*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z800 - Family history of malignant neoplasm of digestive organs - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.51 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z800 - Family history of malignant neoplasm of digestive organs | 9,128 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z800 - Family history of malignant neoplasm of digestive organs in DRG | 3.96 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z800 - Family history of malignant neoplasm of digestive organs | 2.47 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 8.4 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 3.09 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z800 - Family history of malignant neoplasm of digestive organs | $108,638,803 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z800 - Family history of malignant neoplasm of digestive organs | $4,810 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z800 - Family history of malignant neoplasm of digestive organs | $11,902 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z800 - Family history of malignant neoplasm of digestive organs | $564,789,463 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z800 - Family history of malignant neoplasm of digestive organs | $61,874 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 22.01 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 31.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z800 - Family history of malignant neoplasm of digestive organs | 4,597 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z800 - Family history of malignant neoplasm of digestive organs in DRG | 1.99 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z800 - Family history of malignant neoplasm of digestive organs | 4.58 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 26.66 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 21.06 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z800 - Family history of malignant neoplasm of digestive organs | $41,206,638 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z800 - Family history of malignant neoplasm of digestive organs | $1,955 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z800 - Family history of malignant neoplasm of digestive organs | $8,964 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z800 - Family history of malignant neoplasm of digestive organs | $163,562,596 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z800 - Family history of malignant neoplasm of digestive organs | $35,580 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 2.28 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 16.53 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 45.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z800 - Family history of malignant neoplasm of digestive organs | 2,858 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z800 - Family history of malignant neoplasm of digestive organs in DRG | 1.24 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z800 - Family history of malignant neoplasm of digestive organs | 4.4 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 24.76 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 19.72 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z800 - Family history of malignant neoplasm of digestive organs | $22,194,565 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z800 - Family history of malignant neoplasm of digestive organs | $1,766 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z800 - Family history of malignant neoplasm of digestive organs | $7,766 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z800 - Family history of malignant neoplasm of digestive organs | $103,872,961 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z800 - Family history of malignant neoplasm of digestive organs | $36,345 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 3.92 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 12.49 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 50.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD Z800 - Family history of malignant neoplasm of digestive organs | 2,382 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD Z800 - Family history of malignant neoplasm of digestive organs in DRG | 1.03 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD Z800 - Family history of malignant neoplasm of digestive organs | 2.93 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 18.34 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 13.23 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD Z800 - Family history of malignant neoplasm of digestive organs | $12,398,476 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD Z800 - Family history of malignant neoplasm of digestive organs | $1,779 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD Z800 - Family history of malignant neoplasm of digestive organs | $5,205 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD Z800 - Family history of malignant neoplasm of digestive organs | $64,258,915 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD Z800 - Family history of malignant neoplasm of digestive organs | $26,977 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | NA | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 8.02 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD Z800 - Family history of malignant neoplasm of digestive organs | 73.97 |
| 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 | 2,995 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 1,848 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 1,765 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 179 |
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 122 |
| Dr. ROBERT GOLDMAN | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 64 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 190 |
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 172 |
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 122 |