*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C001 - Malignant neoplasm of external lower lip - as a primary diagnosis code | C001 - Malignant neoplasm of external lower lip - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.77 | |
| Readmission Rate (%) | 18.18 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 129: MAJOR HEAD AND NECK PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR MAJOR DEVICE | DRG 130: MAJOR HEAD AND NECK PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,332 | ||||
| Total Hospitalizations with ICD C001 - Malignant neoplasm of external lower lip | 52 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C001 - Malignant neoplasm of external lower lip in DRG | 32.1 | ||||
| Avg LOS at DRG | 5.14 | ||||
| Avg LOS with ICD C001 - Malignant neoplasm of external lower lip | 5.83 | ||||
| Readmission Rate at DRG | 14.35 | ||||
| Readmission Rate with ICD C001 - Malignant neoplasm of external lower lip | NA | ||||
| Unplanned Readmission Rate at DRG | 7.64 | ||||
| Unplanned Readmission Rate with ICD C001 - Malignant neoplasm of external lower lip | NA | ||||
| Total Medicare payments at DRG | $113,818,459 | ||||
| Total Medicare payments with ICD C001 - Malignant neoplasm of external lower lip | $904,947 | ||||
| Total Medicare payment per Day at DRG | $3,496 | ||||
| Total Medicare payment per Day with ICD C001 - Malignant neoplasm of external lower lip | $2,987 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,975 | ||||
| Total Medicare payment per Hospitalization with ICD C001 - Malignant neoplasm of external lower lip | $17,403 | ||||
| Total Medicare Charges at DRG | $599,317,955 | ||||
| Total Medicare Charges with ICD C001 - Malignant neoplasm of external lower lip | $5,583,840 | ||||
| Avg Charges at DRG | $94,649 | ||||
| Avg Charges with ICD C001 - Malignant neoplasm of external lower lip | $107,382 | ||||
| Mortality Rate at DRG | 0.74 | ||||
| Mortality Rate with ICD C001 - Malignant neoplasm of external lower lip | NA | ||||
| SNF Discharge Rate at DRG | 9.41 | ||||
| SNF Discharge Rate with ICD C001 - Malignant neoplasm of external lower lip | NA | ||||
| Home Discharge Rate at DRG | 64.53 | ||||
| Home Discharge Rate with ICD C001 - Malignant neoplasm of external lower lip | 65.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 4,008 |
| Total Hospitalizations with ICD C001 - Malignant neoplasm of external lower lip | 11 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD C001 - Malignant neoplasm of external lower lip in DRG | 6.79 |
| Avg LOS at DRG | 2.21 |
| Avg LOS with ICD C001 - Malignant neoplasm of external lower lip | 3.18 |
| Readmission Rate at DRG | 8.01 |
| Readmission Rate with ICD C001 - Malignant neoplasm of external lower lip | NA |
| Unplanned Readmission Rate at DRG | 4.82 |
| Unplanned Readmission Rate with ICD C001 - Malignant neoplasm of external lower lip | NA |
| Total Medicare payments at DRG | $26,062,342 |
| Total Medicare payments with ICD C001 - Malignant neoplasm of external lower lip | $74,862 |
| Total Medicare payment per Day at DRG | $2,941 |
| Total Medicare payment per Day with ICD C001 - Malignant neoplasm of external lower lip | $2,139 |
| Total Medicare payment per Hospitalization at DRG | $6,503 |
| Total Medicare payment per Hospitalization with ICD C001 - Malignant neoplasm of external lower lip | $6,806 |
| Total Medicare Charges at DRG | $181,374,870 |
| Total Medicare Charges with ICD C001 - Malignant neoplasm of external lower lip | $603,170 |
| Avg Charges at DRG | $45,253 |
| Avg Charges with ICD C001 - Malignant neoplasm of external lower lip | $54,834 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD C001 - Malignant neoplasm of external lower lip | NA |
| SNF Discharge Rate at DRG | 2.89 |
| SNF Discharge Rate with ICD C001 - Malignant neoplasm of external lower lip | NA |
| Home Discharge Rate at DRG | 87.1 |
| Home Discharge Rate with ICD C001 - Malignant neoplasm of external lower lip | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 129: MAJOR HEAD AND NECK PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR MAJOR DEVICE | DRG 130: MAJOR HEAD AND NECK PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 012: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,332 | ||||
| Total Hospitalizations with ICD C001 - Malignant neoplasm of external lower lip | 54 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C001 - Malignant neoplasm of external lower lip in DRG | 14.96 | ||||
| Avg LOS at DRG | 5.14 | ||||
| Avg LOS with ICD C001 - Malignant neoplasm of external lower lip | 6.06 | ||||
| Readmission Rate at DRG | 14.35 | ||||
| Readmission Rate with ICD C001 - Malignant neoplasm of external lower lip | NA | ||||
| Unplanned Readmission Rate at DRG | 7.64 | ||||
| Unplanned Readmission Rate with ICD C001 - Malignant neoplasm of external lower lip | NA | ||||
| Total Medicare payments at DRG | $113,818,459 | ||||
| Total Medicare payments with ICD C001 - Malignant neoplasm of external lower lip | $948,270 | ||||
| Total Medicare payment per Day at DRG | $3,496 | ||||
| Total Medicare payment per Day with ICD C001 - Malignant neoplasm of external lower lip | $2,900 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,975 | ||||
| Total Medicare payment per Hospitalization with ICD C001 - Malignant neoplasm of external lower lip | $17,561 | ||||
| Total Medicare Charges at DRG | $599,317,955 | ||||
| Total Medicare Charges with ICD C001 - Malignant neoplasm of external lower lip | $6,016,093 | ||||
| Avg Charges at DRG | $94,649 | ||||
| Avg Charges with ICD C001 - Malignant neoplasm of external lower lip | $111,409 | ||||
| Mortality Rate at DRG | 0.74 | ||||
| Mortality Rate with ICD C001 - Malignant neoplasm of external lower lip | NA | ||||
| SNF Discharge Rate at DRG | 9.41 | ||||
| SNF Discharge Rate with ICD C001 - Malignant neoplasm of external lower lip | NA | ||||
| Home Discharge Rate at DRG | 64.53 | ||||
| Home Discharge Rate with ICD C001 - Malignant neoplasm of external lower lip | 62.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 1,417 | |
| Total Hospitalizations with ICD C001 - Malignant neoplasm of external lower lip | 13 | |
| DRG Share of Total Hospitalizations | 0.0 | |
| % of Total ICD C001 - Malignant neoplasm of external lower lip in DRG | 3.6 | |
| Avg LOS at DRG | 2.44 | |
| Avg LOS with ICD C001 - Malignant neoplasm of external lower lip | 1.15 | |
| Readmission Rate at DRG | 8.38 | |
| Readmission Rate with ICD C001 - Malignant neoplasm of external lower lip | NA | |
| Unplanned Readmission Rate at DRG | 4.34 | |
| Unplanned Readmission Rate with ICD C001 - Malignant neoplasm of external lower lip | NA | |
| Total Medicare payments at DRG | $7,218,397 | |
| Total Medicare payments with ICD C001 - Malignant neoplasm of external lower lip | $68,339 | |
| Total Medicare payment per Day at DRG | $2,084 | |
| Total Medicare payment per Day with ICD C001 - Malignant neoplasm of external lower lip | $4,556 | |
| Total Medicare payment per Hospitalization at DRG | $5,094 | |
| Total Medicare payment per Hospitalization with ICD C001 - Malignant neoplasm of external lower lip | $5,257 | |
| Total Medicare Charges at DRG | $47,001,774 | |
| Total Medicare Charges with ICD C001 - Malignant neoplasm of external lower lip | $420,712 | |
| Avg Charges at DRG | $33,170 | |
| Avg Charges with ICD C001 - Malignant neoplasm of external lower lip | $32,362 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD C001 - Malignant neoplasm of external lower lip | NA | |
| SNF Discharge Rate at DRG | 4.09 | |
| SNF Discharge Rate with ICD C001 - Malignant neoplasm of external lower lip | NA | |
| Home Discharge Rate at DRG | 86.03 | |
| Home Discharge Rate with ICD C001 - Malignant neoplasm of external lower lip | 92.31 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z7982 | Long term (current) use of aspirin |
| 2 | F17210 | Nicotine dependence, cigarettes, uncomplicated |
| 3 | E785 | Hyperlipidemia, unspecified |
| 4 | I10 | Essential (primary) hypertension |