*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K130 - Diseases of lips - as a primary diagnosis code | K130 - Diseases of lips - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.35 | |
| Readmission Rate (%) | 23.23 | |
| Unplanned Readmission Rate (%) | 9.2 | |
| 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 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,966 | ||||
| Total Hospitalizations with ICD K130 - Diseases of lips | 185 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K130 - Diseases of lips in DRG | 33.45 | ||||
| Avg LOS at DRG | 3.55 | ||||
| Avg LOS with ICD K130 - Diseases of lips | 3.68 | ||||
| Readmission Rate at DRG | 16.16 | ||||
| Readmission Rate with ICD K130 - Diseases of lips | 14.94 | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD K130 - Diseases of lips | 9.77 | ||||
| Total Medicare payments at DRG | $61,877,531 | ||||
| Total Medicare payments with ICD K130 - Diseases of lips | $1,005,591 | ||||
| Total Medicare payment per Day at DRG | $1,590 | ||||
| Total Medicare payment per Day with ICD K130 - Diseases of lips | $1,479 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,643 | ||||
| Total Medicare payment per Hospitalization with ICD K130 - Diseases of lips | $5,436 | ||||
| Total Medicare Charges at DRG | $330,565,798 | ||||
| Total Medicare Charges with ICD K130 - Diseases of lips | $4,788,402 | ||||
| Avg Charges at DRG | $30,145 | ||||
| Avg Charges with ICD K130 - Diseases of lips | $25,883 | ||||
| Mortality Rate at DRG | 0.26 | ||||
| Mortality Rate with ICD K130 - Diseases of lips | NA | ||||
| SNF Discharge Rate at DRG | 13.73 | ||||
| SNF Discharge Rate with ICD K130 - Diseases of lips | 11.35 | ||||
| Home Discharge Rate at DRG | 61.66 | ||||
| Home Discharge Rate with ICD K130 - Diseases of lips | 66.49 |
*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 K130 - Diseases of lips | 13 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD K130 - Diseases of lips in DRG | 2.35 |
| Avg LOS at DRG | 5.43 |
| Avg LOS with ICD K130 - Diseases of lips | 7.08 |
| Readmission Rate at DRG | 19.1 |
| Readmission Rate with ICD K130 - Diseases of lips | NA |
| Unplanned Readmission Rate at DRG | 11.74 |
| Unplanned Readmission Rate with ICD K130 - Diseases of lips | NA |
| Total Medicare payments at DRG | $90,965,515 |
| Total Medicare payments with ICD K130 - Diseases of lips | $192,555 |
| Total Medicare payment per Day at DRG | $2,605 |
| Total Medicare payment per Day with ICD K130 - Diseases of lips | $2,093 |
| Total Medicare payment per Hospitalization at DRG | $14,140 |
| Total Medicare payment per Hospitalization with ICD K130 - Diseases of lips | $14,812 |
| Total Medicare Charges at DRG | $478,604,560 |
| Total Medicare Charges with ICD K130 - Diseases of lips | $713,000 |
| Avg Charges at DRG | $74,398 |
| Avg Charges with ICD K130 - Diseases of lips | $54,846 |
| Mortality Rate at DRG | 1.26 |
| Mortality Rate with ICD K130 - Diseases of lips | NA |
| SNF Discharge Rate at DRG | 11.66 |
| SNF Discharge Rate with ICD K130 - Diseases of lips | NA |
| Home Discharge Rate at DRG | 62.18 |
| Home Discharge Rate with ICD K130 - Diseases of lips | 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 885: PSYCHOSES | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K130 - Diseases of lips | 347 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K130 - Diseases of lips in DRG | 6.5 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K130 - Diseases of lips | 8.88 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K130 - Diseases of lips | 26.62 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K130 - Diseases of lips | 20.13 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K130 - Diseases of lips | $4,465,568 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K130 - Diseases of lips | $1,449 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K130 - Diseases of lips | $12,869 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K130 - Diseases of lips | $26,157,067 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K130 - Diseases of lips | $75,381 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K130 - Diseases of lips | 5.19 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K130 - Diseases of lips | 31.12 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K130 - Diseases of lips | 23.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,684 | ||||
| Total Hospitalizations with ICD K130 - Diseases of lips | 148 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD K130 - Diseases of lips in DRG | 2.77 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD K130 - Diseases of lips | 4.46 | ||||
| Readmission Rate at DRG | 13.49 | ||||
| Readmission Rate with ICD K130 - Diseases of lips | 13.99 | ||||
| Unplanned Readmission Rate at DRG | 8.67 | ||||
| Unplanned Readmission Rate with ICD K130 - Diseases of lips | 13.29 | ||||
| Total Medicare payments at DRG | $24,948,023 | ||||
| Total Medicare payments with ICD K130 - Diseases of lips | $1,287,253 | ||||
| Total Medicare payment per Day at DRG | $2,014 | ||||
| Total Medicare payment per Day with ICD K130 - Diseases of lips | $1,950 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,295 | ||||
| Total Medicare payment per Hospitalization with ICD K130 - Diseases of lips | $8,698 | ||||
| Total Medicare Charges at DRG | $128,550,868 | ||||
| Total Medicare Charges with ICD K130 - Diseases of lips | $5,194,833 | ||||
| Avg Charges at DRG | $47,895 | ||||
| Avg Charges with ICD K130 - Diseases of lips | $35,100 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD K130 - Diseases of lips | NA | ||||
| SNF Discharge Rate at DRG | 11.07 | ||||
| SNF Discharge Rate with ICD K130 - Diseases of lips | 15.54 | ||||
| Home Discharge Rate at DRG | 69.63 | ||||
| Home Discharge Rate with ICD K130 - Diseases of lips | 60.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,775 | ||||
| Total Hospitalizations with ICD K130 - Diseases of lips | 61 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD K130 - Diseases of lips in DRG | 1.14 | ||||
| Avg LOS at DRG | 4.93 | ||||
| Avg LOS with ICD K130 - Diseases of lips | 4.25 | ||||
| Readmission Rate at DRG | 16.64 | ||||
| Readmission Rate with ICD K130 - Diseases of lips | NA | ||||
| Unplanned Readmission Rate at DRG | 9.37 | ||||
| Unplanned Readmission Rate with ICD K130 - Diseases of lips | NA | ||||
| Total Medicare payments at DRG | $321,966,863 | ||||
| Total Medicare payments with ICD K130 - Diseases of lips | $564,570 | ||||
| Total Medicare payment per Day at DRG | $1,993 | ||||
| Total Medicare payment per Day with ICD K130 - Diseases of lips | $2,180 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,824 | ||||
| Total Medicare payment per Hospitalization with ICD K130 - Diseases of lips | $9,255 | ||||
| Total Medicare Charges at DRG | $1,646,314,545 | ||||
| Total Medicare Charges with ICD K130 - Diseases of lips | $2,394,251 | ||||
| Avg Charges at DRG | $50,231 | ||||
| Avg Charges with ICD K130 - Diseases of lips | $39,250 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD K130 - Diseases of lips | NA | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD K130 - Diseases of lips | NA | ||||
| Home Discharge Rate at DRG | 43.69 | ||||
| Home Discharge Rate with ICD K130 - Diseases of lips | 72.13 |
*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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,666 | ||||
| Total Hospitalizations with ICD K130 - Diseases of lips | 53 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD K130 - Diseases of lips in DRG | 0.99 | ||||
| Avg LOS at DRG | 7.46 | ||||
| Avg LOS with ICD K130 - Diseases of lips | 5.85 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD K130 - Diseases of lips | NA | ||||
| Unplanned Readmission Rate at DRG | 12.47 | ||||
| Unplanned Readmission Rate with ICD K130 - Diseases of lips | NA | ||||
| Total Medicare payments at DRG | $868,457,018 | ||||
| Total Medicare payments with ICD K130 - Diseases of lips | $773,464 | ||||
| Total Medicare payment per Day at DRG | $1,984 | ||||
| Total Medicare payment per Day with ICD K130 - Diseases of lips | $2,495 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,803 | ||||
| Total Medicare payment per Hospitalization with ICD K130 - Diseases of lips | $14,594 | ||||
| Total Medicare Charges at DRG | $4,526,808,643 | ||||
| Total Medicare Charges with ICD K130 - Diseases of lips | $2,670,105 | ||||
| Avg Charges at DRG | $77,162 | ||||
| Avg Charges with ICD K130 - Diseases of lips | $50,379 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD K130 - Diseases of lips | NA | ||||
| SNF Discharge Rate at DRG | 26.05 | ||||
| SNF Discharge Rate with ICD K130 - Diseases of lips | NA | ||||
| Home Discharge Rate at DRG | 35.9 | ||||
| Home Discharge Rate with ICD K130 - Diseases of lips | 49.06 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 31 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 22 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 21 |