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 | 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 52.86 | NA | 4,551 | 24,535 | 4,413 | ||||||||||||
| 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 | 22.23 | NA | 1,914 | 11,089 | 1,851 | ||||||||||||
| 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 | 24.91 | NA | 2,145 | 11,379 | 1,991 |
DEMOGRAPHIC DETAILS OF DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 3,785 | 83.17 |
| Black | 475 | 10.44 |
| Hispanic | 102 | 2.24 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 1,142 | 25.09 |
| Less than 65 | 913 | 20.06 |
| 70 to 74 | 662 | 14.55 |
TOP ICD DIAGNOSIS CODES FOR DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| S022XXA | Fracture of nasal bones, initial encounter for closed fracture | 913 | 20.06 |
| K1121 | Acute sialoadenitis | 710 | 15.6 |
| K1120 | Sialoadenitis, unspecified | 672 | 14.77 |
TOP ICD PROCEDURE CODES FOR DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0CJS8ZZ | Inspection of Larynx, Via Natural or Artificial Opening Endoscopic | 258 | 5.67 |
| 0HQ1XZZ | Repair Face Skin, External Approach | 163 | 3.58 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 148 | 3.25 |
TOP HOSPITALS ASSOCIATED WITH DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 24 | 0.53 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 22 | 0.48 |
| Yale New Haven Hospital | 20 YORK ST | New Haven | CT | 06504 | 17 | 0.37 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | NA | NA |
DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 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 2017 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2017 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2017 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 | I10 | Essential (primary) hypertension | 6,188 | 2,149 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | E785 | Hyperlipidemia, unspecified | 3,629 | 1,849 | |||||||||||||||||
| 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 | 1,219 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | Z87891 | Personal history of nicotine dependence | 2,222 | 1,143 | |||||||||||||||||
| 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 | 2,125 | 1,140 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | E039 | Hypothyroidism, unspecified | 1,772 | 1,005 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | Z7982 | Long term (current) use of aspirin | 1,173 | 923 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | S022XXA | Fracture of nasal bones, initial encounter for closed fracture | 2,966 | 913 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | E119 | Type 2 diabetes mellitus without complications | 2,554 | 798 | |||||||||||||||||
| General Medicine | Other Ear,Nose,Mouth And Throat Diagnoses | Other Ear, Nose, Mouth And Throat Diagnoses | F329 | Major depressive disorder, single episode, unspecified | 1,598 | 797 |