*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z85038 - Personal history of other malignant neoplasm of large intestine - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.2 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 25,237 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z85038 - Personal history of other malignant neoplasm of large intestine in DRG | 5.17 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 5.88 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 23.16 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 16.4 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $292,179,789 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $1,969 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $11,577 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $1,354,505,591 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $53,671 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 12.71 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 27.13 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 23.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 | 522,791 | ||||
| Total Hospitalizations with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 9,461 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z85038 - Personal history of other malignant neoplasm of large intestine in DRG | 1.94 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 3.12 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 17.95 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 13.55 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $41,541,522 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $1,408 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $4,391 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $243,625,384 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $25,750 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 0.26 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 10.36 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 66.74 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 7,046 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z85038 - Personal history of other malignant neoplasm of large intestine in DRG | 1.44 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 4.04 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 23.93 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 18.69 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $42,883,059 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $1,506 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $6,086 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $200,939,676 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $28,518 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 1.23 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 19.2 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 41.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 6,106 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z85038 - Personal history of other malignant neoplasm of large intestine in DRG | 1.25 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 5.71 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 26.86 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 19.84 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $57,757,570 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $1,656 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $9,459 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $257,163,176 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | $42,116 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 5.52 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 30.36 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z85038 - Personal history of other malignant neoplasm of large intestine | 26.73 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,219 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,162 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,124 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 70 |
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 50 |
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 49 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 182 |
| Dr. LOUIS SANG-SOO PARK | 500 S VIRGIL AVE # 502 | LOS ANGELES | CA | 90020 | 94 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 93 |