*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C040 - Malignant neoplasm of anterior floor of mouth - as a primary diagnosis code | C040 - Malignant neoplasm of anterior floor of mouth - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.78 | |
| Readmission Rate (%) | 25.38 | |
| Unplanned Readmission Rate (%) | 6.91 | |
| 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 012: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 129: MAJOR HEAD AND NECK PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR MAJOR DEVICE | DRG 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,976 | ||||
| Total Hospitalizations with ICD C040 - Malignant neoplasm of anterior floor of mouth | 103 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C040 - Malignant neoplasm of anterior floor of mouth in DRG | 27.39 | ||||
| Avg LOS at DRG | 9.73 | ||||
| Avg LOS with ICD C040 - Malignant neoplasm of anterior floor of mouth | 11.04 | ||||
| Readmission Rate at DRG | 28.1 | ||||
| Readmission Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | 27.72 | ||||
| Unplanned Readmission Rate at DRG | 12.26 | ||||
| Unplanned Readmission Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | 12.87 | ||||
| Total Medicare payments at DRG | $173,115,606 | ||||
| Total Medicare payments with ICD C040 - Malignant neoplasm of anterior floor of mouth | $3,323,502 | ||||
| Total Medicare payment per Day at DRG | $2,978 | ||||
| Total Medicare payment per Day with ICD C040 - Malignant neoplasm of anterior floor of mouth | $2,923 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,968 | ||||
| Total Medicare payment per Hospitalization with ICD C040 - Malignant neoplasm of anterior floor of mouth | $32,267 | ||||
| Total Medicare Charges at DRG | $862,569,965 | ||||
| Total Medicare Charges with ICD C040 - Malignant neoplasm of anterior floor of mouth | $20,441,411 | ||||
| Avg Charges at DRG | $144,339 | ||||
| Avg Charges with ICD C040 - Malignant neoplasm of anterior floor of mouth | $198,460 | ||||
| Mortality Rate at DRG | 0.38 | ||||
| Mortality Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | NA | ||||
| SNF Discharge Rate at DRG | 17.35 | ||||
| SNF Discharge Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | 30.1 | ||||
| Home Discharge Rate at DRG | 22.74 | ||||
| Home Discharge Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | 14.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 013: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | 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 | 2,080 | |||
| Total Hospitalizations with ICD C040 - Malignant neoplasm of anterior floor of mouth | 16 | |||
| DRG Share of Total Hospitalizations | 0.01 | |||
| % of Total ICD C040 - Malignant neoplasm of anterior floor of mouth in DRG | 4.26 | |||
| Avg LOS at DRG | 6.76 | |||
| Avg LOS with ICD C040 - Malignant neoplasm of anterior floor of mouth | 7.0 | |||
| Readmission Rate at DRG | 23.15 | |||
| Readmission Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | NA | |||
| Unplanned Readmission Rate at DRG | 10.21 | |||
| Unplanned Readmission Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | NA | |||
| Total Medicare payments at DRG | $36,281,744 | |||
| Total Medicare payments with ICD C040 - Malignant neoplasm of anterior floor of mouth | $328,262 | |||
| Total Medicare payment per Day at DRG | $2,578 | |||
| Total Medicare payment per Day with ICD C040 - Malignant neoplasm of anterior floor of mouth | $2,931 | |||
| Total Medicare payment per Hospitalization at DRG | $17,443 | |||
| Total Medicare payment per Hospitalization with ICD C040 - Malignant neoplasm of anterior floor of mouth | $20,516 | |||
| Total Medicare Charges at DRG | $190,882,246 | |||
| Total Medicare Charges with ICD C040 - Malignant neoplasm of anterior floor of mouth | $2,159,487 | |||
| Avg Charges at DRG | $91,770 | |||
| Avg Charges with ICD C040 - Malignant neoplasm of anterior floor of mouth | $134,968 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | NA | |||
| SNF Discharge Rate at DRG | 10.24 | |||
| SNF Discharge Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | NA | |||
| Home Discharge Rate at DRG | 35.19 | |||
| Home Discharge Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MIAMI HOSPITAL | 1400 NW 12TH AVE | MIAMI | FL | 33136 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 012: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,976 | ||||
| Total Hospitalizations with ICD C040 - Malignant neoplasm of anterior floor of mouth | 118 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C040 - Malignant neoplasm of anterior floor of mouth in DRG | 21.34 | ||||
| Avg LOS at DRG | 9.73 | ||||
| Avg LOS with ICD C040 - Malignant neoplasm of anterior floor of mouth | 11.19 | ||||
| Readmission Rate at DRG | 28.1 | ||||
| Readmission Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | 26.96 | ||||
| Unplanned Readmission Rate at DRG | 12.26 | ||||
| Unplanned Readmission Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | 13.04 | ||||
| Total Medicare payments at DRG | $173,115,606 | ||||
| Total Medicare payments with ICD C040 - Malignant neoplasm of anterior floor of mouth | $3,785,609 | ||||
| Total Medicare payment per Day at DRG | $2,978 | ||||
| Total Medicare payment per Day with ICD C040 - Malignant neoplasm of anterior floor of mouth | $2,866 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,968 | ||||
| Total Medicare payment per Hospitalization with ICD C040 - Malignant neoplasm of anterior floor of mouth | $32,081 | ||||
| Total Medicare Charges at DRG | $862,569,965 | ||||
| Total Medicare Charges with ICD C040 - Malignant neoplasm of anterior floor of mouth | $23,655,100 | ||||
| Avg Charges at DRG | $144,339 | ||||
| Avg Charges with ICD C040 - Malignant neoplasm of anterior floor of mouth | $200,467 | ||||
| Mortality Rate at DRG | 0.38 | ||||
| Mortality Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | NA | ||||
| SNF Discharge Rate at DRG | 17.35 | ||||
| SNF Discharge Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | 30.51 | ||||
| Home Discharge Rate at DRG | 22.74 | ||||
| Home Discharge Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | 15.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 013: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITHOUT 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) | DRG 147: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,433 | ||||
| Total Hospitalizations with ICD C040 - Malignant neoplasm of anterior floor of mouth | 20 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C040 - Malignant neoplasm of anterior floor of mouth in DRG | 3.62 | ||||
| Avg LOS at DRG | 5.43 | ||||
| Avg LOS with ICD C040 - Malignant neoplasm of anterior floor of mouth | 3.95 | ||||
| Readmission Rate at DRG | 19.1 | ||||
| Readmission Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | NA | ||||
| Unplanned Readmission Rate at DRG | 11.74 | ||||
| Unplanned Readmission Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | NA | ||||
| Total Medicare payments at DRG | $90,965,515 | ||||
| Total Medicare payments with ICD C040 - Malignant neoplasm of anterior floor of mouth | $268,476 | ||||
| Total Medicare payment per Day at DRG | $2,605 | ||||
| Total Medicare payment per Day with ICD C040 - Malignant neoplasm of anterior floor of mouth | $3,398 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,140 | ||||
| Total Medicare payment per Hospitalization with ICD C040 - Malignant neoplasm of anterior floor of mouth | $13,424 | ||||
| Total Medicare Charges at DRG | $478,604,560 | ||||
| Total Medicare Charges with ICD C040 - Malignant neoplasm of anterior floor of mouth | $1,345,854 | ||||
| Avg Charges at DRG | $74,398 | ||||
| Avg Charges with ICD C040 - Malignant neoplasm of anterior floor of mouth | $67,293 | ||||
| Mortality Rate at DRG | 1.26 | ||||
| Mortality Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | NA | ||||
| SNF Discharge Rate at DRG | 11.66 | ||||
| SNF Discharge Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | NA | ||||
| Home Discharge Rate at DRG | 62.18 | ||||
| Home Discharge Rate with ICD C040 - Malignant neoplasm of anterior floor of mouth | 75.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 13 |
| UNIVERSITY OF MIAMI HOSPITAL | 1400 NW 12TH AVE | MIAMI | FL | 33136 | 13 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 12 |