*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D241 - Benign neoplasm of right breast - as a primary diagnosis code | D241 - Benign neoplasm of right breast - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.38 | |
| Readmission Rate (%) | 15.36 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 1,987 |
| Total Hospitalizations with ICD D241 - Benign neoplasm of right breast | 11 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD D241 - Benign neoplasm of right breast in DRG | 29.73 |
| Avg LOS at DRG | 4.74 |
| Avg LOS with ICD D241 - Benign neoplasm of right breast | 5.73 |
| Readmission Rate at DRG | 15.97 |
| Readmission Rate with ICD D241 - Benign neoplasm of right breast | NA |
| Unplanned Readmission Rate at DRG | 10.7 |
| Unplanned Readmission Rate with ICD D241 - Benign neoplasm of right breast | NA |
| Total Medicare payments at DRG | $23,033,354 |
| Total Medicare payments with ICD D241 - Benign neoplasm of right breast | $113,473 |
| Total Medicare payment per Day at DRG | $2,447 |
| Total Medicare payment per Day with ICD D241 - Benign neoplasm of right breast | $1,801 |
| Total Medicare payment per Hospitalization at DRG | $11,592 |
| Total Medicare payment per Hospitalization with ICD D241 - Benign neoplasm of right breast | $10,316 |
| Total Medicare Charges at DRG | $139,684,348 |
| Total Medicare Charges with ICD D241 - Benign neoplasm of right breast | $729,352 |
| Avg Charges at DRG | $70,299 |
| Avg Charges with ICD D241 - Benign neoplasm of right breast | $66,305 |
| Mortality Rate at DRG | 0.7 |
| Mortality Rate with ICD D241 - Benign neoplasm of right breast | NA |
| SNF Discharge Rate at DRG | 8.76 |
| SNF Discharge Rate with ICD D241 - Benign neoplasm of right breast | NA |
| Home Discharge Rate at DRG | 59.39 |
| Home Discharge Rate with ICD D241 - Benign neoplasm of right breast | 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 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,169 | ||||
| Total Hospitalizations with ICD D241 - Benign neoplasm of right breast | 36 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD D241 - Benign neoplasm of right breast in DRG | 9.16 | ||||
| Avg LOS at DRG | 2.77 | ||||
| Avg LOS with ICD D241 - Benign neoplasm of right breast | 1.58 | ||||
| Readmission Rate at DRG | 8.43 | ||||
| Readmission Rate with ICD D241 - Benign neoplasm of right breast | NA | ||||
| Unplanned Readmission Rate at DRG | 4.51 | ||||
| Unplanned Readmission Rate with ICD D241 - Benign neoplasm of right breast | NA | ||||
| Total Medicare payments at DRG | $125,868,264 | ||||
| Total Medicare payments with ICD D241 - Benign neoplasm of right breast | $233,851 | ||||
| Total Medicare payment per Day at DRG | $2,503 | ||||
| Total Medicare payment per Day with ICD D241 - Benign neoplasm of right breast | $4,103 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,928 | ||||
| Total Medicare payment per Hospitalization with ICD D241 - Benign neoplasm of right breast | $6,496 | ||||
| Total Medicare Charges at DRG | $793,060,397 | ||||
| Total Medicare Charges with ICD D241 - Benign neoplasm of right breast | $2,044,155 | ||||
| Avg Charges at DRG | $43,649 | ||||
| Avg Charges with ICD D241 - Benign neoplasm of right breast | $56,782 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD D241 - Benign neoplasm of right breast | NA | ||||
| SNF Discharge Rate at DRG | 6.85 | ||||
| SNF Discharge Rate with ICD D241 - Benign neoplasm of right breast | NA | ||||
| Home Discharge Rate at DRG | 61.18 | ||||
| Home Discharge Rate with ICD D241 - Benign neoplasm of right breast | 63.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 1,987 |
| Total Hospitalizations with ICD D241 - Benign neoplasm of right breast | 12 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD D241 - Benign neoplasm of right breast in DRG | 3.05 |
| Avg LOS at DRG | 4.74 |
| Avg LOS with ICD D241 - Benign neoplasm of right breast | 5.83 |
| Readmission Rate at DRG | 15.97 |
| Readmission Rate with ICD D241 - Benign neoplasm of right breast | NA |
| Unplanned Readmission Rate at DRG | 10.7 |
| Unplanned Readmission Rate with ICD D241 - Benign neoplasm of right breast | NA |
| Total Medicare payments at DRG | $23,033,354 |
| Total Medicare payments with ICD D241 - Benign neoplasm of right breast | $138,294 |
| Total Medicare payment per Day at DRG | $2,447 |
| Total Medicare payment per Day with ICD D241 - Benign neoplasm of right breast | $1,976 |
| Total Medicare payment per Hospitalization at DRG | $11,592 |
| Total Medicare payment per Hospitalization with ICD D241 - Benign neoplasm of right breast | $11,525 |
| Total Medicare Charges at DRG | $139,684,348 |
| Total Medicare Charges with ICD D241 - Benign neoplasm of right breast | $861,935 |
| Avg Charges at DRG | $70,299 |
| Avg Charges with ICD D241 - Benign neoplasm of right breast | $71,828 |
| Mortality Rate at DRG | 0.7 |
| Mortality Rate with ICD D241 - Benign neoplasm of right breast | NA |
| SNF Discharge Rate at DRG | 8.76 |
| SNF Discharge Rate with ICD D241 - Benign neoplasm of right breast | NA |
| Home Discharge Rate at DRG | 59.39 |
| Home Discharge Rate with ICD D241 - Benign neoplasm of right breast | NA |