*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C7A090 - Malignant carcinoid tumor of the bronchus and lung - as a primary diagnosis code | C7A090 - Malignant carcinoid tumor of the bronchus and lung - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.72 | |
| Readmission Rate (%) | 16.75 | |
| Unplanned Readmission Rate (%) | 5.59 | |
| 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS 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 C7A090 - Malignant carcinoid tumor of the bronchus and lung | 851 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung in DRG | 39.78 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 5.07 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 7.29 | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 4.01 | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $13,787,601 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $3,195 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $16,202 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $73,106,375 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $85,906 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 5.52 | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 67.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 182: RESPIRATORY NEOPLASMS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,636 | |||
| Total Hospitalizations with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 58 | |||
| DRG Share of Total Hospitalizations | 0.11 | |||
| % of Total ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung in DRG | 2.71 | |||
| Avg LOS at DRG | 5.73 | |||
| Avg LOS with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 3.53 | |||
| Readmission Rate at DRG | 21.72 | |||
| Readmission Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | |||
| Unplanned Readmission Rate at DRG | 14.08 | |||
| Unplanned Readmission Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | |||
| Total Medicare payments at DRG | $448,734,039 | |||
| Total Medicare payments with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $735,151 | |||
| Total Medicare payment per Day at DRG | $2,137 | |||
| Total Medicare payment per Day with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $3,586 | |||
| Total Medicare payment per Hospitalization at DRG | $12,248 | |||
| Total Medicare payment per Hospitalization with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $12,675 | |||
| Total Medicare Charges at DRG | $2,388,208,589 | |||
| Total Medicare Charges with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $3,667,542 | |||
| Avg Charges at DRG | $65,187 | |||
| Avg Charges with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $63,233 | |||
| Mortality Rate at DRG | 0.77 | |||
| Mortality Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | |||
| SNF Discharge Rate at DRG | 10.73 | |||
| SNF Discharge Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | |||
| Home Discharge Rate at DRG | 59.85 | |||
| Home Discharge Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 79.31 |
| 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 | 77 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 33 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 26 |
| 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 | 15 |
| Dr. MICHAEL L. LIPTAY | 1725 W HARRISON ST | CHICAGO | IL | 60612 | 13 |
| Dr. ROBERT EZRA MERRITT | 2050 KENNY RD | COLUMBUS | OH | 43221 | 12 |
| 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 | 15 |
| Dr. MICHAEL L. LIPTAY | 1725 W HARRISON ST | CHICAGO | IL | 60612 | 13 |
| Dr. ROBERT EZRA MERRITT | 2050 KENNY RD | COLUMBUS | OH | 43221 | 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 895 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung in DRG | 21.57 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 5.13 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 7.62 | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 4.16 | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $14,440,310 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $3,148 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $16,134 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $76,617,232 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $85,606 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 5.59 | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 67.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,484 | ||||
| Total Hospitalizations with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 116 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung in DRG | 2.8 | ||||
| Avg LOS at DRG | 4.49 | ||||
| Avg LOS with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 5.25 | ||||
| Readmission Rate at DRG | 27.89 | ||||
| Readmission Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 19.8 | ||||
| Unplanned Readmission Rate at DRG | 21.07 | ||||
| Unplanned Readmission Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 13.86 | ||||
| Total Medicare payments at DRG | $287,773,529 | ||||
| Total Medicare payments with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $1,033,567 | ||||
| Total Medicare payment per Day at DRG | $1,709 | ||||
| Total Medicare payment per Day with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $1,697 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,677 | ||||
| Total Medicare payment per Hospitalization with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $8,910 | ||||
| Total Medicare Charges at DRG | $1,483,578,942 | ||||
| Total Medicare Charges with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $5,466,241 | ||||
| Avg Charges at DRG | $39,579 | ||||
| Avg Charges with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $47,123 | ||||
| Mortality Rate at DRG | 4.3 | ||||
| Mortality Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | ||||
| SNF Discharge Rate at DRG | 10.7 | ||||
| SNF Discharge Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 13.79 | ||||
| Home Discharge Rate at DRG | 44.82 | ||||
| Home Discharge Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 40.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,403 | ||||
| Total Hospitalizations with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 52 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.0 | ||||
| Avg LOS with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 2.42 | ||||
| Readmission Rate at DRG | 11.25 | ||||
| Readmission Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | ||||
| Unplanned Readmission Rate at DRG | 6.64 | ||||
| Unplanned Readmission Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | ||||
| Total Medicare payments at DRG | $81,324,379 | ||||
| Total Medicare payments with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $406,487 | ||||
| Total Medicare payment per Day at DRG | $2,602 | ||||
| Total Medicare payment per Day with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $3,226 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,817 | ||||
| Total Medicare payment per Hospitalization with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $7,817 | ||||
| Total Medicare Charges at DRG | $497,200,815 | ||||
| Total Medicare Charges with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $2,637,955 | ||||
| Avg Charges at DRG | $47,794 | ||||
| Avg Charges with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $50,730 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | ||||
| SNF Discharge Rate at DRG | 3.03 | ||||
| SNF Discharge Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | ||||
| Home Discharge Rate at DRG | 80.29 | ||||
| Home Discharge Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 80.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,696 | ||||
| Total Hospitalizations with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 32 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung in DRG | 0.77 | ||||
| Avg LOS at DRG | 4.09 | ||||
| Avg LOS with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 3.56 | ||||
| Readmission Rate at DRG | 17.76 | ||||
| Readmission Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | ||||
| Unplanned Readmission Rate at DRG | 9.94 | ||||
| Unplanned Readmission Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | ||||
| Total Medicare payments at DRG | $185,027,607 | ||||
| Total Medicare payments with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $192,212 | ||||
| Total Medicare payment per Day at DRG | $1,575 | ||||
| Total Medicare payment per Day with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $1,686 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,448 | ||||
| Total Medicare payment per Hospitalization with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $6,007 | ||||
| Total Medicare Charges at DRG | $1,002,898,282 | ||||
| Total Medicare Charges with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $905,926 | ||||
| Avg Charges at DRG | $34,949 | ||||
| Avg Charges with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | $28,310 | ||||
| Mortality Rate at DRG | 0.51 | ||||
| Mortality Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | ||||
| SNF Discharge Rate at DRG | 15.23 | ||||
| SNF Discharge Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | NA | ||||
| Home Discharge Rate at DRG | 58.97 | ||||
| Home Discharge Rate with ICD C7A090 - Malignant carcinoid tumor of the bronchus and lung | 75.0 |
| 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 | 144 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 51 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 46 |
| 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 | 17 |
| Dr. MICHAEL L. LIPTAY | 1725 W HARRISON ST | CHICAGO | IL | 60612 | 13 |
| Dr. DAVID R. JONES | 1275 YORK AVE | NEW YORK | NY | 10065 | 12 |
| 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 | 17 |
| Dr. JAMES HUANG | 1275 YORK AVE | NEW YORK | NY | 10065 | 13 |
| Dr. MICHAEL L. LIPTAY | 1725 W HARRISON ST | CHICAGO | IL | 60612 | 13 |