*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C098 - Malignant neoplasm of overlapping sites of tonsil - as a primary diagnosis code | C098 - Malignant neoplasm of overlapping sites of tonsil - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.71 | |
| Readmission Rate (%) | 29.51 | |
| Unplanned Readmission Rate (%) | 16.07 | |
| 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 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH 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 | 6,332 | ||
| Total Hospitalizations with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | 30 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD C098 - Malignant neoplasm of overlapping sites of tonsil in DRG | 25.42 | ||
| Avg LOS at DRG | 5.14 | ||
| Avg LOS with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | 6.87 | ||
| Readmission Rate at DRG | 14.35 | ||
| Readmission Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | NA | ||
| Unplanned Readmission Rate at DRG | 7.64 | ||
| Unplanned Readmission Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | NA | ||
| Total Medicare payments at DRG | $113,818,459 | ||
| Total Medicare payments with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $594,217 | ||
| Total Medicare payment per Day at DRG | $3,496 | ||
| Total Medicare payment per Day with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $2,885 | ||
| Total Medicare payment per Hospitalization at DRG | $17,975 | ||
| Total Medicare payment per Hospitalization with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $19,807 | ||
| Total Medicare Charges at DRG | $599,317,955 | ||
| Total Medicare Charges with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $3,505,293 | ||
| Avg Charges at DRG | $94,649 | ||
| Avg Charges with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $116,843 | ||
| Mortality Rate at DRG | 0.74 | ||
| Mortality Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | NA | ||
| SNF Discharge Rate at DRG | 9.41 | ||
| SNF Discharge Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | NA | ||
| Home Discharge Rate at DRG | 64.53 | ||
| Home Discharge Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | 63.33 |
*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 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH 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) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 130: MAJOR HEAD AND NECK PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,332 | ||||
| Total Hospitalizations with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | 31 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C098 - Malignant neoplasm of overlapping sites of tonsil in DRG | 11.92 | ||||
| Avg LOS at DRG | 5.14 | ||||
| Avg LOS with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | 6.71 | ||||
| Readmission Rate at DRG | 14.35 | ||||
| Readmission Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | NA | ||||
| Unplanned Readmission Rate at DRG | 7.64 | ||||
| Unplanned Readmission Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | NA | ||||
| Total Medicare payments at DRG | $113,818,459 | ||||
| Total Medicare payments with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $601,657 | ||||
| Total Medicare payment per Day at DRG | $3,496 | ||||
| Total Medicare payment per Day with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $2,893 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,975 | ||||
| Total Medicare payment per Hospitalization with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $19,408 | ||||
| Total Medicare Charges at DRG | $599,317,955 | ||||
| Total Medicare Charges with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $3,524,576 | ||||
| Avg Charges at DRG | $94,649 | ||||
| Avg Charges with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $113,696 | ||||
| Mortality Rate at DRG | 0.74 | ||||
| Mortality Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | NA | ||||
| SNF Discharge Rate at DRG | 9.41 | ||||
| SNF Discharge Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | NA | ||||
| Home Discharge Rate at DRG | 64.53 | ||||
| Home Discharge Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | 64.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 5,676 |
| Total Hospitalizations with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | 11 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD C098 - Malignant neoplasm of overlapping sites of tonsil in DRG | 4.23 |
| Avg LOS at DRG | 13.29 |
| Avg LOS with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | 15.91 |
| Readmission Rate at DRG | 39.33 |
| Readmission Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | NA |
| Unplanned Readmission Rate at DRG | 14.94 |
| Unplanned Readmission Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | NA |
| Total Medicare payments at DRG | $228,782,019 |
| Total Medicare payments with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $454,293 |
| Total Medicare payment per Day at DRG | $3,033 |
| Total Medicare payment per Day with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $2,596 |
| Total Medicare payment per Hospitalization at DRG | $40,307 |
| Total Medicare payment per Hospitalization with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $41,299 |
| Total Medicare Charges at DRG | $1,036,941,744 |
| Total Medicare Charges with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $2,438,773 |
| Avg Charges at DRG | $182,689 |
| Avg Charges with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | $221,707 |
| Mortality Rate at DRG | 2.59 |
| Mortality Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | NA |
| SNF Discharge Rate at DRG | 23.11 |
| SNF Discharge Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | NA |
| Home Discharge Rate at DRG | 14.76 |
| Home Discharge Rate with ICD C098 - Malignant neoplasm of overlapping sites of tonsil | NA |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | C770 | Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck |
| 2 | I10 | Essential (primary) hypertension |