*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung - as a primary diagnosis code | D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.49 | |
| Readmission Rate (%) | 23.5 | |
| Unplanned Readmission Rate (%) | 14.21 | |
| 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 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 182: RESPIRATORY NEOPLASMS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||||
| Total Hospitalizations with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 162 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung in DRG | 25.55 | ||||
| Avg LOS at DRG | 6.45 | ||||
| Avg LOS with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 4.93 | ||||
| Readmission Rate at DRG | 26.69 | ||||
| Readmission Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 24.82 | ||||
| Unplanned Readmission Rate at DRG | 20.8 | ||||
| Unplanned Readmission Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 21.9 | ||||
| Total Medicare payments at DRG | $651,389,136 | ||||
| Total Medicare payments with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $1,596,942 | ||||
| Total Medicare payment per Day at DRG | $1,767 | ||||
| Total Medicare payment per Day with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $2,001 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,393 | ||||
| Total Medicare payment per Hospitalization with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $9,858 | ||||
| Total Medicare Charges at DRG | $3,285,887,644 | ||||
| Total Medicare Charges with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $6,583,330 | ||||
| Avg Charges at DRG | $57,471 | ||||
| Avg Charges with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $40,638 | ||||
| Mortality Rate at DRG | 12.27 | ||||
| Mortality Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | ||||
| SNF Discharge Rate at DRG | 12.94 | ||||
| SNF Discharge Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 12.96 | ||||
| Home Discharge Rate at DRG | 28.03 | ||||
| Home Discharge Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 45.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | |||
| Total Hospitalizations with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 44 | |||
| DRG Share of Total Hospitalizations | 0.25 | |||
| % of Total ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung in DRG | 6.94 | |||
| Avg LOS at DRG | 12.91 | |||
| Avg LOS with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 5.36 | |||
| Readmission Rate at DRG | 32.17 | |||
| Readmission Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | |||
| Unplanned Readmission Rate at DRG | 19.76 | |||
| Unplanned Readmission Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | |||
| Total Medicare payments at DRG | $2,324,349,241 | |||
| Total Medicare payments with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $957,732 | |||
| Total Medicare payment per Day at DRG | $2,187 | |||
| Total Medicare payment per Day with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $4,058 | |||
| Total Medicare payment per Hospitalization at DRG | $28,230 | |||
| Total Medicare payment per Hospitalization with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $21,767 | |||
| Total Medicare Charges at DRG | $11,401,334,817 | |||
| Total Medicare Charges with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $2,841,040 | |||
| Avg Charges at DRG | $138,475 | |||
| Avg Charges with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $64,569 | |||
| Mortality Rate at DRG | 10.6 | |||
| Mortality Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | |||
| SNF Discharge Rate at DRG | 21.62 | |||
| SNF Discharge Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | |||
| Home Discharge Rate at DRG | 30.12 | |||
| Home Discharge Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 52.27 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MOFFITT CANCER CENTER | 12902 MAGNOLIA DR | TAMPA | FL | 33612 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT JOSEPH CACCAVALE | 35 CLYDE ROAD | SOMERSET | NJ | 08873 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT JOSEPH CACCAVALE | 35 CLYDE ROAD | SOMERSET | NJ | 08873 | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 191 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung in DRG | 6.45 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 6.35 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 26.06 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 16.9 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $2,222,433 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $1,834 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $11,636 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $11,052,212 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $57,865 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 12.57 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 19.9 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 25.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 90 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung in DRG | 3.04 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 6.22 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 15.85 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $955,916 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $1,707 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $10,621 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $3,788,824 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $42,098 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 21.11 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 32.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 182: RESPIRATORY NEOPLASMS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,277 | ||||
| Total Hospitalizations with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 74 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung in DRG | 2.5 | ||||
| Avg LOS at DRG | 3.44 | ||||
| Avg LOS with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 2.85 | ||||
| Readmission Rate at DRG | 7.43 | ||||
| Readmission Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | ||||
| Unplanned Readmission Rate at DRG | 4.65 | ||||
| Unplanned Readmission Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | ||||
| Total Medicare payments at DRG | $307,145,903 | ||||
| Total Medicare payments with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $819,200 | ||||
| Total Medicare payment per Day at DRG | $3,395 | ||||
| Total Medicare payment per Day with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $3,882 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,689 | ||||
| Total Medicare payment per Hospitalization with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $11,070 | ||||
| Total Medicare Charges at DRG | $1,771,264,244 | ||||
| Total Medicare Charges with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $4,522,673 | ||||
| Avg Charges at DRG | $67,407 | ||||
| Avg Charges with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $61,117 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | ||||
| SNF Discharge Rate at DRG | 3.13 | ||||
| SNF Discharge Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | ||||
| Home Discharge Rate at DRG | 76.41 | ||||
| Home Discharge Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 79.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 35 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung in DRG | 1.18 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | 7.57 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $423,519 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $1,598 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $12,101 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $1,702,098 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | $48,631 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD D381 - Neoplasm of uncertain behavior of trachea, bronchus and lung | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OLEAN GENERAL HOSPITAL | 515 MAIN ST | OLEAN | NY | 14760 | 27 |
| HEALTHSOUTH REHABILITATION OF GADSDEN | 801 GOODYEAR AVE | GADSDEN | AL | 35903 | 25 |
| MAJOR HOSPITAL | 150 W WASHINGTON ST | SHELBYVILLE | IN | 46176 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ERIC TOLOZA | 12902 USF MAGNOLIA DR | TAMPA | FL | 33612 | 11 |
| Dr. ROBERT JOSEPH CACCAVALE | 35 CLYDE ROAD | SOMERSET | NJ | 08873 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VLADIMIR SLUTSKER | 801 GOODYEAR AVE | GADSDEN | AL | 35903 | 13 |
| Dr. ERIC TOLOZA | 12902 USF MAGNOLIA DR | TAMPA | FL | 33612 | 11 |
| Dr. ROBERT JOSEPH CACCAVALE | 35 CLYDE ROAD | SOMERSET | NJ | 08873 | 11 |