Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE | Back to Top |
| DRG Code | DRG Description | Category | Sub Category | DRG Group | Surgical Category | Case Mix Level | Total National Projected Hospitalizations - Annualized | Total Medicare Hospitalizations - Jan 2017 to Dec 2017 | Total Medicare Hospitalizations - Jan 2013 to Dec 2017 | Total Medicare Hospitalizations After Exclusion | Avg. LOS | GMLOS | All Cause Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment per Day | Payment per Discharge | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | Non Surgical | 24.21 | NA | 2,145 | 11,379 | 10,360 | ||||||||||||
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | Non Surgical | 23.59 | NA | 1,914 | 11,089 | 10,758 | ||||||||||||
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | Non Surgical | 52.20 | NA | 4,551 | 24,535 | 23,812 |
DEMOGRAPHIC DETAILS OF DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 8,773 | 77.1 |
| Black | 1,816 | 15.96 |
| Hispanic | 346 | 3.04 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 2,918 | 25.64 |
| Greater than 84 | 2,677 | 23.53 |
| 75 to 79 | 1,483 | 13.03 |
TOP ICD DIAGNOSIS CODES FOR DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 2,647 | 23.26 |
| 2724 | Other and unspecified hyperlipidemia | 2,150 | 18.89 |
| 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 1,782 | 15.66 |
TOP ICD PROCEDURE CODES FOR DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 3995 | Hemodialysis | 843 | 7.41 |
| 9671 | Continuous Invasive Mechanical Ventilation For Less Than 96 Consecutive Hours | 632 | 5.55 |
| 9390 | Non-Invasive Mechanical Ventilation | 524 | 4.6 |
TOP HOSPITALS ASSOCIATED WITH DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 56 | 0.49 |
| Yale New Haven Hospital | 20 YORK ST | New Haven | CT | 06504 | 45 | 0.4 |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 35 | 0.31 |
DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE | Back to Top |
| Category | Sub Category | DRG Group | ICD Codes | ICD Description | National Projected Hospitalizations (Present on Admission - All) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - All) Jan 2013 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2013 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2013 to Dec 2017 | Total Discharges After Exclusion | Avg. LOS | GMLOS | All Cause Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment per Day | Payment per Discharge | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | 4019 | Unspecified essential hypertension | NA | 2,647 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | 2724 | Other and unspecified hyperlipidemia | NA | 2,150 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | E785 | Hyperlipidemia, unspecified | 1,249 | 1,853 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | I10 | Essential (primary) hypertension | 1,691 | 1,840 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 1,782 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | 4280 | Congestive heart failure, unspecified | NA | 1,756 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | 5272 | Sialoadenitis | NA | 1,564 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | 42731 | Atrial fibrillation | NA | 1,528 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 998 | 1,524 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | 32723 | Obstructive sleep apnea (adult)(pediatric) | NA | 1,451 |