*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R229 - Localized swelling, mass and lump, unspecified - as a primary diagnosis code | R229 - Localized swelling, mass and lump, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.82 | |
| Readmission Rate (%) | 25.57 | |
| Unplanned Readmission Rate (%) | 15.0 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 19,754 | |
| Total Hospitalizations with ICD R229 - Localized swelling, mass and lump, unspecified | 50 | |
| DRG Share of Total Hospitalizations | 0.06 | |
| % of Total ICD R229 - Localized swelling, mass and lump, unspecified in DRG | 58.82 | |
| Avg LOS at DRG | 3.82 | |
| Avg LOS with ICD R229 - Localized swelling, mass and lump, unspecified | 2.52 | |
| Readmission Rate at DRG | 19.14 | |
| Readmission Rate with ICD R229 - Localized swelling, mass and lump, unspecified | NA | |
| Unplanned Readmission Rate at DRG | 13.41 | |
| Unplanned Readmission Rate with ICD R229 - Localized swelling, mass and lump, unspecified | NA | |
| Total Medicare payments at DRG | $103,585,947 | |
| Total Medicare payments with ICD R229 - Localized swelling, mass and lump, unspecified | $210,827 | |
| Total Medicare payment per Day at DRG | $1,373 | |
| Total Medicare payment per Day with ICD R229 - Localized swelling, mass and lump, unspecified | $1,673 | |
| Total Medicare payment per Hospitalization at DRG | $5,244 | |
| Total Medicare payment per Hospitalization with ICD R229 - Localized swelling, mass and lump, unspecified | $4,217 | |
| Total Medicare Charges at DRG | $499,706,458 | |
| Total Medicare Charges with ICD R229 - Localized swelling, mass and lump, unspecified | $1,344,743 | |
| Avg Charges at DRG | $25,296 | |
| Avg Charges with ICD R229 - Localized swelling, mass and lump, unspecified | $26,895 | |
| Mortality Rate at DRG | 0.21 | |
| Mortality Rate with ICD R229 - Localized swelling, mass and lump, unspecified | NA | |
| SNF Discharge Rate at DRG | 14.6 | |
| SNF Discharge Rate with ICD R229 - Localized swelling, mass and lump, unspecified | NA | |
| Home Discharge Rate at DRG | 57.87 | |
| Home Discharge Rate with ICD R229 - Localized swelling, mass and lump, unspecified | 52.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R229 - Localized swelling, mass and lump, unspecified | 176 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R229 - Localized swelling, mass and lump, unspecified in DRG | 4.96 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R229 - Localized swelling, mass and lump, unspecified | 6.74 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R229 - Localized swelling, mass and lump, unspecified | 22.88 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R229 - Localized swelling, mass and lump, unspecified | 16.99 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R229 - Localized swelling, mass and lump, unspecified | $2,197,403 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R229 - Localized swelling, mass and lump, unspecified | $1,851 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R229 - Localized swelling, mass and lump, unspecified | $12,485 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R229 - Localized swelling, mass and lump, unspecified | $12,251,505 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R229 - Localized swelling, mass and lump, unspecified | $69,611 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R229 - Localized swelling, mass and lump, unspecified | 6.25 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R229 - Localized swelling, mass and lump, unspecified | 24.43 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R229 - Localized swelling, mass and lump, unspecified | 32.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD R229 - Localized swelling, mass and lump, unspecified | 62 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD R229 - Localized swelling, mass and lump, unspecified in DRG | 1.75 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD R229 - Localized swelling, mass and lump, unspecified | 3.81 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD R229 - Localized swelling, mass and lump, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD R229 - Localized swelling, mass and lump, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD R229 - Localized swelling, mass and lump, unspecified | $343,352 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD R229 - Localized swelling, mass and lump, unspecified | $1,455 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD R229 - Localized swelling, mass and lump, unspecified | $5,538 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD R229 - Localized swelling, mass and lump, unspecified | $1,723,759 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD R229 - Localized swelling, mass and lump, unspecified | $27,803 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R229 - Localized swelling, mass and lump, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD R229 - Localized swelling, mass and lump, unspecified | 22.58 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD R229 - Localized swelling, mass and lump, unspecified | 53.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD R229 - Localized swelling, mass and lump, unspecified | 48 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD R229 - Localized swelling, mass and lump, unspecified in DRG | 1.35 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD R229 - Localized swelling, mass and lump, unspecified | 6.94 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD R229 - Localized swelling, mass and lump, unspecified | 30.23 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD R229 - Localized swelling, mass and lump, unspecified | NA | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD R229 - Localized swelling, mass and lump, unspecified | $510,438 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD R229 - Localized swelling, mass and lump, unspecified | $1,533 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD R229 - Localized swelling, mass and lump, unspecified | $10,634 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD R229 - Localized swelling, mass and lump, unspecified | $2,391,614 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD R229 - Localized swelling, mass and lump, unspecified | $49,825 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD R229 - Localized swelling, mass and lump, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD R229 - Localized swelling, mass and lump, unspecified | 29.17 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD R229 - Localized swelling, mass and lump, unspecified | 41.67 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD R229 - Localized swelling, mass and lump, unspecified | 38 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R229 - Localized swelling, mass and lump, unspecified in DRG | 1.07 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R229 - Localized swelling, mass and lump, unspecified | 4.84 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R229 - Localized swelling, mass and lump, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R229 - Localized swelling, mass and lump, unspecified | NA | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R229 - Localized swelling, mass and lump, unspecified | $413,977 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R229 - Localized swelling, mass and lump, unspecified | $2,250 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R229 - Localized swelling, mass and lump, unspecified | $10,894 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R229 - Localized swelling, mass and lump, unspecified | $1,335,724 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R229 - Localized swelling, mass and lump, unspecified | $35,151 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R229 - Localized swelling, mass and lump, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R229 - Localized swelling, mass and lump, unspecified | NA | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R229 - Localized swelling, mass and lump, unspecified | 42.11 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 15 |
| AMITA HEALTH SAINTS MARY AND ELIZABETH MEDICAL CENTER | 1127 N OAKLEY BLVD | CHICAGO | IL | 60622 | 11 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 11 |