*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C799 - Secondary malignant neoplasm of unspecified site - as a primary diagnosis code | C799 - Secondary malignant neoplasm of unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.42 | |
| Readmission Rate (%) | 26.7 | |
| Unplanned Readmission Rate (%) | 18.77 | |
| 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 844: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 843: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 845: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 829: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 827: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,668 | ||||
| Total Hospitalizations with ICD C799 - Secondary malignant neoplasm of unspecified site | 275 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C799 - Secondary malignant neoplasm of unspecified site in DRG | 40.38 | ||||
| Avg LOS at DRG | 5.02 | ||||
| Avg LOS with ICD C799 - Secondary malignant neoplasm of unspecified site | 4.09 | ||||
| Readmission Rate at DRG | 29.38 | ||||
| Readmission Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 21.46 | ||||
| Unplanned Readmission Rate at DRG | 20.56 | ||||
| Unplanned Readmission Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 16.31 | ||||
| Total Medicare payments at DRG | $55,196,057 | ||||
| Total Medicare payments with ICD C799 - Secondary malignant neoplasm of unspecified site | $2,045,069 | ||||
| Total Medicare payment per Day at DRG | $1,647 | ||||
| Total Medicare payment per Day with ICD C799 - Secondary malignant neoplasm of unspecified site | $1,819 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,278 | ||||
| Total Medicare payment per Hospitalization with ICD C799 - Secondary malignant neoplasm of unspecified site | $7,437 | ||||
| Total Medicare Charges at DRG | $277,260,731 | ||||
| Total Medicare Charges with ICD C799 - Secondary malignant neoplasm of unspecified site | $8,100,225 | ||||
| Avg Charges at DRG | $41,581 | ||||
| Avg Charges with ICD C799 - Secondary malignant neoplasm of unspecified site | $29,455 | ||||
| Mortality Rate at DRG | 4.15 | ||||
| Mortality Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 8.36 | ||||
| SNF Discharge Rate at DRG | 11.35 | ||||
| SNF Discharge Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 9.82 | ||||
| Home Discharge Rate at DRG | 43.33 | ||||
| Home Discharge Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 35.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 826: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 2,430 |
| Total Hospitalizations with ICD C799 - Secondary malignant neoplasm of unspecified site | 12 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD C799 - Secondary malignant neoplasm of unspecified site in DRG | 1.76 |
| Avg LOS at DRG | 12.98 |
| Avg LOS with ICD C799 - Secondary malignant neoplasm of unspecified site | 9.0 |
| Readmission Rate at DRG | 30.62 |
| Readmission Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | NA |
| Unplanned Readmission Rate at DRG | 15.79 |
| Unplanned Readmission Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | NA |
| Total Medicare payments at DRG | $97,116,776 |
| Total Medicare payments with ICD C799 - Secondary malignant neoplasm of unspecified site | $391,024 |
| Total Medicare payment per Day at DRG | $3,080 |
| Total Medicare payment per Day with ICD C799 - Secondary malignant neoplasm of unspecified site | $3,621 |
| Total Medicare payment per Hospitalization at DRG | $39,966 |
| Total Medicare payment per Hospitalization with ICD C799 - Secondary malignant neoplasm of unspecified site | $32,585 |
| Total Medicare Charges at DRG | $449,416,156 |
| Total Medicare Charges with ICD C799 - Secondary malignant neoplasm of unspecified site | $1,107,771 |
| Avg Charges at DRG | $184,945 |
| Avg Charges with ICD C799 - Secondary malignant neoplasm of unspecified site | $92,314 |
| Mortality Rate at DRG | 8.6 |
| Mortality Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | NA |
| SNF Discharge Rate at DRG | 18.56 |
| SNF Discharge Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | NA |
| Home Discharge Rate at DRG | 30.53 |
| Home Discharge Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD C799 - Secondary malignant neoplasm of unspecified site | 5,050 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD C799 - Secondary malignant neoplasm of unspecified site in DRG | 9.82 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD C799 - Secondary malignant neoplasm of unspecified site | 5.75 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 24.7 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 17.84 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD C799 - Secondary malignant neoplasm of unspecified site | $60,023,794 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD C799 - Secondary malignant neoplasm of unspecified site | $2,068 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD C799 - Secondary malignant neoplasm of unspecified site | $11,886 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD C799 - Secondary malignant neoplasm of unspecified site | $286,862,774 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD C799 - Secondary malignant neoplasm of unspecified site | $56,805 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 26.16 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 15.62 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 17.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD C799 - Secondary malignant neoplasm of unspecified site | 1,013 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD C799 - Secondary malignant neoplasm of unspecified site in DRG | 1.97 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD C799 - Secondary malignant neoplasm of unspecified site | 3.23 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 25.67 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 17.19 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD C799 - Secondary malignant neoplasm of unspecified site | $4,961,210 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD C799 - Secondary malignant neoplasm of unspecified site | $1,516 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD C799 - Secondary malignant neoplasm of unspecified site | $4,898 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD C799 - Secondary malignant neoplasm of unspecified site | $22,087,126 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD C799 - Secondary malignant neoplasm of unspecified site | $21,804 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 3.16 | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 14.91 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 43.83 |
*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 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD C799 - Secondary malignant neoplasm of unspecified site | 822 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD C799 - Secondary malignant neoplasm of unspecified site in DRG | 1.6 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD C799 - Secondary malignant neoplasm of unspecified site | 3.36 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 28.03 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 20.73 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD C799 - Secondary malignant neoplasm of unspecified site | $3,854,738 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD C799 - Secondary malignant neoplasm of unspecified site | $1,394 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD C799 - Secondary malignant neoplasm of unspecified site | $4,689 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD C799 - Secondary malignant neoplasm of unspecified site | $20,080,776 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD C799 - Secondary malignant neoplasm of unspecified site | $24,429 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 1.34 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 6.45 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 62.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD C799 - Secondary malignant neoplasm of unspecified site | 669 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD C799 - Secondary malignant neoplasm of unspecified site in DRG | 1.3 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD C799 - Secondary malignant neoplasm of unspecified site | 5.14 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 24.12 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 18.49 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD C799 - Secondary malignant neoplasm of unspecified site | $5,087,625 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD C799 - Secondary malignant neoplasm of unspecified site | $1,481 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD C799 - Secondary malignant neoplasm of unspecified site | $7,605 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD C799 - Secondary malignant neoplasm of unspecified site | $25,255,105 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD C799 - Secondary malignant neoplasm of unspecified site | $37,751 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 10.76 | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 21.38 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD C799 - Secondary malignant neoplasm of unspecified site | 20.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 231 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 185 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 143 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 21 |
| Dr. THOMAS CARL WEINER | 2475 BROADWAY | HELENA | MT | 59601 | 17 |
| Dr. SUDHA KAVURU | 40 BEY LEA RD | TOMS RIVER | NJ | 08753 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS CARL WEINER | 2475 BROADWAY | HELENA | MT | 59601 | 56 |
| Dr. JOHN D VOSS | 1704 23RD AVE | MERIDIAN | MS | 39301 | 32 |
| Dr. TODD D SHENKENBERG | 1719 TREASURE HILLS BLVD. | HARLINGEN | TX | 78550 | 31 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | J910 | Malignant pleural effusion |
| 2 | N179 | Acute kidney failure, unspecified |
| 3 | Z66 | Do not resuscitate |
| 4 | Z515 | Encounter for palliative care |
| 5 | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris |