*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R971 - Elevated cancer antigen 125 [CA 125] - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.45 | |
| 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 742: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 737: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 743: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,340 | ||||
| Total Hospitalizations with ICD R971 - Elevated cancer antigen 125 [CA 125] | 187 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD R971 - Elevated cancer antigen 125 [CA 125] in DRG | 7.71 | ||||
| Avg LOS at DRG | 3.81 | ||||
| Avg LOS with ICD R971 - Elevated cancer antigen 125 [CA 125] | 4.61 | ||||
| Readmission Rate at DRG | 11.59 | ||||
| Readmission Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | 8.24 | ||||
| Unplanned Readmission Rate at DRG | 8.02 | ||||
| Unplanned Readmission Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | 6.59 | ||||
| Total Medicare payments at DRG | $159,643,694 | ||||
| Total Medicare payments with ICD R971 - Elevated cancer antigen 125 [CA 125] | $2,149,633 | ||||
| Total Medicare payment per Day at DRG | $2,730 | ||||
| Total Medicare payment per Day with ICD R971 - Elevated cancer antigen 125 [CA 125] | $2,491 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,407 | ||||
| Total Medicare payment per Hospitalization with ICD R971 - Elevated cancer antigen 125 [CA 125] | $11,495 | ||||
| Total Medicare Charges at DRG | $933,471,834 | ||||
| Total Medicare Charges with ICD R971 - Elevated cancer antigen 125 [CA 125] | $12,541,894 | ||||
| Avg Charges at DRG | $60,852 | ||||
| Avg Charges with ICD R971 - Elevated cancer antigen 125 [CA 125] | $67,069 | ||||
| Mortality Rate at DRG | 0.34 | ||||
| Mortality Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | NA | ||||
| SNF Discharge Rate at DRG | 6.28 | ||||
| SNF Discharge Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | 7.49 | ||||
| Home Discharge Rate at DRG | 81.34 | ||||
| Home Discharge Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | 78.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 738: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 755: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,769 | ||||
| Total Hospitalizations with ICD R971 - Elevated cancer antigen 125 [CA 125] | 50 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD R971 - Elevated cancer antigen 125 [CA 125] in DRG | 2.06 | ||||
| Avg LOS at DRG | 3.1 | ||||
| Avg LOS with ICD R971 - Elevated cancer antigen 125 [CA 125] | 3.12 | ||||
| Readmission Rate at DRG | 6.8 | ||||
| Readmission Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | NA | ||||
| Unplanned Readmission Rate at DRG | 4.42 | ||||
| Unplanned Readmission Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | NA | ||||
| Total Medicare payments at DRG | $15,739,687 | ||||
| Total Medicare payments with ICD R971 - Elevated cancer antigen 125 [CA 125] | $423,878 | ||||
| Total Medicare payment per Day at DRG | $2,872 | ||||
| Total Medicare payment per Day with ICD R971 - Elevated cancer antigen 125 [CA 125] | $2,717 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,898 | ||||
| Total Medicare payment per Hospitalization with ICD R971 - Elevated cancer antigen 125 [CA 125] | $8,478 | ||||
| Total Medicare Charges at DRG | $94,236,976 | ||||
| Total Medicare Charges with ICD R971 - Elevated cancer antigen 125 [CA 125] | $2,583,017 | ||||
| Avg Charges at DRG | $53,271 | ||||
| Avg Charges with ICD R971 - Elevated cancer antigen 125 [CA 125] | $51,660 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | NA | ||||
| SNF Discharge Rate at DRG | 4.47 | ||||
| SNF Discharge Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | NA | ||||
| Home Discharge Rate at DRG | 85.75 | ||||
| Home Discharge Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | 88.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 734: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,604 | ||||
| Total Hospitalizations with ICD R971 - Elevated cancer antigen 125 [CA 125] | 41 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD R971 - Elevated cancer antigen 125 [CA 125] in DRG | 1.69 | ||||
| Avg LOS at DRG | 5.02 | ||||
| Avg LOS with ICD R971 - Elevated cancer antigen 125 [CA 125] | 6.2 | ||||
| Readmission Rate at DRG | 16.22 | ||||
| Readmission Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | NA | ||||
| Unplanned Readmission Rate at DRG | 9.72 | ||||
| Unplanned Readmission Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | NA | ||||
| Total Medicare payments at DRG | $64,268,908 | ||||
| Total Medicare payments with ICD R971 - Elevated cancer antigen 125 [CA 125] | $665,043 | ||||
| Total Medicare payment per Day at DRG | $3,555 | ||||
| Total Medicare payment per Day with ICD R971 - Elevated cancer antigen 125 [CA 125] | $2,618 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,833 | ||||
| Total Medicare payment per Hospitalization with ICD R971 - Elevated cancer antigen 125 [CA 125] | $16,221 | ||||
| Total Medicare Charges at DRG | $312,476,111 | ||||
| Total Medicare Charges with ICD R971 - Elevated cancer antigen 125 [CA 125] | $3,588,172 | ||||
| Avg Charges at DRG | $86,703 | ||||
| Avg Charges with ICD R971 - Elevated cancer antigen 125 [CA 125] | $87,516 | ||||
| Mortality Rate at DRG | 0.53 | ||||
| Mortality Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | NA | ||||
| SNF Discharge Rate at DRG | 10.63 | ||||
| SNF Discharge Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | NA | ||||
| Home Discharge Rate at DRG | 67.51 | ||||
| Home Discharge Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | 78.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 749: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 754: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM 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 | 3,284 | ||||
| Total Hospitalizations with ICD R971 - Elevated cancer antigen 125 [CA 125] | 27 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD R971 - Elevated cancer antigen 125 [CA 125] in DRG | 1.11 | ||||
| Avg LOS at DRG | 7.5 | ||||
| Avg LOS with ICD R971 - Elevated cancer antigen 125 [CA 125] | 6.52 | ||||
| Readmission Rate at DRG | 26.75 | ||||
| Readmission Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | 48.0 | ||||
| Unplanned Readmission Rate at DRG | 16.49 | ||||
| Unplanned Readmission Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | NA | ||||
| Total Medicare payments at DRG | $61,215,580 | ||||
| Total Medicare payments with ICD R971 - Elevated cancer antigen 125 [CA 125] | $466,258 | ||||
| Total Medicare payment per Day at DRG | $2,484 | ||||
| Total Medicare payment per Day with ICD R971 - Elevated cancer antigen 125 [CA 125] | $2,649 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,641 | ||||
| Total Medicare payment per Hospitalization with ICD R971 - Elevated cancer antigen 125 [CA 125] | $17,269 | ||||
| Total Medicare Charges at DRG | $275,096,789 | ||||
| Total Medicare Charges with ICD R971 - Elevated cancer antigen 125 [CA 125] | $1,714,425 | ||||
| Avg Charges at DRG | $83,769 | ||||
| Avg Charges with ICD R971 - Elevated cancer antigen 125 [CA 125] | $63,497 | ||||
| Mortality Rate at DRG | 3.05 | ||||
| Mortality Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | NA | ||||
| Home Discharge Rate at DRG | 48.02 | ||||
| Home Discharge Rate with ICD R971 - Elevated cancer antigen 125 [CA 125] | 62.96 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WILLIS KNIGHTON MEDICAL CENTER | 2600 GREENWOOD RD | SHREVEPORT | LA | 71103 | 25 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 25 |
| ARTHUR G JAMES CANCER HOSPITAL | 300 W 10TH AVE | COLUMBUS | OH | 43210 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DESTIN R. BLACK | 2600 KINGS HWY | SHREVEPORT | LA | 71103 | 11 |