*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.92 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | 37 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast in DRG | 3.91 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | 7.35 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | 32.35 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $487,444 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $1,792 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $13,174 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $2,029,925 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $54,863 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | 43.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE 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 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | 23 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast in DRG | 2.43 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | 5.35 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $203,584 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $1,655 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $8,851 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $969,579 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $42,156 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | 13 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast in DRG | 1.37 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | 3.23 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $55,686 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $1,326 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $4,284 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $327,063 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $25,159 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging 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 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 103,915 |
| Total Hospitalizations with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | 11 |
| DRG Share of Total Hospitalizations | 0.32 |
| % of Total ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast in DRG | 1.16 |
| Avg LOS at DRG | 3.34 |
| Avg LOS with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | 2.27 |
| Readmission Rate at DRG | 13.92 |
| Readmission Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA |
| Unplanned Readmission Rate at DRG | 10.02 |
| Unplanned Readmission Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA |
| Total Medicare payments at DRG | $565,714,520 |
| Total Medicare payments with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $48,151 |
| Total Medicare payment per Day at DRG | $1,632 |
| Total Medicare payment per Day with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $1,926 |
| Total Medicare payment per Hospitalization at DRG | $5,444 |
| Total Medicare payment per Hospitalization with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $4,377 |
| Total Medicare Charges at DRG | $3,040,468,542 |
| Total Medicare Charges with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $264,991 |
| Avg Charges at DRG | $29,259 |
| Avg Charges with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | $24,090 |
| Mortality Rate at DRG | 0.51 |
| Mortality Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA |
| SNF Discharge Rate at DRG | 10.78 |
| SNF Discharge Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | NA |
| Home Discharge Rate at DRG | 64.62 |
| Home Discharge Rate with ICD R928 - Other abnormal and inconclusive findings on diagnostic imaging of breast | 100.0 |