*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N611 - Abscess of the breast and nipple - as a primary diagnosis code | N611 - Abscess of the breast and nipple - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.0 | |
| Readmission Rate (%) | 18.13 | |
| Unplanned Readmission Rate (%) | 8.44 | |
| 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 N611 - Abscess of the breast and nipple | 734 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N611 - Abscess of the breast and nipple in DRG | 40.57 | ||||
| Avg LOS at DRG | 4.49 | ||||
| Avg LOS with ICD N611 - Abscess of the breast and nipple | 4.49 | ||||
| Readmission Rate at DRG | 19.2 | ||||
| Readmission Rate with ICD N611 - Abscess of the breast and nipple | 13.84 | ||||
| Unplanned Readmission Rate at DRG | 14.16 | ||||
| Unplanned Readmission Rate with ICD N611 - Abscess of the breast and nipple | 9.87 | ||||
| Total Medicare payments at DRG | $21,056,540 | ||||
| Total Medicare payments with ICD N611 - Abscess of the breast and nipple | $4,738,426 | ||||
| Total Medicare payment per Day at DRG | $1,442 | ||||
| Total Medicare payment per Day with ICD N611 - Abscess of the breast and nipple | $1,438 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,473 | ||||
| Total Medicare payment per Hospitalization with ICD N611 - Abscess of the breast and nipple | $6,456 | ||||
| Total Medicare Charges at DRG | $100,095,328 | ||||
| Total Medicare Charges with ICD N611 - Abscess of the breast and nipple | $24,337,277 | ||||
| Avg Charges at DRG | $30,770 | ||||
| Avg Charges with ICD N611 - Abscess of the breast and nipple | $33,157 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| SNF Discharge Rate at DRG | 11.65 | ||||
| SNF Discharge Rate with ICD N611 - Abscess of the breast and nipple | 10.22 | ||||
| Home Discharge Rate at DRG | 58.56 | ||||
| Home Discharge Rate with ICD N611 - Abscess of the breast and nipple | 54.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 20,300 | ||||
| Total Hospitalizations with ICD N611 - Abscess of the breast and nipple | 46 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD N611 - Abscess of the breast and nipple in DRG | 2.54 | ||||
| Avg LOS at DRG | 6.22 | ||||
| Avg LOS with ICD N611 - Abscess of the breast and nipple | 5.33 | ||||
| Readmission Rate at DRG | 19.4 | ||||
| Readmission Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| Unplanned Readmission Rate at DRG | 10.71 | ||||
| Unplanned Readmission Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| Total Medicare payments at DRG | $190,603,062 | ||||
| Total Medicare payments with ICD N611 - Abscess of the breast and nipple | $404,006 | ||||
| Total Medicare payment per Day at DRG | $1,509 | ||||
| Total Medicare payment per Day with ICD N611 - Abscess of the breast and nipple | $1,649 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,389 | ||||
| Total Medicare payment per Hospitalization with ICD N611 - Abscess of the breast and nipple | $8,783 | ||||
| Total Medicare Charges at DRG | $1,002,015,148 | ||||
| Total Medicare Charges with ICD N611 - Abscess of the breast and nipple | $3,180,760 | ||||
| Avg Charges at DRG | $49,360 | ||||
| Avg Charges with ICD N611 - Abscess of the breast and nipple | $69,147 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| SNF Discharge Rate at DRG | 25.08 | ||||
| SNF Discharge Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| Home Discharge Rate at DRG | 30.6 | ||||
| Home Discharge Rate with ICD N611 - Abscess of the breast and nipple | 39.13 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,253 | ||||
| Total Hospitalizations with ICD N611 - Abscess of the breast and nipple | 761 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N611 - Abscess of the breast and nipple in DRG | 15.55 | ||||
| Avg LOS at DRG | 4.49 | ||||
| Avg LOS with ICD N611 - Abscess of the breast and nipple | 4.5 | ||||
| Readmission Rate at DRG | 19.2 | ||||
| Readmission Rate with ICD N611 - Abscess of the breast and nipple | 14.45 | ||||
| Unplanned Readmission Rate at DRG | 14.16 | ||||
| Unplanned Readmission Rate with ICD N611 - Abscess of the breast and nipple | 10.34 | ||||
| Total Medicare payments at DRG | $21,056,540 | ||||
| Total Medicare payments with ICD N611 - Abscess of the breast and nipple | $4,932,951 | ||||
| Total Medicare payment per Day at DRG | $1,442 | ||||
| Total Medicare payment per Day with ICD N611 - Abscess of the breast and nipple | $1,442 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,473 | ||||
| Total Medicare payment per Hospitalization with ICD N611 - Abscess of the breast and nipple | $6,482 | ||||
| Total Medicare Charges at DRG | $100,095,328 | ||||
| Total Medicare Charges with ICD N611 - Abscess of the breast and nipple | $25,118,984 | ||||
| Avg Charges at DRG | $30,770 | ||||
| Avg Charges with ICD N611 - Abscess of the breast and nipple | $33,008 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| SNF Discharge Rate at DRG | 11.65 | ||||
| SNF Discharge Rate with ICD N611 - Abscess of the breast and nipple | 10.38 | ||||
| Home Discharge Rate at DRG | 58.56 | ||||
| Home Discharge Rate with ICD N611 - Abscess of the breast and nipple | 53.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD N611 - Abscess of the breast and nipple | 195 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD N611 - Abscess of the breast and nipple in DRG | 3.98 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD N611 - Abscess of the breast and nipple | 4.98 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD N611 - Abscess of the breast and nipple | 14.77 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD N611 - Abscess of the breast and nipple | 9.09 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD N611 - Abscess of the breast and nipple | $1,225,765 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD N611 - Abscess of the breast and nipple | $1,261 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD N611 - Abscess of the breast and nipple | $6,286 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD N611 - Abscess of the breast and nipple | $7,624,284 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD N611 - Abscess of the breast and nipple | $39,099 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD N611 - Abscess of the breast and nipple | 15.38 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD N611 - Abscess of the breast and nipple | 47.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD N611 - Abscess of the breast and nipple | 86 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD N611 - Abscess of the breast and nipple in DRG | 1.76 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD N611 - Abscess of the breast and nipple | 13.27 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD N611 - Abscess of the breast and nipple | 20.25 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD N611 - Abscess of the breast and nipple | $864,800 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD N611 - Abscess of the breast and nipple | $758 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD N611 - Abscess of the breast and nipple | $10,056 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD N611 - Abscess of the breast and nipple | $2,769,171 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD N611 - Abscess of the breast and nipple | $32,200 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD N611 - Abscess of the breast and nipple | 82.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,666 | ||||
| Total Hospitalizations with ICD N611 - Abscess of the breast and nipple | 62 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD N611 - Abscess of the breast and nipple in DRG | 1.27 | ||||
| Avg LOS at DRG | 7.46 | ||||
| Avg LOS with ICD N611 - Abscess of the breast and nipple | 6.77 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| Unplanned Readmission Rate at DRG | 12.47 | ||||
| Unplanned Readmission Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| Total Medicare payments at DRG | $868,457,018 | ||||
| Total Medicare payments with ICD N611 - Abscess of the breast and nipple | $832,783 | ||||
| Total Medicare payment per Day at DRG | $1,984 | ||||
| Total Medicare payment per Day with ICD N611 - Abscess of the breast and nipple | $1,983 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,803 | ||||
| Total Medicare payment per Hospitalization with ICD N611 - Abscess of the breast and nipple | $13,432 | ||||
| Total Medicare Charges at DRG | $4,526,808,643 | ||||
| Total Medicare Charges with ICD N611 - Abscess of the breast and nipple | $3,669,324 | ||||
| Avg Charges at DRG | $77,162 | ||||
| Avg Charges with ICD N611 - Abscess of the breast and nipple | $59,183 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| SNF Discharge Rate at DRG | 26.05 | ||||
| SNF Discharge Rate with ICD N611 - Abscess of the breast and nipple | NA | ||||
| Home Discharge Rate at DRG | 35.9 | ||||
| Home Discharge Rate with ICD N611 - Abscess of the breast and nipple | 30.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 24 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 17 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 16 |