*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z510 - Encounter for antineoplastic radiation therapy - as a primary diagnosis code | Z510 - Encounter for antineoplastic radiation therapy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.72 | |
| Readmission Rate (%) | 32.8 | |
| Unplanned Readmission Rate (%) | 12.4 | |
| 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 849: RADIOTHERAPY | DRG 829: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 830: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 1,440 | ||
| Total Hospitalizations with ICD Z510 - Encounter for antineoplastic radiation therapy | 1,440 | ||
| DRG Share of Total Hospitalizations | 0.0 | ||
| % of Total ICD Z510 - Encounter for antineoplastic radiation therapy in DRG | 89.0 | ||
| Avg LOS at DRG | 7.41 | ||
| Avg LOS with ICD Z510 - Encounter for antineoplastic radiation therapy | 7.41 | ||
| Readmission Rate at DRG | 41.37 | ||
| Readmission Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 41.37 | ||
| Unplanned Readmission Rate at DRG | 12.76 | ||
| Unplanned Readmission Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 12.76 | ||
| Total Medicare payments at DRG | $20,507,916 | ||
| Total Medicare payments with ICD Z510 - Encounter for antineoplastic radiation therapy | $20,507,916 | ||
| Total Medicare payment per Day at DRG | $1,923 | ||
| Total Medicare payment per Day with ICD Z510 - Encounter for antineoplastic radiation therapy | $1,923 | ||
| Total Medicare payment per Hospitalization at DRG | $14,242 | ||
| Total Medicare payment per Hospitalization with ICD Z510 - Encounter for antineoplastic radiation therapy | $14,242 | ||
| Total Medicare Charges at DRG | $103,748,825 | ||
| Total Medicare Charges with ICD Z510 - Encounter for antineoplastic radiation therapy | $103,748,825 | ||
| Avg Charges at DRG | $72,048 | ||
| Avg Charges with ICD Z510 - Encounter for antineoplastic radiation therapy | $72,048 | ||
| Mortality Rate at DRG | 2.71 | ||
| Mortality Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 2.71 | ||
| SNF Discharge Rate at DRG | 17.15 | ||
| SNF Discharge Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 17.15 | ||
| Home Discharge Rate at DRG | 52.29 | ||
| Home Discharge Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 52.29 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | 5841 S. MARYLAND AVE | CHICAGO | IL | 60637 | 378 |
| LONG ISLAND JEWISH MEDICAL CENTER | 270-05 76 AVE | NEW HYDE PARK | NY | 11040 | 54 |
| UNIVERSITY HOSPITAL AT STONY BROOK | NICOLLS RD | STONY BROOK | NY | 11794 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL J HARAF | 5841 S MARYLAND AVE # MC1099 | CHICAGO | IL | 60637 | 114 |
| Dr. TANGUY YANN LIM-SEIWERT | 5841 S MARYLAND AVE | CHICAGO | IL | 60637 | 39 |
| Dr. HEDY KINDLER | 180 HARVESTER DR STE 110 | BURR RIDGE | IL | 60527 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TANGUY YANN LIM-SEIWERT | 5841 S MARYLAND AVE | CHICAGO | IL | 60637 | 65 |
| Dr. RITA NANDA | 180 HARVESTER DR STE 110 | BURR RIDGE | IL | 60527 | 27 |
| Dr. JONAS ARAUJO DE SOUZA | 5200 S ELLIS AVE | CHICAGO | IL | 60615 | 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 849: RADIOTHERAPY | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 846: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,440 | ||||
| Total Hospitalizations with ICD Z510 - Encounter for antineoplastic radiation therapy | 1,440 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD Z510 - Encounter for antineoplastic radiation therapy in DRG | 22.17 | ||||
| Avg LOS at DRG | 7.41 | ||||
| Avg LOS with ICD Z510 - Encounter for antineoplastic radiation therapy | 7.41 | ||||
| Readmission Rate at DRG | 41.37 | ||||
| Readmission Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 41.37 | ||||
| Unplanned Readmission Rate at DRG | 12.76 | ||||
| Unplanned Readmission Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 12.76 | ||||
| Total Medicare payments at DRG | $20,507,916 | ||||
| Total Medicare payments with ICD Z510 - Encounter for antineoplastic radiation therapy | $20,507,916 | ||||
| Total Medicare payment per Day at DRG | $1,923 | ||||
| Total Medicare payment per Day with ICD Z510 - Encounter for antineoplastic radiation therapy | $1,923 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,242 | ||||
| Total Medicare payment per Hospitalization with ICD Z510 - Encounter for antineoplastic radiation therapy | $14,242 | ||||
| Total Medicare Charges at DRG | $103,748,825 | ||||
| Total Medicare Charges with ICD Z510 - Encounter for antineoplastic radiation therapy | $103,748,825 | ||||
| Avg Charges at DRG | $72,048 | ||||
| Avg Charges with ICD Z510 - Encounter for antineoplastic radiation therapy | $72,048 | ||||
| Mortality Rate at DRG | 2.71 | ||||
| Mortality Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 2.71 | ||||
| SNF Discharge Rate at DRG | 17.15 | ||||
| SNF Discharge Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 17.15 | ||||
| Home Discharge Rate at DRG | 52.29 | ||||
| Home Discharge Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 52.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 829: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,149 | ||||
| Total Hospitalizations with ICD Z510 - Encounter for antineoplastic radiation therapy | 127 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD Z510 - Encounter for antineoplastic radiation therapy in DRG | 1.96 | ||||
| Avg LOS at DRG | 10.0 | ||||
| Avg LOS with ICD Z510 - Encounter for antineoplastic radiation therapy | 7.83 | ||||
| Readmission Rate at DRG | 32.03 | ||||
| Readmission Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 22.13 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 13.11 | ||||
| Total Medicare payments at DRG | $138,052,599 | ||||
| Total Medicare payments with ICD Z510 - Encounter for antineoplastic radiation therapy | $3,473,459 | ||||
| Total Medicare payment per Day at DRG | $2,682 | ||||
| Total Medicare payment per Day with ICD Z510 - Encounter for antineoplastic radiation therapy | $3,491 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,812 | ||||
| Total Medicare payment per Hospitalization with ICD Z510 - Encounter for antineoplastic radiation therapy | $27,350 | ||||
| Total Medicare Charges at DRG | $653,072,869 | ||||
| Total Medicare Charges with ICD Z510 - Encounter for antineoplastic radiation therapy | $15,220,650 | ||||
| Avg Charges at DRG | $126,835 | ||||
| Avg Charges with ICD Z510 - Encounter for antineoplastic radiation therapy | $119,848 | ||||
| Mortality Rate at DRG | 5.59 | ||||
| Mortality Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | NA | ||||
| SNF Discharge Rate at DRG | 12.02 | ||||
| SNF Discharge Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 20.47 | ||||
| Home Discharge Rate at DRG | 49.37 | ||||
| Home Discharge Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 55.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | 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 193: SIMPLE PNEUMONIA AND PLEURISY 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 | 37,484 | ||||
| Total Hospitalizations with ICD Z510 - Encounter for antineoplastic radiation therapy | 81 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD Z510 - Encounter for antineoplastic radiation therapy in DRG | 1.25 | ||||
| Avg LOS at DRG | 4.49 | ||||
| Avg LOS with ICD Z510 - Encounter for antineoplastic radiation therapy | 5.96 | ||||
| Readmission Rate at DRG | 27.89 | ||||
| Readmission Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 31.58 | ||||
| Unplanned Readmission Rate at DRG | 21.07 | ||||
| Unplanned Readmission Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 18.42 | ||||
| Total Medicare payments at DRG | $287,773,529 | ||||
| Total Medicare payments with ICD Z510 - Encounter for antineoplastic radiation therapy | $669,666 | ||||
| Total Medicare payment per Day at DRG | $1,709 | ||||
| Total Medicare payment per Day with ICD Z510 - Encounter for antineoplastic radiation therapy | $1,386 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,677 | ||||
| Total Medicare payment per Hospitalization with ICD Z510 - Encounter for antineoplastic radiation therapy | $8,267 | ||||
| Total Medicare Charges at DRG | $1,483,578,942 | ||||
| Total Medicare Charges with ICD Z510 - Encounter for antineoplastic radiation therapy | $3,982,565 | ||||
| Avg Charges at DRG | $39,579 | ||||
| Avg Charges with ICD Z510 - Encounter for antineoplastic radiation therapy | $49,167 | ||||
| Mortality Rate at DRG | 4.3 | ||||
| Mortality Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | NA | ||||
| SNF Discharge Rate at DRG | 10.7 | ||||
| SNF Discharge Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 22.22 | ||||
| Home Discharge Rate at DRG | 44.82 | ||||
| Home Discharge Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 39.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z510 - Encounter for antineoplastic radiation therapy | 67 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z510 - Encounter for antineoplastic radiation therapy in DRG | 1.03 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z510 - Encounter for antineoplastic radiation therapy | 4.57 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 26.15 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 23.08 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z510 - Encounter for antineoplastic radiation therapy | $508,402 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z510 - Encounter for antineoplastic radiation therapy | $1,661 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z510 - Encounter for antineoplastic radiation therapy | $7,588 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z510 - Encounter for antineoplastic radiation therapy | $2,815,193 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z510 - Encounter for antineoplastic radiation therapy | $42,018 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z510 - Encounter for antineoplastic radiation therapy | 59.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | 5841 S. MARYLAND AVE | CHICAGO | IL | 60637 | 527 |
| MERCYONE DES MOINES MEDICAL CENTER | 1111 6TH AVE | DES MOINES | IA | 50314 | 120 |
| CONCORD HOSPITAL | 250 PLEASANT ST | CONCORD | NH | 03301 | 111 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL J HARAF | 5841 S MARYLAND AVE # MC1099 | CHICAGO | IL | 60637 | 138 |
| Dr. TANGUY YANN LIM-SEIWERT | 5841 S MARYLAND AVE | CHICAGO | IL | 60637 | 55 |
| Dr. JONAS ARAUJO DE SOUZA | 5200 S ELLIS AVE | CHICAGO | IL | 60615 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TANGUY YANN LIM-SEIWERT | 5841 S MARYLAND AVE | CHICAGO | IL | 60637 | 89 |
| Dr. JONAS ARAUJO DE SOUZA | 5200 S ELLIS AVE | CHICAGO | IL | 60615 | 41 |
| Dr. RITA NANDA | 180 HARVESTER DR STE 110 | BURR RIDGE | IL | 60527 | 40 |