*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R220 - Localized swelling, mass and lump, head - as a primary diagnosis code | R220 - Localized swelling, mass and lump, head - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.1 | |
| Readmission Rate (%) | 24.7 | |
| Unplanned Readmission Rate (%) | 14.51 | |
| 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 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 606: MINOR SKIN DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 19,754 | ||
| Total Hospitalizations with ICD R220 - Localized swelling, mass and lump, head | 298 | ||
| DRG Share of Total Hospitalizations | 0.06 | ||
| % of Total ICD R220 - Localized swelling, mass and lump, head in DRG | 56.98 | ||
| Avg LOS at DRG | 3.82 | ||
| Avg LOS with ICD R220 - Localized swelling, mass and lump, head | 2.34 | ||
| Readmission Rate at DRG | 19.14 | ||
| Readmission Rate with ICD R220 - Localized swelling, mass and lump, head | 22.98 | ||
| Unplanned Readmission Rate at DRG | 13.41 | ||
| Unplanned Readmission Rate with ICD R220 - Localized swelling, mass and lump, head | 12.9 | ||
| Total Medicare payments at DRG | $103,585,947 | ||
| Total Medicare payments with ICD R220 - Localized swelling, mass and lump, head | $1,427,247 | ||
| Total Medicare payment per Day at DRG | $1,373 | ||
| Total Medicare payment per Day with ICD R220 - Localized swelling, mass and lump, head | $2,048 | ||
| Total Medicare payment per Hospitalization at DRG | $5,244 | ||
| Total Medicare payment per Hospitalization with ICD R220 - Localized swelling, mass and lump, head | $4,789 | ||
| Total Medicare Charges at DRG | $499,706,458 | ||
| Total Medicare Charges with ICD R220 - Localized swelling, mass and lump, head | $6,807,117 | ||
| Avg Charges at DRG | $25,296 | ||
| Avg Charges with ICD R220 - Localized swelling, mass and lump, head | $22,843 | ||
| Mortality Rate at DRG | 0.21 | ||
| Mortality Rate with ICD R220 - Localized swelling, mass and lump, head | NA | ||
| SNF Discharge Rate at DRG | 14.6 | ||
| SNF Discharge Rate with ICD R220 - Localized swelling, mass and lump, head | 7.05 | ||
| Home Discharge Rate at DRG | 57.87 | ||
| Home Discharge Rate with ICD R220 - Localized swelling, mass and lump, head | 62.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R220 - Localized swelling, mass and lump, head | 487 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R220 - Localized swelling, mass and lump, head in DRG | 4.47 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R220 - Localized swelling, mass and lump, head | 6.62 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R220 - Localized swelling, mass and lump, head | 25.5 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R220 - Localized swelling, mass and lump, head | 17.33 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R220 - Localized swelling, mass and lump, head | $6,098,660 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R220 - Localized swelling, mass and lump, head | $1,890 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R220 - Localized swelling, mass and lump, head | $12,523 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R220 - Localized swelling, mass and lump, head | $31,180,847 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R220 - Localized swelling, mass and lump, head | $64,026 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R220 - Localized swelling, mass and lump, head | 8.83 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R220 - Localized swelling, mass and lump, head | 25.87 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R220 - Localized swelling, mass and lump, head | 24.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 916: ALLERGIC REACTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 606: MINOR SKIN DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT 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 | 352,097 | ||||
| Total Hospitalizations with ICD R220 - Localized swelling, mass and lump, head | 194 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD R220 - Localized swelling, mass and lump, head in DRG | 1.78 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD R220 - Localized swelling, mass and lump, head | 3.8 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD R220 - Localized swelling, mass and lump, head | 35.88 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD R220 - Localized swelling, mass and lump, head | 8.82 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD R220 - Localized swelling, mass and lump, head | $1,250,619 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD R220 - Localized swelling, mass and lump, head | $1,697 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD R220 - Localized swelling, mass and lump, head | $6,446 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD R220 - Localized swelling, mass and lump, head | $7,295,049 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD R220 - Localized swelling, mass and lump, head | $37,603 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD R220 - Localized swelling, mass and lump, head | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD R220 - Localized swelling, mass and lump, head | 18.04 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD R220 - Localized swelling, mass and lump, head | 31.44 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD R220 - Localized swelling, mass and lump, head | 153 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD R220 - Localized swelling, mass and lump, head in DRG | 1.4 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD R220 - Localized swelling, mass and lump, head | 5.92 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD R220 - Localized swelling, mass and lump, head | 34.33 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD R220 - Localized swelling, mass and lump, head | 28.36 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD R220 - Localized swelling, mass and lump, head | $1,573,746 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD R220 - Localized swelling, mass and lump, head | $1,739 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD R220 - Localized swelling, mass and lump, head | $10,286 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD R220 - Localized swelling, mass and lump, head | $6,330,553 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD R220 - Localized swelling, mass and lump, head | $41,376 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD R220 - Localized swelling, mass and lump, head | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD R220 - Localized swelling, mass and lump, head | 24.18 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD R220 - Localized swelling, mass and lump, head | 31.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD R220 - Localized swelling, mass and lump, head | 123 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD R220 - Localized swelling, mass and lump, head in DRG | 1.13 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD R220 - Localized swelling, mass and lump, head | 5.8 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD R220 - Localized swelling, mass and lump, head | 27.19 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD R220 - Localized swelling, mass and lump, head | 21.93 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD R220 - Localized swelling, mass and lump, head | $1,115,807 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD R220 - Localized swelling, mass and lump, head | $1,563 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD R220 - Localized swelling, mass and lump, head | $9,072 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD R220 - Localized swelling, mass and lump, head | $5,237,238 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD R220 - Localized swelling, mass and lump, head | $42,579 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD R220 - Localized swelling, mass and lump, head | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD R220 - Localized swelling, mass and lump, head | 24.39 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD R220 - Localized swelling, mass and lump, head | 37.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 56 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 48 |
| ST. JOSEPHS HOSPITAL | 3001 W DR MLK JR BLVD | TAMPA | FL | 33607 | 46 |