*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z85831 - Personal history of malignant neoplasm of soft tissue - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.42 | |
| 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 204 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z85831 - Personal history of malignant neoplasm of soft tissue in DRG | 3.66 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 2.97 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 13.3 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 5.42 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $2,785,969 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $4,597 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $13,657 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $13,594,582 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $66,640 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 24.02 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 29.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,277 | ||||
| Total Hospitalizations with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 96 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD Z85831 - Personal history of malignant neoplasm of soft tissue in DRG | 1.72 | ||||
| Avg LOS at DRG | 3.44 | ||||
| Avg LOS with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 2.04 | ||||
| Readmission Rate at DRG | 7.43 | ||||
| Readmission Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | NA | ||||
| Unplanned Readmission Rate at DRG | 4.65 | ||||
| Unplanned Readmission Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | NA | ||||
| Total Medicare payments at DRG | $307,145,903 | ||||
| Total Medicare payments with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $1,093,728 | ||||
| Total Medicare payment per Day at DRG | $3,395 | ||||
| Total Medicare payment per Day with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $5,580 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,689 | ||||
| Total Medicare payment per Hospitalization with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $11,393 | ||||
| Total Medicare Charges at DRG | $1,771,264,244 | ||||
| Total Medicare Charges with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $4,555,749 | ||||
| Avg Charges at DRG | $67,407 | ||||
| Avg Charges with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $47,456 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | NA | ||||
| SNF Discharge Rate at DRG | 3.13 | ||||
| SNF Discharge Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | NA | ||||
| Home Discharge Rate at DRG | 76.41 | ||||
| Home Discharge Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 88.54 |
*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 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 65 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z85831 - Personal history of malignant neoplasm of soft tissue in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 3.89 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 26.23 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 22.95 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $419,186 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $1,657 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $6,449 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $2,164,577 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $33,301 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 52.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,901 | ||||
| Total Hospitalizations with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 57 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD Z85831 - Personal history of malignant neoplasm of soft tissue in DRG | 1.02 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 4.96 | ||||
| Readmission Rate at DRG | 19.01 | ||||
| Readmission Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 23.21 | ||||
| Unplanned Readmission Rate at DRG | 10.66 | ||||
| Unplanned Readmission Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | NA | ||||
| Total Medicare payments at DRG | $261,134,385 | ||||
| Total Medicare payments with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $451,016 | ||||
| Total Medicare payment per Day at DRG | $1,463 | ||||
| Total Medicare payment per Day with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $1,594 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,077 | ||||
| Total Medicare payment per Hospitalization with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $7,913 | ||||
| Total Medicare Charges at DRG | $1,223,076,070 | ||||
| Total Medicare Charges with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $1,911,788 | ||||
| Avg Charges at DRG | $33,145 | ||||
| Avg Charges with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | $33,540 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | NA | ||||
| SNF Discharge Rate at DRG | 15.3 | ||||
| SNF Discharge Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | NA | ||||
| Home Discharge Rate at DRG | 42.16 | ||||
| Home Discharge Rate with ICD Z85831 - Personal history of malignant neoplasm of soft tissue | 38.6 |
| 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 | 176 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 86 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 86 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MICHAEL JOYCE | 12902 USF MAGNOLIA DR | TAMPA | FL | 33612 | 11 |
| Dr. SAMUEL SINGER | 1275 YORK AVE | NEW YORK | NY | 10021 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAMUEL SINGER | 1275 YORK AVE | NEW YORK | NY | 10021 | 15 |
| Dr. DAVID MICHAEL JOYCE | 12902 USF MAGNOLIA DR | TAMPA | FL | 33612 | 11 |
| Dr. ERIC TOLOZA | 12902 USF MAGNOLIA DR | TAMPA | FL | 33612 | 11 |