*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8042 - Family history of malignant neoplasm of prostate - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.3 | |
| 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 708: MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 Z8042 - Family history of malignant neoplasm of prostate | 2,891 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z8042 - Family history of malignant neoplasm of prostate in DRG | 4.62 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z8042 - Family history of malignant neoplasm of prostate | 2.39 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 7.92 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 2.79 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z8042 - Family history of malignant neoplasm of prostate | $34,236,030 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z8042 - Family history of malignant neoplasm of prostate | $4,950 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z8042 - Family history of malignant neoplasm of prostate | $11,842 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z8042 - Family history of malignant neoplasm of prostate | $180,466,668 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z8042 - Family history of malignant neoplasm of prostate | $62,424 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 17.16 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 35.18 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z8042 - Family history of malignant neoplasm of prostate | 1,079 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z8042 - Family history of malignant neoplasm of prostate in DRG | 1.72 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z8042 - Family history of malignant neoplasm of prostate | 3.0 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 17.17 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 11.06 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z8042 - Family history of malignant neoplasm of prostate | $4,998,561 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z8042 - Family history of malignant neoplasm of prostate | $1,543 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z8042 - Family history of malignant neoplasm of prostate | $4,633 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z8042 - Family history of malignant neoplasm of prostate | $27,509,761 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z8042 - Family history of malignant neoplasm of prostate | $25,496 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 4.26 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 80.54 |
*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 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 707: MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z8042 - Family history of malignant neoplasm of prostate | 754 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z8042 - Family history of malignant neoplasm of prostate in DRG | 1.2 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z8042 - Family history of malignant neoplasm of prostate | 4.39 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 21.44 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 16.93 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z8042 - Family history of malignant neoplasm of prostate | $5,139,360 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z8042 - Family history of malignant neoplasm of prostate | $1,553 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z8042 - Family history of malignant neoplasm of prostate | $6,816 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z8042 - Family history of malignant neoplasm of prostate | $25,769,584 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z8042 - Family history of malignant neoplasm of prostate | $34,177 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 10.08 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 60.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z8042 - Family history of malignant neoplasm of prostate | 626 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z8042 - Family history of malignant neoplasm of prostate in DRG | 1.0 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z8042 - Family history of malignant neoplasm of prostate | 3.67 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 20.54 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 14.26 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z8042 - Family history of malignant neoplasm of prostate | $3,652,894 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z8042 - Family history of malignant neoplasm of prostate | $1,591 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z8042 - Family history of malignant neoplasm of prostate | $5,835 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z8042 - Family history of malignant neoplasm of prostate | $16,001,824 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z8042 - Family history of malignant neoplasm of prostate | $25,562 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 8.95 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z8042 - Family history of malignant neoplasm of prostate | 58.47 |
| 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 | 1,064 |
| ARTHUR G JAMES CANCER HOSPITAL | 300 W 10TH AVE | COLUMBUS | OH | 43210 | 889 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 870 |
| 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 | 47 |
| Dr. JOHN W. DAVIS | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 32 |
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 30 |
| 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 | 47 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 45 |
| Dr. SANDIPKUMAR H. PATEL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 37 |