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD C719 - Malignant neoplasm of brain, unspecified | $1,560,459 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD C719 - Malignant neoplasm of brain, unspecified | $1,539 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD C719 - Malignant neoplasm of brain, unspecified | $6,998 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD C719 - Malignant neoplasm of brain, unspecified | $8,715,208 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD C719 - Malignant neoplasm of brain, unspecified | $39,082 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD C719 - Malignant neoplasm of brain, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 27.8 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD C719 - Malignant neoplasm of brain, unspecified | 31.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER | 350 W THOMAS RD | PHOENIX | AZ | 85013 | 156 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 111 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 108 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES BRADLEY ELDER | 300 W 10TH AVE | COLUMBUS | OH | 43210 | 26 |
| Dr. RICARDO JORGE KOMOTAR | 1095 NW 14TH TER RM 2-06 | MIAMI | FL | 33136 | 23 |
| Dr. ROUKOZ BOULOS CHAMOUN | 3901 RAINBOW BLVD | KANSAS CITY | KS | 66103 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES BRADLEY ELDER | 300 W 10TH AVE | COLUMBUS | OH | 43210 | 28 |
| Dr. ANDREW SLOAN | 11100 EUCLID AVE | CLEVELAND | OH | 44106 | 27 |
| Dr. JON WEINGART | 10755 FALLS RD | LUTHERVILLE | MD | 21093 | 25 |