*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8505 - Personal history of malignant neoplasm of liver - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.01 | |
| 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 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z8505 - Personal history of malignant neoplasm of liver | 1,866 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z8505 - Personal history of malignant neoplasm of liver in DRG | 5.68 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z8505 - Personal history of malignant neoplasm of liver | 5.77 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 28.63 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 20.87 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z8505 - Personal history of malignant neoplasm of liver | $23,087,726 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z8505 - Personal history of malignant neoplasm of liver | $2,146 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z8505 - Personal history of malignant neoplasm of liver | $12,373 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z8505 - Personal history of malignant neoplasm of liver | $114,997,230 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z8505 - Personal history of malignant neoplasm of liver | $61,628 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 12.54 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 16.35 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 33.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z8505 - Personal history of malignant neoplasm of liver | 631 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z8505 - Personal history of malignant neoplasm of liver in DRG | 1.92 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z8505 - Personal history of malignant neoplasm of liver | 4.17 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 20.14 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 14.54 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z8505 - Personal history of malignant neoplasm of liver | $4,356,800 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z8505 - Personal history of malignant neoplasm of liver | $1,655 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z8505 - Personal history of malignant neoplasm of liver | $6,905 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z8505 - Personal history of malignant neoplasm of liver | $24,605,532 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z8505 - Personal history of malignant neoplasm of liver | $38,995 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 13.79 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 54.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z8505 - Personal history of malignant neoplasm of liver | 430 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z8505 - Personal history of malignant neoplasm of liver in DRG | 1.31 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z8505 - Personal history of malignant neoplasm of liver | 3.57 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 19.22 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 12.9 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z8505 - Personal history of malignant neoplasm of liver | $2,571,359 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z8505 - Personal history of malignant neoplasm of liver | $1,677 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z8505 - Personal history of malignant neoplasm of liver | $5,980 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z8505 - Personal history of malignant neoplasm of liver | $11,816,698 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z8505 - Personal history of malignant neoplasm of liver | $27,481 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 10.7 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 63.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z8505 - Personal history of malignant neoplasm of liver | 348 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z8505 - Personal history of malignant neoplasm of liver in DRG | 1.06 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z8505 - Personal history of malignant neoplasm of liver | 3.26 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 20.37 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 14.51 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z8505 - Personal history of malignant neoplasm of liver | $1,729,499 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z8505 - Personal history of malignant neoplasm of liver | $1,525 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z8505 - Personal history of malignant neoplasm of liver | $4,970 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z8505 - Personal history of malignant neoplasm of liver | $9,161,865 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z8505 - Personal history of malignant neoplasm of liver | $26,327 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 18.39 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z8505 - Personal history of malignant neoplasm of liver | 52.87 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 235 |
| LAHEY HOSPITAL & MEDICAL CENTER | 41 MALL RD | BURLINGTON | MA | 01805 | 215 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 213 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAFFAELE GIRLANDA | 3800 RESERVOIR RD NW | WASHINGTON | DC | 20007 | 15 |
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 14 |
| Dr. ALEXANDER HELMUT KURT KROEMER | 3800 RESERVOIR RD NW | WASHINGTON | DC | 20007 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREW MACGREGOR CAMERON | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 30 |
| Dr. ASHISH SAHARIA | 6550 FANNIN | HOUSTON | TX | 77030 | 29 |
| Dr. JOHN ARTHUR DONOVAN | 1520 SAN PABLO ST | LOS ANGELES | CA | 90033 | 22 |