*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture - as a primary diagnosis code | M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.26 | |
| Readmission Rate (%) | 32.43 | |
| Unplanned Readmission Rate (%) | 18.43 | |
| 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 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 47,199 | ||||
| Total Hospitalizations with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 2,189 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture in DRG | 31.77 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 4.95 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 28.21 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 19.25 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $16,212,918 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $1,496 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $7,407 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $90,816,231 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $41,488 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 1.19 | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 20.97 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 32.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,040 | ||||
| Total Hospitalizations with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 358 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture in DRG | 5.2 | ||||
| Avg LOS at DRG | 11.53 | ||||
| Avg LOS with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 13.94 | ||||
| Readmission Rate at DRG | 51.77 | ||||
| Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 53.5 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 14.59 | ||||
| Total Medicare payments at DRG | $358,064,249 | ||||
| Total Medicare payments with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $25,574,028 | ||||
| Total Medicare payment per Day at DRG | $6,161 | ||||
| Total Medicare payment per Day with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $5,125 | ||||
| Total Medicare payment per Hospitalization at DRG | $71,044 | ||||
| Total Medicare payment per Hospitalization with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $71,436 | ||||
| Total Medicare Charges at DRG | $1,557,634,832 | ||||
| Total Medicare Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $104,220,842 | ||||
| Avg Charges at DRG | $309,055 | ||||
| Avg Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $291,120 | ||||
| Mortality Rate at DRG | 3.35 | ||||
| Mortality Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 7.26 | ||||
| SNF Discharge Rate at DRG | 36.57 | ||||
| SNF Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 31.84 | ||||
| Home Discharge Rate at DRG | 9.72 | ||||
| Home Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 6.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,165 | ||||
| Total Hospitalizations with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 77 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture in DRG | 1.12 | ||||
| Avg LOS at DRG | 8.45 | ||||
| Avg LOS with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 11.19 | ||||
| Readmission Rate at DRG | 43.41 | ||||
| Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 50.82 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 18.03 | ||||
| Total Medicare payments at DRG | $378,975,481 | ||||
| Total Medicare payments with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $3,100,125 | ||||
| Total Medicare payment per Day at DRG | $4,018 | ||||
| Total Medicare payment per Day with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $3,596 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,943 | ||||
| Total Medicare payment per Hospitalization with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $40,261 | ||||
| Total Medicare Charges at DRG | $1,826,793,767 | ||||
| Total Medicare Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $17,556,713 | ||||
| Avg Charges at DRG | $163,618 | ||||
| Avg Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $228,009 | ||||
| Mortality Rate at DRG | 3.84 | ||||
| Mortality Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 19.48 | ||||
| SNF Discharge Rate at DRG | 26.49 | ||||
| SNF Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 19.48 | ||||
| Home Discharge Rate at DRG | 23.25 | ||||
| Home Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 16.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 495: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATIOM DEVICES EXCEPT HIP AND FEMUR 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) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,511 | ||||
| Total Hospitalizations with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 24 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture in DRG | 0.35 | ||||
| Avg LOS at DRG | 9.13 | ||||
| Avg LOS with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 13.21 | ||||
| Readmission Rate at DRG | 29.13 | ||||
| Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | NA | ||||
| Unplanned Readmission Rate at DRG | 12.9 | ||||
| Unplanned Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | NA | ||||
| Total Medicare payments at DRG | $32,597,168 | ||||
| Total Medicare payments with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $704,253 | ||||
| Total Medicare payment per Day at DRG | $2,364 | ||||
| Total Medicare payment per Day with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $2,222 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,573 | ||||
| Total Medicare payment per Hospitalization with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $29,344 | ||||
| Total Medicare Charges at DRG | $165,072,371 | ||||
| Total Medicare Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $3,529,372 | ||||
| Avg Charges at DRG | $109,247 | ||||
| Avg Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $147,057 | ||||
| Mortality Rate at DRG | 2.65 | ||||
| Mortality Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 35.08 | ||||
| SNF Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | NA | ||||
| Home Discharge Rate at DRG | 18.86 | ||||
| Home Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, 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 | 98 |
| ARTHUR G JAMES CANCER HOSPITAL | 300 W 10TH AVE | COLUMBUS | OH | 43210 | 73 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 59 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ERIC LIS | 1275 YORK AVE | NEW YORK | NY | 10021 | 25 |
| Dr. ILYA LAUFER | 1275 YORK AVE | NEW YORK | NY | 10065 | 24 |
| Dr. JOHN HONG SHIN | 15 PARKMAN ST | BOSTON | MA | 02114 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ILYA LAUFER | 1275 YORK AVE | NEW YORK | NY | 10065 | 32 |
| Dr. EHUD MENDEL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 23 |
| Dr. JOHN HONG SHIN | 15 PARKMAN ST | BOSTON | MA | 02114 | 19 |
*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 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 47,199 | ||||
| Total Hospitalizations with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 3,325 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture in DRG | 15.84 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 5.51 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 28.94 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 19.99 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $26,022,087 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $1,421 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $7,826 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $155,095,370 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $46,645 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 1.14 | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 22.71 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 30.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 841: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,492 | ||||
| Total Hospitalizations with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 623 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture in DRG | 2.97 | ||||
| Avg LOS at DRG | 10.44 | ||||
| Avg LOS with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 11.34 | ||||
| Readmission Rate at DRG | 33.5 | ||||
| Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 30.2 | ||||
| Unplanned Readmission Rate at DRG | 18.55 | ||||
| Unplanned Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 19.72 | ||||
| Total Medicare payments at DRG | $222,941,658 | ||||
| Total Medicare payments with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $13,467,553 | ||||
| Total Medicare payment per Day at DRG | $2,035 | ||||
| Total Medicare payment per Day with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $1,906 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,249 | ||||
| Total Medicare payment per Hospitalization with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $21,617 | ||||
| Total Medicare Charges at DRG | $1,105,743,816 | ||||
| Total Medicare Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $73,563,478 | ||||
| Avg Charges at DRG | $105,389 | ||||
| Avg Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $118,079 | ||||
| Mortality Rate at DRG | 3.15 | ||||
| Mortality Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 6.26 | ||||
| SNF Discharge Rate at DRG | 39.48 | ||||
| SNF Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 38.36 | ||||
| Home Discharge Rate at DRG | 15.98 | ||||
| Home Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 14.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 824: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 479 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture in DRG | 2.28 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 4.99 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 28.6 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 19.07 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $3,026,739 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $1,266 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $6,319 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $17,138,590 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $35,780 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 15.24 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 39.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 823: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,167 | ||||
| Total Hospitalizations with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 232 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture in DRG | 1.11 | ||||
| Avg LOS at DRG | 3.11 | ||||
| Avg LOS with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 7.3 | ||||
| Readmission Rate at DRG | 19.37 | ||||
| Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 34.8 | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 15.42 | ||||
| Total Medicare payments at DRG | $899,179,360 | ||||
| Total Medicare payments with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $5,251,424 | ||||
| Total Medicare payment per Day at DRG | $5,763 | ||||
| Total Medicare payment per Day with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $3,100 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,924 | ||||
| Total Medicare payment per Hospitalization with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $22,635 | ||||
| Total Medicare Charges at DRG | $4,767,802,860 | ||||
| Total Medicare Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $37,001,605 | ||||
| Avg Charges at DRG | $95,039 | ||||
| Avg Charges with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | $159,490 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 11.73 | ||||
| SNF Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 13.79 | ||||
| Home Discharge Rate at DRG | 60.19 | ||||
| Home Discharge Rate with ICD M8458XA - Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 46.12 |
| 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 | 295 |
| ARTHUR G JAMES CANCER HOSPITAL | 300 W 10TH AVE | COLUMBUS | OH | 43210 | 219 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 193 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN HONG SHIN | 15 PARKMAN ST | BOSTON | MA | 02114 | 48 |
| Dr. MARK H BILSKY | 1275 YORK AVE | NEW YORK | NY | 10021 | 41 |
| Dr. ERIC LIS | 1275 YORK AVE | NEW YORK | NY | 10021 | 39 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ILYA LAUFER | 1275 YORK AVE | NEW YORK | NY | 10065 | 46 |
| Dr. JOHN HONG SHIN | 15 PARKMAN ST | BOSTON | MA | 02114 | 42 |
| Dr. MARK H BILSKY | 1275 YORK AVE | NEW YORK | NY | 10021 | 38 |