*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z85810 - Personal history of malignant neoplasm of tongue - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.4 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z85810 - Personal history of malignant neoplasm of tongue | 1,851 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z85810 - Personal history of malignant neoplasm of tongue in DRG | 7.79 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z85810 - Personal history of malignant neoplasm of tongue | 5.84 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 24.94 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 18.83 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z85810 - Personal history of malignant neoplasm of tongue | $21,380,617 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z85810 - Personal history of malignant neoplasm of tongue | $1,979 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z85810 - Personal history of malignant neoplasm of tongue | $11,551 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z85810 - Personal history of malignant neoplasm of tongue | $101,606,209 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z85810 - Personal history of malignant neoplasm of tongue | $54,893 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 10.59 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 18.37 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 34.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z85810 - Personal history of malignant neoplasm of tongue | 368 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z85810 - Personal history of malignant neoplasm of tongue in DRG | 1.55 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z85810 - Personal history of malignant neoplasm of tongue | 4.0 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 21.64 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 15.79 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z85810 - Personal history of malignant neoplasm of tongue | $2,109,502 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z85810 - Personal history of malignant neoplasm of tongue | $1,432 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z85810 - Personal history of malignant neoplasm of tongue | $5,732 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z85810 - Personal history of malignant neoplasm of tongue | $10,743,084 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z85810 - Personal history of malignant neoplasm of tongue | $29,193 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 13.04 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 57.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z85810 - Personal history of malignant neoplasm of tongue | 324 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z85810 - Personal history of malignant neoplasm of tongue in DRG | 1.36 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z85810 - Personal history of malignant neoplasm of tongue | 5.04 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 18.12 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 13.09 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z85810 - Personal history of malignant neoplasm of tongue | $2,851,094 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z85810 - Personal history of malignant neoplasm of tongue | $1,745 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z85810 - Personal history of malignant neoplasm of tongue | $8,800 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z85810 - Personal history of malignant neoplasm of tongue | $12,869,266 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z85810 - Personal history of malignant neoplasm of tongue | $39,720 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 20.06 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 48.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 312: SYNCOPE AND COLLAPSE | DRG 012: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD Z85810 - Personal history of malignant neoplasm of tongue | 214 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD Z85810 - Personal history of malignant neoplasm of tongue in DRG | 0.9 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD Z85810 - Personal history of malignant neoplasm of tongue | 2.78 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 18.05 | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 14.15 | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD Z85810 - Personal history of malignant neoplasm of tongue | $1,014,830 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD Z85810 - Personal history of malignant neoplasm of tongue | $1,706 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD Z85810 - Personal history of malignant neoplasm of tongue | $4,742 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD Z85810 - Personal history of malignant neoplasm of tongue | $5,814,261 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD Z85810 - Personal history of malignant neoplasm of tongue | $27,169 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 14.95 | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD Z85810 - Personal history of malignant neoplasm of tongue | 56.54 |
| 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 | 137 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 119 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 106 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. YADRANKO DUCIC | 923 PENNSYLVANIA AVENUE | FORT WORTH | TX | 76104 | 18 |
| Dr. ROBERT E. MARX | 1611 NW 12TH AVE | MIAMI | FL | 33136 | 13 |
| Dr. KERSTIN M STENSON | 1611 W HARRISON ST STE 550 | CHICAGO | IL | 60612 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ORLANDO DAVID RODRIGUEZ | 1611 NW 12TH AVE | MIAMI | FL | 33136 | 24 |
| Dr. SURESH KANKANALA | 923 COLLEGE AVE | FORT WORTH | TX | 76104 | 22 |
| Dr. DERRICK T. LIN | 243 CHARLES ST | BOSTON | MA | 02114 | 21 |