*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N62 - Hypertrophy of breast - as a primary diagnosis code | N62 - Hypertrophy of breast - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.42 | |
| Readmission Rate (%) | 23.08 | |
| Unplanned Readmission Rate (%) | 6.53 | |
| 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 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES 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 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 600: NON-MALIGNANT BREAST DISORDERS WITH 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 | 2,592 | ||||
| Total Hospitalizations with ICD N62 - Hypertrophy of breast | 160 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N62 - Hypertrophy of breast in DRG | 46.38 | ||||
| Avg LOS at DRG | 2.5 | ||||
| Avg LOS with ICD N62 - Hypertrophy of breast | 1.32 | ||||
| Readmission Rate at DRG | 7.13 | ||||
| Readmission Rate with ICD N62 - Hypertrophy of breast | 7.59 | ||||
| Unplanned Readmission Rate at DRG | 4.06 | ||||
| Unplanned Readmission Rate with ICD N62 - Hypertrophy of breast | NA | ||||
| Total Medicare payments at DRG | $24,332,331 | ||||
| Total Medicare payments with ICD N62 - Hypertrophy of breast | $1,167,797 | ||||
| Total Medicare payment per Day at DRG | $3,749 | ||||
| Total Medicare payment per Day with ICD N62 - Hypertrophy of breast | $5,508 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,387 | ||||
| Total Medicare payment per Hospitalization with ICD N62 - Hypertrophy of breast | $7,299 | ||||
| Total Medicare Charges at DRG | $156,786,499 | ||||
| Total Medicare Charges with ICD N62 - Hypertrophy of breast | $7,292,972 | ||||
| Avg Charges at DRG | $60,489 | ||||
| Avg Charges with ICD N62 - Hypertrophy of breast | $45,581 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N62 - Hypertrophy of breast | NA | ||||
| SNF Discharge Rate at DRG | 1.5 | ||||
| SNF Discharge Rate with ICD N62 - Hypertrophy of breast | NA | ||||
| Home Discharge Rate at DRG | 81.37 | ||||
| Home Discharge Rate with ICD N62 - Hypertrophy of breast | 92.5 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD N62 - Hypertrophy of breast | 484 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD N62 - Hypertrophy of breast in DRG | 5.82 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD N62 - Hypertrophy of breast | 16.13 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD N62 - Hypertrophy of breast | 31.61 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD N62 - Hypertrophy of breast | 16.99 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD N62 - Hypertrophy of breast | $5,236,788 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD N62 - Hypertrophy of breast | $671 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD N62 - Hypertrophy of breast | $10,820 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD N62 - Hypertrophy of breast | $21,225,607 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD N62 - Hypertrophy of breast | $43,855 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD N62 - Hypertrophy of breast | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD N62 - Hypertrophy of breast | 3.31 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD N62 - Hypertrophy of breast | 80.79 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,987 | ||||
| Total Hospitalizations with ICD N62 - Hypertrophy of breast | 136 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N62 - Hypertrophy of breast in DRG | 1.64 | ||||
| Avg LOS at DRG | 4.74 | ||||
| Avg LOS with ICD N62 - Hypertrophy of breast | 2.97 | ||||
| Readmission Rate at DRG | 15.97 | ||||
| Readmission Rate with ICD N62 - Hypertrophy of breast | 13.18 | ||||
| Unplanned Readmission Rate at DRG | 10.7 | ||||
| Unplanned Readmission Rate with ICD N62 - Hypertrophy of breast | 9.3 | ||||
| Total Medicare payments at DRG | $23,033,354 | ||||
| Total Medicare payments with ICD N62 - Hypertrophy of breast | $1,382,639 | ||||
| Total Medicare payment per Day at DRG | $2,447 | ||||
| Total Medicare payment per Day with ICD N62 - Hypertrophy of breast | $3,422 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,592 | ||||
| Total Medicare payment per Hospitalization with ICD N62 - Hypertrophy of breast | $10,166 | ||||
| Total Medicare Charges at DRG | $139,684,348 | ||||
| Total Medicare Charges with ICD N62 - Hypertrophy of breast | $8,138,149 | ||||
| Avg Charges at DRG | $70,299 | ||||
| Avg Charges with ICD N62 - Hypertrophy of breast | $59,839 | ||||
| Mortality Rate at DRG | 0.7 | ||||
| Mortality Rate with ICD N62 - Hypertrophy of breast | NA | ||||
| SNF Discharge Rate at DRG | 8.76 | ||||
| SNF Discharge Rate with ICD N62 - Hypertrophy of breast | NA | ||||
| Home Discharge Rate at DRG | 59.39 | ||||
| Home Discharge Rate with ICD N62 - Hypertrophy of breast | 75.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,169 | ||||
| Total Hospitalizations with ICD N62 - Hypertrophy of breast | 109 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD N62 - Hypertrophy of breast in DRG | 1.31 | ||||
| Avg LOS at DRG | 2.77 | ||||
| Avg LOS with ICD N62 - Hypertrophy of breast | 1.64 | ||||
| Readmission Rate at DRG | 8.43 | ||||
| Readmission Rate with ICD N62 - Hypertrophy of breast | NA | ||||
| Unplanned Readmission Rate at DRG | 4.51 | ||||
| Unplanned Readmission Rate with ICD N62 - Hypertrophy of breast | NA | ||||
| Total Medicare payments at DRG | $125,868,264 | ||||
| Total Medicare payments with ICD N62 - Hypertrophy of breast | $729,347 | ||||
| Total Medicare payment per Day at DRG | $2,503 | ||||
| Total Medicare payment per Day with ICD N62 - Hypertrophy of breast | $4,075 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,928 | ||||
| Total Medicare payment per Hospitalization with ICD N62 - Hypertrophy of breast | $6,691 | ||||
| Total Medicare Charges at DRG | $793,060,397 | ||||
| Total Medicare Charges with ICD N62 - Hypertrophy of breast | $6,901,772 | ||||
| Avg Charges at DRG | $43,649 | ||||
| Avg Charges with ICD N62 - Hypertrophy of breast | $63,319 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N62 - Hypertrophy of breast | NA | ||||
| SNF Discharge Rate at DRG | 6.85 | ||||
| SNF Discharge Rate with ICD N62 - Hypertrophy of breast | NA | ||||
| Home Discharge Rate at DRG | 61.18 | ||||
| Home Discharge Rate with ICD N62 - Hypertrophy of breast | 79.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD N62 - Hypertrophy of breast | 89 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD N62 - Hypertrophy of breast in DRG | 1.07 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD N62 - Hypertrophy of breast | 5.13 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD N62 - Hypertrophy of breast | 28.95 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD N62 - Hypertrophy of breast | 22.37 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD N62 - Hypertrophy of breast | $887,904 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD N62 - Hypertrophy of breast | $1,943 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD N62 - Hypertrophy of breast | $9,976 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD N62 - Hypertrophy of breast | $3,626,217 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD N62 - Hypertrophy of breast | $40,744 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD N62 - Hypertrophy of breast | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD N62 - Hypertrophy of breast | NA | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD N62 - Hypertrophy of breast | 50.56 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 54 |
| VAUGHAN REGIONAL MEDICAL CENTER | 1015 MEDICAL CENTER PKWY | SELMA | AL | 36701 | 43 |
| UT SOUTHWESTERN MEDICAL CENTER | 6201 HARRY HINES BLVD | DALLAS | TX | 75390 | 43 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ERNEST T OKEKE | 901 JEFF DAVIS AVE | SELMA | AL | 36701 | 37 |