*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z809 - Family history of malignant neoplasm, unspecified - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.74 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z809 - Family history of malignant neoplasm, unspecified | 11,571 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z809 - Family history of malignant neoplasm, unspecified in DRG | 6.98 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z809 - Family history of malignant neoplasm, unspecified | 2.39 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 8.32 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 2.96 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z809 - Family history of malignant neoplasm, unspecified | $128,338,898 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z809 - Family history of malignant neoplasm, unspecified | $4,641 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z809 - Family history of malignant neoplasm, unspecified | $11,091 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z809 - Family history of malignant neoplasm, unspecified | $716,134,006 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z809 - Family history of malignant neoplasm, unspecified | $61,890 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 20.66 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 32.63 |
*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 885: PSYCHOSES | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z809 - Family history of malignant neoplasm, unspecified | 2,814 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z809 - Family history of malignant neoplasm, unspecified in DRG | 1.7 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z809 - Family history of malignant neoplasm, unspecified | 4.33 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 25.84 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 19.83 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z809 - Family history of malignant neoplasm, unspecified | $21,536,247 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z809 - Family history of malignant neoplasm, unspecified | $1,769 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z809 - Family history of malignant neoplasm, unspecified | $7,653 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z809 - Family history of malignant neoplasm, unspecified | $96,784,246 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z809 - Family history of malignant neoplasm, unspecified | $34,394 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 3.27 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 13.22 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 49.72 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD Z809 - Family history of malignant neoplasm, unspecified | 2,222 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z809 - Family history of malignant neoplasm, unspecified in DRG | 1.34 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z809 - Family history of malignant neoplasm, unspecified | 3.23 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 16.94 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 13.43 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z809 - Family history of malignant neoplasm, unspecified | $12,768,643 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z809 - Family history of malignant neoplasm, unspecified | $1,777 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z809 - Family history of malignant neoplasm, unspecified | $5,746 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z809 - Family history of malignant neoplasm, unspecified | $63,220,864 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z809 - Family history of malignant neoplasm, unspecified | $28,452 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 0.86 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 9.59 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 71.11 |
*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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z809 - Family history of malignant neoplasm, unspecified | 1,932 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z809 - Family history of malignant neoplasm, unspecified in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z809 - Family history of malignant neoplasm, unspecified | 3.65 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 16.06 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 11.57 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z809 - Family history of malignant neoplasm, unspecified | $9,590,835 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z809 - Family history of malignant neoplasm, unspecified | $1,359 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z809 - Family history of malignant neoplasm, unspecified | $4,964 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z809 - Family history of malignant neoplasm, unspecified | $42,667,602 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z809 - Family history of malignant neoplasm, unspecified | $22,085 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 13.82 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z809 - Family history of malignant neoplasm, unspecified | 58.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF NEBRASKA MEDICAL CENTER | 987400 NEBRASKA MEDICAL CTR | OMAHA | NE | 68198 | 3,035 |
| WINCHESTER MEDICAL CENTER | 1840 AMHERST ST | WINCHESTER | VA | 22601 | 2,635 |
| CENTRAL DUPAGE HOSPITAL | 25 NORTH WINFIELD RD. | WINFIELD | IL | 60190 | 2,543 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AAMIR HASHMAT | 2024 15TH ST FL 2 | MERIDIAN | MS | 39301 | 162 |
| Dr. TOM GHOBRIAL | 12252 WILLIAMS RD SE | CUMBERLAND | MD | 21502 | 136 |
| Dr. PHILIP ORMOND MERRITT | 1505 WILSON TER | GLENDALE | CA | 91206 | 127 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 186 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 176 |
| Dr. FERDINAND OSUJI | 425 W 3RD AVE | ALBANY | GA | 31701 | 169 |