*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z85841 - Personal history of malignant neoplasm of brain - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.6 | |
| 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 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD Z85841 - Personal history of malignant neoplasm of brain | 1,610 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z85841 - Personal history of malignant neoplasm of brain in DRG | 6.15 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z85841 - Personal history of malignant neoplasm of brain | 6.02 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 25.65 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 18.39 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z85841 - Personal history of malignant neoplasm of brain | $18,820,889 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z85841 - Personal history of malignant neoplasm of brain | $1,943 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z85841 - Personal history of malignant neoplasm of brain | $11,690 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z85841 - Personal history of malignant neoplasm of brain | $90,969,445 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z85841 - Personal history of malignant neoplasm of brain | $56,503 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 8.51 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 30.87 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 22.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z85841 - Personal history of malignant neoplasm of brain | 494 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z85841 - Personal history of malignant neoplasm of brain in DRG | 1.89 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z85841 - Personal history of malignant neoplasm of brain | 10.18 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 26.13 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 15.33 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z85841 - Personal history of malignant neoplasm of brain | $4,102,729 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z85841 - Personal history of malignant neoplasm of brain | $816 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z85841 - Personal history of malignant neoplasm of brain | $8,305 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z85841 - Personal history of malignant neoplasm of brain | $13,801,271 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z85841 - Personal history of malignant neoplasm of brain | $27,938 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 8.7 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 73.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD Z85841 - Personal history of malignant neoplasm of brain | 388 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z85841 - Personal history of malignant neoplasm of brain in DRG | 1.48 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD Z85841 - Personal history of malignant neoplasm of brain | 4.49 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 24.8 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 16.27 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD Z85841 - Personal history of malignant neoplasm of brain | $2,614,138 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD Z85841 - Personal history of malignant neoplasm of brain | $1,501 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD Z85841 - Personal history of malignant neoplasm of brain | $6,737 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD Z85841 - Personal history of malignant neoplasm of brain | $13,261,264 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD Z85841 - Personal history of malignant neoplasm of brain | $34,179 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 42.27 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 20.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,598 | ||||
| Total Hospitalizations with ICD Z85841 - Personal history of malignant neoplasm of brain | 326 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD Z85841 - Personal history of malignant neoplasm of brain in DRG | 1.24 | ||||
| Avg LOS at DRG | 5.58 | ||||
| Avg LOS with ICD Z85841 - Personal history of malignant neoplasm of brain | 5.41 | ||||
| Readmission Rate at DRG | 27.89 | ||||
| Readmission Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 27.55 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 12.24 | ||||
| Total Medicare payments at DRG | $420,580,748 | ||||
| Total Medicare payments with ICD Z85841 - Personal history of malignant neoplasm of brain | $3,056,221 | ||||
| Total Medicare payment per Day at DRG | $1,728 | ||||
| Total Medicare payment per Day with ICD Z85841 - Personal history of malignant neoplasm of brain | $1,732 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,647 | ||||
| Total Medicare payment per Hospitalization with ICD Z85841 - Personal history of malignant neoplasm of brain | $9,375 | ||||
| Total Medicare Charges at DRG | $2,165,508,049 | ||||
| Total Medicare Charges with ICD Z85841 - Personal history of malignant neoplasm of brain | $15,090,931 | ||||
| Avg Charges at DRG | $49,670 | ||||
| Avg Charges with ICD Z85841 - Personal history of malignant neoplasm of brain | $46,291 | ||||
| Mortality Rate at DRG | 4.23 | ||||
| Mortality Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | NA | ||||
| SNF Discharge Rate at DRG | 18.01 | ||||
| SNF Discharge Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 19.02 | ||||
| Home Discharge Rate at DRG | 29.57 | ||||
| Home Discharge Rate with ICD Z85841 - Personal history of malignant neoplasm of brain | 24.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 153 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 100 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 97 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALLAN FRIEDMAN | DUKE UNIVERSITY MEDICAL CTR | DURHAM | NC | 27710 | 21 |
| Dr. JON WEINGART | 10755 FALLS RD | LUTHERVILLE | MD | 21093 | 14 |
| Dr. MATTHEW CHRISTOPHER TATE | 675 N SAINT CLAIR ST | CHICAGO | IL | 60611 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALLAN FRIEDMAN | DUKE UNIVERSITY MEDICAL CTR | DURHAM | NC | 27710 | 20 |
| Dr. JON WEINGART | 10755 FALLS RD | LUTHERVILLE | MD | 21093 | 19 |
| Dr. AHMED JARADAT | 7391 W CHARLESTON BLVD | LAS VEGAS | NV | 89117 | 15 |