| V4571 - Acquired absence of breast and nipple - as a primary diagnosis code | V4571 - Acquired absence of breast and nipple - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.98 | |
| Readmission Rate (%) | 20.07 | |
| Unplanned Readmission Rate (%) | 4.14 | |
| 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 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) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 1,950 | ||
| Total Hospitalizations with ICD V4571 - Acquired absence of breast and nipple | 236 | ||
| DRG Share of Total Hospitalizations | 0.01 | ||
| % of Total ICD V4571 - Acquired absence of breast and nipple in DRG | 65.19 | ||
| Avg LOS at DRG | 4.27 | ||
| Avg LOS with ICD V4571 - Acquired absence of breast and nipple | 2.78 | ||
| Readmission Rate at DRG | 10.29 | ||
| Readmission Rate with ICD V4571 - Acquired absence of breast and nipple | 6.36 | ||
| Unplanned Readmission Rate at DRG | 5.25 | ||
| Unplanned Readmission Rate with ICD V4571 - Acquired absence of breast and nipple | NA | ||
| Total Medicare payments at DRG | $19,351,365 | ||
| Total Medicare payments with ICD V4571 - Acquired absence of breast and nipple | $1,994,450 | ||
| Total Medicare payment per Day at DRG | $2,322 | ||
| Total Medicare payment per Day with ICD V4571 - Acquired absence of breast and nipple | $3,040 | ||
| Total Medicare payment per Hospitalization at DRG | $9,924 | ||
| Total Medicare payment per Hospitalization with ICD V4571 - Acquired absence of breast and nipple | $8,451 | ||
| Total Medicare Charges at DRG | $87,001,497 | ||
| Total Medicare Charges with ICD V4571 - Acquired absence of breast and nipple | $14,253,322 | ||
| Avg Charges at DRG | $44,616 | ||
| Avg Charges with ICD V4571 - Acquired absence of breast and nipple | $60,395 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD V4571 - Acquired absence of breast and nipple | NA | ||
| SNF Discharge Rate at DRG | 12.26 | ||
| SNF Discharge Rate with ICD V4571 - Acquired absence of breast and nipple | NA | ||
| Home Discharge Rate at DRG | 61.08 | ||
| Home Discharge Rate with ICD V4571 - Acquired absence of breast and nipple | 86.44 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| SAINT THOMAS MIDTOWN HOSPITAL | 2000 CHURCH ST | NASHVILLE | TN | 37236 | 14 |
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH 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 | 939,378 | ||||
| Total Hospitalizations with ICD V4571 - Acquired absence of breast and nipple | 7,676 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD V4571 - Acquired absence of breast and nipple in DRG | 4.47 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD V4571 - Acquired absence of breast and nipple | 3.35 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD V4571 - Acquired absence of breast and nipple | 15.66 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD V4571 - Acquired absence of breast and nipple | 4.01 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD V4571 - Acquired absence of breast and nipple | $96,427,033 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD V4571 - Acquired absence of breast and nipple | $3,752 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD V4571 - Acquired absence of breast and nipple | $12,562 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD V4571 - Acquired absence of breast and nipple | $438,429,744 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD V4571 - Acquired absence of breast and nipple | $57,117 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD V4571 - Acquired absence of breast and nipple | NA | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD V4571 - Acquired absence of breast and nipple | 41.49 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD V4571 - Acquired absence of breast and nipple | 14.8 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD V4571 - Acquired absence of breast and nipple | 3,364 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD V4571 - Acquired absence of breast and nipple in DRG | 1.96 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD V4571 - Acquired absence of breast and nipple | 4.3 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD V4571 - Acquired absence of breast and nipple | 23.56 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD V4571 - Acquired absence of breast and nipple | 18.93 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD V4571 - Acquired absence of breast and nipple | $21,231,842 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD V4571 - Acquired absence of breast and nipple | $1,469 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD V4571 - Acquired absence of breast and nipple | $6,311 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD V4571 - Acquired absence of breast and nipple | $89,621,606 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD V4571 - Acquired absence of breast and nipple | $26,641 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD V4571 - Acquired absence of breast and nipple | 1.49 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD V4571 - Acquired absence of breast and nipple | 19.59 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD V4571 - Acquired absence of breast and nipple | 41.11 |
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 257,265 | ||||
| Total Hospitalizations with ICD V4571 - Acquired absence of breast and nipple | 2,509 | ||||
| DRG Share of Total Hospitalizations | 1.13 | ||||
| % of Total ICD V4571 - Acquired absence of breast and nipple in DRG | 1.46 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD V4571 - Acquired absence of breast and nipple | 3.4 | ||||
| Readmission Rate at DRG | 20.42 | ||||
| Readmission Rate with ICD V4571 - Acquired absence of breast and nipple | 20.11 | ||||
| Unplanned Readmission Rate at DRG | 13.45 | ||||
| Unplanned Readmission Rate with ICD V4571 - Acquired absence of breast and nipple | 14.23 | ||||
| Total Medicare payments at DRG | $1,129,638,166 | ||||
| Total Medicare payments with ICD V4571 - Acquired absence of breast and nipple | $11,057,525 | ||||
| Total Medicare payment per Day at DRG | $1,314 | ||||
| Total Medicare payment per Day with ICD V4571 - Acquired absence of breast and nipple | $1,297 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,391 | ||||
| Total Medicare payment per Hospitalization with ICD V4571 - Acquired absence of breast and nipple | $4,407 | ||||
| Total Medicare Charges at DRG | $5,148,191,149 | ||||
| Total Medicare Charges with ICD V4571 - Acquired absence of breast and nipple | $52,402,035 | ||||
| Avg Charges at DRG | $20,011 | ||||
| Avg Charges with ICD V4571 - Acquired absence of breast and nipple | $20,886 | ||||
| Mortality Rate at DRG | 0.85 | ||||
| Mortality Rate with ICD V4571 - Acquired absence of breast and nipple | 0.96 | ||||
| SNF Discharge Rate at DRG | 20.19 | ||||
| SNF Discharge Rate with ICD V4571 - Acquired absence of breast and nipple | 21.32 | ||||
| Home Discharge Rate at DRG | 51.02 | ||||
| Home Discharge Rate with ICD V4571 - Acquired absence of breast and nipple | 47.95 |
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE 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 885: PSYCHOSES | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 305,326 | ||||
| Total Hospitalizations with ICD V4571 - Acquired absence of breast and nipple | 2,137 | ||||
| DRG Share of Total Hospitalizations | 1.34 | ||||
| % of Total ICD V4571 - Acquired absence of breast and nipple in DRG | 1.25 | ||||
| Avg LOS at DRG | 5.11 | ||||
| Avg LOS with ICD V4571 - Acquired absence of breast and nipple | 5.0 | ||||
| Readmission Rate at DRG | 24.58 | ||||
| Readmission Rate with ICD V4571 - Acquired absence of breast and nipple | 22.97 | ||||
| Unplanned Readmission Rate at DRG | 18.98 | ||||
| Unplanned Readmission Rate with ICD V4571 - Acquired absence of breast and nipple | 17.91 | ||||
| Total Medicare payments at DRG | $2,231,748,038 | ||||
| Total Medicare payments with ICD V4571 - Acquired absence of breast and nipple | $15,512,944 | ||||
| Total Medicare payment per Day at DRG | $1,430 | ||||
| Total Medicare payment per Day with ICD V4571 - Acquired absence of breast and nipple | $1,452 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
| Total Medicare payment per Hospitalization with ICD V4571 - Acquired absence of breast and nipple | $7,259 | ||||
| Total Medicare Charges at DRG | $10,098,826,638 | ||||
| Total Medicare Charges with ICD V4571 - Acquired absence of breast and nipple | $70,299,270 | ||||
| Avg Charges at DRG | $33,076 | ||||
| Avg Charges with ICD V4571 - Acquired absence of breast and nipple | $32,896 | ||||
| Mortality Rate at DRG | 1.47 | ||||
| Mortality Rate with ICD V4571 - Acquired absence of breast and nipple | 1.54 | ||||
| SNF Discharge Rate at DRG | 14.55 | ||||
| SNF Discharge Rate with ICD V4571 - Acquired absence of breast and nipple | 16.61 | ||||
| Home Discharge Rate at DRG | 53.12 | ||||
| Home Discharge Rate with ICD V4571 - Acquired absence of breast and nipple | 47.45 |
| 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 | 812 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 645 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 542 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 28 |
| Dr. KALA DANUSHKODI | 2700 CLAY EDWARDS DR | NORTH KANSAS CITY | MO | 64116 | 23 |
| Dr. CORNELIUS BOS | 2600 GREENWOOD RD | SHREVEPORT | LA | 71103 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 75 |
| Dr. WILLIAM R. PREBOLA | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 58 |
| Dr. RICHARD B SHARP | 5002 COWHORN CREEK RD | TEXARKANA | TX | 75503 | 50 |