| V580 - Encounter for radiotherapy - as a primary diagnosis code | V580 - Encounter for radiotherapy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.9 | |
| Readmission Rate (%) | 38.9 | |
| Unplanned Readmission Rate (%) | 12.51 | |
| 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 849: RADIOTHERAPY | DRG 829: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 830: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 1,327 | ||
| Total Hospitalizations with ICD V580 - Encounter for radiotherapy | 1,327 | ||
| DRG Share of Total Hospitalizations | 0.01 | ||
| % of Total ICD V580 - Encounter for radiotherapy in DRG | 89.78 | ||
| Avg LOS at DRG | 7.49 | ||
| Avg LOS with ICD V580 - Encounter for radiotherapy | 7.49 | ||
| Readmission Rate at DRG | 48.54 | ||
| Readmission Rate with ICD V580 - Encounter for radiotherapy | 48.54 | ||
| Unplanned Readmission Rate at DRG | 12.73 | ||
| Unplanned Readmission Rate with ICD V580 - Encounter for radiotherapy | 12.73 | ||
| Total Medicare payments at DRG | $16,669,574 | ||
| Total Medicare payments with ICD V580 - Encounter for radiotherapy | $16,669,574 | ||
| Total Medicare payment per Day at DRG | $1,676 | ||
| Total Medicare payment per Day with ICD V580 - Encounter for radiotherapy | $1,676 | ||
| Total Medicare payment per Hospitalization at DRG | $12,562 | ||
| Total Medicare payment per Hospitalization with ICD V580 - Encounter for radiotherapy | $12,562 | ||
| Total Medicare Charges at DRG | $76,905,165 | ||
| Total Medicare Charges with ICD V580 - Encounter for radiotherapy | $76,905,165 | ||
| Avg Charges at DRG | $57,954 | ||
| Avg Charges with ICD V580 - Encounter for radiotherapy | $57,954 | ||
| Mortality Rate at DRG | 2.41 | ||
| Mortality Rate with ICD V580 - Encounter for radiotherapy | 2.41 | ||
| SNF Discharge Rate at DRG | 15.83 | ||
| SNF Discharge Rate with ICD V580 - Encounter for radiotherapy | 15.83 | ||
| Home Discharge Rate at DRG | 51.17 | ||
| Home Discharge Rate with ICD V580 - Encounter for radiotherapy | 51.17 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | 5841 S. MARYLAND AVE | CHICAGO | IL | 60637 | 350 |
| SPAULDING HOSPITAL CAMBRIDGE | 1575 CAMBRIDGE ST | CAMBRIDGE | MA | 02138 | 40 |
| KARMANOS CANCER CENTER | 4100 JOHN R ST | DETROIT | MI | 48201 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. VICTORIA M VILLAFLOR | 5841 S. MARYLAND | CHICAGO | IL | 60637 | 61 |
| Dr. HARVEY M GOLOMB | 180 HARVESTER DR STE 110 | BURR RIDGE | IL | 60527 | 37 |
| Dr. JONAS ARAUJO DE SOUZA | 5200 S ELLIS AVE | CHICAGO | IL | 60615 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. VICTORIA M VILLAFLOR | 5841 S. MARYLAND | CHICAGO | IL | 60637 | 68 |
| Dr. JONAS ARAUJO DE SOUZA | 5200 S ELLIS AVE | CHICAGO | IL | 60615 | 53 |
| Dr. HARVEY M GOLOMB | 180 HARVESTER DR STE 110 | BURR RIDGE | IL | 60527 | 37 |
| DRG 849: RADIOTHERAPY | DRG 846: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 829: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,327 | ||||
| Total Hospitalizations with ICD V580 - Encounter for radiotherapy | 1,327 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD V580 - Encounter for radiotherapy in DRG | 35.76 | ||||
| Avg LOS at DRG | 7.49 | ||||
| Avg LOS with ICD V580 - Encounter for radiotherapy | 7.49 | ||||
| Readmission Rate at DRG | 48.54 | ||||
| Readmission Rate with ICD V580 - Encounter for radiotherapy | 48.54 | ||||
| Unplanned Readmission Rate at DRG | 12.73 | ||||
| Unplanned Readmission Rate with ICD V580 - Encounter for radiotherapy | 12.73 | ||||
| Total Medicare payments at DRG | $16,669,574 | ||||
| Total Medicare payments with ICD V580 - Encounter for radiotherapy | $16,669,574 | ||||
| Total Medicare payment per Day at DRG | $1,676 | ||||
| Total Medicare payment per Day with ICD V580 - Encounter for radiotherapy | $1,676 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,562 | ||||
| Total Medicare payment per Hospitalization with ICD V580 - Encounter for radiotherapy | $12,562 | ||||
| Total Medicare Charges at DRG | $76,905,165 | ||||
| Total Medicare Charges with ICD V580 - Encounter for radiotherapy | $76,905,165 | ||||
| Avg Charges at DRG | $57,954 | ||||
| Avg Charges with ICD V580 - Encounter for radiotherapy | $57,954 | ||||
| Mortality Rate at DRG | 2.41 | ||||
| Mortality Rate with ICD V580 - Encounter for radiotherapy | 2.41 | ||||
| SNF Discharge Rate at DRG | 15.83 | ||||
| SNF Discharge Rate with ICD V580 - Encounter for radiotherapy | 15.83 | ||||
| Home Discharge Rate at DRG | 51.17 | ||||
| Home Discharge Rate with ICD V580 - Encounter for radiotherapy | 51.17 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD V580 - Encounter for radiotherapy | 79 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD V580 - Encounter for radiotherapy in DRG | 2.13 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD V580 - Encounter for radiotherapy | 6.09 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD V580 - Encounter for radiotherapy | 34.43 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD V580 - Encounter for radiotherapy | 27.87 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD V580 - Encounter for radiotherapy | $914,938 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD V580 - Encounter for radiotherapy | $1,902 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD V580 - Encounter for radiotherapy | $11,581 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD V580 - Encounter for radiotherapy | $3,600,221 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD V580 - Encounter for radiotherapy | $45,572 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD V580 - Encounter for radiotherapy | 20.25 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD V580 - Encounter for radiotherapy | 18.99 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD V580 - Encounter for radiotherapy | 22.78 |
| DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,314 | ||||
| Total Hospitalizations with ICD V580 - Encounter for radiotherapy | 47 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD V580 - Encounter for radiotherapy in DRG | 1.27 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD V580 - Encounter for radiotherapy | 5.91 | ||||
| Readmission Rate at DRG | 27.66 | ||||
| Readmission Rate with ICD V580 - Encounter for radiotherapy | 31.71 | ||||
| Unplanned Readmission Rate at DRG | 14.18 | ||||
| Unplanned Readmission Rate with ICD V580 - Encounter for radiotherapy | NA | ||||
| Total Medicare payments at DRG | $225,515,268 | ||||
| Total Medicare payments with ICD V580 - Encounter for radiotherapy | $415,931 | ||||
| Total Medicare payment per Day at DRG | $1,696 | ||||
| Total Medicare payment per Day with ICD V580 - Encounter for radiotherapy | $1,496 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,275 | ||||
| Total Medicare payment per Hospitalization with ICD V580 - Encounter for radiotherapy | $8,850 | ||||
| Total Medicare Charges at DRG | $1,057,895,514 | ||||
| Total Medicare Charges with ICD V580 - Encounter for radiotherapy | $2,147,549 | ||||
| Avg Charges at DRG | $43,510 | ||||
| Avg Charges with ICD V580 - Encounter for radiotherapy | $45,693 | ||||
| Mortality Rate at DRG | 4.83 | ||||
| Mortality Rate with ICD V580 - Encounter for radiotherapy | NA | ||||
| SNF Discharge Rate at DRG | 18.78 | ||||
| SNF Discharge Rate with ICD V580 - Encounter for radiotherapy | NA | ||||
| Home Discharge Rate at DRG | 29.22 | ||||
| Home Discharge Rate with ICD V580 - Encounter for radiotherapy | 27.66 |
| DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 830: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,400 | ||||
| Total Hospitalizations with ICD V580 - Encounter for radiotherapy | 36 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD V580 - Encounter for radiotherapy in DRG | 0.97 | ||||
| Avg LOS at DRG | 4.95 | ||||
| Avg LOS with ICD V580 - Encounter for radiotherapy | 4.94 | ||||
| Readmission Rate at DRG | 26.76 | ||||
| Readmission Rate with ICD V580 - Encounter for radiotherapy | 38.24 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD V580 - Encounter for radiotherapy | 35.29 | ||||
| Total Medicare payments at DRG | $283,543,058 | ||||
| Total Medicare payments with ICD V580 - Encounter for radiotherapy | $254,820 | ||||
| Total Medicare payment per Day at DRG | $1,572 | ||||
| Total Medicare payment per Day with ICD V580 - Encounter for radiotherapy | $1,432 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,790 | ||||
| Total Medicare payment per Hospitalization with ICD V580 - Encounter for radiotherapy | $7,078 | ||||
| Total Medicare Charges at DRG | $1,329,504,873 | ||||
| Total Medicare Charges with ICD V580 - Encounter for radiotherapy | $1,365,029 | ||||
| Avg Charges at DRG | $36,525 | ||||
| Avg Charges with ICD V580 - Encounter for radiotherapy | $37,917 | ||||
| Mortality Rate at DRG | 5.52 | ||||
| Mortality Rate with ICD V580 - Encounter for radiotherapy | NA | ||||
| SNF Discharge Rate at DRG | 11.17 | ||||
| SNF Discharge Rate with ICD V580 - Encounter for radiotherapy | NA | ||||
| Home Discharge Rate at DRG | 42.41 | ||||
| Home Discharge Rate with ICD V580 - Encounter for radiotherapy | 44.44 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | 5841 S. MARYLAND AVE | CHICAGO | IL | 60637 | 455 |
| ATRIUM HEALTH'S CAROLINAS MEDICAL CENTER | 1000 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 155 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 79 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. VICTORIA M VILLAFLOR | 5841 S. MARYLAND | CHICAGO | IL | 60637 | 74 |
| Dr. DANIEL J HARAF | 5841 S MARYLAND AVE # MC1099 | CHICAGO | IL | 60637 | 56 |
| Dr. HARVEY M GOLOMB | 180 HARVESTER DR STE 110 | BURR RIDGE | IL | 60527 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. VICTORIA M VILLAFLOR | 5841 S. MARYLAND | CHICAGO | IL | 60637 | 91 |
| Dr. JONAS ARAUJO DE SOUZA | 5200 S ELLIS AVE | CHICAGO | IL | 60615 | 63 |
| Dr. TANGUY YANN LIM-SEIWERT | 5841 S MARYLAND AVE | CHICAGO | IL | 60637 | 48 |