DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) GROUP BASED ON MEDICARE

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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 (%)
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
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
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

DEMOGRAPHIC DETAILS OF DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 20,415 83.21
Black 2,699 11.0
Hispanic 525 2.14
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 6,152 25.07
Less than 65 5,140 20.95
65 to 69 3,426 13.96

TOP ICD DIAGNOSIS CODES FOR DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 7,406 30.19
2724 Other and unspecified hyperlipidemia 5,161 21.04
5272 Sialoadenitis 4,201 17.12

TOP ICD PROCEDURE CODES FOR DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
3142 Laryngoscopy And Other Tracheoscopy 754 3.07
0CJS8ZZ Inspection of Larynx, Via Natural or Artificial Opening Endoscopic 540 2.2
9904 Transfusion Of Packed Cells 519 2.12

TOP HOSPITALS ASSOCIATED WITH DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)

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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 126 0.51
UPMC Presbyterian Shadyside 200 LOTHROP ST Pittsburgh PA 15213 82 0.33
Beaumont Hospital Royal Oak 3601 W 13 MILE RD Royal Oak MI 48073 80 0.33

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. ZIAD SOUS 1145 S UTICA AVE TULSA OK 74104 15 0.06

DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) SUMMARY TABLE

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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 7,406
General Medicine Other Ear,Nose,Mouth And Throat Diagnoses Other Ear, Nose, Mouth And Throat Diagnoses I10 Essential (primary) hypertension 6,188 5,380
General Medicine Other Ear,Nose,Mouth And Throat Diagnoses Other Ear, Nose, Mouth And Throat Diagnoses 2724 Other and unspecified hyperlipidemia NA 5,161
General Medicine Other Ear,Nose,Mouth And Throat Diagnoses Other Ear, Nose, Mouth And Throat Diagnoses 5272 Sialoadenitis NA 4,201
General Medicine Other Ear,Nose,Mouth And Throat Diagnoses Other Ear, Nose, Mouth And Throat Diagnoses E785 Hyperlipidemia, unspecified 3,629 4,141
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 3,775
General Medicine Other Ear,Nose,Mouth And Throat Diagnoses Other Ear, Nose, Mouth And Throat Diagnoses 53081 Esophageal reflux NA 3,351
General Medicine Other Ear,Nose,Mouth And Throat Diagnoses Other Ear, Nose, Mouth And Throat Diagnoses 2449 Unspecified acquired hypothyroidism NA 2,963
General Medicine Other Ear,Nose,Mouth And Throat Diagnoses Other Ear, Nose, Mouth And Throat Diagnoses 42731 Atrial fibrillation NA 2,937
General Medicine Other Ear,Nose,Mouth And Throat Diagnoses Other Ear, Nose, Mouth And Throat Diagnoses K219 Gastro-esophageal reflux disease without esophagitis 2,405 2,780