*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture - as a primary diagnosis code | M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.87 | |
| Readmission Rate (%) | 28.32 | |
| Unplanned Readmission Rate (%) | 15.31 | |
| 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 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 47,199 | ||||
| Total Hospitalizations with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 449 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture in DRG | 51.61 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 4.68 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 23.23 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 14.67 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $3,261,885 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $1,552 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $7,265 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $16,192,934 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $36,064 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 34.74 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 14.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 544: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 42,559 | ||
| Total Hospitalizations with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 24 | ||
| DRG Share of Total Hospitalizations | 0.13 | ||
| % of Total ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture in DRG | 2.76 | ||
| Avg LOS at DRG | 4.67 | ||
| Avg LOS with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 5.17 | ||
| Readmission Rate at DRG | 23.96 | ||
| Readmission Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | NA | ||
| Unplanned Readmission Rate at DRG | 9.89 | ||
| Unplanned Readmission Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | NA | ||
| Total Medicare payments at DRG | $524,182,097 | ||
| Total Medicare payments with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $347,260 | ||
| Total Medicare payment per Day at DRG | $2,636 | ||
| Total Medicare payment per Day with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $2,800 | ||
| Total Medicare payment per Hospitalization at DRG | $12,317 | ||
| Total Medicare payment per Hospitalization with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $14,469 | ||
| Total Medicare Charges at DRG | $2,765,571,309 | ||
| Total Medicare Charges with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $2,010,406 | ||
| Avg Charges at DRG | $64,982 | ||
| Avg Charges with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $83,767 | ||
| Mortality Rate at DRG | 0.11 | ||
| Mortality Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | NA | ||
| SNF Discharge Rate at DRG | 33.62 | ||
| SNF Discharge Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | NA | ||
| Home Discharge Rate at DRG | 31.52 | ||
| Home Discharge Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 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 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 47,199 | ||||
| Total Hospitalizations with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 639 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture in DRG | 26.69 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 5.13 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 23.1 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 15.34 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $4,766,423 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $1,455 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $7,459 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $25,120,257 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $39,312 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 32.86 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 15.65 |
*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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 841: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 68 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture in DRG | 2.84 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 7.9 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 26.0 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $961,089 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $1,790 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $14,134 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $5,188,329 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $76,299 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 23.53 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 23.53 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 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 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 824: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 83,447 | ||||
| Total Hospitalizations with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 35 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture in DRG | 1.46 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 10.6 | ||||
| Readmission Rate at DRG | 26.61 | ||||
| Readmission Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 53.13 | ||||
| Unplanned Readmission Rate at DRG | 10.75 | ||||
| Unplanned Readmission Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | NA | ||||
| Total Medicare payments at DRG | $1,636,094,359 | ||||
| Total Medicare payments with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $1,017,096 | ||||
| Total Medicare payment per Day at DRG | $3,100 | ||||
| Total Medicare payment per Day with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $2,741 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,606 | ||||
| Total Medicare payment per Hospitalization with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $29,060 | ||||
| Total Medicare Charges at DRG | $7,936,043,941 | ||||
| Total Medicare Charges with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $4,959,391 | ||||
| Avg Charges at DRG | $95,103 | ||||
| Avg Charges with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $141,697 | ||||
| Mortality Rate at DRG | 3.79 | ||||
| Mortality Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 52.83 | ||||
| SNF Discharge Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 51.43 | ||||
| Home Discharge Rate at DRG | 9.28 | ||||
| Home Discharge Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 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 823: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,258 | ||||
| Total Hospitalizations with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 23 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture in DRG | 0.96 | ||||
| Avg LOS at DRG | 13.76 | ||||
| Avg LOS with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 22.83 | ||||
| Readmission Rate at DRG | 39.67 | ||||
| Readmission Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | NA | ||||
| Unplanned Readmission Rate at DRG | 23.8 | ||||
| Unplanned Readmission Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | NA | ||||
| Total Medicare payments at DRG | $256,092,605 | ||||
| Total Medicare payments with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $937,725 | ||||
| Total Medicare payment per Day at DRG | $2,565 | ||||
| Total Medicare payment per Day with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $1,786 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,284 | ||||
| Total Medicare payment per Hospitalization with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $40,771 | ||||
| Total Medicare Charges at DRG | $1,187,005,134 | ||||
| Total Medicare Charges with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $5,635,895 | ||||
| Avg Charges at DRG | $163,544 | ||||
| Avg Charges with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | $245,039 | ||||
| Mortality Rate at DRG | 12.83 | ||||
| Mortality Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 19.77 | ||||
| SNF Discharge Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | NA | ||||
| Home Discharge Rate at DRG | 29.75 | ||||
| Home Discharge Rate with ICD M84550A - Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture | 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 | 32 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 26 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 22 |