*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z86011 - Personal history of benign neoplasm of the brain - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.23 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z86011 - Personal history of benign neoplasm of the brain | 1,258 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z86011 - Personal history of benign neoplasm of the brain in DRG | 4.71 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z86011 - Personal history of benign neoplasm of the brain | 5.87 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 25.66 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 17.41 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z86011 - Personal history of benign neoplasm of the brain | $14,620,253 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z86011 - Personal history of benign neoplasm of the brain | $1,979 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z86011 - Personal history of benign neoplasm of the brain | $11,622 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z86011 - Personal history of benign neoplasm of the brain | $66,990,649 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z86011 - Personal history of benign neoplasm of the brain | $53,252 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 8.27 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 33.55 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 25.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z86011 - Personal history of benign neoplasm of the brain | 488 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z86011 - Personal history of benign neoplasm of the brain in DRG | 1.83 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z86011 - Personal history of benign neoplasm of the brain | 4.55 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 27.0 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 21.74 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z86011 - Personal history of benign neoplasm of the brain | $4,432,580 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z86011 - Personal history of benign neoplasm of the brain | $1,998 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z86011 - Personal history of benign neoplasm of the brain | $9,083 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z86011 - Personal history of benign neoplasm of the brain | $17,827,770 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z86011 - Personal history of benign neoplasm of the brain | $36,532 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 2.46 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 21.93 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 35.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z86011 - Personal history of benign neoplasm of the brain | 399 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z86011 - Personal history of benign neoplasm of the brain in DRG | 1.5 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z86011 - Personal history of benign neoplasm of the brain | 4.27 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 17.02 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 14.36 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z86011 - Personal history of benign neoplasm of the brain | $2,664,357 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z86011 - Personal history of benign neoplasm of the brain | $1,564 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z86011 - Personal history of benign neoplasm of the brain | $6,678 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z86011 - Personal history of benign neoplasm of the brain | $13,815,701 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z86011 - Personal history of benign neoplasm of the brain | $34,626 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 25.06 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 44.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z86011 - Personal history of benign neoplasm of the brain | 312 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z86011 - Personal history of benign neoplasm of the brain in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z86011 - Personal history of benign neoplasm of the brain | 3.93 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 14.62 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 11.96 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z86011 - Personal history of benign neoplasm of the brain | $1,825,452 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z86011 - Personal history of benign neoplasm of the brain | $1,488 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z86011 - Personal history of benign neoplasm of the brain | $5,851 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z86011 - Personal history of benign neoplasm of the brain | $9,289,003 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z86011 - Personal history of benign neoplasm of the brain | $29,772 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 17.31 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z86011 - Personal history of benign neoplasm of the brain | 51.28 |
| 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 | 230 |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM EVANSTON HOSPITAL | 2650 RIDGE AVE | EVANSTON | IL | 60201 | 191 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 171 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES P CHANDLER | 675 N SAINT CLAIR ST | CHICAGO | IL | 60611 | 16 |
| Dr. OLEG LIAKHOVETSKI | 4940 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 16 |
| Dr. PAYAM SHADI | 633 S LA BREA AVE | LOS ANGELES | CA | 90036 | 12 |