*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | Total National Projected Hospitalizations - Annualized (Present on Admission - All) | Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | Total Medicare Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N61 | Inflammatory disorders of breast | 9.71 | |||||||||||||
| N611 | Abscess of the breast and nipple | 8.44 | |||||||||||||
| N610 | Mastitis without abscess | 13.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | 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 Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N610 | Mastitis without abscess | 6.23 | 23.1 | ||||||||||||||||
| N61 | Inflammatory disorders of breast | 6.25 | 20.93 | ||||||||||||||||
| N611 | Abscess of the breast and nipple | 6.0 | 18.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 600: NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 601: NON-MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,253 | ||||
| Total Hospitalizations with ICD N61 - Inflammatory disorders of breast | 998 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N61 - Inflammatory disorders of breast in DRG | 51.42 | ||||
| Avg LOS at DRG | 4.49 | ||||
| Avg LOS with ICD N61 - Inflammatory disorders of breast | 4.81 | ||||
| Readmission Rate at DRG | 19.2 | ||||
| Readmission Rate with ICD N61 - Inflammatory disorders of breast | 16.72 | ||||
| Unplanned Readmission Rate at DRG | 14.16 | ||||
| Unplanned Readmission Rate with ICD N61 - Inflammatory disorders of breast | 11.94 | ||||
| Total Medicare payments at DRG | $21,056,540 | ||||
| Total Medicare payments with ICD N61 - Inflammatory disorders of breast | $6,416,739 | ||||
| Total Medicare payment per Day at DRG | $1,442 | ||||
| Total Medicare payment per Day with ICD N61 - Inflammatory disorders of breast | $1,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,473 | ||||
| Total Medicare payment per Hospitalization with ICD N61 - Inflammatory disorders of breast | $6,430 | ||||
| Total Medicare Charges at DRG | $100,095,328 | ||||
| Total Medicare Charges with ICD N61 - Inflammatory disorders of breast | $29,124,561 | ||||
| Avg Charges at DRG | $30,770 | ||||
| Avg Charges with ICD N61 - Inflammatory disorders of breast | $29,183 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N61 - Inflammatory disorders of breast | NA | ||||
| SNF Discharge Rate at DRG | 11.65 | ||||
| SNF Discharge Rate with ICD N61 - Inflammatory disorders of breast | 10.72 | ||||
| Home Discharge Rate at DRG | 58.56 | ||||
| Home Discharge Rate with ICD N61 - Inflammatory disorders of breast | 57.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 572: SKIN DEBRIDEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,663 | |||
| Total Hospitalizations with ICD N61 - Inflammatory disorders of breast | 21 | |||
| DRG Share of Total Hospitalizations | 0.06 | |||
| % of Total ICD N61 - Inflammatory disorders of breast in DRG | 1.08 | |||
| Avg LOS at DRG | 13.89 | |||
| Avg LOS with ICD N61 - Inflammatory disorders of breast | 14.9 | |||
| Readmission Rate at DRG | 32.63 | |||
| Readmission Rate with ICD N61 - Inflammatory disorders of breast | 55.0 | |||
| Unplanned Readmission Rate at DRG | 18.18 | |||
| Unplanned Readmission Rate with ICD N61 - Inflammatory disorders of breast | NA | |||
| Total Medicare payments at DRG | $387,130,602 | |||
| Total Medicare payments with ICD N61 - Inflammatory disorders of breast | $385,479 | |||
| Total Medicare payment per Day at DRG | $1,417 | |||
| Total Medicare payment per Day with ICD N61 - Inflammatory disorders of breast | $1,232 | |||
| Total Medicare payment per Hospitalization at DRG | $19,688 | |||
| Total Medicare payment per Hospitalization with ICD N61 - Inflammatory disorders of breast | $18,356 | |||
| Total Medicare Charges at DRG | $1,865,858,139 | |||
| Total Medicare Charges with ICD N61 - Inflammatory disorders of breast | $2,270,852 | |||
| Avg Charges at DRG | $94,892 | |||
| Avg Charges with ICD N61 - Inflammatory disorders of breast | $108,136 | |||
| Mortality Rate at DRG | 3.29 | |||
| Mortality Rate with ICD N61 - Inflammatory disorders of breast | NA | |||
| SNF Discharge Rate at DRG | 40.65 | |||
| SNF Discharge Rate with ICD N61 - Inflammatory disorders of breast | NA | |||
| Home Discharge Rate at DRG | 12.36 | |||
| Home Discharge Rate with ICD N61 - Inflammatory disorders of breast | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 14 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 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 600: NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 601: NON-MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,253 | ||||
| Total Hospitalizations with ICD N61 - Inflammatory disorders of breast | 1,015 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N61 - Inflammatory disorders of breast in DRG | 14.68 | ||||
| Avg LOS at DRG | 4.49 | ||||
| Avg LOS with ICD N61 - Inflammatory disorders of breast | 4.82 | ||||
| Readmission Rate at DRG | 19.2 | ||||
| Readmission Rate with ICD N61 - Inflammatory disorders of breast | 17.06 | ||||
| Unplanned Readmission Rate at DRG | 14.16 | ||||
| Unplanned Readmission Rate with ICD N61 - Inflammatory disorders of breast | 12.16 | ||||
| Total Medicare payments at DRG | $21,056,540 | ||||
| Total Medicare payments with ICD N61 - Inflammatory disorders of breast | $6,535,982 | ||||
| Total Medicare payment per Day at DRG | $1,442 | ||||
| Total Medicare payment per Day with ICD N61 - Inflammatory disorders of breast | $1,336 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,473 | ||||
| Total Medicare payment per Hospitalization with ICD N61 - Inflammatory disorders of breast | $6,439 | ||||
| Total Medicare Charges at DRG | $100,095,328 | ||||
| Total Medicare Charges with ICD N61 - Inflammatory disorders of breast | $29,816,912 | ||||
| Avg Charges at DRG | $30,770 | ||||
| Avg Charges with ICD N61 - Inflammatory disorders of breast | $29,376 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N61 - Inflammatory disorders of breast | NA | ||||
| SNF Discharge Rate at DRG | 11.65 | ||||
| SNF Discharge Rate with ICD N61 - Inflammatory disorders of breast | 10.84 | ||||
| Home Discharge Rate at DRG | 58.56 | ||||
| Home Discharge Rate with ICD N61 - Inflammatory disorders of breast | 57.34 |
*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) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,987 | ||||
| Total Hospitalizations with ICD N61 - Inflammatory disorders of breast | 224 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N61 - Inflammatory disorders of breast in DRG | 3.24 | ||||
| Avg LOS at DRG | 4.74 | ||||
| Avg LOS with ICD N61 - Inflammatory disorders of breast | 5.96 | ||||
| Readmission Rate at DRG | 15.97 | ||||
| Readmission Rate with ICD N61 - Inflammatory disorders of breast | 14.48 | ||||
| Unplanned Readmission Rate at DRG | 10.7 | ||||
| Unplanned Readmission Rate with ICD N61 - Inflammatory disorders of breast | 10.41 | ||||
| Total Medicare payments at DRG | $23,033,354 | ||||
| Total Medicare payments with ICD N61 - Inflammatory disorders of breast | $2,330,333 | ||||
| Total Medicare payment per Day at DRG | $2,447 | ||||
| Total Medicare payment per Day with ICD N61 - Inflammatory disorders of breast | $1,744 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,592 | ||||
| Total Medicare payment per Hospitalization with ICD N61 - Inflammatory disorders of breast | $10,403 | ||||
| Total Medicare Charges at DRG | $139,684,348 | ||||
| Total Medicare Charges with ICD N61 - Inflammatory disorders of breast | $10,892,936 | ||||
| Avg Charges at DRG | $70,299 | ||||
| Avg Charges with ICD N61 - Inflammatory disorders of breast | $48,629 | ||||
| Mortality Rate at DRG | 0.7 | ||||
| Mortality Rate with ICD N61 - Inflammatory disorders of breast | NA | ||||
| SNF Discharge Rate at DRG | 8.76 | ||||
| SNF Discharge Rate with ICD N61 - Inflammatory disorders of breast | 12.5 | ||||
| Home Discharge Rate at DRG | 59.39 | ||||
| Home Discharge Rate with ICD N61 - Inflammatory disorders of breast | 49.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,412 | ||||
| Total Hospitalizations with ICD N61 - Inflammatory disorders of breast | 95 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD N61 - Inflammatory disorders of breast in DRG | 1.37 | ||||
| Avg LOS at DRG | 2.94 | ||||
| Avg LOS with ICD N61 - Inflammatory disorders of breast | 3.69 | ||||
| Readmission Rate at DRG | 13.71 | ||||
| Readmission Rate with ICD N61 - Inflammatory disorders of breast | NA | ||||
| Unplanned Readmission Rate at DRG | 6.95 | ||||
| Unplanned Readmission Rate with ICD N61 - Inflammatory disorders of breast | NA | ||||
| Total Medicare payments at DRG | $92,512,880 | ||||
| Total Medicare payments with ICD N61 - Inflammatory disorders of breast | $835,527 | ||||
| Total Medicare payment per Day at DRG | $2,756 | ||||
| Total Medicare payment per Day with ICD N61 - Inflammatory disorders of breast | $2,380 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,107 | ||||
| Total Medicare payment per Hospitalization with ICD N61 - Inflammatory disorders of breast | $8,795 | ||||
| Total Medicare Charges at DRG | $512,750,404 | ||||
| Total Medicare Charges with ICD N61 - Inflammatory disorders of breast | $3,613,505 | ||||
| Avg Charges at DRG | $44,931 | ||||
| Avg Charges with ICD N61 - Inflammatory disorders of breast | $38,037 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N61 - Inflammatory disorders of breast | NA | ||||
| SNF Discharge Rate at DRG | 10.16 | ||||
| SNF Discharge Rate with ICD N61 - Inflammatory disorders of breast | NA | ||||
| Home Discharge Rate at DRG | 60.25 | ||||
| Home Discharge Rate with ICD N61 - Inflammatory disorders of breast | 74.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 921: COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD N61 - Inflammatory disorders of breast | 66 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD N61 - Inflammatory disorders of breast in DRG | 0.95 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD N61 - Inflammatory disorders of breast | 5.38 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD N61 - Inflammatory disorders of breast | 24.59 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD N61 - Inflammatory disorders of breast | 21.31 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD N61 - Inflammatory disorders of breast | $395,848 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD N61 - Inflammatory disorders of breast | $1,115 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD N61 - Inflammatory disorders of breast | $5,998 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD N61 - Inflammatory disorders of breast | $2,612,494 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD N61 - Inflammatory disorders of breast | $39,583 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD N61 - Inflammatory disorders of breast | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD N61 - Inflammatory disorders of breast | 19.7 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD N61 - Inflammatory disorders of breast | 39.39 |
| 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 | 37 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 34 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 20 |