*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z801 - Family history of malignant neoplasm of trachea, bronchus and lung - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.48 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 6,824 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung in DRG | 4.68 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 5.29 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 22.15 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 15.97 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $77,217,550 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $2,140 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $11,316 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $331,076,781 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $48,517 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 8.18 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 16.34 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 41.35 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 2,895 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung in DRG | 1.99 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 3.1 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 16.56 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 12.5 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $12,762,168 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $1,423 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $4,408 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $74,519,931 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $25,741 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 5.18 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 78.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 2,072 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung in DRG | 1.42 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 3.13 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 16.4 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 12.17 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $12,105,212 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $1,865 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $5,842 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $61,727,137 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $29,791 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 7.38 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 75.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 1,498 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung in DRG | 1.03 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 3.59 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 13.97 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 10.37 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $7,649,284 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $1,422 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $5,106 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $35,446,749 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | $23,663 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 9.41 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z801 - Family history of malignant neoplasm of trachea, bronchus and lung | 62.95 |
| 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 | 1,698 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 1,427 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 1,313 |
| 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 | 139 |
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 93 |
| Dr. ROBERT GOLDMAN | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 59 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 162 |
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 134 |
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 94 |