*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C048 - Malignant neoplasm of overlapping sites of floor of mouth - as a primary diagnosis code | C048 - Malignant neoplasm of overlapping sites of floor of mouth - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.14 | |
| Readmission Rate (%) | 30.53 | |
| Unplanned Readmission Rate (%) | 8.39 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 5,976 | ||
| Total Hospitalizations with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | 50 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth in DRG | 30.49 | ||
| Avg LOS at DRG | 9.73 | ||
| Avg LOS with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | 11.62 | ||
| Readmission Rate at DRG | 28.1 | ||
| Readmission Rate with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | 34.04 | ||
| Unplanned Readmission Rate at DRG | 12.26 | ||
| Unplanned Readmission Rate with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | NA | ||
| Total Medicare payments at DRG | $173,115,606 | ||
| Total Medicare payments with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | $1,689,826 | ||
| Total Medicare payment per Day at DRG | $2,978 | ||
| Total Medicare payment per Day with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | $2,908 | ||
| Total Medicare payment per Hospitalization at DRG | $28,968 | ||
| Total Medicare payment per Hospitalization with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | $33,797 | ||
| Total Medicare Charges at DRG | $862,569,965 | ||
| Total Medicare Charges with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | $10,370,364 | ||
| Avg Charges at DRG | $144,339 | ||
| Avg Charges with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | $207,407 | ||
| Mortality Rate at DRG | 0.38 | ||
| Mortality Rate with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | NA | ||
| SNF Discharge Rate at DRG | 17.35 | ||
| SNF Discharge Rate with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | 36.0 | ||
| Home Discharge Rate at DRG | 22.74 | ||
| Home Discharge Rate with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | 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 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 | |
|---|---|---|---|
| Total Hospitalizations at DRG | 5,976 | ||
| Total Hospitalizations with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | 66 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth in DRG | 27.62 | ||
| Avg LOS at DRG | 9.73 | ||
| Avg LOS with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | 11.33 | ||
| Readmission Rate at DRG | 28.1 | ||
| Readmission Rate with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | 29.03 | ||
| Unplanned Readmission Rate at DRG | 12.26 | ||
| Unplanned Readmission Rate with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | NA | ||
| Total Medicare payments at DRG | $173,115,606 | ||
| Total Medicare payments with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | $2,191,270 | ||
| Total Medicare payment per Day at DRG | $2,978 | ||
| Total Medicare payment per Day with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | $2,930 | ||
| Total Medicare payment per Hospitalization at DRG | $28,968 | ||
| Total Medicare payment per Hospitalization with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | $33,201 | ||
| Total Medicare Charges at DRG | $862,569,965 | ||
| Total Medicare Charges with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | $13,290,687 | ||
| Avg Charges at DRG | $144,339 | ||
| Avg Charges with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | $201,374 | ||
| Mortality Rate at DRG | 0.38 | ||
| Mortality Rate with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | NA | ||
| SNF Discharge Rate at DRG | 17.35 | ||
| SNF Discharge Rate with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | 30.3 | ||
| Home Discharge Rate at DRG | 22.74 | ||
| Home Discharge Rate with ICD C048 - Malignant neoplasm of overlapping sites of floor of mouth | 18.18 |