*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8551 - Personal history of malignant neoplasm of bladder - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.92 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 Z8551 - Personal history of malignant neoplasm of bladder | 18,141 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z8551 - Personal history of malignant neoplasm of bladder in DRG | 6.19 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z8551 - Personal history of malignant neoplasm of bladder | 5.77 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 23.63 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 16.81 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z8551 - Personal history of malignant neoplasm of bladder | $209,543,004 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z8551 - Personal history of malignant neoplasm of bladder | $2,001 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z8551 - Personal history of malignant neoplasm of bladder | $11,551 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z8551 - Personal history of malignant neoplasm of bladder | $952,933,945 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z8551 - Personal history of malignant neoplasm of bladder | $52,529 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 10.45 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 23.91 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 28.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z8551 - Personal history of malignant neoplasm of bladder | 6,439 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z8551 - Personal history of malignant neoplasm of bladder in DRG | 2.2 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z8551 - Personal history of malignant neoplasm of bladder | 3.92 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 24.37 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 18.12 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z8551 - Personal history of malignant neoplasm of bladder | $36,805,038 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z8551 - Personal history of malignant neoplasm of bladder | $1,458 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z8551 - Personal history of malignant neoplasm of bladder | $5,716 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z8551 - Personal history of malignant neoplasm of bladder | $186,163,642 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z8551 - Personal history of malignant neoplasm of bladder | $28,912 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 0.82 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 18.87 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 47.86 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z8551 - Personal history of malignant neoplasm of bladder | 4,207 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z8551 - Personal history of malignant neoplasm of bladder in DRG | 1.44 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z8551 - Personal history of malignant neoplasm of bladder | 5.1 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 22.0 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 16.21 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z8551 - Personal history of malignant neoplasm of bladder | $35,786,078 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z8551 - Personal history of malignant neoplasm of bladder | $1,669 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z8551 - Personal history of malignant neoplasm of bladder | $8,506 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z8551 - Personal history of malignant neoplasm of bladder | $166,952,147 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z8551 - Personal history of malignant neoplasm of bladder | $39,684 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 3.47 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 22.96 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 40.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||||
| Total Hospitalizations with ICD Z8551 - Personal history of malignant neoplasm of bladder | 3,473 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD Z8551 - Personal history of malignant neoplasm of bladder in DRG | 1.19 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD Z8551 - Personal history of malignant neoplasm of bladder | 3.7 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 25.71 | ||||
| Unplanned Readmission Rate at DRG | 17.79 | ||||
| Unplanned Readmission Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 19.53 | ||||
| Total Medicare payments at DRG | $723,145,698 | ||||
| Total Medicare payments with ICD Z8551 - Personal history of malignant neoplasm of bladder | $22,376,243 | ||||
| Total Medicare payment per Day at DRG | $1,644 | ||||
| Total Medicare payment per Day with ICD Z8551 - Personal history of malignant neoplasm of bladder | $1,742 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||||
| Total Medicare payment per Hospitalization with ICD Z8551 - Personal history of malignant neoplasm of bladder | $6,443 | ||||
| Total Medicare Charges at DRG | $3,557,869,598 | ||||
| Total Medicare Charges with ICD Z8551 - Personal history of malignant neoplasm of bladder | $100,908,398 | ||||
| Avg Charges at DRG | $33,809 | ||||
| Avg Charges with ICD Z8551 - Personal history of malignant neoplasm of bladder | $29,055 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | NA | ||||
| SNF Discharge Rate at DRG | 20.33 | ||||
| SNF Discharge Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 17.33 | ||||
| Home Discharge Rate at DRG | 48.52 | ||||
| Home Discharge Rate with ICD Z8551 - Personal history of malignant neoplasm of bladder | 49.76 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 1,046 |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM EVANSTON HOSPITAL | 2650 RIDGE AVE | EVANSTON | IL | 60201 | 893 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 869 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD ANTHONY MATANO | 1010 NORTHERN BLVD | GREAT NECK | NY | 11021 | 42 |
| Dr. DOUGLAS SCOTT SCHERR | 525 E 68TH ST # 94 | NEW YORK | NY | 10021 | 40 |
| Dr. SUNGHYE JENNY KANG | 2200 W HIGGINS RD | HOFFMAN ESTATES | IL | 60169 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 79 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 74 |
| Dr. JIGNA HITESH SHAH | 1000 WATERMAN WAY | TAVARES | FL | 32778 | 70 |