*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses - as a primary diagnosis code | D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.63 | |
| Readmission Rate (%) | 14.65 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 136: SINUS AND MASTOID PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 132: CRANIAL AND FACIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 135: SINUS AND MASTOID PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 359 | ||||
| Total Hospitalizations with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 48 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses in DRG | 23.41 | ||||
| Avg LOS at DRG | 2.23 | ||||
| Avg LOS with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 1.33 | ||||
| Readmission Rate at DRG | 8.36 | ||||
| Readmission Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA | ||||
| Unplanned Readmission Rate at DRG | 5.19 | ||||
| Unplanned Readmission Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA | ||||
| Total Medicare payments at DRG | $2,657,198 | ||||
| Total Medicare payments with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $410,347 | ||||
| Total Medicare payment per Day at DRG | $3,326 | ||||
| Total Medicare payment per Day with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $6,412 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,402 | ||||
| Total Medicare payment per Hospitalization with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $8,549 | ||||
| Total Medicare Charges at DRG | $17,550,416 | ||||
| Total Medicare Charges with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $2,480,269 | ||||
| Avg Charges at DRG | $48,887 | ||||
| Avg Charges with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $51,672 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA | ||||
| Home Discharge Rate at DRG | 91.64 | ||||
| Home Discharge Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 97.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 3,927 |
| Total Hospitalizations with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 19 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses in DRG | 9.27 |
| Avg LOS at DRG | 5.65 |
| Avg LOS with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 2.79 |
| Readmission Rate at DRG | 17.41 |
| Readmission Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA |
| Unplanned Readmission Rate at DRG | 7.98 |
| Unplanned Readmission Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA |
| Total Medicare payments at DRG | $74,250,533 |
| Total Medicare payments with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $332,377 |
| Total Medicare payment per Day at DRG | $3,344 |
| Total Medicare payment per Day with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $6,271 |
| Total Medicare payment per Hospitalization at DRG | $18,908 |
| Total Medicare payment per Hospitalization with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $17,494 |
| Total Medicare Charges at DRG | $386,848,425 |
| Total Medicare Charges with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $1,704,209 |
| Avg Charges at DRG | $98,510 |
| Avg Charges with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $89,695 |
| Mortality Rate at DRG | 1.17 |
| Mortality Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA |
| SNF Discharge Rate at DRG | 15.48 |
| SNF Discharge Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA |
| Home Discharge Rate at DRG | 59.66 |
| Home Discharge Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 78.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 15 |
| MUSC MEDICAL CENTER | 169 ASHLEY AVE | CHARLESTON | SC | 29403 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 136: SINUS AND MASTOID PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 132: CRANIAL AND FACIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 135: SINUS AND MASTOID PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 359 | ||||
| Total Hospitalizations with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 54 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses in DRG | 13.3 | ||||
| Avg LOS at DRG | 2.23 | ||||
| Avg LOS with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 1.3 | ||||
| Readmission Rate at DRG | 8.36 | ||||
| Readmission Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA | ||||
| Unplanned Readmission Rate at DRG | 5.19 | ||||
| Unplanned Readmission Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA | ||||
| Total Medicare payments at DRG | $2,657,198 | ||||
| Total Medicare payments with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $445,078 | ||||
| Total Medicare payment per Day at DRG | $3,326 | ||||
| Total Medicare payment per Day with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $6,358 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,402 | ||||
| Total Medicare payment per Hospitalization with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $8,242 | ||||
| Total Medicare Charges at DRG | $17,550,416 | ||||
| Total Medicare Charges with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $2,754,852 | ||||
| Avg Charges at DRG | $48,887 | ||||
| Avg Charges with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $51,016 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA | ||||
| Home Discharge Rate at DRG | 91.64 | ||||
| Home Discharge Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 98.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 3,927 |
| Total Hospitalizations with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 21 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses in DRG | 5.17 |
| Avg LOS at DRG | 5.65 |
| Avg LOS with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 2.62 |
| Readmission Rate at DRG | 17.41 |
| Readmission Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA |
| Unplanned Readmission Rate at DRG | 7.98 |
| Unplanned Readmission Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA |
| Total Medicare payments at DRG | $74,250,533 |
| Total Medicare payments with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $360,504 |
| Total Medicare payment per Day at DRG | $3,344 |
| Total Medicare payment per Day with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $6,555 |
| Total Medicare payment per Hospitalization at DRG | $18,908 |
| Total Medicare payment per Hospitalization with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $17,167 |
| Total Medicare Charges at DRG | $386,848,425 |
| Total Medicare Charges with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $1,853,380 |
| Avg Charges at DRG | $98,510 |
| Avg Charges with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | $88,256 |
| Mortality Rate at DRG | 1.17 |
| Mortality Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA |
| SNF Discharge Rate at DRG | 15.48 |
| SNF Discharge Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | NA |
| Home Discharge Rate at DRG | 59.66 |
| Home Discharge Rate with ICD D140 - Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 80.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 17 |
| MUSC MEDICAL CENTER | 169 ASHLEY AVE | CHARLESTON | SC | 29403 | 12 |
| UNIVERSITY OF NORTH CAROLINA HOSPITAL | 101 MANNING DR | CHAPEL HILL | NC | 27514 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |