*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9221 - Personal history of antineoplastic chemotherapy - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 16.3 | |
| 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z9221 - Personal history of antineoplastic chemotherapy | 33,383 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z9221 - Personal history of antineoplastic chemotherapy in DRG | 6.39 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z9221 - Personal history of antineoplastic chemotherapy | 5.79 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 25.64 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 18.39 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z9221 - Personal history of antineoplastic chemotherapy | $402,161,055 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z9221 - Personal history of antineoplastic chemotherapy | $2,082 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z9221 - Personal history of antineoplastic chemotherapy | $12,047 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z9221 - Personal history of antineoplastic chemotherapy | $1,915,648,890 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z9221 - Personal history of antineoplastic chemotherapy | $57,384 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 14.0 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 15.06 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 32.57 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z9221 - Personal history of antineoplastic chemotherapy | 8,846 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z9221 - Personal history of antineoplastic chemotherapy in DRG | 1.69 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z9221 - Personal history of antineoplastic chemotherapy | 3.84 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 21.21 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 15.63 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z9221 - Personal history of antineoplastic chemotherapy | $53,542,410 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z9221 - Personal history of antineoplastic chemotherapy | $1,576 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z9221 - Personal history of antineoplastic chemotherapy | $6,053 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z9221 - Personal history of antineoplastic chemotherapy | $269,741,112 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z9221 - Personal history of antineoplastic chemotherapy | $30,493 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 0.71 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 9.28 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 61.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z9221 - Personal history of antineoplastic chemotherapy | 7,204 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z9221 - Personal history of antineoplastic chemotherapy in DRG | 1.38 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z9221 - Personal history of antineoplastic chemotherapy | 4.03 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 27.38 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 20.61 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z9221 - Personal history of antineoplastic chemotherapy | $43,741,161 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z9221 - Personal history of antineoplastic chemotherapy | $1,505 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z9221 - Personal history of antineoplastic chemotherapy | $6,072 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z9221 - Personal history of antineoplastic chemotherapy | $223,302,272 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z9221 - Personal history of antineoplastic chemotherapy | $30,997 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 1.4 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 13.58 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 52.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,598 | ||||
| Total Hospitalizations with ICD Z9221 - Personal history of antineoplastic chemotherapy | 6,054 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD Z9221 - Personal history of antineoplastic chemotherapy in DRG | 1.16 | ||||
| Avg LOS at DRG | 5.58 | ||||
| Avg LOS with ICD Z9221 - Personal history of antineoplastic chemotherapy | 5.29 | ||||
| Readmission Rate at DRG | 27.89 | ||||
| Readmission Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 27.15 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 14.99 | ||||
| Total Medicare payments at DRG | $420,580,748 | ||||
| Total Medicare payments with ICD Z9221 - Personal history of antineoplastic chemotherapy | $57,228,737 | ||||
| Total Medicare payment per Day at DRG | $1,728 | ||||
| Total Medicare payment per Day with ICD Z9221 - Personal history of antineoplastic chemotherapy | $1,786 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,647 | ||||
| Total Medicare payment per Hospitalization with ICD Z9221 - Personal history of antineoplastic chemotherapy | $9,453 | ||||
| Total Medicare Charges at DRG | $2,165,508,049 | ||||
| Total Medicare Charges with ICD Z9221 - Personal history of antineoplastic chemotherapy | $273,794,251 | ||||
| Avg Charges at DRG | $49,670 | ||||
| Avg Charges with ICD Z9221 - Personal history of antineoplastic chemotherapy | $45,225 | ||||
| Mortality Rate at DRG | 4.23 | ||||
| Mortality Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 3.82 | ||||
| SNF Discharge Rate at DRG | 18.01 | ||||
| SNF Discharge Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 17.1 | ||||
| Home Discharge Rate at DRG | 29.57 | ||||
| Home Discharge Rate with ICD Z9221 - Personal history of antineoplastic chemotherapy | 30.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 3,374 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 2,778 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 2,568 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 98 |
| Dr. JAMES BRADLEY ELDER | 300 W 10TH AVE | COLUMBUS | OH | 43210 | 78 |
| Dr. TRINITY J BIVALACQUA | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 76 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SATINDERJIT S OBEROI | 902 N RIVERSIDE RD | SAINT JOSEPH | MO | 64507 | 219 |
| Dr. AMANDEEP KAUR DHATT | 200 CARMAN AVE | EAST MEADOW | NY | 11554 | 213 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 210 |