| 79311 - Solitary pulmonary nodule - as a primary diagnosis code | 79311 - Solitary pulmonary nodule - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.52 | |
| Readmission Rate (%) | 21.81 | |
| Unplanned Readmission Rate (%) | 6.62 | |
| 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 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 20,601 | ||||
| Total Hospitalizations with ICD 79311 - Solitary pulmonary nodule | 510 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD 79311 - Solitary pulmonary nodule in DRG | 32.9 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD 79311 - Solitary pulmonary nodule | 2.66 | ||||
| Readmission Rate at DRG | 8.29 | ||||
| Readmission Rate with ICD 79311 - Solitary pulmonary nodule | 4.91 | ||||
| Unplanned Readmission Rate at DRG | 4.91 | ||||
| Unplanned Readmission Rate with ICD 79311 - Solitary pulmonary nodule | 2.55 | ||||
| Total Medicare payments at DRG | $233,357,077 | ||||
| Total Medicare payments with ICD 79311 - Solitary pulmonary nodule | $5,834,684 | ||||
| Total Medicare payment per Day at DRG | $2,997 | ||||
| Total Medicare payment per Day with ICD 79311 - Solitary pulmonary nodule | $4,297 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,327 | ||||
| Total Medicare payment per Hospitalization with ICD 79311 - Solitary pulmonary nodule | $11,441 | ||||
| Total Medicare Charges at DRG | $1,195,230,978 | ||||
| Total Medicare Charges with ICD 79311 - Solitary pulmonary nodule | $21,814,602 | ||||
| Avg Charges at DRG | $58,018 | ||||
| Avg Charges with ICD 79311 - Solitary pulmonary nodule | $42,774 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 79311 - Solitary pulmonary nodule | NA | ||||
| SNF Discharge Rate at DRG | 3.55 | ||||
| SNF Discharge Rate with ICD 79311 - Solitary pulmonary nodule | 2.16 | ||||
| Home Discharge Rate at DRG | 76.45 | ||||
| Home Discharge Rate with ICD 79311 - Solitary pulmonary nodule | 86.27 |
| DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 5,497 | ||
| Total Hospitalizations with ICD 79311 - Solitary pulmonary nodule | 61 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD 79311 - Solitary pulmonary nodule in DRG | 3.94 | ||
| Avg LOS at DRG | 3.82 | ||
| Avg LOS with ICD 79311 - Solitary pulmonary nodule | 2.51 | ||
| Readmission Rate at DRG | 16.1 | ||
| Readmission Rate with ICD 79311 - Solitary pulmonary nodule | NA | ||
| Unplanned Readmission Rate at DRG | 9.49 | ||
| Unplanned Readmission Rate with ICD 79311 - Solitary pulmonary nodule | NA | ||
| Total Medicare payments at DRG | $44,067,934 | ||
| Total Medicare payments with ICD 79311 - Solitary pulmonary nodule | $487,263 | ||
| Total Medicare payment per Day at DRG | $2,098 | ||
| Total Medicare payment per Day with ICD 79311 - Solitary pulmonary nodule | $3,185 | ||
| Total Medicare payment per Hospitalization at DRG | $8,017 | ||
| Total Medicare payment per Hospitalization with ICD 79311 - Solitary pulmonary nodule | $7,988 | ||
| Total Medicare Charges at DRG | $228,886,909 | ||
| Total Medicare Charges with ICD 79311 - Solitary pulmonary nodule | $2,310,420 | ||
| Avg Charges at DRG | $41,639 | ||
| Avg Charges with ICD 79311 - Solitary pulmonary nodule | $37,876 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD 79311 - Solitary pulmonary nodule | NA | ||
| SNF Discharge Rate at DRG | 6.08 | ||
| SNF Discharge Rate with ICD 79311 - Solitary pulmonary nodule | NA | ||
| Home Discharge Rate at DRG | 73.29 | ||
| Home Discharge Rate with ICD 79311 - Solitary pulmonary nodule | 90.16 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 28 |
| ARTHUR G JAMES CANCER HOSPITAL | 300 W 10TH AVE | COLUMBUS | OH | 43210 | 17 |
| YORK HOSPITAL | 1001 SOUTH GEORGE STREET | YORK | PA | 17405 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SIDHARTA P GANGADHARAN | BETH ISRAEL DEACONESS MED CTR | BOSTON | MA | 02215 | 15 |
| Dr. PERCIVAL OFRECIO BUENAVENTURA | 25 MONUMENT RD | YORK | PA | 17403 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SIDHARTA P GANGADHARAN | BETH ISRAEL DEACONESS MED CTR | BOSTON | MA | 02215 | 15 |
| Dr. PERCIVAL OFRECIO BUENAVENTURA | 25 MONUMENT RD | YORK | PA | 17403 | 12 |
| Dr. LEONARD JAMES WUDEL | MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 11 |
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 305,326 | ||||
| Total Hospitalizations with ICD 79311 - Solitary pulmonary nodule | 7,752 | ||||
| DRG Share of Total Hospitalizations | 1.34 | ||||
| % of Total ICD 79311 - Solitary pulmonary nodule in DRG | 4.49 | ||||
| Avg LOS at DRG | 5.11 | ||||
| Avg LOS with ICD 79311 - Solitary pulmonary nodule | 5.35 | ||||
| Readmission Rate at DRG | 24.58 | ||||
| Readmission Rate with ICD 79311 - Solitary pulmonary nodule | 23.28 | ||||
| Unplanned Readmission Rate at DRG | 18.98 | ||||
| Unplanned Readmission Rate with ICD 79311 - Solitary pulmonary nodule | 18.11 | ||||
| Total Medicare payments at DRG | $2,231,748,038 | ||||
| Total Medicare payments with ICD 79311 - Solitary pulmonary nodule | $55,517,698 | ||||
| Total Medicare payment per Day at DRG | $1,430 | ||||
| Total Medicare payment per Day with ICD 79311 - Solitary pulmonary nodule | $1,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
| Total Medicare payment per Hospitalization with ICD 79311 - Solitary pulmonary nodule | $7,162 | ||||
| Total Medicare Charges at DRG | $10,098,826,638 | ||||
| Total Medicare Charges with ICD 79311 - Solitary pulmonary nodule | $278,736,350 | ||||
| Avg Charges at DRG | $33,076 | ||||
| Avg Charges with ICD 79311 - Solitary pulmonary nodule | $35,957 | ||||
| Mortality Rate at DRG | 1.47 | ||||
| Mortality Rate with ICD 79311 - Solitary pulmonary nodule | 0.94 | ||||
| SNF Discharge Rate at DRG | 14.55 | ||||
| SNF Discharge Rate with ICD 79311 - Solitary pulmonary nodule | 12.81 | ||||
| Home Discharge Rate at DRG | 53.12 | ||||
| Home Discharge Rate with ICD 79311 - Solitary pulmonary nodule | 55.65 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 296,720 | ||||
| Total Hospitalizations with ICD 79311 - Solitary pulmonary nodule | 4,402 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD 79311 - Solitary pulmonary nodule in DRG | 2.55 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD 79311 - Solitary pulmonary nodule | 6.03 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD 79311 - Solitary pulmonary nodule | 23.45 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD 79311 - Solitary pulmonary nodule | 17.7 | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD 79311 - Solitary pulmonary nodule | $38,925,522 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD 79311 - Solitary pulmonary nodule | $1,467 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD 79311 - Solitary pulmonary nodule | $8,843 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD 79311 - Solitary pulmonary nodule | $186,939,754 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD 79311 - Solitary pulmonary nodule | $42,467 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD 79311 - Solitary pulmonary nodule | 2.32 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 79311 - Solitary pulmonary nodule | 18.97 | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD 79311 - Solitary pulmonary nodule | 44.91 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD 79311 - Solitary pulmonary nodule | 2,763 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 79311 - Solitary pulmonary nodule in DRG | 1.6 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 79311 - Solitary pulmonary nodule | 13.01 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 79311 - Solitary pulmonary nodule | 18.06 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 79311 - Solitary pulmonary nodule | 13.7 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 79311 - Solitary pulmonary nodule | $50,886,472 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 79311 - Solitary pulmonary nodule | $1,415 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 79311 - Solitary pulmonary nodule | $18,417 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 79311 - Solitary pulmonary nodule | $127,791,132 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 79311 - Solitary pulmonary nodule | $46,251 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 79311 - Solitary pulmonary nodule | NA | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 79311 - Solitary pulmonary nodule | 16.43 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 79311 - Solitary pulmonary nodule | 19.76 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD 79311 - Solitary pulmonary nodule | 2,076 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 79311 - Solitary pulmonary nodule in DRG | 1.2 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD 79311 - Solitary pulmonary nodule | 4.84 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD 79311 - Solitary pulmonary nodule | 18.33 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD 79311 - Solitary pulmonary nodule | 12.64 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD 79311 - Solitary pulmonary nodule | $13,972,784 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD 79311 - Solitary pulmonary nodule | $1,392 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD 79311 - Solitary pulmonary nodule | $6,731 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD 79311 - Solitary pulmonary nodule | $70,889,643 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD 79311 - Solitary pulmonary nodule | $34,147 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD 79311 - Solitary pulmonary nodule | 1.4 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 79311 - Solitary pulmonary nodule | 18.26 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD 79311 - Solitary pulmonary nodule | 54.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 859 |
| PALOS HEALTH | 12251 S 80TH AVE | PALOS HEIGHTS | IL | 60463 | 700 |
| CHARLESTON AREA MEDICAL CENTER | 501 MORRIS ST | CHARLESTON | WV | 25301 | 570 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. GERARD JOSEPH BURNS | 402 LIPPINCOTT DR | MARLTON | NJ | 08053 | 34 |
| Dr. SUNGHYE JENNY KANG | 2200 W HIGGINS RD | HOFFMAN ESTATES | IL | 60169 | 32 |
| Dr. CHRISTOPHER PHILLIP STEINACKER | 50 N PERRY ST | PONTIAC | MI | 48342 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 74 |
| Dr. BAQIR M SYED | 1926 10TH AVE N | LAKE WORTH | FL | 33461 | 61 |
| Dr. MARK EDWIN MCKENZIE | 2010 GOLDRING AVE | LAS VEGAS | NV | 89106 | 59 |