*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9010 - Acquired absence of unspecified breast and nipple - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.64 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD Z9010 - Acquired absence of unspecified breast and nipple | 3,222 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z9010 - Acquired absence of unspecified breast and nipple in DRG | 5.19 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z9010 - Acquired absence of unspecified breast and nipple | 5.43 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 20.22 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 14.55 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z9010 - Acquired absence of unspecified breast and nipple | $36,129,997 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z9010 - Acquired absence of unspecified breast and nipple | $2,065 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z9010 - Acquired absence of unspecified breast and nipple | $11,214 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z9010 - Acquired absence of unspecified breast and nipple | $168,622,616 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z9010 - Acquired absence of unspecified breast and nipple | $52,335 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 12.17 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 28.15 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 26.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z9010 - Acquired absence of unspecified breast and nipple | 1,126 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z9010 - Acquired absence of unspecified breast and nipple in DRG | 1.81 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z9010 - Acquired absence of unspecified breast and nipple | 4.26 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 16.49 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 11.72 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z9010 - Acquired absence of unspecified breast and nipple | $7,155,194 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z9010 - Acquired absence of unspecified breast and nipple | $1,493 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z9010 - Acquired absence of unspecified breast and nipple | $6,355 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z9010 - Acquired absence of unspecified breast and nipple | $39,833,960 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z9010 - Acquired absence of unspecified breast and nipple | $35,377 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 1.95 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 20.43 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 48.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS 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 | 408,103 | ||||
| Total Hospitalizations with ICD Z9010 - Acquired absence of unspecified breast and nipple | 927 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD Z9010 - Acquired absence of unspecified breast and nipple in DRG | 1.49 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD Z9010 - Acquired absence of unspecified breast and nipple | 3.59 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 16.37 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 12.75 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD Z9010 - Acquired absence of unspecified breast and nipple | $5,487,248 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD Z9010 - Acquired absence of unspecified breast and nipple | $1,649 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD Z9010 - Acquired absence of unspecified breast and nipple | $5,919 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD Z9010 - Acquired absence of unspecified breast and nipple | $29,965,302 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD Z9010 - Acquired absence of unspecified breast and nipple | $32,325 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 14.24 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 59.01 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z9010 - Acquired absence of unspecified breast and nipple | 845 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z9010 - Acquired absence of unspecified breast and nipple in DRG | 1.36 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z9010 - Acquired absence of unspecified breast and nipple | 3.9 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 21.12 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 14.66 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z9010 - Acquired absence of unspecified breast and nipple | $4,820,794 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z9010 - Acquired absence of unspecified breast and nipple | $1,461 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z9010 - Acquired absence of unspecified breast and nipple | $5,705 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z9010 - Acquired absence of unspecified breast and nipple | $23,996,373 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z9010 - Acquired absence of unspecified breast and nipple | $28,398 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 24.62 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z9010 - Acquired absence of unspecified breast and nipple | 42.49 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 483 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 223 |
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN | ONE HOAG DRIVE | NEWPORT BEACH | CA | 92663 | 213 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 16 |
| Dr. NIDAL RAHAL | 6027 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 15 |
| Dr. T GEORGE STOEV | 526 HALLE PARK DRIVE | COLLIERVILLE | TN | 38017 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 25 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 23 |
| Dr. NIDAL RAHAL | 6027 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 21 |