*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Z9013 - Acquired absence of bilateral breasts and nipples - as a primary diagnosis code | Z9013 - Acquired absence of bilateral breasts and nipples - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 4.74 | |
Readmission Rate (%) | 19.9 | |
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) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|
Total Hospitalizations at DRG | 3,839 | |
Total Hospitalizations with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 53 | |
DRG Share of Total Hospitalizations | 0.01 | |
% of Total ICD Z9013 - Acquired absence of bilateral breasts and nipples in DRG | 72.6 | |
Avg LOS at DRG | 3.15 | |
Avg LOS with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 2.43 | |
Readmission Rate at DRG | 12.5 | |
Readmission Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | NA | |
Unplanned Readmission Rate at DRG | 5.9 | |
Unplanned Readmission Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | NA | |
Total Medicare payments at DRG | $37,750,043 | |
Total Medicare payments with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $510,245 | |
Total Medicare payment per Day at DRG | $3,120 | |
Total Medicare payment per Day with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $3,955 | |
Total Medicare payment per Hospitalization at DRG | $9,833 | |
Total Medicare payment per Hospitalization with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $9,627 | |
Total Medicare Charges at DRG | $222,893,567 | |
Total Medicare Charges with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $3,900,745 | |
Avg Charges at DRG | $58,060 | |
Avg Charges with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $73,599 | |
Mortality Rate at DRG | NA | |
Mortality Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | NA | |
SNF Discharge Rate at DRG | 13.88 | |
SNF Discharge Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | NA | |
Home Discharge Rate at DRG | 54.73 | |
Home Discharge Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 84.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,522,684 | ||||
Total Hospitalizations with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 3,843 | ||||
DRG Share of Total Hospitalizations | 4.63 | ||||
% of Total ICD Z9013 - Acquired absence of bilateral breasts and nipples in DRG | 5.05 | ||||
Avg LOS at DRG | 2.52 | ||||
Avg LOS with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 2.69 | ||||
Readmission Rate at DRG | 9.03 | ||||
Readmission Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 9.93 | ||||
Unplanned Readmission Rate at DRG | 3.35 | ||||
Unplanned Readmission Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 3.43 | ||||
Total Medicare payments at DRG | $17,672,828,347 | ||||
Total Medicare payments with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $46,160,376 | ||||
Total Medicare payment per Day at DRG | $4,606 | ||||
Total Medicare payment per Day with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $4,469 | ||||
Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
Total Medicare payment per Hospitalization with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $12,012 | ||||
Total Medicare Charges at DRG | $91,836,200,128 | ||||
Total Medicare Charges with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $251,997,924 | ||||
Avg Charges at DRG | $60,312 | ||||
Avg Charges with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $65,573 | ||||
Mortality Rate at DRG | 0.05 | ||||
Mortality Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | NA | ||||
SNF Discharge Rate at DRG | 23.53 | ||||
SNF Discharge Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 27.71 | ||||
Home Discharge Rate at DRG | 30.67 | ||||
Home Discharge Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 25.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS 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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 474,314 | ||||
Total Hospitalizations with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 1,303 | ||||
DRG Share of Total Hospitalizations | 1.44 | ||||
% of Total ICD Z9013 - Acquired absence of bilateral breasts and nipples in DRG | 1.71 | ||||
Avg LOS at DRG | 3.53 | ||||
Avg LOS with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 3.37 | ||||
Readmission Rate at DRG | 18.03 | ||||
Readmission Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 13.84 | ||||
Unplanned Readmission Rate at DRG | 12.55 | ||||
Unplanned Readmission Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 10.68 | ||||
Total Medicare payments at DRG | $2,312,733,090 | ||||
Total Medicare payments with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $6,039,041 | ||||
Total Medicare payment per Day at DRG | $1,380 | ||||
Total Medicare payment per Day with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $1,375 | ||||
Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
Total Medicare payment per Hospitalization with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $4,635 | ||||
Total Medicare Charges at DRG | $11,559,952,314 | ||||
Total Medicare Charges with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $33,555,911 | ||||
Avg Charges at DRG | $24,372 | ||||
Avg Charges with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $25,753 | ||||
Mortality Rate at DRG | 0.22 | ||||
Mortality Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | NA | ||||
SNF Discharge Rate at DRG | 25.96 | ||||
SNF Discharge Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 23.33 | ||||
Home Discharge Rate at DRG | 43.58 | ||||
Home Discharge Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 48.27 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK 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 | 408,103 | ||||
Total Hospitalizations with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 953 | ||||
DRG Share of Total Hospitalizations | 1.24 | ||||
% of Total ICD Z9013 - Acquired absence of bilateral breasts and nipples in DRG | 1.25 | ||||
Avg LOS at DRG | 3.52 | ||||
Avg LOS with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 3.43 | ||||
Readmission Rate at DRG | 17.83 | ||||
Readmission Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 18.44 | ||||
Unplanned Readmission Rate at DRG | 13.81 | ||||
Unplanned Readmission Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 14.0 | ||||
Total Medicare payments at DRG | $2,416,862,532 | ||||
Total Medicare payments with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $5,559,095 | ||||
Total Medicare payment per Day at DRG | $1,682 | ||||
Total Medicare payment per Day with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $1,702 | ||||
Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
Total Medicare payment per Hospitalization with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $5,833 | ||||
Total Medicare Charges at DRG | $13,267,744,847 | ||||
Total Medicare Charges with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $30,444,770 | ||||
Avg Charges at DRG | $32,511 | ||||
Avg Charges with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $31,946 | ||||
Mortality Rate at DRG | 0.72 | ||||
Mortality Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | NA | ||||
SNF Discharge Rate at DRG | 14.1 | ||||
SNF Discharge Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 13.01 | ||||
Home Discharge Rate at DRG | 62.97 | ||||
Home Discharge Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 63.27 |
*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 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,100,860 | ||||
Total Hospitalizations with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 852 | ||||
DRG Share of Total Hospitalizations | 3.35 | ||||
% of Total ICD Z9013 - Acquired absence of bilateral breasts and nipples in DRG | 1.12 | ||||
Avg LOS at DRG | 11.86 | ||||
Avg LOS with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 11.07 | ||||
Readmission Rate at DRG | 27.58 | ||||
Readmission Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 21.54 | ||||
Unplanned Readmission Rate at DRG | 13.34 | ||||
Unplanned Readmission Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 11.46 | ||||
Total Medicare payments at DRG | $9,312,828,663 | ||||
Total Medicare payments with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $7,983,011 | ||||
Total Medicare payment per Day at DRG | $713 | ||||
Total Medicare payment per Day with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $846 | ||||
Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
Total Medicare payment per Hospitalization with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $9,370 | ||||
Total Medicare Charges at DRG | $32,341,464,302 | ||||
Total Medicare Charges with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $30,266,924 | ||||
Avg Charges at DRG | $29,378 | ||||
Avg Charges with ICD Z9013 - Acquired absence of bilateral breasts and nipples | $35,525 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | NA | ||||
SNF Discharge Rate at DRG | 5.83 | ||||
SNF Discharge Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 7.51 | ||||
Home Discharge Rate at DRG | 79.47 | ||||
Home Discharge Rate with ICD Z9013 - Acquired absence of bilateral breasts and nipples | 71.48 |
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 | 341 |
CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 278 |
BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 229 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. CHRISTOPHER GEORGE TRAHAN | 1717 ST CHARLES AVE | NEW ORLEANS | LA | 70130 | 18 |
Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 14 |
Dr. DANA CLARK | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 12 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 48 |
Dr. ROBERT SIEW | 301 W HUNTINGTON DR | ARCADIA | CA | 91007 | 24 |
Dr. KALYAN AKKINENI | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 21 |
No | ICD Diagnosis Code | Description |
---|---|---|
1 | Z853 | Personal history of malignant neoplasm of breast |
2 | K219 | Gastro-esophageal reflux disease without esophagitis |
3 | I10 | Essential (primary) hypertension |