*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C108 - Malignant neoplasm of overlapping sites of oropharynx - as a primary diagnosis code | C108 - Malignant neoplasm of overlapping sites of oropharynx - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.71 | |
| Readmission Rate (%) | 26.83 | |
| Unplanned Readmission Rate (%) | 16.5 | |
| 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 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 012: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 146: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 147: EAR, NOSE, MOUTH AND THROAT MALIGNANCY 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,676 | ||||
| Total Hospitalizations with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 49 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C108 - Malignant neoplasm of overlapping sites of oropharynx in DRG | 23.33 | ||||
| Avg LOS at DRG | 13.29 | ||||
| Avg LOS with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 14.22 | ||||
| Readmission Rate at DRG | 39.33 | ||||
| Readmission Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 38.3 | ||||
| Unplanned Readmission Rate at DRG | 14.94 | ||||
| Unplanned Readmission Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 23.4 | ||||
| Total Medicare payments at DRG | $228,782,019 | ||||
| Total Medicare payments with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $2,085,383 | ||||
| Total Medicare payment per Day at DRG | $3,033 | ||||
| Total Medicare payment per Day with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $2,992 | ||||
| Total Medicare payment per Hospitalization at DRG | $40,307 | ||||
| Total Medicare payment per Hospitalization with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $42,559 | ||||
| Total Medicare Charges at DRG | $1,036,941,744 | ||||
| Total Medicare Charges with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $8,148,908 | ||||
| Avg Charges at DRG | $182,689 | ||||
| Avg Charges with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $166,304 | ||||
| Mortality Rate at DRG | 2.59 | ||||
| Mortality Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | NA | ||||
| SNF Discharge Rate at DRG | 23.11 | ||||
| SNF Discharge Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 28.57 | ||||
| Home Discharge Rate at DRG | 14.76 | ||||
| Home Discharge Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 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 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 6,433 |
| Total Hospitalizations with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 14 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD C108 - Malignant neoplasm of overlapping sites of oropharynx in DRG | 6.67 |
| Avg LOS at DRG | 5.43 |
| Avg LOS with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 6.07 |
| Readmission Rate at DRG | 19.1 |
| Readmission Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | NA |
| Unplanned Readmission Rate at DRG | 11.74 |
| Unplanned Readmission Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | NA |
| Total Medicare payments at DRG | $90,965,515 |
| Total Medicare payments with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $176,281 |
| Total Medicare payment per Day at DRG | $2,605 |
| Total Medicare payment per Day with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $2,074 |
| Total Medicare payment per Hospitalization at DRG | $14,140 |
| Total Medicare payment per Hospitalization with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $12,592 |
| Total Medicare Charges at DRG | $478,604,560 |
| Total Medicare Charges with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $1,156,749 |
| Avg Charges at DRG | $74,398 |
| Avg Charges with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $82,625 |
| Mortality Rate at DRG | 1.26 |
| Mortality Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | NA |
| SNF Discharge Rate at DRG | 11.66 |
| SNF Discharge Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | NA |
| Home Discharge Rate at DRG | 62.18 |
| Home Discharge Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 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 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 012: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 146: EAR, NOSE, MOUTH AND THROAT MALIGNANCY 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 147: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,676 | ||||
| Total Hospitalizations with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 54 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C108 - Malignant neoplasm of overlapping sites of oropharynx in DRG | 13.37 | ||||
| Avg LOS at DRG | 13.29 | ||||
| Avg LOS with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 13.69 | ||||
| Readmission Rate at DRG | 39.33 | ||||
| Readmission Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 37.25 | ||||
| Unplanned Readmission Rate at DRG | 14.94 | ||||
| Unplanned Readmission Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 21.57 | ||||
| Total Medicare payments at DRG | $228,782,019 | ||||
| Total Medicare payments with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $2,269,964 | ||||
| Total Medicare payment per Day at DRG | $3,033 | ||||
| Total Medicare payment per Day with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $3,072 | ||||
| Total Medicare payment per Hospitalization at DRG | $40,307 | ||||
| Total Medicare payment per Hospitalization with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $42,036 | ||||
| Total Medicare Charges at DRG | $1,036,941,744 | ||||
| Total Medicare Charges with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $9,112,897 | ||||
| Avg Charges at DRG | $182,689 | ||||
| Avg Charges with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $168,757 | ||||
| Mortality Rate at DRG | 2.59 | ||||
| Mortality Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | NA | ||||
| SNF Discharge Rate at DRG | 23.11 | ||||
| SNF Discharge Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 27.78 | ||||
| Home Discharge Rate at DRG | 14.76 | ||||
| Home Discharge Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 20 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD C108 - Malignant neoplasm of overlapping sites of oropharynx in DRG | 4.95 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | 9.05 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | NA | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $306,054 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $1,691 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $15,303 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $1,551,431 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | $77,572 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | NA | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD C108 - Malignant neoplasm of overlapping sites of oropharynx | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 16 |
| KECK HOSPITAL OF USC | 1500 SAN PABLO STREET | LOS ANGELES | CA | 90033 | 15 |
| HARTFORD HOSPITAL | 80 SEYMOUR ST | HARTFORD | CT | 06102 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. UTTAM SINHA | 1520 SAN PABLO ST | LOS ANGELES | CA | 90033 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. UTTAM SINHA | 1520 SAN PABLO ST | LOS ANGELES | CA | 90033 | 12 |