*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9012 - Acquired absence of left breast and nipple - as a primary diagnosis code | Z9012 - Acquired absence of left breast and nipple - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.83 | |
| Readmission Rate (%) | 20.37 | |
| 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 Z9012 - Acquired absence of left breast and nipple | 38 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD Z9012 - Acquired absence of left breast and nipple in DRG | 76.0 |
| Avg LOS at DRG | 3.15 |
| Avg LOS with ICD Z9012 - Acquired absence of left breast and nipple | 2.34 |
| Readmission Rate at DRG | 12.5 |
| Readmission Rate with ICD Z9012 - Acquired absence of left breast and nipple | NA |
| Unplanned Readmission Rate at DRG | 5.9 |
| Unplanned Readmission Rate with ICD Z9012 - Acquired absence of left breast and nipple | NA |
| Total Medicare payments at DRG | $37,750,043 |
| Total Medicare payments with ICD Z9012 - Acquired absence of left breast and nipple | $352,514 |
| Total Medicare payment per Day at DRG | $3,120 |
| Total Medicare payment per Day with ICD Z9012 - Acquired absence of left breast and nipple | $3,961 |
| Total Medicare payment per Hospitalization at DRG | $9,833 |
| Total Medicare payment per Hospitalization with ICD Z9012 - Acquired absence of left breast and nipple | $9,277 |
| Total Medicare Charges at DRG | $222,893,567 |
| Total Medicare Charges with ICD Z9012 - Acquired absence of left breast and nipple | $2,452,658 |
| Avg Charges at DRG | $58,060 |
| Avg Charges with ICD Z9012 - Acquired absence of left breast and nipple | $64,544 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD Z9012 - Acquired absence of left breast and nipple | NA |
| SNF Discharge Rate at DRG | 13.88 |
| SNF Discharge Rate with ICD Z9012 - Acquired absence of left breast and nipple | NA |
| Home Discharge Rate at DRG | 54.73 |
| Home Discharge Rate with ICD Z9012 - Acquired absence of left breast and nipple | 81.58 |
*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 Z9012 - Acquired absence of left breast and nipple | 4,570 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z9012 - Acquired absence of left breast and nipple in DRG | 4.92 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z9012 - Acquired absence of left breast and nipple | 5.56 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z9012 - Acquired absence of left breast and nipple | 21.05 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z9012 - Acquired absence of left breast and nipple | 14.87 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z9012 - Acquired absence of left breast and nipple | $52,341,587 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z9012 - Acquired absence of left breast and nipple | $2,059 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z9012 - Acquired absence of left breast and nipple | $11,453 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z9012 - Acquired absence of left breast and nipple | $232,899,586 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z9012 - Acquired absence of left breast and nipple | $50,963 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z9012 - Acquired absence of left breast and nipple | 11.51 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z9012 - Acquired absence of left breast and nipple | 27.09 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z9012 - Acquired absence of left breast and nipple | 26.24 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z9012 - Acquired absence of left breast and nipple | 1,687 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z9012 - Acquired absence of left breast and nipple in DRG | 1.82 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z9012 - Acquired absence of left breast and nipple | 4.35 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z9012 - Acquired absence of left breast and nipple | 17.39 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z9012 - Acquired absence of left breast and nipple | 13.39 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z9012 - Acquired absence of left breast and nipple | $11,034,582 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z9012 - Acquired absence of left breast and nipple | $1,505 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z9012 - Acquired absence of left breast and nipple | $6,541 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z9012 - Acquired absence of left breast and nipple | $58,033,552 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z9012 - Acquired absence of left breast and nipple | $34,400 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z9012 - Acquired absence of left breast and nipple | 1.07 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z9012 - Acquired absence of left breast and nipple | 19.98 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z9012 - Acquired absence of left breast and nipple | 48.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 539,642 | ||||
| Total Hospitalizations with ICD Z9012 - Acquired absence of left breast and nipple | 1,466 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z9012 - Acquired absence of left breast and nipple in DRG | 1.58 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z9012 - Acquired absence of left breast and nipple | 5.46 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z9012 - Acquired absence of left breast and nipple | 24.19 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z9012 - Acquired absence of left breast and nipple | 19.65 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z9012 - Acquired absence of left breast and nipple | $13,316,899 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z9012 - Acquired absence of left breast and nipple | $1,663 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z9012 - Acquired absence of left breast and nipple | $9,084 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z9012 - Acquired absence of left breast and nipple | $63,681,750 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z9012 - Acquired absence of left breast and nipple | $43,439 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z9012 - Acquired absence of left breast and nipple | 5.32 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z9012 - Acquired absence of left breast and nipple | 19.92 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z9012 - Acquired absence of left breast and nipple | 37.65 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD Z9012 - Acquired absence of left breast and nipple | 1,158 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD Z9012 - Acquired absence of left breast and nipple in DRG | 1.25 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD Z9012 - Acquired absence of left breast and nipple | 4.92 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD Z9012 - Acquired absence of left breast and nipple | 25.72 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD Z9012 - Acquired absence of left breast and nipple | 7.55 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD Z9012 - Acquired absence of left breast and nipple | $14,399,787 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD Z9012 - Acquired absence of left breast and nipple | $2,530 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD Z9012 - Acquired absence of left breast and nipple | $12,435 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD Z9012 - Acquired absence of left breast and nipple | $74,738,653 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD Z9012 - Acquired absence of left breast and nipple | $64,541 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD Z9012 - Acquired absence of left breast and nipple | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD Z9012 - Acquired absence of left breast and nipple | 68.22 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD Z9012 - Acquired absence of left breast and nipple | 2.68 |
| 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 | 403 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 261 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 251 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 17 |
| Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 16 |
| Dr. LOUIS C JORDAN | 5716 CLEVELAND ST | VIRGINIA BEACH | VA | 23462 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 51 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 44 |
| Dr. RAJENDRA T GANDHI | 2551 GREENWOOD RD | SHREVEPORT | LA | 71103 | 29 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z853 | Personal history of malignant neoplasm of breast |
| 2 | I10 | Essential (primary) hypertension |
| 3 | E785 | Hyperlipidemia, unspecified |