*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R911 - Solitary pulmonary nodule - as a primary diagnosis code | R911 - Solitary pulmonary nodule - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.44 | |
| Readmission Rate (%) | 21.59 | |
| Unplanned Readmission Rate (%) | 6.97 | |
| 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 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,277 | ||||
| Total Hospitalizations with ICD R911 - Solitary pulmonary nodule | 1,241 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD R911 - Solitary pulmonary nodule in DRG | 29.1 | ||||
| Avg LOS at DRG | 3.44 | ||||
| Avg LOS with ICD R911 - Solitary pulmonary nodule | 2.77 | ||||
| Readmission Rate at DRG | 7.43 | ||||
| Readmission Rate with ICD R911 - Solitary pulmonary nodule | 5.67 | ||||
| Unplanned Readmission Rate at DRG | 4.65 | ||||
| Unplanned Readmission Rate with ICD R911 - Solitary pulmonary nodule | 3.61 | ||||
| Total Medicare payments at DRG | $307,145,903 | ||||
| Total Medicare payments with ICD R911 - Solitary pulmonary nodule | $14,821,631 | ||||
| Total Medicare payment per Day at DRG | $3,395 | ||||
| Total Medicare payment per Day with ICD R911 - Solitary pulmonary nodule | $4,306 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,689 | ||||
| Total Medicare payment per Hospitalization with ICD R911 - Solitary pulmonary nodule | $11,943 | ||||
| Total Medicare Charges at DRG | $1,771,264,244 | ||||
| Total Medicare Charges with ICD R911 - Solitary pulmonary nodule | $70,877,792 | ||||
| Avg Charges at DRG | $67,407 | ||||
| Avg Charges with ICD R911 - Solitary pulmonary nodule | $57,113 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R911 - Solitary pulmonary nodule | NA | ||||
| SNF Discharge Rate at DRG | 3.13 | ||||
| SNF Discharge Rate with ICD R911 - Solitary pulmonary nodule | 2.26 | ||||
| Home Discharge Rate at DRG | 76.41 | ||||
| Home Discharge Rate with ICD R911 - Solitary pulmonary nodule | 80.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 37,276 | ||
| Total Hospitalizations with ICD R911 - Solitary pulmonary nodule | 203 | ||
| DRG Share of Total Hospitalizations | 0.11 | ||
| % of Total ICD R911 - Solitary pulmonary nodule in DRG | 4.76 | ||
| Avg LOS at DRG | 12.15 | ||
| Avg LOS with ICD R911 - Solitary pulmonary nodule | 6.84 | ||
| Readmission Rate at DRG | 27.64 | ||
| Readmission Rate with ICD R911 - Solitary pulmonary nodule | 18.85 | ||
| Unplanned Readmission Rate at DRG | 14.04 | ||
| Unplanned Readmission Rate with ICD R911 - Solitary pulmonary nodule | 9.42 | ||
| Total Medicare payments at DRG | $1,238,611,931 | ||
| Total Medicare payments with ICD R911 - Solitary pulmonary nodule | $6,432,805 | ||
| Total Medicare payment per Day at DRG | $2,735 | ||
| Total Medicare payment per Day with ICD R911 - Solitary pulmonary nodule | $4,631 | ||
| Total Medicare payment per Hospitalization at DRG | $33,228 | ||
| Total Medicare payment per Hospitalization with ICD R911 - Solitary pulmonary nodule | $31,689 | ||
| Total Medicare Charges at DRG | $5,969,079,351 | ||
| Total Medicare Charges with ICD R911 - Solitary pulmonary nodule | $24,152,733 | ||
| Avg Charges at DRG | $160,132 | ||
| Avg Charges with ICD R911 - Solitary pulmonary nodule | $118,979 | ||
| Mortality Rate at DRG | 8.94 | ||
| Mortality Rate with ICD R911 - Solitary pulmonary nodule | NA | ||
| SNF Discharge Rate at DRG | 17.97 | ||
| SNF Discharge Rate with ICD R911 - Solitary pulmonary nodule | 6.4 | ||
| Home Discharge Rate at DRG | 31.66 | ||
| Home Discharge Rate with ICD R911 - Solitary pulmonary nodule | 56.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LONG ISLAND JEWISH MEDICAL CENTER | 270-05 76 AVE | NEW HYDE PARK | NY | 11040 | 56 |
| YORK HOSPITAL | 1001 SOUTH GEORGE STREET | YORK | PA | 17405 | 48 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 46 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEPHEN YANG | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 31 |
| Dr. PERCIVAL OFRECIO BUENAVENTURA | 25 MONUMENT RD | YORK | PA | 17403 | 27 |
| Dr. MOHAN GANESH KULKARNI | 900 E MICHIGAN AVE | JACKSON | MI | 49201 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEPHEN YANG | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 35 |
| Dr. PERCIVAL OFRECIO BUENAVENTURA | 25 MONUMENT RD | YORK | PA | 17403 | 27 |
| Dr. MOHAN GANESH KULKARNI | 900 E MICHIGAN AVE | JACKSON | MI | 49201 | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R911 - Solitary pulmonary nodule | 18,528 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R911 - Solitary pulmonary nodule in DRG | 6.15 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R911 - Solitary pulmonary nodule | 6.27 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R911 - Solitary pulmonary nodule | 22.05 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R911 - Solitary pulmonary nodule | 15.53 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R911 - Solitary pulmonary nodule | $211,524,168 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R911 - Solitary pulmonary nodule | $1,819 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R911 - Solitary pulmonary nodule | $11,416 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R911 - Solitary pulmonary nodule | $1,061,405,274 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R911 - Solitary pulmonary nodule | $57,287 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R911 - Solitary pulmonary nodule | 5.25 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R911 - Solitary pulmonary nodule | 23.49 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R911 - Solitary pulmonary nodule | 37.47 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD R911 - Solitary pulmonary nodule | 7,565 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD R911 - Solitary pulmonary nodule in DRG | 2.51 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD R911 - Solitary pulmonary nodule | 5.35 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD R911 - Solitary pulmonary nodule | 20.58 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD R911 - Solitary pulmonary nodule | 15.47 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD R911 - Solitary pulmonary nodule | $63,954,845 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD R911 - Solitary pulmonary nodule | $1,581 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD R911 - Solitary pulmonary nodule | $8,454 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD R911 - Solitary pulmonary nodule | $320,823,820 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD R911 - Solitary pulmonary nodule | $42,409 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD R911 - Solitary pulmonary nodule | 1.69 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD R911 - Solitary pulmonary nodule | 18.97 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD R911 - Solitary pulmonary nodule | 48.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD R911 - Solitary pulmonary nodule | 3,689 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD R911 - Solitary pulmonary nodule in DRG | 1.22 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD R911 - Solitary pulmonary nodule | 3.19 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD R911 - Solitary pulmonary nodule | 12.73 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD R911 - Solitary pulmonary nodule | 4.73 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD R911 - Solitary pulmonary nodule | $45,830,353 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD R911 - Solitary pulmonary nodule | $3,890 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD R911 - Solitary pulmonary nodule | $12,424 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD R911 - Solitary pulmonary nodule | $232,273,847 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD R911 - Solitary pulmonary nodule | $62,964 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD R911 - Solitary pulmonary nodule | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R911 - Solitary pulmonary nodule | 36.49 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD R911 - Solitary pulmonary nodule | 21.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD R911 - Solitary pulmonary nodule | 3,035 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD R911 - Solitary pulmonary nodule in DRG | 1.01 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD R911 - Solitary pulmonary nodule | 3.8 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD R911 - Solitary pulmonary nodule | 18.28 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD R911 - Solitary pulmonary nodule | 13.55 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD R911 - Solitary pulmonary nodule | $18,193,105 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD R911 - Solitary pulmonary nodule | $1,578 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD R911 - Solitary pulmonary nodule | $5,994 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD R911 - Solitary pulmonary nodule | $111,355,532 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD R911 - Solitary pulmonary nodule | $36,690 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD R911 - Solitary pulmonary nodule | 0.53 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD R911 - Solitary pulmonary nodule | 13.67 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD R911 - Solitary pulmonary nodule | 63.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,339 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 1,209 |
| PALOS HEALTH | 12251 S 80TH AVE | PALOS HEIGHTS | IL | 60463 | 899 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VIJAY A SINGH | 501 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 45 |
| Dr. STEPHEN YANG | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 44 |
| Dr. PERCIVAL OFRECIO BUENAVENTURA | 25 MONUMENT RD | YORK | PA | 17403 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 154 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 93 |
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 87 |