*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C138 - Malignant neoplasm of overlapping sites of hypopharynx - as a primary diagnosis code | C138 - Malignant neoplasm of overlapping sites of hypopharynx - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.35 | |
| Readmission Rate (%) | 38.32 | |
| Unplanned Readmission Rate (%) | 25.0 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 5,676 | ||
| Total Hospitalizations with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | 26 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx in DRG | 24.07 | ||
| Avg LOS at DRG | 13.29 | ||
| Avg LOS with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | 18.0 | ||
| Readmission Rate at DRG | 39.33 | ||
| Readmission Rate with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | 63.64 | ||
| Unplanned Readmission Rate at DRG | 14.94 | ||
| Unplanned Readmission Rate with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | NA | ||
| Total Medicare payments at DRG | $228,782,019 | ||
| Total Medicare payments with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | $1,143,649 | ||
| Total Medicare payment per Day at DRG | $3,033 | ||
| Total Medicare payment per Day with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | $2,444 | ||
| Total Medicare payment per Hospitalization at DRG | $40,307 | ||
| Total Medicare payment per Hospitalization with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | $43,987 | ||
| Total Medicare Charges at DRG | $1,036,941,744 | ||
| Total Medicare Charges with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | $5,811,709 | ||
| Avg Charges at DRG | $182,689 | ||
| Avg Charges with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | $223,527 | ||
| Mortality Rate at DRG | 2.59 | ||
| Mortality Rate with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | NA | ||
| SNF Discharge Rate at DRG | 23.11 | ||
| SNF Discharge Rate with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | NA | ||
| Home Discharge Rate at DRG | 14.76 | ||
| Home Discharge Rate with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | 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 013: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,676 | |||
| Total Hospitalizations with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | 31 | |||
| DRG Share of Total Hospitalizations | 0.02 | |||
| % of Total ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx in DRG | 16.23 | |||
| Avg LOS at DRG | 13.29 | |||
| Avg LOS with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | 16.68 | |||
| Readmission Rate at DRG | 39.33 | |||
| Readmission Rate with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | 57.69 | |||
| Unplanned Readmission Rate at DRG | 14.94 | |||
| Unplanned Readmission Rate with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | NA | |||
| Total Medicare payments at DRG | $228,782,019 | |||
| Total Medicare payments with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | $1,310,901 | |||
| Total Medicare payment per Day at DRG | $3,033 | |||
| Total Medicare payment per Day with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | $2,536 | |||
| Total Medicare payment per Hospitalization at DRG | $40,307 | |||
| Total Medicare payment per Hospitalization with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | $42,287 | |||
| Total Medicare Charges at DRG | $1,036,941,744 | |||
| Total Medicare Charges with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | $6,739,972 | |||
| Avg Charges at DRG | $182,689 | |||
| Avg Charges with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | $217,418 | |||
| Mortality Rate at DRG | 2.59 | |||
| Mortality Rate with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | NA | |||
| SNF Discharge Rate at DRG | 23.11 | |||
| SNF Discharge Rate with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | NA | |||
| Home Discharge Rate at DRG | 14.76 | |||
| Home Discharge Rate with ICD C138 - Malignant neoplasm of overlapping sites of hypopharynx | NA |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | R1310 | Dysphagia, unspecified |
| 2 | Z923 | Personal history of irradiation |
| 3 | Z87891 | Personal history of nicotine dependence |