*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D491 - Neoplasm of unspecified behavior of respiratory system - as a primary diagnosis code | D491 - Neoplasm of unspecified behavior of respiratory system - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.73 | |
| Readmission Rate (%) | 23.71 | |
| Unplanned Readmission Rate (%) | 12.13 | |
| 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 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 37,484 | ||||
| Total Hospitalizations with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 186 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD D491 - Neoplasm of unspecified behavior of respiratory system in DRG | 24.77 | ||||
| Avg LOS at DRG | 4.49 | ||||
| Avg LOS with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 3.96 | ||||
| Readmission Rate at DRG | 27.89 | ||||
| Readmission Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 28.31 | ||||
| Unplanned Readmission Rate at DRG | 21.07 | ||||
| Unplanned Readmission Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 19.28 | ||||
| Total Medicare payments at DRG | $287,773,529 | ||||
| Total Medicare payments with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $1,357,673 | ||||
| Total Medicare payment per Day at DRG | $1,709 | ||||
| Total Medicare payment per Day with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $1,845 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,677 | ||||
| Total Medicare payment per Hospitalization with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $7,299 | ||||
| Total Medicare Charges at DRG | $1,483,578,942 | ||||
| Total Medicare Charges with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $6,684,940 | ||||
| Avg Charges at DRG | $39,579 | ||||
| Avg Charges with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $35,941 | ||||
| Mortality Rate at DRG | 4.3 | ||||
| Mortality Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | NA | ||||
| SNF Discharge Rate at DRG | 10.7 | ||||
| SNF Discharge Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 11.83 | ||||
| Home Discharge Rate at DRG | 44.82 | ||||
| Home Discharge Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 58.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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) | 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) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,636 | ||||
| Total Hospitalizations with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 47 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD D491 - Neoplasm of unspecified behavior of respiratory system in DRG | 6.26 | ||||
| Avg LOS at DRG | 5.73 | ||||
| Avg LOS with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 3.87 | ||||
| Readmission Rate at DRG | 21.72 | ||||
| Readmission Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | NA | ||||
| Unplanned Readmission Rate at DRG | 14.08 | ||||
| Unplanned Readmission Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | NA | ||||
| Total Medicare payments at DRG | $448,734,039 | ||||
| Total Medicare payments with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $563,454 | ||||
| Total Medicare payment per Day at DRG | $2,137 | ||||
| Total Medicare payment per Day with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $3,096 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,248 | ||||
| Total Medicare payment per Hospitalization with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $11,988 | ||||
| Total Medicare Charges at DRG | $2,388,208,589 | ||||
| Total Medicare Charges with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $2,610,143 | ||||
| Avg Charges at DRG | $65,187 | ||||
| Avg Charges with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $55,535 | ||||
| Mortality Rate at DRG | 0.77 | ||||
| Mortality Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | NA | ||||
| SNF Discharge Rate at DRG | 10.73 | ||||
| SNF Discharge Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | NA | ||||
| Home Discharge Rate at DRG | 59.85 | ||||
| Home Discharge Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 82.98 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. PETER'S HOSPITAL | 315 SO. MANNING BLVD | ALBANY | NY | 12208 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DENNIS J RASSIAS | 317 S MANNING BLVD | ALBANY | NY | 12208 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DENNIS J RASSIAS | 317 S MANNING BLVD | ALBANY | NY | 12208 | 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 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 D491 - Neoplasm of unspecified behavior of respiratory system | 279 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D491 - Neoplasm of unspecified behavior of respiratory system in DRG | 6.87 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 6.11 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 21.93 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 14.91 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $3,308,549 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $1,939 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $11,859 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $17,288,977 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $61,968 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 12.19 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 21.15 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 29.03 |
*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 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 143 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD D491 - Neoplasm of unspecified behavior of respiratory system in DRG | 3.52 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 6.92 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 20.34 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 14.41 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $1,539,257 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $1,555 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $10,764 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $7,550,520 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $52,801 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 8.39 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 13.99 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 30.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 182: RESPIRATORY NEOPLASMS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 90 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD D491 - Neoplasm of unspecified behavior of respiratory system in DRG | 2.21 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 5.73 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 30.38 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 24.05 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $883,320 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $1,712 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $9,815 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $4,484,430 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $49,827 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 22.22 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 45.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,276 | ||||
| Total Hospitalizations with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 55 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD D491 - Neoplasm of unspecified behavior of respiratory system in DRG | 1.35 | ||||
| Avg LOS at DRG | 12.15 | ||||
| Avg LOS with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 9.38 | ||||
| Readmission Rate at DRG | 27.64 | ||||
| Readmission Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 26.83 | ||||
| Unplanned Readmission Rate at DRG | 14.04 | ||||
| Unplanned Readmission Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | NA | ||||
| Total Medicare payments at DRG | $1,238,611,931 | ||||
| Total Medicare payments with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $1,909,732 | ||||
| Total Medicare payment per Day at DRG | $2,735 | ||||
| Total Medicare payment per Day with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $3,701 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,228 | ||||
| Total Medicare payment per Hospitalization with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $34,722 | ||||
| Total Medicare Charges at DRG | $5,969,079,351 | ||||
| Total Medicare Charges with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $8,484,985 | ||||
| Avg Charges at DRG | $160,132 | ||||
| Avg Charges with ICD D491 - Neoplasm of unspecified behavior of respiratory system | $154,272 | ||||
| Mortality Rate at DRG | 8.94 | ||||
| Mortality Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | NA | ||||
| SNF Discharge Rate at DRG | 17.97 | ||||
| SNF Discharge Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | NA | ||||
| Home Discharge Rate at DRG | 31.66 | ||||
| Home Discharge Rate with ICD D491 - Neoplasm of unspecified behavior of respiratory system | 30.91 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 26 |
| UCONN JOHN DEMPSEY HOSPITAL | 263 FARMINGTON AVENUE | FARMINGTON | CT | 06030 | 22 |
| JACKSON PURCHASE MEDICAL CENTER | 1099 MEDICAL CENTER CIR | MAYFIELD | KY | 42066 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DENNIS J RASSIAS | 317 S MANNING BLVD | ALBANY | NY | 12208 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DENNIS J RASSIAS | 317 S MANNING BLVD | ALBANY | NY | 12208 | 13 |