*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9011 - Acquired absence of right breast and nipple - as a primary diagnosis code | Z9011 - Acquired absence of right breast and nipple - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.85 | |
| Readmission Rate (%) | 20.07 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 3,839 |
| Total Hospitalizations with ICD Z9011 - Acquired absence of right breast and nipple | 56 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD Z9011 - Acquired absence of right breast and nipple in DRG | 81.16 |
| Avg LOS at DRG | 3.15 |
| Avg LOS with ICD Z9011 - Acquired absence of right breast and nipple | 2.63 |
| Readmission Rate at DRG | 12.5 |
| Readmission Rate with ICD Z9011 - Acquired absence of right breast and nipple | NA |
| Unplanned Readmission Rate at DRG | 5.9 |
| Unplanned Readmission Rate with ICD Z9011 - Acquired absence of right breast and nipple | NA |
| Total Medicare payments at DRG | $37,750,043 |
| Total Medicare payments with ICD Z9011 - Acquired absence of right breast and nipple | $560,539 |
| Total Medicare payment per Day at DRG | $3,120 |
| Total Medicare payment per Day with ICD Z9011 - Acquired absence of right breast and nipple | $3,813 |
| Total Medicare payment per Hospitalization at DRG | $9,833 |
| Total Medicare payment per Hospitalization with ICD Z9011 - Acquired absence of right breast and nipple | $10,010 |
| Total Medicare Charges at DRG | $222,893,567 |
| Total Medicare Charges with ICD Z9011 - Acquired absence of right breast and nipple | $3,392,901 |
| Avg Charges at DRG | $58,060 |
| Avg Charges with ICD Z9011 - Acquired absence of right breast and nipple | $60,588 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD Z9011 - Acquired absence of right breast and nipple | NA |
| SNF Discharge Rate at DRG | 13.88 |
| SNF Discharge Rate with ICD Z9011 - Acquired absence of right breast and nipple | NA |
| Home Discharge Rate at DRG | 54.73 |
| Home Discharge Rate with ICD Z9011 - Acquired absence of right breast and nipple | 80.36 |
*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 Z9011 - Acquired absence of right breast and nipple | 4,077 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z9011 - Acquired absence of right breast and nipple in DRG | 4.85 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z9011 - Acquired absence of right breast and nipple | 5.63 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z9011 - Acquired absence of right breast and nipple | 21.5 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z9011 - Acquired absence of right breast and nipple | 16.05 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z9011 - Acquired absence of right breast and nipple | $46,616,989 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z9011 - Acquired absence of right breast and nipple | $2,031 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z9011 - Acquired absence of right breast and nipple | $11,434 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z9011 - Acquired absence of right breast and nipple | $206,806,559 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z9011 - Acquired absence of right breast and nipple | $50,725 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z9011 - Acquired absence of right breast and nipple | 11.87 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z9011 - Acquired absence of right breast and nipple | 26.0 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z9011 - Acquired absence of right breast and nipple | 26.34 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z9011 - Acquired absence of right breast and nipple | 1,550 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z9011 - Acquired absence of right breast and nipple in DRG | 1.84 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z9011 - Acquired absence of right breast and nipple | 4.16 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z9011 - Acquired absence of right breast and nipple | 14.37 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z9011 - Acquired absence of right breast and nipple | 10.39 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z9011 - Acquired absence of right breast and nipple | $10,082,968 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z9011 - Acquired absence of right breast and nipple | $1,565 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z9011 - Acquired absence of right breast and nipple | $6,505 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z9011 - Acquired absence of right breast and nipple | $49,868,395 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z9011 - Acquired absence of right breast and nipple | $32,173 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z9011 - Acquired absence of right breast and nipple | 1.29 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z9011 - Acquired absence of right breast and nipple | 18.58 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z9011 - Acquired absence of right breast and nipple | 50.26 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z9011 - Acquired absence of right breast and nipple | 1,249 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z9011 - Acquired absence of right breast and nipple in DRG | 1.49 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z9011 - Acquired absence of right breast and nipple | 4.08 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z9011 - Acquired absence of right breast and nipple | 16.09 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z9011 - Acquired absence of right breast and nipple | 12.85 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z9011 - Acquired absence of right breast and nipple | $7,616,770 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z9011 - Acquired absence of right breast and nipple | $1,496 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z9011 - Acquired absence of right breast and nipple | $6,098 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z9011 - Acquired absence of right breast and nipple | $37,196,764 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z9011 - Acquired absence of right breast and nipple | $29,781 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z9011 - Acquired absence of right breast and nipple | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z9011 - Acquired absence of right breast and nipple | 20.26 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z9011 - Acquired absence of right breast and nipple | 48.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD Z9011 - Acquired absence of right breast and nipple | 1,046 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD Z9011 - Acquired absence of right breast and nipple in DRG | 1.24 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD Z9011 - Acquired absence of right breast and nipple | 4.79 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD Z9011 - Acquired absence of right breast and nipple | 25.12 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD Z9011 - Acquired absence of right breast and nipple | 6.35 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD Z9011 - Acquired absence of right breast and nipple | $13,201,463 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD Z9011 - Acquired absence of right breast and nipple | $2,636 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD Z9011 - Acquired absence of right breast and nipple | $12,621 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD Z9011 - Acquired absence of right breast and nipple | $69,257,808 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD Z9011 - Acquired absence of right breast and nipple | $66,212 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD Z9011 - Acquired absence of right breast and nipple | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD Z9011 - Acquired absence of right breast and nipple | 68.45 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD Z9011 - Acquired absence of right breast and nipple | 2.29 |
| 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 | 349 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 263 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 234 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. OLALEKAN T FOLARIN | 7007 POWERS BLVD | PARMA | OH | 44129 | 16 |
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 14 |
| Dr. JAMES E. JENNINGS | 35 INTERNATIONAL DR | GREENVILLE | SC | 29615 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 46 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 25 |
| Dr. TIMOTHY M TOBIN | 2901 4TH ST | LONGVIEW | TX | 75605 | 24 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z853 | Personal history of malignant neoplasm of breast |
| 2 | Z87891 | Personal history of nicotine dependence |
| 3 | I10 | Essential (primary) hypertension |
| 4 | K219 | Gastro-esophageal reflux disease without esophagitis |