*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z85118 - Personal history of other malignant neoplasm of bronchus and lung - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 16.66 | |
| 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 22,338 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung in DRG | 7.0 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 5.51 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 24.37 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 18.26 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $251,197,120 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $2,039 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $11,245 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $1,132,675,020 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $50,706 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 10.85 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 20.35 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 33.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 8,584 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung in DRG | 2.69 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 5.21 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 24.87 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 18.76 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $73,122,718 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $1,634 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $8,518 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $348,497,905 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $40,599 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 3.68 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 17.82 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 42.92 |
*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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 4,085 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung in DRG | 1.28 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 3.49 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 21.78 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 17.0 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $24,763,543 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $1,739 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $6,062 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $136,228,981 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $33,349 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 0.61 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 11.9 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 63.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 3,137 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung in DRG | 0.98 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 3.71 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 25.48 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 19.85 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $17,703,212 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $1,521 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $5,643 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $90,093,092 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | $28,720 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 0.64 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 19.76 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z85118 - Personal history of other malignant neoplasm of bronchus and lung | 48.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 983 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 955 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 955 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT JOSEPH MCKENNA | 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 54 |
| Dr. BERNARD K CRAWFORD | 530 1ST AVE | NEW YORK | NY | 10016 | 35 |
| Dr. VALERIE W RUSCH | 1275 YORK AVE | NEW YORK | NY | 10021 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 134 |
| Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 67 |
| Dr. HARBHAJAN S PARMAR | 36100 EUCLID AVE | WILLOUGHBY | OH | 44094 | 61 |