*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8507 - Personal history of malignant neoplasm of pancreas - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.21 | |
| 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 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 2,422 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z8507 - Personal history of malignant neoplasm of pancreas in DRG | 7.06 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 5.78 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 27.69 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 21.1 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $28,855,827 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $2,060 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $11,914 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $141,639,295 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $58,480 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 11.73 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 16.06 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 34.35 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 564 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z8507 - Personal history of malignant neoplasm of pancreas in DRG | 1.64 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 2.97 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 19.6 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 10.53 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $7,088,939 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $4,232 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $12,569 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $36,269,708 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $64,308 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 34.93 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 20.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 405 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z8507 - Personal history of malignant neoplasm of pancreas in DRG | 1.18 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 3.78 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 19.53 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 15.3 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $2,393,799 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $1,564 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $5,911 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $12,164,281 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $30,035 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 11.6 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 61.73 |
*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 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 340 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z8507 - Personal history of malignant neoplasm of pancreas in DRG | 0.99 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 6.08 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 32.28 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 25.0 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $3,350,442 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $1,622 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $9,854 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $18,076,054 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z8507 - Personal history of malignant neoplasm of pancreas | $53,165 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 3.24 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 18.53 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z8507 - Personal history of malignant neoplasm of pancreas | 36.47 |
| 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 | 304 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 271 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 220 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTOPHER WOLFGANG | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 17 |
| Dr. KERRINGTON DAVID SMITH | 1 MEDICAL CENTER DR | LEBANON | NH | 03756 | 15 |
| Dr. MOUEN A KHASHAB | 1402 E COUNTY LINE RD | INDIANAPOLIS | IN | 46227 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTOPHER WOLFGANG | 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 43 |
| Dr. NICHOLAS NISSEN | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 41 |
| Dr. MATTHEW J WEISS | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 41 |