*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z170 - Estrogen receptor positive status [ER+] - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.85 | |
| 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 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) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 598: MALIGNANT BREAST DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 597: MALIGNANT BREAST DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,169 | ||||
| Total Hospitalizations with ICD Z170 - Estrogen receptor positive status [ER+] | 1,750 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD Z170 - Estrogen receptor positive status [ER+] in DRG | 5.2 | ||||
| Avg LOS at DRG | 2.77 | ||||
| Avg LOS with ICD Z170 - Estrogen receptor positive status [ER+] | 1.78 | ||||
| Readmission Rate at DRG | 8.43 | ||||
| Readmission Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 5.46 | ||||
| Unplanned Readmission Rate at DRG | 4.51 | ||||
| Unplanned Readmission Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 2.99 | ||||
| Total Medicare payments at DRG | $125,868,264 | ||||
| Total Medicare payments with ICD Z170 - Estrogen receptor positive status [ER+] | $10,813,768 | ||||
| Total Medicare payment per Day at DRG | $2,503 | ||||
| Total Medicare payment per Day with ICD Z170 - Estrogen receptor positive status [ER+] | $3,480 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,928 | ||||
| Total Medicare payment per Hospitalization with ICD Z170 - Estrogen receptor positive status [ER+] | $6,179 | ||||
| Total Medicare Charges at DRG | $793,060,397 | ||||
| Total Medicare Charges with ICD Z170 - Estrogen receptor positive status [ER+] | $100,278,607 | ||||
| Avg Charges at DRG | $43,649 | ||||
| Avg Charges with ICD Z170 - Estrogen receptor positive status [ER+] | $57,302 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z170 - Estrogen receptor positive status [ER+] | NA | ||||
| SNF Discharge Rate at DRG | 6.85 | ||||
| SNF Discharge Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 3.37 | ||||
| Home Discharge Rate at DRG | 61.18 | ||||
| Home Discharge Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 66.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 582: MASTECTOMY FOR MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z170 - Estrogen receptor positive status [ER+] | 629 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z170 - Estrogen receptor positive status [ER+] in DRG | 1.87 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z170 - Estrogen receptor positive status [ER+] | 3.75 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 23.43 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 16.83 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z170 - Estrogen receptor positive status [ER+] | $3,268,384 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z170 - Estrogen receptor positive status [ER+] | $1,384 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z170 - Estrogen receptor positive status [ER+] | $5,196 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z170 - Estrogen receptor positive status [ER+] | $17,213,358 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z170 - Estrogen receptor positive status [ER+] | $27,366 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z170 - Estrogen receptor positive status [ER+] | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 5.88 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 74.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 583: MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,432 | ||||
| Total Hospitalizations with ICD Z170 - Estrogen receptor positive status [ER+] | 553 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD Z170 - Estrogen receptor positive status [ER+] in DRG | 1.64 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD Z170 - Estrogen receptor positive status [ER+] | 3.88 | ||||
| Readmission Rate at DRG | 30.74 | ||||
| Readmission Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 22.59 | ||||
| Unplanned Readmission Rate at DRG | 18.94 | ||||
| Unplanned Readmission Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 15.37 | ||||
| Total Medicare payments at DRG | $376,347,273 | ||||
| Total Medicare payments with ICD Z170 - Estrogen receptor positive status [ER+] | $4,015,314 | ||||
| Total Medicare payment per Day at DRG | $1,873 | ||||
| Total Medicare payment per Day with ICD Z170 - Estrogen receptor positive status [ER+] | $1,872 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,284 | ||||
| Total Medicare payment per Hospitalization with ICD Z170 - Estrogen receptor positive status [ER+] | $7,261 | ||||
| Total Medicare Charges at DRG | $1,794,383,177 | ||||
| Total Medicare Charges with ICD Z170 - Estrogen receptor positive status [ER+] | $15,340,511 | ||||
| Avg Charges at DRG | $39,496 | ||||
| Avg Charges with ICD Z170 - Estrogen receptor positive status [ER+] | $27,741 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD Z170 - Estrogen receptor positive status [ER+] | NA | ||||
| SNF Discharge Rate at DRG | 7.48 | ||||
| SNF Discharge Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 2.71 | ||||
| Home Discharge Rate at DRG | 67.79 | ||||
| Home Discharge Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 79.2 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z170 - Estrogen receptor positive status [ER+] | 432 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z170 - Estrogen receptor positive status [ER+] in DRG | 1.28 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z170 - Estrogen receptor positive status [ER+] | 3.6 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 12.38 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 4.61 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z170 - Estrogen receptor positive status [ER+] | $5,631,528 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z170 - Estrogen receptor positive status [ER+] | $3,624 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z170 - Estrogen receptor positive status [ER+] | $13,036 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z170 - Estrogen receptor positive status [ER+] | $28,722,881 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z170 - Estrogen receptor positive status [ER+] | $66,488 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z170 - Estrogen receptor positive status [ER+] | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 36.57 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z170 - Estrogen receptor positive status [ER+] | 22.45 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 429 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 402 |
| ARTHUR G JAMES CANCER HOSPITAL | 300 W 10TH AVE | COLUMBUS | OH | 43210 | 182 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JENNIFER J TITTENSOR | 3550 N UNIVERSITY AVE | PROVO | UT | 84604 | 33 |
| Dr. SUSAN E O'CONNOR | 33 WHITING HILL RD | BREWER | ME | 04412 | 24 |
| Dr. HEIDI DRIES RAFFERTY | 2275 HEALTH CAMPUS DR | HARRISONBURG | VA | 22801 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JENNIFER J TITTENSOR | 3550 N UNIVERSITY AVE | PROVO | UT | 84604 | 34 |
| Dr. AMY C VANDER WOUDE | 145 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 29 |
| Dr. ROBERT WILLIAM BERNSTEIN | 300 HALKET ST 1700 | PITTSBURGH | PA | 15213 | 26 |