*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8509 - Personal history of malignant neoplasm of other digestive organs - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 16.6 | |
| 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 485 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z8509 - Personal history of malignant neoplasm of other digestive organs in DRG | 6.19 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 5.81 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 28.72 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 22.42 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $6,141,633 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $2,179 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $12,663 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $29,538,132 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $60,903 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 12.78 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 17.11 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 32.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 133 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z8509 - Personal history of malignant neoplasm of other digestive organs in DRG | 1.7 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 5.09 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 30.65 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 24.19 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $1,302,053 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $1,923 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $9,790 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $4,921,725 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $37,005 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 15.79 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 29.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,656 | ||||
| Total Hospitalizations with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 103 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD Z8509 - Personal history of malignant neoplasm of other digestive organs in DRG | 1.32 | ||||
| Avg LOS at DRG | 3.7 | ||||
| Avg LOS with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 3.71 | ||||
| Readmission Rate at DRG | 21.0 | ||||
| Readmission Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 26.26 | ||||
| Unplanned Readmission Rate at DRG | 14.31 | ||||
| Unplanned Readmission Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 20.2 | ||||
| Total Medicare payments at DRG | $374,740,838 | ||||
| Total Medicare payments with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $739,339 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $1,935 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,614 | ||||
| Total Medicare payment per Hospitalization with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $7,178 | ||||
| Total Medicare Charges at DRG | $2,130,704,945 | ||||
| Total Medicare Charges with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $3,883,488 | ||||
| Avg Charges at DRG | $37,608 | ||||
| Avg Charges with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $37,704 | ||||
| Mortality Rate at DRG | 0.43 | ||||
| Mortality Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | NA | ||||
| SNF Discharge Rate at DRG | 11.12 | ||||
| SNF Discharge Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | NA | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 66.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 85 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD Z8509 - Personal history of malignant neoplasm of other digestive organs in DRG | 1.09 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 7.78 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 22.89 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 16.87 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $1,500,124 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $2,269 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $17,649 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $8,790,001 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | $103,412 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | NA | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD Z8509 - Personal history of malignant neoplasm of other digestive organs | 57.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 80 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 74 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 59 |