*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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N63 | Unspecified lump in breast | 14.29 | |||||||||||||
| N630 | Unspecified lump in unspecified breast | NA |
*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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N63 | Unspecified lump in breast | 6.37 | 23.51 | ||||||||||||||||
| N630 | Unspecified lump in unspecified breast | 6.45 | 23.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,253 | |||
| Total Hospitalizations with ICD N63 - Unspecified lump in breast | 73 | |||
| DRG Share of Total Hospitalizations | 0.01 | |||
| % of Total ICD N63 - Unspecified lump in breast in DRG | 35.27 | |||
| Avg LOS at DRG | 4.49 | |||
| Avg LOS with ICD N63 - Unspecified lump in breast | 4.22 | |||
| Readmission Rate at DRG | 19.2 | |||
| Readmission Rate with ICD N63 - Unspecified lump in breast | 30.3 | |||
| Unplanned Readmission Rate at DRG | 14.16 | |||
| Unplanned Readmission Rate with ICD N63 - Unspecified lump in breast | 16.67 | |||
| Total Medicare payments at DRG | $21,056,540 | |||
| Total Medicare payments with ICD N63 - Unspecified lump in breast | $504,932 | |||
| Total Medicare payment per Day at DRG | $1,442 | |||
| Total Medicare payment per Day with ICD N63 - Unspecified lump in breast | $1,639 | |||
| Total Medicare payment per Hospitalization at DRG | $6,473 | |||
| Total Medicare payment per Hospitalization with ICD N63 - Unspecified lump in breast | $6,917 | |||
| Total Medicare Charges at DRG | $100,095,328 | |||
| Total Medicare Charges with ICD N63 - Unspecified lump in breast | $2,472,006 | |||
| Avg Charges at DRG | $30,770 | |||
| Avg Charges with ICD N63 - Unspecified lump in breast | $33,863 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD N63 - Unspecified lump in breast | NA | |||
| SNF Discharge Rate at DRG | 11.65 | |||
| SNF Discharge Rate with ICD N63 - Unspecified lump in breast | NA | |||
| Home Discharge Rate at DRG | 58.56 | |||
| Home Discharge Rate with ICD N63 - Unspecified lump in breast | 57.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD N63 - Unspecified lump in breast | 781 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD N63 - Unspecified lump in breast in DRG | 5.49 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N63 - Unspecified lump in breast | 7.0 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD N63 - Unspecified lump in breast | 25.04 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD N63 - Unspecified lump in breast | 16.35 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD N63 - Unspecified lump in breast | $9,215,825 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD N63 - Unspecified lump in breast | $1,686 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD N63 - Unspecified lump in breast | $11,800 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD N63 - Unspecified lump in breast | $47,245,152 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD N63 - Unspecified lump in breast | $60,493 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD N63 - Unspecified lump in breast | 8.32 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD N63 - Unspecified lump in breast | 31.37 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD N63 - Unspecified lump in breast | 26.63 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD N63 - Unspecified lump in breast | 270 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD N63 - Unspecified lump in breast in DRG | 1.9 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD N63 - Unspecified lump in breast | 16.41 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD N63 - Unspecified lump in breast | 27.97 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD N63 - Unspecified lump in breast | 15.71 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD N63 - Unspecified lump in breast | $2,917,430 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD N63 - Unspecified lump in breast | $658 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD N63 - Unspecified lump in breast | $10,805 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD N63 - Unspecified lump in breast | $10,752,586 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD N63 - Unspecified lump in breast | $39,824 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD N63 - Unspecified lump in breast | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD N63 - Unspecified lump in breast | 8.89 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD N63 - Unspecified lump in breast | 72.22 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD N63 - Unspecified lump in breast | 209 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD N63 - Unspecified lump in breast in DRG | 1.47 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD N63 - Unspecified lump in breast | 5.07 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD N63 - Unspecified lump in breast | 18.5 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD N63 - Unspecified lump in breast | 11.0 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD N63 - Unspecified lump in breast | $1,390,005 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD N63 - Unspecified lump in breast | $1,313 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD N63 - Unspecified lump in breast | $6,651 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD N63 - Unspecified lump in breast | $8,521,033 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD N63 - Unspecified lump in breast | $40,770 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD N63 - Unspecified lump in breast | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD N63 - Unspecified lump in breast | 21.53 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD N63 - Unspecified lump in breast | 45.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD N63 - Unspecified lump in breast | 154 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD N63 - Unspecified lump in breast in DRG | 1.08 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD N63 - Unspecified lump in breast | 5.03 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD N63 - Unspecified lump in breast | 27.15 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD N63 - Unspecified lump in breast | 20.53 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD N63 - Unspecified lump in breast | $924,389 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD N63 - Unspecified lump in breast | $1,193 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD N63 - Unspecified lump in breast | $6,003 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD N63 - Unspecified lump in breast | $4,840,435 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD N63 - Unspecified lump in breast | $31,431 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD N63 - Unspecified lump in breast | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD N63 - Unspecified lump in breast | 26.62 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD N63 - Unspecified lump in breast | 42.21 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 63 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 44 |
| LONG ISLAND JEWISH MEDICAL CENTER | 270-05 76 AVE | NEW HYDE PARK | NY | 11040 | 41 |