*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N610 - Mastitis without abscess - as a primary diagnosis code | N610 - Mastitis without abscess - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.23 | |
| Readmission Rate (%) | 23.1 | |
| Unplanned Readmission Rate (%) | 13.72 | |
| 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 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 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,253 | ||||
| Total Hospitalizations with ICD N610 - Mastitis without abscess | 1,115 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N610 - Mastitis without abscess in DRG | 63.57 | ||||
| Avg LOS at DRG | 4.49 | ||||
| Avg LOS with ICD N610 - Mastitis without abscess | 4.35 | ||||
| Readmission Rate at DRG | 19.2 | ||||
| Readmission Rate with ICD N610 - Mastitis without abscess | 23.07 | ||||
| Unplanned Readmission Rate at DRG | 14.16 | ||||
| Unplanned Readmission Rate with ICD N610 - Mastitis without abscess | 17.66 | ||||
| Total Medicare payments at DRG | $21,056,540 | ||||
| Total Medicare payments with ICD N610 - Mastitis without abscess | $7,182,498 | ||||
| Total Medicare payment per Day at DRG | $1,442 | ||||
| Total Medicare payment per Day with ICD N610 - Mastitis without abscess | $1,482 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,473 | ||||
| Total Medicare payment per Hospitalization with ICD N610 - Mastitis without abscess | $6,442 | ||||
| Total Medicare Charges at DRG | $100,095,328 | ||||
| Total Medicare Charges with ICD N610 - Mastitis without abscess | $33,542,315 | ||||
| Avg Charges at DRG | $30,770 | ||||
| Avg Charges with ICD N610 - Mastitis without abscess | $30,083 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N610 - Mastitis without abscess | NA | ||||
| SNF Discharge Rate at DRG | 11.65 | ||||
| SNF Discharge Rate with ICD N610 - Mastitis without abscess | 11.66 | ||||
| Home Discharge Rate at DRG | 58.56 | ||||
| Home Discharge Rate with ICD N610 - Mastitis without abscess | 63.68 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 15 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 14 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,253 | ||||
| Total Hospitalizations with ICD N610 - Mastitis without abscess | 1,168 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N610 - Mastitis without abscess in DRG | 16.9 | ||||
| Avg LOS at DRG | 4.49 | ||||
| Avg LOS with ICD N610 - Mastitis without abscess | 4.34 | ||||
| Readmission Rate at DRG | 19.2 | ||||
| Readmission Rate with ICD N610 - Mastitis without abscess | 22.79 | ||||
| Unplanned Readmission Rate at DRG | 14.16 | ||||
| Unplanned Readmission Rate with ICD N610 - Mastitis without abscess | 17.53 | ||||
| Total Medicare payments at DRG | $21,056,540 | ||||
| Total Medicare payments with ICD N610 - Mastitis without abscess | $7,511,888 | ||||
| Total Medicare payment per Day at DRG | $1,442 | ||||
| Total Medicare payment per Day with ICD N610 - Mastitis without abscess | $1,483 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,473 | ||||
| Total Medicare payment per Hospitalization with ICD N610 - Mastitis without abscess | $6,431 | ||||
| Total Medicare Charges at DRG | $100,095,328 | ||||
| Total Medicare Charges with ICD N610 - Mastitis without abscess | $35,227,941 | ||||
| Avg Charges at DRG | $30,770 | ||||
| Avg Charges with ICD N610 - Mastitis without abscess | $30,161 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N610 - Mastitis without abscess | NA | ||||
| SNF Discharge Rate at DRG | 11.65 | ||||
| SNF Discharge Rate with ICD N610 - Mastitis without abscess | 11.39 | ||||
| Home Discharge Rate at DRG | 58.56 | ||||
| Home Discharge Rate with ICD N610 - Mastitis without abscess | 63.53 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 909: OTHER O.R. PROCEDURES FOR INJURIES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD N610 - Mastitis without abscess | 242 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD N610 - Mastitis without abscess in DRG | 3.5 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD N610 - Mastitis without abscess | 9.17 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD N610 - Mastitis without abscess | 40.55 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD N610 - Mastitis without abscess | 29.95 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD N610 - Mastitis without abscess | $2,476,672 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD N610 - Mastitis without abscess | $1,116 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD N610 - Mastitis without abscess | $10,234 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD N610 - Mastitis without abscess | $15,448,250 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD N610 - Mastitis without abscess | $63,836 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD N610 - Mastitis without abscess | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD N610 - Mastitis without abscess | 30.99 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD N610 - Mastitis without abscess | 22.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 921: COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,814 | ||||
| Total Hospitalizations with ICD N610 - Mastitis without abscess | 95 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD N610 - Mastitis without abscess in DRG | 1.37 | ||||
| Avg LOS at DRG | 4.26 | ||||
| Avg LOS with ICD N610 - Mastitis without abscess | 3.74 | ||||
| Readmission Rate at DRG | 21.39 | ||||
| Readmission Rate with ICD N610 - Mastitis without abscess | NA | ||||
| Unplanned Readmission Rate at DRG | 12.66 | ||||
| Unplanned Readmission Rate with ICD N610 - Mastitis without abscess | NA | ||||
| Total Medicare payments at DRG | $306,035,736 | ||||
| Total Medicare payments with ICD N610 - Mastitis without abscess | $625,544 | ||||
| Total Medicare payment per Day at DRG | $1,677 | ||||
| Total Medicare payment per Day with ICD N610 - Mastitis without abscess | $1,762 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,148 | ||||
| Total Medicare payment per Hospitalization with ICD N610 - Mastitis without abscess | $6,585 | ||||
| Total Medicare Charges at DRG | $1,526,820,622 | ||||
| Total Medicare Charges with ICD N610 - Mastitis without abscess | $2,462,067 | ||||
| Avg Charges at DRG | $35,662 | ||||
| Avg Charges with ICD N610 - Mastitis without abscess | $25,916 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD N610 - Mastitis without abscess | NA | ||||
| SNF Discharge Rate at DRG | 13.54 | ||||
| SNF Discharge Rate with ICD N610 - Mastitis without abscess | NA | ||||
| Home Discharge Rate at DRG | 56.63 | ||||
| Home Discharge Rate with ICD N610 - Mastitis without abscess | 69.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD N610 - Mastitis without abscess | 79 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD N610 - Mastitis without abscess in DRG | 1.14 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD N610 - Mastitis without abscess | 13.0 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD N610 - Mastitis without abscess | 38.46 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD N610 - Mastitis without abscess | 20.0 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD N610 - Mastitis without abscess | $2,642,098 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD N610 - Mastitis without abscess | $2,573 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD N610 - Mastitis without abscess | $33,444 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD N610 - Mastitis without abscess | $11,455,567 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD N610 - Mastitis without abscess | $145,007 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD N610 - Mastitis without abscess | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD N610 - Mastitis without abscess | 32.91 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD N610 - Mastitis without abscess | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 37 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 32 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 29 |