*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N641 - Fat necrosis of breast - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.2 | |
| 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 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT 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 908: OTHER O.R. PROCEDURES FOR INJURIES 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 | 1,987 | ||||
| Total Hospitalizations with ICD N641 - Fat necrosis of breast | 61 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N641 - Fat necrosis of breast in DRG | 8.94 | ||||
| Avg LOS at DRG | 4.74 | ||||
| Avg LOS with ICD N641 - Fat necrosis of breast | 6.61 | ||||
| Readmission Rate at DRG | 15.97 | ||||
| Readmission Rate with ICD N641 - Fat necrosis of breast | 19.64 | ||||
| Unplanned Readmission Rate at DRG | 10.7 | ||||
| Unplanned Readmission Rate with ICD N641 - Fat necrosis of breast | NA | ||||
| Total Medicare payments at DRG | $23,033,354 | ||||
| Total Medicare payments with ICD N641 - Fat necrosis of breast | $671,746 | ||||
| Total Medicare payment per Day at DRG | $2,447 | ||||
| Total Medicare payment per Day with ICD N641 - Fat necrosis of breast | $1,667 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,592 | ||||
| Total Medicare payment per Hospitalization with ICD N641 - Fat necrosis of breast | $11,012 | ||||
| Total Medicare Charges at DRG | $139,684,348 | ||||
| Total Medicare Charges with ICD N641 - Fat necrosis of breast | $4,008,939 | ||||
| Avg Charges at DRG | $70,299 | ||||
| Avg Charges with ICD N641 - Fat necrosis of breast | $65,720 | ||||
| Mortality Rate at DRG | 0.7 | ||||
| Mortality Rate with ICD N641 - Fat necrosis of breast | NA | ||||
| SNF Discharge Rate at DRG | 8.76 | ||||
| SNF Discharge Rate with ICD N641 - Fat necrosis of breast | NA | ||||
| Home Discharge Rate at DRG | 59.39 | ||||
| Home Discharge Rate with ICD N641 - Fat necrosis of breast | 42.62 |
*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 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) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 598: MALIGNANT BREAST DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD N641 - Fat necrosis of breast | 22 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD N641 - Fat necrosis of breast in DRG | 3.23 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD N641 - Fat necrosis of breast | 11.5 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD N641 - Fat necrosis of breast | NA | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD N641 - Fat necrosis of breast | NA | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD N641 - Fat necrosis of breast | $624,692 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD N641 - Fat necrosis of breast | $2,469 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD N641 - Fat necrosis of breast | $28,395 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD N641 - Fat necrosis of breast | $2,718,237 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD N641 - Fat necrosis of breast | $123,556 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD N641 - Fat necrosis of breast | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD N641 - Fat necrosis of breast | NA | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD N641 - Fat necrosis of 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.
| DRG 597: MALIGNANT BREAST DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 583: MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,363 | ||||
| Total Hospitalizations with ICD N641 - Fat necrosis of breast | 15 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N641 - Fat necrosis of breast in DRG | 2.2 | ||||
| Avg LOS at DRG | 6.98 | ||||
| Avg LOS with ICD N641 - Fat necrosis of breast | 6.6 | ||||
| Readmission Rate at DRG | 26.24 | ||||
| Readmission Rate with ICD N641 - Fat necrosis of breast | NA | ||||
| Unplanned Readmission Rate at DRG | 20.35 | ||||
| Unplanned Readmission Rate with ICD N641 - Fat necrosis of breast | NA | ||||
| Total Medicare payments at DRG | $53,135,565 | ||||
| Total Medicare payments with ICD N641 - Fat necrosis of breast | $163,850 | ||||
| Total Medicare payment per Day at DRG | $1,744 | ||||
| Total Medicare payment per Day with ICD N641 - Fat necrosis of breast | $1,655 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,179 | ||||
| Total Medicare payment per Hospitalization with ICD N641 - Fat necrosis of breast | $10,923 | ||||
| Total Medicare Charges at DRG | $248,644,638 | ||||
| Total Medicare Charges with ICD N641 - Fat necrosis of breast | $664,478 | ||||
| Avg Charges at DRG | $56,989 | ||||
| Avg Charges with ICD N641 - Fat necrosis of breast | $44,299 | ||||
| Mortality Rate at DRG | 14.53 | ||||
| Mortality Rate with ICD N641 - Fat necrosis of breast | NA | ||||
| SNF Discharge Rate at DRG | 15.84 | ||||
| SNF Discharge Rate with ICD N641 - Fat necrosis of breast | NA | ||||
| Home Discharge Rate at DRG | 23.81 | ||||
| Home Discharge Rate with ICD N641 - Fat necrosis of 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.
| DRG 902: WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 7,664 | ||
| Total Hospitalizations with ICD N641 - Fat necrosis of breast | 12 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD N641 - Fat necrosis of breast in DRG | 1.76 | ||
| Avg LOS at DRG | 7.06 | ||
| Avg LOS with ICD N641 - Fat necrosis of breast | 6.08 | ||
| Readmission Rate at DRG | 22.53 | ||
| Readmission Rate with ICD N641 - Fat necrosis of breast | NA | ||
| Unplanned Readmission Rate at DRG | 10.27 | ||
| Unplanned Readmission Rate with ICD N641 - Fat necrosis of breast | NA | ||
| Total Medicare payments at DRG | $107,875,152 | ||
| Total Medicare payments with ICD N641 - Fat necrosis of breast | $161,180 | ||
| Total Medicare payment per Day at DRG | $1,994 | ||
| Total Medicare payment per Day with ICD N641 - Fat necrosis of breast | $2,208 | ||
| Total Medicare payment per Hospitalization at DRG | $14,076 | ||
| Total Medicare payment per Hospitalization with ICD N641 - Fat necrosis of breast | $13,432 | ||
| Total Medicare Charges at DRG | $526,193,390 | ||
| Total Medicare Charges with ICD N641 - Fat necrosis of breast | $654,969 | ||
| Avg Charges at DRG | $68,658 | ||
| Avg Charges with ICD N641 - Fat necrosis of breast | $54,581 | ||
| Mortality Rate at DRG | 0.17 | ||
| Mortality Rate with ICD N641 - Fat necrosis of breast | NA | ||
| SNF Discharge Rate at DRG | 24.32 | ||
| SNF Discharge Rate with ICD N641 - Fat necrosis of breast | NA | ||
| Home Discharge Rate at DRG | 28.33 | ||
| Home Discharge Rate with ICD N641 - Fat necrosis of breast | NA |