*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C801 - Malignant (primary) neoplasm, unspecified - as a primary diagnosis code | C801 - Malignant (primary) neoplasm, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.0 | |
| Readmission Rate (%) | 26.6 | |
| Unplanned Readmission Rate (%) | 19.98 | |
| 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 843: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 844: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 829: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)/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 827: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,611 | ||||
| Total Hospitalizations with ICD C801 - Malignant (primary) neoplasm, unspecified | 1,454 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C801 - Malignant (primary) neoplasm, unspecified in DRG | 38.91 | ||||
| Avg LOS at DRG | 7.33 | ||||
| Avg LOS with ICD C801 - Malignant (primary) neoplasm, unspecified | 6.61 | ||||
| Readmission Rate at DRG | 28.26 | ||||
| Readmission Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 25.93 | ||||
| Unplanned Readmission Rate at DRG | 20.47 | ||||
| Unplanned Readmission Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 18.85 | ||||
| Total Medicare payments at DRG | $88,080,906 | ||||
| Total Medicare payments with ICD C801 - Malignant (primary) neoplasm, unspecified | $17,812,015 | ||||
| Total Medicare payment per Day at DRG | $1,818 | ||||
| Total Medicare payment per Day with ICD C801 - Malignant (primary) neoplasm, unspecified | $1,854 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,323 | ||||
| Total Medicare payment per Hospitalization with ICD C801 - Malignant (primary) neoplasm, unspecified | $12,250 | ||||
| Total Medicare Charges at DRG | $418,952,537 | ||||
| Total Medicare Charges with ICD C801 - Malignant (primary) neoplasm, unspecified | $78,639,553 | ||||
| Avg Charges at DRG | $63,372 | ||||
| Avg Charges with ICD C801 - Malignant (primary) neoplasm, unspecified | $54,085 | ||||
| Mortality Rate at DRG | 14.54 | ||||
| Mortality Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 17.47 | ||||
| SNF Discharge Rate at DRG | 15.2 | ||||
| SNF Discharge Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 14.44 | ||||
| Home Discharge Rate at DRG | 25.06 | ||||
| Home Discharge Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 23.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 830: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 826: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 828: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 1,334 | ||
| Total Hospitalizations with ICD C801 - Malignant (primary) neoplasm, unspecified | 91 | ||
| DRG Share of Total Hospitalizations | 0.0 | ||
| % of Total ICD C801 - Malignant (primary) neoplasm, unspecified in DRG | 2.44 | ||
| Avg LOS at DRG | 2.92 | ||
| Avg LOS with ICD C801 - Malignant (primary) neoplasm, unspecified | 2.99 | ||
| Readmission Rate at DRG | 12.56 | ||
| Readmission Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 14.94 | ||
| Unplanned Readmission Rate at DRG | 7.12 | ||
| Unplanned Readmission Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | NA | ||
| Total Medicare payments at DRG | $11,833,763 | ||
| Total Medicare payments with ICD C801 - Malignant (primary) neoplasm, unspecified | $785,171 | ||
| Total Medicare payment per Day at DRG | $3,036 | ||
| Total Medicare payment per Day with ICD C801 - Malignant (primary) neoplasm, unspecified | $2,887 | ||
| Total Medicare payment per Hospitalization at DRG | $8,871 | ||
| Total Medicare payment per Hospitalization with ICD C801 - Malignant (primary) neoplasm, unspecified | $8,628 | ||
| Total Medicare Charges at DRG | $70,506,659 | ||
| Total Medicare Charges with ICD C801 - Malignant (primary) neoplasm, unspecified | $4,378,627 | ||
| Avg Charges at DRG | $52,854 | ||
| Avg Charges with ICD C801 - Malignant (primary) neoplasm, unspecified | $48,117 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | NA | ||
| SNF Discharge Rate at DRG | 3.75 | ||
| SNF Discharge Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | NA | ||
| Home Discharge Rate at DRG | 79.16 | ||
| Home Discharge Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 69.23 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CALVARY HOSPITAL | 1740 EASTCHESTER RD | BRONX | NY | 10461 | 42 |
| LEE MEMORIAL HOSPITAL | 2776 CLEVELAND AVE | FT MYERS | FL | 33901 | 16 |
| MAINE MEDICAL CENTER | 22 BRAMHALL ST | PORTLAND | ME | 04102 | 13 |
*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 843: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 844: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD C801 - Malignant (primary) neoplasm, unspecified | 2,805 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD C801 - Malignant (primary) neoplasm, unspecified in DRG | 6.52 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD C801 - Malignant (primary) neoplasm, unspecified | 5.86 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 20.4 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 15.85 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD C801 - Malignant (primary) neoplasm, unspecified | $34,258,440 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD C801 - Malignant (primary) neoplasm, unspecified | $2,083 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD C801 - Malignant (primary) neoplasm, unspecified | $12,213 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD C801 - Malignant (primary) neoplasm, unspecified | $173,457,529 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD C801 - Malignant (primary) neoplasm, unspecified | $61,839 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 28.59 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 15.61 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 14.58 |
*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 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,598 | ||||
| Total Hospitalizations with ICD C801 - Malignant (primary) neoplasm, unspecified | 1,055 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD C801 - Malignant (primary) neoplasm, unspecified in DRG | 2.45 | ||||
| Avg LOS at DRG | 5.58 | ||||
| Avg LOS with ICD C801 - Malignant (primary) neoplasm, unspecified | 5.27 | ||||
| Readmission Rate at DRG | 27.89 | ||||
| Readmission Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 25.17 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 13.83 | ||||
| Total Medicare payments at DRG | $420,580,748 | ||||
| Total Medicare payments with ICD C801 - Malignant (primary) neoplasm, unspecified | $9,594,564 | ||||
| Total Medicare payment per Day at DRG | $1,728 | ||||
| Total Medicare payment per Day with ICD C801 - Malignant (primary) neoplasm, unspecified | $1,726 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,647 | ||||
| Total Medicare payment per Hospitalization with ICD C801 - Malignant (primary) neoplasm, unspecified | $9,094 | ||||
| Total Medicare Charges at DRG | $2,165,508,049 | ||||
| Total Medicare Charges with ICD C801 - Malignant (primary) neoplasm, unspecified | $52,286,774 | ||||
| Avg Charges at DRG | $49,670 | ||||
| Avg Charges with ICD C801 - Malignant (primary) neoplasm, unspecified | $49,561 | ||||
| Mortality Rate at DRG | 4.23 | ||||
| Mortality Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 5.5 | ||||
| SNF Discharge Rate at DRG | 18.01 | ||||
| SNF Discharge Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 15.45 | ||||
| Home Discharge Rate at DRG | 29.57 | ||||
| Home Discharge Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 26.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 682: RENAL FAILURE WITH 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 21,107 | ||||
| Total Hospitalizations with ICD C801 - Malignant (primary) neoplasm, unspecified | 650 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD C801 - Malignant (primary) neoplasm, unspecified in DRG | 1.51 | ||||
| Avg LOS at DRG | 6.49 | ||||
| Avg LOS with ICD C801 - Malignant (primary) neoplasm, unspecified | 6.73 | ||||
| Readmission Rate at DRG | 26.91 | ||||
| Readmission Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 32.41 | ||||
| Unplanned Readmission Rate at DRG | 14.11 | ||||
| Unplanned Readmission Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 24.1 | ||||
| Total Medicare payments at DRG | $299,258,488 | ||||
| Total Medicare payments with ICD C801 - Malignant (primary) neoplasm, unspecified | $8,925,444 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD C801 - Malignant (primary) neoplasm, unspecified | $2,040 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,178 | ||||
| Total Medicare payment per Hospitalization with ICD C801 - Malignant (primary) neoplasm, unspecified | $13,731 | ||||
| Total Medicare Charges at DRG | $1,625,982,661 | ||||
| Total Medicare Charges with ICD C801 - Malignant (primary) neoplasm, unspecified | $46,863,704 | ||||
| Avg Charges at DRG | $77,035 | ||||
| Avg Charges with ICD C801 - Malignant (primary) neoplasm, unspecified | $72,098 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 35.38 | ||||
| SNF Discharge Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 28.0 | ||||
| Home Discharge Rate at DRG | 25.84 | ||||
| Home Discharge Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 34.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT 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 | 434,264 | ||||
| Total Hospitalizations with ICD C801 - Malignant (primary) neoplasm, unspecified | 537 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD C801 - Malignant (primary) neoplasm, unspecified in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD C801 - Malignant (primary) neoplasm, unspecified | 4.19 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 29.76 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 22.06 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD C801 - Malignant (primary) neoplasm, unspecified | $3,201,483 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD C801 - Malignant (primary) neoplasm, unspecified | $1,422 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD C801 - Malignant (primary) neoplasm, unspecified | $5,962 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD C801 - Malignant (primary) neoplasm, unspecified | $17,604,537 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD C801 - Malignant (primary) neoplasm, unspecified | $32,783 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 6.33 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 13.41 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD C801 - Malignant (primary) neoplasm, unspecified | 33.15 |
| 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 | 178 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 144 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 134 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALOZIE I UNEZE | 8220 GOOD LUCK RD | LANHAM | MD | 20706 | 13 |
| Dr. ERIC GENDEN | 5 E 98TH ST | NEW YORK | NY | 10029 | 13 |
| Dr. RANDALL RYAN | 4755 OGLETOWN STANTON RD | NEWARK | DE | 19718 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 31 |
| Dr. MATTHEW W SWAN | 3901 RAINBOW BLVD | KANSAS CITY | KS | 66160 | 16 |
| Dr. ERIC GENDEN | 5 E 98TH ST | NEW YORK | NY | 10029 | 14 |