*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z853 - Personal history of malignant neoplasm of breast - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.14 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z853 - Personal history of malignant neoplasm of breast | 63,400 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z853 - Personal history of malignant neoplasm of breast in DRG | 6.22 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z853 - Personal history of malignant neoplasm of breast | 2.67 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 9.56 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 3.23 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z853 - Personal history of malignant neoplasm of breast | $766,167,517 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z853 - Personal history of malignant neoplasm of breast | $4,532 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z853 - Personal history of malignant neoplasm of breast | $12,085 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z853 - Personal history of malignant neoplasm of breast | $3,838,529,070 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z853 - Personal history of malignant neoplasm of breast | $60,545 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 0.05 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 29.67 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 25.03 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z853 - Personal history of malignant neoplasm of breast | 16,915 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z853 - Personal history of malignant neoplasm of breast in DRG | 1.66 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z853 - Personal history of malignant neoplasm of breast | 4.22 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 16.08 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 11.92 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z853 - Personal history of malignant neoplasm of breast | $109,149,190 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z853 - Personal history of malignant neoplasm of breast | $1,531 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z853 - Personal history of malignant neoplasm of breast | $6,453 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z853 - Personal history of malignant neoplasm of breast | $559,035,198 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z853 - Personal history of malignant neoplasm of breast | $33,050 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 1.41 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 20.38 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 48.69 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z853 - Personal history of malignant neoplasm of breast | 14,574 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z853 - Personal history of malignant neoplasm of breast in DRG | 1.43 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z853 - Personal history of malignant neoplasm of breast | 4.02 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 16.06 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 12.16 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z853 - Personal history of malignant neoplasm of breast | $86,190,064 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z853 - Personal history of malignant neoplasm of breast | $1,471 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z853 - Personal history of malignant neoplasm of breast | $5,914 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z853 - Personal history of malignant neoplasm of breast | $418,437,957 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z853 - Personal history of malignant neoplasm of breast | $28,711 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 0.78 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 19.42 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 49.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z853 - Personal history of malignant neoplasm of breast | 11,956 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z853 - Personal history of malignant neoplasm of breast in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z853 - Personal history of malignant neoplasm of breast | 3.81 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 34.17 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 7.65 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z853 - Personal history of malignant neoplasm of breast | $78,445,502 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z853 - Personal history of malignant neoplasm of breast | $1,724 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z853 - Personal history of malignant neoplasm of breast | $6,561 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z853 - Personal history of malignant neoplasm of breast | $435,293,243 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z853 - Personal history of malignant neoplasm of breast | $36,408 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 1.76 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 27.49 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z853 - Personal history of malignant neoplasm of breast | 21.96 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 2,864 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 2,860 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 2,531 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 172 |
| Dr. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 128 |
| Dr. ELVIS L GRANDIC | 2828 S SEACREST BLVD | BOYNTON BEACH | FL | 33435 | 116 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 340 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 210 |
| Dr. BAQIR M SYED | 1926 10TH AVE N | LAKE WORTH | FL | 33461 | 193 |