*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K1230 - Oral mucositis (ulcerative), unspecified - as a primary diagnosis code | K1230 - Oral mucositis (ulcerative), unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.34 | |
| Readmission Rate (%) | 33.9 | |
| Unplanned Readmission Rate (%) | 17.04 | |
| 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 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 5,726 | ||
| Total Hospitalizations with ICD K1230 - Oral mucositis (ulcerative), unspecified | 209 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD K1230 - Oral mucositis (ulcerative), unspecified in DRG | 48.83 | ||
| Avg LOS at DRG | 6.02 | ||
| Avg LOS with ICD K1230 - Oral mucositis (ulcerative), unspecified | 7.43 | ||
| Readmission Rate at DRG | 24.11 | ||
| Readmission Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 33.16 | ||
| Unplanned Readmission Rate at DRG | 15.58 | ||
| Unplanned Readmission Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 20.73 | ||
| Total Medicare payments at DRG | $64,185,772 | ||
| Total Medicare payments with ICD K1230 - Oral mucositis (ulcerative), unspecified | $2,668,318 | ||
| Total Medicare payment per Day at DRG | $1,861 | ||
| Total Medicare payment per Day with ICD K1230 - Oral mucositis (ulcerative), unspecified | $1,718 | ||
| Total Medicare payment per Hospitalization at DRG | $11,210 | ||
| Total Medicare payment per Hospitalization with ICD K1230 - Oral mucositis (ulcerative), unspecified | $12,767 | ||
| Total Medicare Charges at DRG | $310,029,076 | ||
| Total Medicare Charges with ICD K1230 - Oral mucositis (ulcerative), unspecified | $13,586,675 | ||
| Avg Charges at DRG | $54,144 | ||
| Avg Charges with ICD K1230 - Oral mucositis (ulcerative), unspecified | $65,008 | ||
| Mortality Rate at DRG | 3.2 | ||
| Mortality Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 5.26 | ||
| SNF Discharge Rate at DRG | 21.2 | ||
| SNF Discharge Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 13.88 | ||
| Home Discharge Rate at DRG | 44.04 | ||
| Home Discharge Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 45.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 14 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 14 |
*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 016: AUTOLOGOUS BONE MARROW TRANSPLANT WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 808: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 014: ALLOGENEIC BONE MARROW TRANSPLANT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K1230 - Oral mucositis (ulcerative), unspecified | 1,701 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K1230 - Oral mucositis (ulcerative), unspecified in DRG | 9.63 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K1230 - Oral mucositis (ulcerative), unspecified | 8.68 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 32.39 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 19.56 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K1230 - Oral mucositis (ulcerative), unspecified | $23,208,760 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K1230 - Oral mucositis (ulcerative), unspecified | $1,572 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K1230 - Oral mucositis (ulcerative), unspecified | $13,644 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K1230 - Oral mucositis (ulcerative), unspecified | $150,414,185 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K1230 - Oral mucositis (ulcerative), unspecified | $88,427 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 11.58 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 18.11 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 30.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 834: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 837: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,641 | ||||
| Total Hospitalizations with ICD K1230 - Oral mucositis (ulcerative), unspecified | 496 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD K1230 - Oral mucositis (ulcerative), unspecified in DRG | 2.81 | ||||
| Avg LOS at DRG | 16.42 | ||||
| Avg LOS with ICD K1230 - Oral mucositis (ulcerative), unspecified | 28.72 | ||||
| Readmission Rate at DRG | 41.54 | ||||
| Readmission Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 51.92 | ||||
| Unplanned Readmission Rate at DRG | 17.96 | ||||
| Unplanned Readmission Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 13.7 | ||||
| Total Medicare payments at DRG | $591,889,384 | ||||
| Total Medicare payments with ICD K1230 - Oral mucositis (ulcerative), unspecified | $29,624,003 | ||||
| Total Medicare payment per Day at DRG | $2,852 | ||||
| Total Medicare payment per Day with ICD K1230 - Oral mucositis (ulcerative), unspecified | $2,080 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,823 | ||||
| Total Medicare payment per Hospitalization with ICD K1230 - Oral mucositis (ulcerative), unspecified | $59,726 | ||||
| Total Medicare Charges at DRG | $2,437,161,576 | ||||
| Total Medicare Charges with ICD K1230 - Oral mucositis (ulcerative), unspecified | $152,036,206 | ||||
| Avg Charges at DRG | $192,798 | ||||
| Avg Charges with ICD K1230 - Oral mucositis (ulcerative), unspecified | $306,525 | ||||
| Mortality Rate at DRG | 21.77 | ||||
| Mortality Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 13.1 | ||||
| SNF Discharge Rate at DRG | 6.6 | ||||
| SNF Discharge Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 5.04 | ||||
| Home Discharge Rate at DRG | 30.51 | ||||
| Home Discharge Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 44.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 846: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,287 | ||||
| Total Hospitalizations with ICD K1230 - Oral mucositis (ulcerative), unspecified | 318 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K1230 - Oral mucositis (ulcerative), unspecified in DRG | 1.8 | ||||
| Avg LOS at DRG | 8.09 | ||||
| Avg LOS with ICD K1230 - Oral mucositis (ulcerative), unspecified | 11.58 | ||||
| Readmission Rate at DRG | 63.47 | ||||
| Readmission Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 66.55 | ||||
| Unplanned Readmission Rate at DRG | 16.01 | ||||
| Unplanned Readmission Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 11.49 | ||||
| Total Medicare payments at DRG | $252,996,223 | ||||
| Total Medicare payments with ICD K1230 - Oral mucositis (ulcerative), unspecified | $8,490,192 | ||||
| Total Medicare payment per Day at DRG | $2,772 | ||||
| Total Medicare payment per Day with ICD K1230 - Oral mucositis (ulcerative), unspecified | $2,305 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,415 | ||||
| Total Medicare payment per Hospitalization with ICD K1230 - Oral mucositis (ulcerative), unspecified | $26,699 | ||||
| Total Medicare Charges at DRG | $1,139,315,524 | ||||
| Total Medicare Charges with ICD K1230 - Oral mucositis (ulcerative), unspecified | $39,904,656 | ||||
| Avg Charges at DRG | $100,941 | ||||
| Avg Charges with ICD K1230 - Oral mucositis (ulcerative), unspecified | $125,486 | ||||
| Mortality Rate at DRG | 3.42 | ||||
| Mortality Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 4.09 | ||||
| SNF Discharge Rate at DRG | 9.94 | ||||
| SNF Discharge Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 7.86 | ||||
| Home Discharge Rate at DRG | 62.95 | ||||
| Home Discharge Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 59.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 849: RADIOTHERAPY | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD K1230 - Oral mucositis (ulcerative), unspecified | 263 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD K1230 - Oral mucositis (ulcerative), unspecified in DRG | 1.49 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD K1230 - Oral mucositis (ulcerative), unspecified | 4.46 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 31.87 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 19.92 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD K1230 - Oral mucositis (ulcerative), unspecified | $1,448,987 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD K1230 - Oral mucositis (ulcerative), unspecified | $1,235 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD K1230 - Oral mucositis (ulcerative), unspecified | $5,509 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD K1230 - Oral mucositis (ulcerative), unspecified | $8,541,197 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD K1230 - Oral mucositis (ulcerative), unspecified | $32,476 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 9.89 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD K1230 - Oral mucositis (ulcerative), unspecified | 50.57 |
| 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 | 516 |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | 5841 S. MARYLAND AVE | CHICAGO | IL | 60637 | 384 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 250 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL J HARAF | 5841 S MARYLAND AVE # MC1099 | CHICAGO | IL | 60637 | 83 |
| Dr. JAYESH MEHTA | 675 N SAINT CLAIR ST | CHICAGO | IL | 60611 | 41 |
| Dr. TANGUY YANN LIM-SEIWERT | 5841 S MARYLAND AVE | CHICAGO | IL | 60637 | 38 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TANGUY YANN LIM-SEIWERT | 5841 S MARYLAND AVE | CHICAGO | IL | 60637 | 55 |
| Dr. JAYESH MEHTA | 675 N SAINT CLAIR ST | CHICAGO | IL | 60611 | 48 |
| Dr. VIKAS BHUSHAN | 7777 FOREST LN | DALLAS | TX | 75230 | 37 |