| V103 - Personal history of malignant neoplasm of breast - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.95 | |
| 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 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 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/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 | 939,378 | ||||
| Total Hospitalizations with ICD V103 - Personal history of malignant neoplasm of breast | 39,236 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD V103 - Personal history of malignant neoplasm of breast in DRG | 5.7 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD V103 - Personal history of malignant neoplasm of breast | 3.24 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD V103 - Personal history of malignant neoplasm of breast | 13.45 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD V103 - Personal history of malignant neoplasm of breast | 3.47 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD V103 - Personal history of malignant neoplasm of breast | $487,941,816 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD V103 - Personal history of malignant neoplasm of breast | $3,839 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD V103 - Personal history of malignant neoplasm of breast | $12,436 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD V103 - Personal history of malignant neoplasm of breast | $2,169,254,050 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD V103 - Personal history of malignant neoplasm of breast | $55,287 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD V103 - Personal history of malignant neoplasm of breast | 0.07 | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD V103 - Personal history of malignant neoplasm of breast | 40.02 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD V103 - Personal history of malignant neoplasm of breast | 15.7 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD V103 - Personal history of malignant neoplasm of breast | 13,939 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD V103 - Personal history of malignant neoplasm of breast in DRG | 2.02 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD V103 - Personal history of malignant neoplasm of breast | 4.4 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD V103 - Personal history of malignant neoplasm of breast | 24.26 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD V103 - Personal history of malignant neoplasm of breast | 19.1 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD V103 - Personal history of malignant neoplasm of breast | $86,431,119 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD V103 - Personal history of malignant neoplasm of breast | $1,409 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD V103 - Personal history of malignant neoplasm of breast | $6,201 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD V103 - Personal history of malignant neoplasm of breast | $376,752,881 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD V103 - Personal history of malignant neoplasm of breast | $27,029 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD V103 - Personal history of malignant neoplasm of breast | 1.23 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD V103 - Personal history of malignant neoplasm of breast | 21.39 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD V103 - Personal history of malignant neoplasm of breast | 39.67 |
| 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 257,265 | ||||
| Total Hospitalizations with ICD V103 - Personal history of malignant neoplasm of breast | 9,336 | ||||
| DRG Share of Total Hospitalizations | 1.13 | ||||
| % of Total ICD V103 - Personal history of malignant neoplasm of breast in DRG | 1.36 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD V103 - Personal history of malignant neoplasm of breast | 3.34 | ||||
| Readmission Rate at DRG | 20.42 | ||||
| Readmission Rate with ICD V103 - Personal history of malignant neoplasm of breast | 19.25 | ||||
| Unplanned Readmission Rate at DRG | 13.45 | ||||
| Unplanned Readmission Rate with ICD V103 - Personal history of malignant neoplasm of breast | 13.28 | ||||
| Total Medicare payments at DRG | $1,129,638,166 | ||||
| Total Medicare payments with ICD V103 - Personal history of malignant neoplasm of breast | $40,180,638 | ||||
| Total Medicare payment per Day at DRG | $1,314 | ||||
| Total Medicare payment per Day with ICD V103 - Personal history of malignant neoplasm of breast | $1,290 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,391 | ||||
| Total Medicare payment per Hospitalization with ICD V103 - Personal history of malignant neoplasm of breast | $4,304 | ||||
| Total Medicare Charges at DRG | $5,148,191,149 | ||||
| Total Medicare Charges with ICD V103 - Personal history of malignant neoplasm of breast | $193,208,546 | ||||
| Avg Charges at DRG | $20,011 | ||||
| Avg Charges with ICD V103 - Personal history of malignant neoplasm of breast | $20,695 | ||||
| Mortality Rate at DRG | 0.85 | ||||
| Mortality Rate with ICD V103 - Personal history of malignant neoplasm of breast | 0.75 | ||||
| SNF Discharge Rate at DRG | 20.19 | ||||
| SNF Discharge Rate with ICD V103 - Personal history of malignant neoplasm of breast | 22.16 | ||||
| Home Discharge Rate at DRG | 51.02 | ||||
| Home Discharge Rate with ICD V103 - Personal history of malignant neoplasm of breast | 48.06 |
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 305,326 | ||||
| Total Hospitalizations with ICD V103 - Personal history of malignant neoplasm of breast | 8,711 | ||||
| DRG Share of Total Hospitalizations | 1.34 | ||||
| % of Total ICD V103 - Personal history of malignant neoplasm of breast in DRG | 1.26 | ||||
| Avg LOS at DRG | 5.11 | ||||
| Avg LOS with ICD V103 - Personal history of malignant neoplasm of breast | 5.23 | ||||
| Readmission Rate at DRG | 24.58 | ||||
| Readmission Rate with ICD V103 - Personal history of malignant neoplasm of breast | 22.85 | ||||
| Unplanned Readmission Rate at DRG | 18.98 | ||||
| Unplanned Readmission Rate with ICD V103 - Personal history of malignant neoplasm of breast | 18.38 | ||||
| Total Medicare payments at DRG | $2,231,748,038 | ||||
| Total Medicare payments with ICD V103 - Personal history of malignant neoplasm of breast | $63,185,002 | ||||
| Total Medicare payment per Day at DRG | $1,430 | ||||
| Total Medicare payment per Day with ICD V103 - Personal history of malignant neoplasm of breast | $1,387 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
| Total Medicare payment per Hospitalization with ICD V103 - Personal history of malignant neoplasm of breast | $7,253 | ||||
| Total Medicare Charges at DRG | $10,098,826,638 | ||||
| Total Medicare Charges with ICD V103 - Personal history of malignant neoplasm of breast | $301,207,318 | ||||
| Avg Charges at DRG | $33,076 | ||||
| Avg Charges with ICD V103 - Personal history of malignant neoplasm of breast | $34,578 | ||||
| Mortality Rate at DRG | 1.47 | ||||
| Mortality Rate with ICD V103 - Personal history of malignant neoplasm of breast | 1.57 | ||||
| SNF Discharge Rate at DRG | 14.55 | ||||
| SNF Discharge Rate with ICD V103 - Personal history of malignant neoplasm of breast | 17.43 | ||||
| Home Discharge Rate at DRG | 53.12 | ||||
| Home Discharge Rate with ICD V103 - Personal history of malignant neoplasm of breast | 46.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 2,126 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,878 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,843 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 76 |
| Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 66 |
| Dr. WILLIAM G WOLFF | 5645 MAIN ST | FLUSHING | NY | 11355 | 66 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 161 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 124 |
| Dr. WILLIAM R. PREBOLA | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 124 |