*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R222 - Localized swelling, mass and lump, trunk - as a primary diagnosis code | R222 - Localized swelling, mass and lump, trunk - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.95 | |
| Readmission Rate (%) | 24.99 | |
| Unplanned Readmission Rate (%) | 12.67 | |
| 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 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 606: MINOR SKIN DISORDERS WITH 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 33,661 | ||||
| Total Hospitalizations with ICD R222 - Localized swelling, mass and lump, trunk | 186 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD R222 - Localized swelling, mass and lump, trunk in DRG | 28.1 | ||||
| Avg LOS at DRG | 2.64 | ||||
| Avg LOS with ICD R222 - Localized swelling, mass and lump, trunk | 2.97 | ||||
| Readmission Rate at DRG | 19.21 | ||||
| Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | 30.63 | ||||
| Unplanned Readmission Rate at DRG | 13.52 | ||||
| Unplanned Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | 17.5 | ||||
| Total Medicare payments at DRG | $155,156,045 | ||||
| Total Medicare payments with ICD R222 - Localized swelling, mass and lump, trunk | $774,493 | ||||
| Total Medicare payment per Day at DRG | $1,743 | ||||
| Total Medicare payment per Day with ICD R222 - Localized swelling, mass and lump, trunk | $1,403 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD R222 - Localized swelling, mass and lump, trunk | $4,164 | ||||
| Total Medicare Charges at DRG | $846,379,800 | ||||
| Total Medicare Charges with ICD R222 - Localized swelling, mass and lump, trunk | $5,299,993 | ||||
| Avg Charges at DRG | $25,144 | ||||
| Avg Charges with ICD R222 - Localized swelling, mass and lump, trunk | $28,495 | ||||
| Mortality Rate at DRG | 1.53 | ||||
| Mortality Rate with ICD R222 - Localized swelling, mass and lump, trunk | NA | ||||
| SNF Discharge Rate at DRG | 8.91 | ||||
| SNF Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | NA | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | 61.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. 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) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,277 | ||||
| Total Hospitalizations with ICD R222 - Localized swelling, mass and lump, trunk | 26 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD R222 - Localized swelling, mass and lump, trunk in DRG | 3.93 | ||||
| Avg LOS at DRG | 3.44 | ||||
| Avg LOS with ICD R222 - Localized swelling, mass and lump, trunk | 2.58 | ||||
| Readmission Rate at DRG | 7.43 | ||||
| Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | NA | ||||
| Unplanned Readmission Rate at DRG | 4.65 | ||||
| Unplanned Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | NA | ||||
| Total Medicare payments at DRG | $307,145,903 | ||||
| Total Medicare payments with ICD R222 - Localized swelling, mass and lump, trunk | $268,928 | ||||
| Total Medicare payment per Day at DRG | $3,395 | ||||
| Total Medicare payment per Day with ICD R222 - Localized swelling, mass and lump, trunk | $4,014 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,689 | ||||
| Total Medicare payment per Hospitalization with ICD R222 - Localized swelling, mass and lump, trunk | $10,343 | ||||
| Total Medicare Charges at DRG | $1,771,264,244 | ||||
| Total Medicare Charges with ICD R222 - Localized swelling, mass and lump, trunk | $1,281,903 | ||||
| Avg Charges at DRG | $67,407 | ||||
| Avg Charges with ICD R222 - Localized swelling, mass and lump, trunk | $49,304 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R222 - Localized swelling, mass and lump, trunk | NA | ||||
| SNF Discharge Rate at DRG | 3.13 | ||||
| SNF Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | NA | ||||
| Home Discharge Rate at DRG | 76.41 | ||||
| Home Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | 73.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 11,723 | ||
| Total Hospitalizations with ICD R222 - Localized swelling, mass and lump, trunk | 16 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD R222 - Localized swelling, mass and lump, trunk in DRG | 2.42 | ||
| Avg LOS at DRG | 3.14 | ||
| Avg LOS with ICD R222 - Localized swelling, mass and lump, trunk | 1.69 | ||
| Readmission Rate at DRG | 12.89 | ||
| Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | NA | ||
| Unplanned Readmission Rate at DRG | 7.1 | ||
| Unplanned Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | NA | ||
| Total Medicare payments at DRG | $122,697,695 | ||
| Total Medicare payments with ICD R222 - Localized swelling, mass and lump, trunk | $154,771 | ||
| Total Medicare payment per Day at DRG | $3,328 | ||
| Total Medicare payment per Day with ICD R222 - Localized swelling, mass and lump, trunk | $5,732 | ||
| Total Medicare payment per Hospitalization at DRG | $10,466 | ||
| Total Medicare payment per Hospitalization with ICD R222 - Localized swelling, mass and lump, trunk | $9,673 | ||
| Total Medicare Charges at DRG | $633,485,759 | ||
| Total Medicare Charges with ICD R222 - Localized swelling, mass and lump, trunk | $630,773 | ||
| Avg Charges at DRG | $54,038 | ||
| Avg Charges with ICD R222 - Localized swelling, mass and lump, trunk | $39,423 | ||
| Mortality Rate at DRG | 0.25 | ||
| Mortality Rate with ICD R222 - Localized swelling, mass and lump, trunk | NA | ||
| SNF Discharge Rate at DRG | 9.06 | ||
| SNF Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | NA | ||
| Home Discharge Rate at DRG | 70.16 | ||
| Home Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | 87.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD R222 - Localized swelling, mass and lump, trunk | 762 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R222 - Localized swelling, mass and lump, trunk in DRG | 6.11 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R222 - Localized swelling, mass and lump, trunk | 6.91 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | 22.83 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | 15.67 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R222 - Localized swelling, mass and lump, trunk | $9,092,435 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R222 - Localized swelling, mass and lump, trunk | $1,728 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R222 - Localized swelling, mass and lump, trunk | $11,932 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R222 - Localized swelling, mass and lump, trunk | $46,068,322 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R222 - Localized swelling, mass and lump, trunk | $60,457 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R222 - Localized swelling, mass and lump, trunk | 13.78 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | 24.15 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | 23.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD R222 - Localized swelling, mass and lump, trunk | 263 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD R222 - Localized swelling, mass and lump, trunk in DRG | 2.11 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD R222 - Localized swelling, mass and lump, trunk | 3.94 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | 20.58 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | 14.81 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD R222 - Localized swelling, mass and lump, trunk | $1,617,841 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD R222 - Localized swelling, mass and lump, trunk | $1,562 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD R222 - Localized swelling, mass and lump, trunk | $6,151 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD R222 - Localized swelling, mass and lump, trunk | $7,818,088 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD R222 - Localized swelling, mass and lump, trunk | $29,727 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD R222 - Localized swelling, mass and lump, trunk | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | 12.55 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | 57.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD R222 - Localized swelling, mass and lump, trunk | 142 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD R222 - Localized swelling, mass and lump, trunk in DRG | 1.14 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD R222 - Localized swelling, mass and lump, trunk | 4.82 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | 24.06 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | 17.29 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD R222 - Localized swelling, mass and lump, trunk | $984,724 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD R222 - Localized swelling, mass and lump, trunk | $1,438 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD R222 - Localized swelling, mass and lump, trunk | $6,935 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD R222 - Localized swelling, mass and lump, trunk | $4,238,021 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD R222 - Localized swelling, mass and lump, trunk | $29,845 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD R222 - Localized swelling, mass and lump, trunk | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | 19.72 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | 41.55 |
*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 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD R222 - Localized swelling, mass and lump, trunk | 120 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R222 - Localized swelling, mass and lump, trunk in DRG | 0.96 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R222 - Localized swelling, mass and lump, trunk | 6.24 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | 31.43 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R222 - Localized swelling, mass and lump, trunk | 20.0 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R222 - Localized swelling, mass and lump, trunk | $1,135,355 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R222 - Localized swelling, mass and lump, trunk | $1,516 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R222 - Localized swelling, mass and lump, trunk | $9,461 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R222 - Localized swelling, mass and lump, trunk | $5,222,170 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R222 - Localized swelling, mass and lump, trunk | $43,518 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R222 - Localized swelling, mass and lump, trunk | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | 33.33 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R222 - Localized swelling, mass and lump, trunk | 25.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 66 |
| ADVENTHEALTH SEBRING | 4200 SUN N LAKE BLVD | SEBRING | FL | 33872 | 50 |
| FLORIDA HOSPITAL FISH MEMORIAL | 1055 SAXON BLVD | ORANGE CITY | FL | 32763 | 39 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MITCHELL TERUICHI GODBEE | 1125 MADISON ST | JEFFERSON CITY | MO | 65101 | 12 |