*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z803 - Family history of malignant neoplasm of breast - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.69 | |
| 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z803 - Family history of malignant neoplasm of breast | 8,404 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z803 - Family history of malignant neoplasm of breast in DRG | 4.85 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z803 - Family history of malignant neoplasm of breast | 2.5 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z803 - Family history of malignant neoplasm of breast | 8.29 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z803 - Family history of malignant neoplasm of breast | 2.93 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z803 - Family history of malignant neoplasm of breast | $100,974,574 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z803 - Family history of malignant neoplasm of breast | $4,797 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z803 - Family history of malignant neoplasm of breast | $12,015 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z803 - Family history of malignant neoplasm of breast | $522,240,989 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z803 - Family history of malignant neoplasm of breast | $62,142 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z803 - Family history of malignant neoplasm of breast | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z803 - Family history of malignant neoplasm of breast | 23.44 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z803 - Family history of malignant neoplasm of breast | 30.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z803 - Family history of malignant neoplasm of breast | 2,655 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z803 - Family history of malignant neoplasm of breast in DRG | 1.53 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z803 - Family history of malignant neoplasm of breast | 4.29 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z803 - Family history of malignant neoplasm of breast | 21.2 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z803 - Family history of malignant neoplasm of breast | 17.29 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z803 - Family history of malignant neoplasm of breast | $18,368,834 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z803 - Family history of malignant neoplasm of breast | $1,611 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z803 - Family history of malignant neoplasm of breast | $6,919 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z803 - Family history of malignant neoplasm of breast | $84,934,334 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z803 - Family history of malignant neoplasm of breast | $31,990 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z803 - Family history of malignant neoplasm of breast | 0.68 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z803 - Family history of malignant neoplasm of breast | 9.49 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z803 - Family history of malignant neoplasm of breast | 59.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z803 - Family history of malignant neoplasm of breast | 2,227 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z803 - Family history of malignant neoplasm of breast in DRG | 1.29 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z803 - Family history of malignant neoplasm of breast | 3.7 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z803 - Family history of malignant neoplasm of breast | 21.95 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z803 - Family history of malignant neoplasm of breast | 15.65 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z803 - Family history of malignant neoplasm of breast | $13,141,342 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z803 - Family history of malignant neoplasm of breast | $1,593 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z803 - Family history of malignant neoplasm of breast | $5,901 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z803 - Family history of malignant neoplasm of breast | $59,980,197 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z803 - Family history of malignant neoplasm of breast | $26,933 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z803 - Family history of malignant neoplasm of breast | 0.67 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z803 - Family history of malignant neoplasm of breast | 14.95 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z803 - Family history of malignant neoplasm of breast | 56.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD Z803 - Family history of malignant neoplasm of breast | 1,833 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD Z803 - Family history of malignant neoplasm of breast in DRG | 1.06 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD Z803 - Family history of malignant neoplasm of breast | 3.04 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD Z803 - Family history of malignant neoplasm of breast | 21.55 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD Z803 - Family history of malignant neoplasm of breast | 15.42 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD Z803 - Family history of malignant neoplasm of breast | $8,282,150 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD Z803 - Family history of malignant neoplasm of breast | $1,485 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD Z803 - Family history of malignant neoplasm of breast | $4,518 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD Z803 - Family history of malignant neoplasm of breast | $43,423,813 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD Z803 - Family history of malignant neoplasm of breast | $23,690 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD Z803 - Family history of malignant neoplasm of breast | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD Z803 - Family history of malignant neoplasm of breast | 12.66 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD Z803 - Family history of malignant neoplasm of breast | 58.37 |
| 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 | 2,407 |
| ARTHUR G JAMES CANCER HOSPITAL | 300 W 10TH AVE | COLUMBUS | OH | 43210 | 1,982 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 1,892 |
| 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 | 124 |
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 100 |
| Dr. ROBERT GOLDMAN | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 57 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 129 |
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 121 |
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 100 |