*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z483 - Aftercare following surgery for neoplasm - as a primary diagnosis code | Z483 - Aftercare following surgery for neoplasm - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 13.37 | |
| Readmission Rate (%) | 20.08 | |
| Unplanned Readmission Rate (%) | 14.14 | |
| 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z483 - Aftercare following surgery for neoplasm | 9,232 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z483 - Aftercare following surgery for neoplasm in DRG | 88.86 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z483 - Aftercare following surgery for neoplasm | 13.01 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z483 - Aftercare following surgery for neoplasm | 20.07 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z483 - Aftercare following surgery for neoplasm | 14.75 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z483 - Aftercare following surgery for neoplasm | $177,130,624 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z483 - Aftercare following surgery for neoplasm | $1,475 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z483 - Aftercare following surgery for neoplasm | $19,187 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z483 - Aftercare following surgery for neoplasm | $471,469,803 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z483 - Aftercare following surgery for neoplasm | $51,069 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z483 - Aftercare following surgery for neoplasm | 0.54 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z483 - Aftercare following surgery for neoplasm | 14.17 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z483 - Aftercare following surgery for neoplasm | 21.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTHEAST REHABILITATION HOSPITAL - SALEM | 70 BUTLER STREET | SALEM | NH | 03079 | 158 |
| SPAULDING REHABILITATION HOSPITAL | 125 NASHUA ST | BOSTON | MA | 02114 | 127 |
| RUSH UNIVERSITY MEDICAL CENTER | 1653 W CONGRESS PKWY | CHICAGO | IL | 60612 | 112 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRIAN DAVID MCMICHAEL | 480 MEDICAL CENTER DR | COLUMBUS | OH | 43210 | 53 |
| Dr. WILDA MURPHY | 4343 W NEWBERRY RD | GAINESVILLE | FL | 32607 | 30 |
| Dr. KRITIS DASGUPTA | 102 IRVING ST NW | WASHINGTON | DC | 20010 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRIAN DAVID MCMICHAEL | 480 MEDICAL CENTER DR | COLUMBUS | OH | 43210 | 81 |
| Dr. JAMES YOUNG | 1725 W HARRISON ST | CHICAGO | IL | 60612 | 59 |
| Dr. TERRENCE MACARTHUR PUGH | 1100 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z483 - Aftercare following surgery for neoplasm | 9,668 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z483 - Aftercare following surgery for neoplasm in DRG | 59.63 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z483 - Aftercare following surgery for neoplasm | 12.97 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z483 - Aftercare following surgery for neoplasm | 20.12 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z483 - Aftercare following surgery for neoplasm | 14.73 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z483 - Aftercare following surgery for neoplasm | $185,109,280 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z483 - Aftercare following surgery for neoplasm | $1,477 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z483 - Aftercare following surgery for neoplasm | $19,147 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z483 - Aftercare following surgery for neoplasm | $491,023,014 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z483 - Aftercare following surgery for neoplasm | $50,788 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z483 - Aftercare following surgery for neoplasm | 0.56 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z483 - Aftercare following surgery for neoplasm | 14.07 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z483 - Aftercare following surgery for neoplasm | 21.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD Z483 - Aftercare following surgery for neoplasm | 348 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD Z483 - Aftercare following surgery for neoplasm in DRG | 2.15 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD Z483 - Aftercare following surgery for neoplasm | 12.89 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD Z483 - Aftercare following surgery for neoplasm | 24.18 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD Z483 - Aftercare following surgery for neoplasm | 19.78 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD Z483 - Aftercare following surgery for neoplasm | $7,101,167 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD Z483 - Aftercare following surgery for neoplasm | $1,583 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD Z483 - Aftercare following surgery for neoplasm | $20,406 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD Z483 - Aftercare following surgery for neoplasm | $14,870,101 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD Z483 - Aftercare following surgery for neoplasm | $42,730 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD Z483 - Aftercare following surgery for neoplasm | NA | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD Z483 - Aftercare following surgery for neoplasm | 10.34 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD Z483 - Aftercare following surgery for neoplasm | 15.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD Z483 - Aftercare following surgery for neoplasm | 145 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD Z483 - Aftercare following surgery for neoplasm in DRG | 0.89 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD Z483 - Aftercare following surgery for neoplasm | 16.48 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD Z483 - Aftercare following surgery for neoplasm | 26.79 | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD Z483 - Aftercare following surgery for neoplasm | 17.86 | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD Z483 - Aftercare following surgery for neoplasm | $3,492,846 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD Z483 - Aftercare following surgery for neoplasm | $1,461 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD Z483 - Aftercare following surgery for neoplasm | $24,089 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD Z483 - Aftercare following surgery for neoplasm | $9,486,864 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD Z483 - Aftercare following surgery for neoplasm | $65,427 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD Z483 - Aftercare following surgery for neoplasm | NA | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD Z483 - Aftercare following surgery for neoplasm | 18.62 | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD Z483 - Aftercare following surgery for neoplasm | 15.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD Z483 - Aftercare following surgery for neoplasm | 95 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD Z483 - Aftercare following surgery for neoplasm in DRG | 0.59 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD Z483 - Aftercare following surgery for neoplasm | 13.65 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD Z483 - Aftercare following surgery for neoplasm | 20.99 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD Z483 - Aftercare following surgery for neoplasm | 13.58 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD Z483 - Aftercare following surgery for neoplasm | $1,811,748 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD Z483 - Aftercare following surgery for neoplasm | $1,397 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD Z483 - Aftercare following surgery for neoplasm | $19,071 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD Z483 - Aftercare following surgery for neoplasm | $4,109,041 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD Z483 - Aftercare following surgery for neoplasm | $43,253 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD Z483 - Aftercare following surgery for neoplasm | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD Z483 - Aftercare following surgery for neoplasm | 11.58 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD Z483 - Aftercare following surgery for neoplasm | 12.63 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTHEAST REHABILITATION HOSPITAL - SALEM | 70 BUTLER STREET | SALEM | NH | 03079 | 223 |
| BROOKS REHABILITATION HOSPITAL | 3599 UNIVERSITY BLVD S | JACKSONVILLE | FL | 32216 | 172 |
| ATRIUM HEALTH CAROLINAS REHABILITATION | 1100 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 153 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRIAN DAVID MCMICHAEL | 480 MEDICAL CENTER DR | COLUMBUS | OH | 43210 | 53 |
| Dr. MARC K. WAKASA | 450 STANYAN ST | SAN FRANCISCO | CA | 94117 | 38 |
| Dr. WILDA MURPHY | 4343 W NEWBERRY RD | GAINESVILLE | FL | 32607 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TONYA C WASHBURN | 721 NW 6TH ST | OKLAHOMA CITY | OK | 73102 | 95 |
| Dr. BRIAN DAVID MCMICHAEL | 480 MEDICAL CENTER DR | COLUMBUS | OH | 43210 | 82 |
| Dr. TERRENCE MACARTHUR PUGH | 1100 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 76 |