| 6110 - Inflammatory disease of breast - as a primary diagnosis code | 6110 - Inflammatory disease of breast - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.69 | |
| Readmission Rate (%) | 22.0 | |
| Unplanned Readmission Rate (%) | 11.4 | |
| 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 | ||
| DRG 600: NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 601: NON-MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,325 | ||||
| Total Hospitalizations with ICD 6110 - Inflammatory disease of breast | 2,032 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 6110 - Inflammatory disease of breast in DRG | 49.07 | ||||
| Avg LOS at DRG | 5.21 | ||||
| Avg LOS with ICD 6110 - Inflammatory disease of breast | 5.34 | ||||
| Readmission Rate at DRG | 20.66 | ||||
| Readmission Rate with ICD 6110 - Inflammatory disease of breast | 20.53 | ||||
| Unplanned Readmission Rate at DRG | 14.23 | ||||
| Unplanned Readmission Rate with ICD 6110 - Inflammatory disease of breast | 14.26 | ||||
| Total Medicare payments at DRG | $16,516,941 | ||||
| Total Medicare payments with ICD 6110 - Inflammatory disease of breast | $14,584,396 | ||||
| Total Medicare payment per Day at DRG | $1,362 | ||||
| Total Medicare payment per Day with ICD 6110 - Inflammatory disease of breast | $1,344 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,104 | ||||
| Total Medicare payment per Hospitalization with ICD 6110 - Inflammatory disease of breast | $7,177 | ||||
| Total Medicare Charges at DRG | $69,492,426 | ||||
| Total Medicare Charges with ICD 6110 - Inflammatory disease of breast | $61,083,873 | ||||
| Avg Charges at DRG | $29,889 | ||||
| Avg Charges with ICD 6110 - Inflammatory disease of breast | $30,061 | ||||
| Mortality Rate at DRG | 0.99 | ||||
| Mortality Rate with ICD 6110 - Inflammatory disease of breast | 0.89 | ||||
| SNF Discharge Rate at DRG | 12.56 | ||||
| SNF Discharge Rate with ICD 6110 - Inflammatory disease of breast | 12.01 | ||||
| Home Discharge Rate at DRG | 56.09 | ||||
| Home Discharge Rate with ICD 6110 - Inflammatory disease of breast | 56.2 |
| DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 13,695 | ||
| Total Hospitalizations with ICD 6110 - Inflammatory disease of breast | 26 | ||
| DRG Share of Total Hospitalizations | 0.06 | ||
| % of Total ICD 6110 - Inflammatory disease of breast in DRG | 0.63 | ||
| Avg LOS at DRG | 13.53 | ||
| Avg LOS with ICD 6110 - Inflammatory disease of breast | 13.35 | ||
| Readmission Rate at DRG | 35.5 | ||
| Readmission Rate with ICD 6110 - Inflammatory disease of breast | NA | ||
| Unplanned Readmission Rate at DRG | 17.11 | ||
| Unplanned Readmission Rate with ICD 6110 - Inflammatory disease of breast | NA | ||
| Total Medicare payments at DRG | $285,152,236 | ||
| Total Medicare payments with ICD 6110 - Inflammatory disease of breast | $585,528 | ||
| Total Medicare payment per Day at DRG | $1,539 | ||
| Total Medicare payment per Day with ICD 6110 - Inflammatory disease of breast | $1,687 | ||
| Total Medicare payment per Hospitalization at DRG | $20,822 | ||
| Total Medicare payment per Hospitalization with ICD 6110 - Inflammatory disease of breast | $22,520 | ||
| Total Medicare Charges at DRG | $1,143,526,287 | ||
| Total Medicare Charges with ICD 6110 - Inflammatory disease of breast | $2,930,506 | ||
| Avg Charges at DRG | $83,500 | ||
| Avg Charges with ICD 6110 - Inflammatory disease of breast | $112,712 | ||
| Mortality Rate at DRG | 3.94 | ||
| Mortality Rate with ICD 6110 - Inflammatory disease of breast | NA | ||
| SNF Discharge Rate at DRG | 35.25 | ||
| SNF Discharge Rate with ICD 6110 - Inflammatory disease of breast | NA | ||
| Home Discharge Rate at DRG | 16.13 | ||
| Home Discharge Rate with ICD 6110 - Inflammatory disease of breast | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 21 |
| BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 14 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 14 |
| DRG 600: NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 601: NON-MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,325 | ||||
| Total Hospitalizations with ICD 6110 - Inflammatory disease of breast | 2,045 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 6110 - Inflammatory disease of breast in DRG | 15.49 | ||||
| Avg LOS at DRG | 5.21 | ||||
| Avg LOS with ICD 6110 - Inflammatory disease of breast | 5.34 | ||||
| Readmission Rate at DRG | 20.66 | ||||
| Readmission Rate with ICD 6110 - Inflammatory disease of breast | 20.56 | ||||
| Unplanned Readmission Rate at DRG | 14.23 | ||||
| Unplanned Readmission Rate with ICD 6110 - Inflammatory disease of breast | 14.28 | ||||
| Total Medicare payments at DRG | $16,516,941 | ||||
| Total Medicare payments with ICD 6110 - Inflammatory disease of breast | $14,679,634 | ||||
| Total Medicare payment per Day at DRG | $1,362 | ||||
| Total Medicare payment per Day with ICD 6110 - Inflammatory disease of breast | $1,343 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,104 | ||||
| Total Medicare payment per Hospitalization with ICD 6110 - Inflammatory disease of breast | $7,178 | ||||
| Total Medicare Charges at DRG | $69,492,426 | ||||
| Total Medicare Charges with ICD 6110 - Inflammatory disease of breast | $61,401,345 | ||||
| Avg Charges at DRG | $29,889 | ||||
| Avg Charges with ICD 6110 - Inflammatory disease of breast | $30,025 | ||||
| Mortality Rate at DRG | 0.99 | ||||
| Mortality Rate with ICD 6110 - Inflammatory disease of breast | 0.93 | ||||
| SNF Discharge Rate at DRG | 12.56 | ||||
| SNF Discharge Rate with ICD 6110 - Inflammatory disease of breast | 12.08 | ||||
| Home Discharge Rate at DRG | 56.09 | ||||
| Home Discharge Rate with ICD 6110 - Inflammatory disease of breast | 56.14 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD 6110 - Inflammatory disease of breast | 473 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 6110 - Inflammatory disease of breast in DRG | 3.58 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD 6110 - Inflammatory disease of breast | 5.12 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD 6110 - Inflammatory disease of breast | 18.6 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD 6110 - Inflammatory disease of breast | 13.35 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD 6110 - Inflammatory disease of breast | $3,217,613 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD 6110 - Inflammatory disease of breast | $1,330 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD 6110 - Inflammatory disease of breast | $6,803 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD 6110 - Inflammatory disease of breast | $15,134,015 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD 6110 - Inflammatory disease of breast | $31,996 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD 6110 - Inflammatory disease of breast | NA | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 6110 - Inflammatory disease of breast | 12.9 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD 6110 - Inflammatory disease of breast | 51.37 |
| DRG 885: PSYCHOSES | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 598: MALIGNANT BREAST DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 6110 - Inflammatory disease of breast | 188 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 6110 - Inflammatory disease of breast in DRG | 1.42 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 6110 - Inflammatory disease of breast | 14.04 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 6110 - Inflammatory disease of breast | 24.44 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 6110 - Inflammatory disease of breast | 11.11 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 6110 - Inflammatory disease of breast | $1,855,849 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 6110 - Inflammatory disease of breast | $703 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 6110 - Inflammatory disease of breast | $9,872 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 6110 - Inflammatory disease of breast | $6,286,023 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 6110 - Inflammatory disease of breast | $33,436 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 6110 - Inflammatory disease of breast | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 6110 - Inflammatory disease of breast | NA | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 6110 - Inflammatory disease of breast | 79.26 |
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,583 | ||||
| Total Hospitalizations with ICD 6110 - Inflammatory disease of breast | 147 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD 6110 - Inflammatory disease of breast in DRG | 1.11 | ||||
| Avg LOS at DRG | 14.4 | ||||
| Avg LOS with ICD 6110 - Inflammatory disease of breast | 16.86 | ||||
| Readmission Rate at DRG | 39.61 | ||||
| Readmission Rate with ICD 6110 - Inflammatory disease of breast | 36.64 | ||||
| Unplanned Readmission Rate at DRG | 17.93 | ||||
| Unplanned Readmission Rate with ICD 6110 - Inflammatory disease of breast | 13.74 | ||||
| Total Medicare payments at DRG | $4,418,648,842 | ||||
| Total Medicare payments with ICD 6110 - Inflammatory disease of breast | $6,467,644 | ||||
| Total Medicare payment per Day at DRG | $2,545 | ||||
| Total Medicare payment per Day with ICD 6110 - Inflammatory disease of breast | $2,609 | ||||
| Total Medicare payment per Hospitalization at DRG | $36,644 | ||||
| Total Medicare payment per Hospitalization with ICD 6110 - Inflammatory disease of breast | $43,998 | ||||
| Total Medicare Charges at DRG | $18,323,348,541 | ||||
| Total Medicare Charges with ICD 6110 - Inflammatory disease of breast | $25,270,133 | ||||
| Avg Charges at DRG | $151,956 | ||||
| Avg Charges with ICD 6110 - Inflammatory disease of breast | $171,906 | ||||
| Mortality Rate at DRG | 13.99 | ||||
| Mortality Rate with ICD 6110 - Inflammatory disease of breast | NA | ||||
| SNF Discharge Rate at DRG | 33.74 | ||||
| SNF Discharge Rate with ICD 6110 - Inflammatory disease of breast | 38.1 | ||||
| Home Discharge Rate at DRG | 13.29 | ||||
| Home Discharge Rate with ICD 6110 - Inflammatory disease of breast | 12.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 57 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 51 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 44 |