*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K115 - Sialolithiasis - as a primary diagnosis code | K115 - Sialolithiasis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.76 | |
| Readmission Rate (%) | 13.48 | |
| Unplanned Readmission Rate (%) | 6.13 | |
| 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 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 156: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 139: SALIVARY GLAND PROCEDURES | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,587 | |||
| Total Hospitalizations with ICD K115 - Sialolithiasis | 151 | |||
| DRG Share of Total Hospitalizations | 0.04 | |||
| % of Total ICD K115 - Sialolithiasis in DRG | 38.62 | |||
| Avg LOS at DRG | 3.62 | |||
| Avg LOS with ICD K115 - Sialolithiasis | 2.86 | |||
| Readmission Rate at DRG | 16.1 | |||
| Readmission Rate with ICD K115 - Sialolithiasis | 8.39 | |||
| Unplanned Readmission Rate at DRG | 10.91 | |||
| Unplanned Readmission Rate with ICD K115 - Sialolithiasis | NA | |||
| Total Medicare payments at DRG | $76,567,952 | |||
| Total Medicare payments with ICD K115 - Sialolithiasis | $789,642 | |||
| Total Medicare payment per Day at DRG | $1,558 | |||
| Total Medicare payment per Day with ICD K115 - Sialolithiasis | $1,828 | |||
| Total Medicare payment per Hospitalization at DRG | $5,635 | |||
| Total Medicare payment per Hospitalization with ICD K115 - Sialolithiasis | $5,229 | |||
| Total Medicare Charges at DRG | $413,036,189 | |||
| Total Medicare Charges with ICD K115 - Sialolithiasis | $3,684,281 | |||
| Avg Charges at DRG | $30,399 | |||
| Avg Charges with ICD K115 - Sialolithiasis | $24,399 | |||
| Mortality Rate at DRG | 0.38 | |||
| Mortality Rate with ICD K115 - Sialolithiasis | NA | |||
| SNF Discharge Rate at DRG | 19.94 | |||
| SNF Discharge Rate with ICD K115 - Sialolithiasis | 8.61 | |||
| Home Discharge Rate at DRG | 54.58 | |||
| Home Discharge Rate with ICD K115 - Sialolithiasis | 76.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 156: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 139: SALIVARY GLAND PROCEDURES | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,587 | ||||
| Total Hospitalizations with ICD K115 - Sialolithiasis | 481 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD K115 - Sialolithiasis in DRG | 22.23 | ||||
| Avg LOS at DRG | 3.62 | ||||
| Avg LOS with ICD K115 - Sialolithiasis | 3.16 | ||||
| Readmission Rate at DRG | 16.1 | ||||
| Readmission Rate with ICD K115 - Sialolithiasis | 9.35 | ||||
| Unplanned Readmission Rate at DRG | 10.91 | ||||
| Unplanned Readmission Rate with ICD K115 - Sialolithiasis | 7.83 | ||||
| Total Medicare payments at DRG | $76,567,952 | ||||
| Total Medicare payments with ICD K115 - Sialolithiasis | $2,548,617 | ||||
| Total Medicare payment per Day at DRG | $1,558 | ||||
| Total Medicare payment per Day with ICD K115 - Sialolithiasis | $1,679 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,635 | ||||
| Total Medicare payment per Hospitalization with ICD K115 - Sialolithiasis | $5,299 | ||||
| Total Medicare Charges at DRG | $413,036,189 | ||||
| Total Medicare Charges with ICD K115 - Sialolithiasis | $11,324,433 | ||||
| Avg Charges at DRG | $30,399 | ||||
| Avg Charges with ICD K115 - Sialolithiasis | $23,544 | ||||
| Mortality Rate at DRG | 0.38 | ||||
| Mortality Rate with ICD K115 - Sialolithiasis | NA | ||||
| SNF Discharge Rate at DRG | 19.94 | ||||
| SNF Discharge Rate with ICD K115 - Sialolithiasis | 8.32 | ||||
| Home Discharge Rate at DRG | 54.58 | ||||
| Home Discharge Rate with ICD K115 - Sialolithiasis | 74.64 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K115 - Sialolithiasis | 96 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K115 - Sialolithiasis in DRG | 4.44 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K115 - Sialolithiasis | 6.34 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K115 - Sialolithiasis | 25.29 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K115 - Sialolithiasis | 14.94 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K115 - Sialolithiasis | $1,123,733 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K115 - Sialolithiasis | $1,845 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K115 - Sialolithiasis | $11,706 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K115 - Sialolithiasis | $4,990,756 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K115 - Sialolithiasis | $51,987 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K115 - Sialolithiasis | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K115 - Sialolithiasis | 28.13 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K115 - Sialolithiasis | 31.25 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,433 | ||||
| Total Hospitalizations with ICD K115 - Sialolithiasis | 20 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K115 - Sialolithiasis in DRG | 0.92 | ||||
| Avg LOS at DRG | 5.43 | ||||
| Avg LOS with ICD K115 - Sialolithiasis | 6.1 | ||||
| Readmission Rate at DRG | 19.1 | ||||
| Readmission Rate with ICD K115 - Sialolithiasis | NA | ||||
| Unplanned Readmission Rate at DRG | 11.74 | ||||
| Unplanned Readmission Rate with ICD K115 - Sialolithiasis | NA | ||||
| Total Medicare payments at DRG | $90,965,515 | ||||
| Total Medicare payments with ICD K115 - Sialolithiasis | $208,699 | ||||
| Total Medicare payment per Day at DRG | $2,605 | ||||
| Total Medicare payment per Day with ICD K115 - Sialolithiasis | $1,711 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,140 | ||||
| Total Medicare payment per Hospitalization with ICD K115 - Sialolithiasis | $10,435 | ||||
| Total Medicare Charges at DRG | $478,604,560 | ||||
| Total Medicare Charges with ICD K115 - Sialolithiasis | $963,412 | ||||
| Avg Charges at DRG | $74,398 | ||||
| Avg Charges with ICD K115 - Sialolithiasis | $48,171 | ||||
| Mortality Rate at DRG | 1.26 | ||||
| Mortality Rate with ICD K115 - Sialolithiasis | NA | ||||
| SNF Discharge Rate at DRG | 11.66 | ||||
| SNF Discharge Rate with ICD K115 - Sialolithiasis | NA | ||||
| Home Discharge Rate at DRG | 62.18 | ||||
| Home Discharge Rate with ICD K115 - Sialolithiasis | 70.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,666 | ||||
| Total Hospitalizations with ICD K115 - Sialolithiasis | 16 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD K115 - Sialolithiasis in DRG | 0.74 | ||||
| Avg LOS at DRG | 7.46 | ||||
| Avg LOS with ICD K115 - Sialolithiasis | 7.0 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD K115 - Sialolithiasis | NA | ||||
| Unplanned Readmission Rate at DRG | 12.47 | ||||
| Unplanned Readmission Rate with ICD K115 - Sialolithiasis | NA | ||||
| Total Medicare payments at DRG | $868,457,018 | ||||
| Total Medicare payments with ICD K115 - Sialolithiasis | $257,845 | ||||
| Total Medicare payment per Day at DRG | $1,984 | ||||
| Total Medicare payment per Day with ICD K115 - Sialolithiasis | $2,302 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,803 | ||||
| Total Medicare payment per Hospitalization with ICD K115 - Sialolithiasis | $16,115 | ||||
| Total Medicare Charges at DRG | $4,526,808,643 | ||||
| Total Medicare Charges with ICD K115 - Sialolithiasis | $878,153 | ||||
| Avg Charges at DRG | $77,162 | ||||
| Avg Charges with ICD K115 - Sialolithiasis | $54,885 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD K115 - Sialolithiasis | NA | ||||
| SNF Discharge Rate at DRG | 26.05 | ||||
| SNF Discharge Rate with ICD K115 - Sialolithiasis | NA | ||||
| Home Discharge Rate at DRG | 35.9 | ||||
| Home Discharge Rate with ICD K115 - Sialolithiasis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 17 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 12 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 12 |