*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D214 - Benign neoplasm of connective and other soft tissue of abdomen - as a primary diagnosis code | D214 - Benign neoplasm of connective and other soft tissue of abdomen - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.97 | |
| Readmission Rate (%) | 17.38 | |
| Unplanned Readmission Rate (%) | 8.82 | |
| 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 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,958 | ||||
| Total Hospitalizations with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 108 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen in DRG | 19.18 | ||||
| Avg LOS at DRG | 3.81 | ||||
| Avg LOS with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 2.42 | ||||
| Readmission Rate at DRG | 15.77 | ||||
| Readmission Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Unplanned Readmission Rate at DRG | 7.13 | ||||
| Unplanned Readmission Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Total Medicare payments at DRG | $38,129,498 | ||||
| Total Medicare payments with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $501,319 | ||||
| Total Medicare payment per Day at DRG | $1,437 | ||||
| Total Medicare payment per Day with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $1,921 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,480 | ||||
| Total Medicare payment per Hospitalization with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $4,642 | ||||
| Total Medicare Charges at DRG | $177,015,555 | ||||
| Total Medicare Charges with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $5,130,666 | ||||
| Avg Charges at DRG | $25,441 | ||||
| Avg Charges with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $47,506 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| SNF Discharge Rate at DRG | 33.64 | ||||
| SNF Discharge Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Home Discharge Rate at DRG | 33.75 | ||||
| Home Discharge Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 92.59 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | |||
| Total Hospitalizations with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 35 | |||
| DRG Share of Total Hospitalizations | 0.33 | |||
| % of Total ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen in DRG | 6.22 | |||
| Avg LOS at DRG | 12.66 | |||
| Avg LOS with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 12.8 | |||
| Readmission Rate at DRG | 35.31 | |||
| Readmission Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | |||
| Unplanned Readmission Rate at DRG | 20.73 | |||
| Unplanned Readmission Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | |||
| Total Medicare payments at DRG | $3,554,922,428 | |||
| Total Medicare payments with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $1,171,626 | |||
| Total Medicare payment per Day at DRG | $2,575 | |||
| Total Medicare payment per Day with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $2,615 | |||
| Total Medicare payment per Hospitalization at DRG | $32,609 | |||
| Total Medicare payment per Hospitalization with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $33,475 | |||
| Total Medicare Charges at DRG | $15,445,232,132 | |||
| Total Medicare Charges with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $4,757,581 | |||
| Avg Charges at DRG | $141,676 | |||
| Avg Charges with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $135,931 | |||
| Mortality Rate at DRG | 8.99 | |||
| Mortality Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | |||
| SNF Discharge Rate at DRG | 27.26 | |||
| SNF Discharge Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | |||
| Home Discharge Rate at DRG | 27.78 | |||
| Home Discharge Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 51.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,958 | ||||
| Total Hospitalizations with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 109 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen in DRG | 8.4 | ||||
| Avg LOS at DRG | 3.81 | ||||
| Avg LOS with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 2.43 | ||||
| Readmission Rate at DRG | 15.77 | ||||
| Readmission Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Unplanned Readmission Rate at DRG | 7.13 | ||||
| Unplanned Readmission Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Total Medicare payments at DRG | $38,129,498 | ||||
| Total Medicare payments with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $507,264 | ||||
| Total Medicare payment per Day at DRG | $1,437 | ||||
| Total Medicare payment per Day with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $1,914 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,480 | ||||
| Total Medicare payment per Hospitalization with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $4,654 | ||||
| Total Medicare Charges at DRG | $177,015,555 | ||||
| Total Medicare Charges with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $5,237,756 | ||||
| Avg Charges at DRG | $25,441 | ||||
| Avg Charges with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $48,053 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| SNF Discharge Rate at DRG | 33.64 | ||||
| SNF Discharge Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Home Discharge Rate at DRG | 33.75 | ||||
| Home Discharge Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 92.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 47 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen in DRG | 3.62 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 3.91 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $298,578 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $1,623 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $6,353 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $1,890,622 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $40,226 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 65.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 27 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen in DRG | 2.08 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 6.96 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $325,733 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $1,733 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $12,064 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $1,741,549 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $64,502 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 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 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,559 | ||||
| Total Hospitalizations with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 19 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen in DRG | 1.46 | ||||
| Avg LOS at DRG | 4.67 | ||||
| Avg LOS with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | 9.32 | ||||
| Readmission Rate at DRG | 23.96 | ||||
| Readmission Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Unplanned Readmission Rate at DRG | 9.89 | ||||
| Unplanned Readmission Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Total Medicare payments at DRG | $524,182,097 | ||||
| Total Medicare payments with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $301,033 | ||||
| Total Medicare payment per Day at DRG | $2,636 | ||||
| Total Medicare payment per Day with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $1,701 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,317 | ||||
| Total Medicare payment per Hospitalization with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $15,844 | ||||
| Total Medicare Charges at DRG | $2,765,571,309 | ||||
| Total Medicare Charges with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $1,850,735 | ||||
| Avg Charges at DRG | $64,982 | ||||
| Avg Charges with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | $97,407 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| SNF Discharge Rate at DRG | 33.62 | ||||
| SNF Discharge Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA | ||||
| Home Discharge Rate at DRG | 31.52 | ||||
| Home Discharge Rate with ICD D214 - Benign neoplasm of connective and other soft tissue of abdomen | NA |
| 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 | 16 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | D62 | Acute posthemorrhagic anemia |
| 2 | I10 | Essential (primary) hypertension |
| 3 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 4 | E785 | Hyperlipidemia, unspecified |
| 5 | Z87891 | Personal history of nicotine dependence |