*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J00 - Acute nasopharyngitis [common cold] - as a primary diagnosis code | J00 - Acute nasopharyngitis [common cold] - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.57 | |
| Readmission Rate (%) | 19.39 | |
| Unplanned Readmission Rate (%) | 13.84 | |
| 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 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 34,349 | |
| Total Hospitalizations with ICD J00 - Acute nasopharyngitis [common cold] | 114 | |
| DRG Share of Total Hospitalizations | 0.1 | |
| % of Total ICD J00 - Acute nasopharyngitis [common cold] in DRG | 66.67 | |
| Avg LOS at DRG | 2.84 | |
| Avg LOS with ICD J00 - Acute nasopharyngitis [common cold] | 2.67 | |
| Readmission Rate at DRG | 12.37 | |
| Readmission Rate with ICD J00 - Acute nasopharyngitis [common cold] | 15.38 | |
| Unplanned Readmission Rate at DRG | 8.55 | |
| Unplanned Readmission Rate with ICD J00 - Acute nasopharyngitis [common cold] | 11.54 | |
| Total Medicare payments at DRG | $148,412,791 | |
| Total Medicare payments with ICD J00 - Acute nasopharyngitis [common cold] | $578,072 | |
| Total Medicare payment per Day at DRG | $1,521 | |
| Total Medicare payment per Day with ICD J00 - Acute nasopharyngitis [common cold] | $1,902 | |
| Total Medicare payment per Hospitalization at DRG | $4,321 | |
| Total Medicare payment per Hospitalization with ICD J00 - Acute nasopharyngitis [common cold] | $5,071 | |
| Total Medicare Charges at DRG | $793,754,980 | |
| Total Medicare Charges with ICD J00 - Acute nasopharyngitis [common cold] | $3,003,838 | |
| Avg Charges at DRG | $23,109 | |
| Avg Charges with ICD J00 - Acute nasopharyngitis [common cold] | $26,349 | |
| Mortality Rate at DRG | 0.16 | |
| Mortality Rate with ICD J00 - Acute nasopharyngitis [common cold] | NA | |
| SNF Discharge Rate at DRG | 10.8 | |
| SNF Discharge Rate with ICD J00 - Acute nasopharyngitis [common cold] | NA | |
| Home Discharge Rate at DRG | 68.54 | |
| Home Discharge Rate with ICD J00 - Acute nasopharyngitis [common cold] | 62.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD J00 - Acute nasopharyngitis [common cold] | 684 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD J00 - Acute nasopharyngitis [common cold] in DRG | 13.27 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD J00 - Acute nasopharyngitis [common cold] | 19.61 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD J00 - Acute nasopharyngitis [common cold] | 25.23 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD J00 - Acute nasopharyngitis [common cold] | 10.18 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD J00 - Acute nasopharyngitis [common cold] | $8,003,443 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD J00 - Acute nasopharyngitis [common cold] | $597 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD J00 - Acute nasopharyngitis [common cold] | $11,701 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD J00 - Acute nasopharyngitis [common cold] | $31,053,249 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD J00 - Acute nasopharyngitis [common cold] | $45,399 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD J00 - Acute nasopharyngitis [common cold] | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD J00 - Acute nasopharyngitis [common cold] | 3.22 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD J00 - Acute nasopharyngitis [common cold] | 83.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,349 | ||||
| Total Hospitalizations with ICD J00 - Acute nasopharyngitis [common cold] | 143 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD J00 - Acute nasopharyngitis [common cold] in DRG | 2.77 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD J00 - Acute nasopharyngitis [common cold] | 2.68 | ||||
| Readmission Rate at DRG | 12.37 | ||||
| Readmission Rate with ICD J00 - Acute nasopharyngitis [common cold] | 17.56 | ||||
| Unplanned Readmission Rate at DRG | 8.55 | ||||
| Unplanned Readmission Rate with ICD J00 - Acute nasopharyngitis [common cold] | 13.74 | ||||
| Total Medicare payments at DRG | $148,412,791 | ||||
| Total Medicare payments with ICD J00 - Acute nasopharyngitis [common cold] | $702,789 | ||||
| Total Medicare payment per Day at DRG | $1,521 | ||||
| Total Medicare payment per Day with ICD J00 - Acute nasopharyngitis [common cold] | $1,835 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,321 | ||||
| Total Medicare payment per Hospitalization with ICD J00 - Acute nasopharyngitis [common cold] | $4,915 | ||||
| Total Medicare Charges at DRG | $793,754,980 | ||||
| Total Medicare Charges with ICD J00 - Acute nasopharyngitis [common cold] | $3,924,204 | ||||
| Avg Charges at DRG | $23,109 | ||||
| Avg Charges with ICD J00 - Acute nasopharyngitis [common cold] | $27,442 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD J00 - Acute nasopharyngitis [common cold] | NA | ||||
| SNF Discharge Rate at DRG | 10.8 | ||||
| SNF Discharge Rate with ICD J00 - Acute nasopharyngitis [common cold] | 7.69 | ||||
| Home Discharge Rate at DRG | 68.54 | ||||
| Home Discharge Rate with ICD J00 - Acute nasopharyngitis [common cold] | 63.64 |
*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 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J00 - Acute nasopharyngitis [common cold] | 98 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J00 - Acute nasopharyngitis [common cold] in DRG | 1.9 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J00 - Acute nasopharyngitis [common cold] | 5.45 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J00 - Acute nasopharyngitis [common cold] | 15.79 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J00 - Acute nasopharyngitis [common cold] | 13.68 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J00 - Acute nasopharyngitis [common cold] | $904,941 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J00 - Acute nasopharyngitis [common cold] | $1,695 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J00 - Acute nasopharyngitis [common cold] | $9,234 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J00 - Acute nasopharyngitis [common cold] | $4,566,387 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J00 - Acute nasopharyngitis [common cold] | $46,596 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J00 - Acute nasopharyngitis [common cold] | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J00 - Acute nasopharyngitis [common cold] | 14.29 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J00 - Acute nasopharyngitis [common cold] | 51.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,444 | ||||
| Total Hospitalizations with ICD J00 - Acute nasopharyngitis [common cold] | 68 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD J00 - Acute nasopharyngitis [common cold] in DRG | 1.32 | ||||
| Avg LOS at DRG | 2.99 | ||||
| Avg LOS with ICD J00 - Acute nasopharyngitis [common cold] | 3.03 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD J00 - Acute nasopharyngitis [common cold] | NA | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD J00 - Acute nasopharyngitis [common cold] | NA | ||||
| Total Medicare payments at DRG | $639,377,802 | ||||
| Total Medicare payments with ICD J00 - Acute nasopharyngitis [common cold] | $270,034 | ||||
| Total Medicare payment per Day at DRG | $1,479 | ||||
| Total Medicare payment per Day with ICD J00 - Acute nasopharyngitis [common cold] | $1,311 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,426 | ||||
| Total Medicare payment per Hospitalization with ICD J00 - Acute nasopharyngitis [common cold] | $3,971 | ||||
| Total Medicare Charges at DRG | $2,994,885,256 | ||||
| Total Medicare Charges with ICD J00 - Acute nasopharyngitis [common cold] | $1,444,453 | ||||
| Avg Charges at DRG | $20,734 | ||||
| Avg Charges with ICD J00 - Acute nasopharyngitis [common cold] | $21,242 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD J00 - Acute nasopharyngitis [common cold] | NA | ||||
| SNF Discharge Rate at DRG | 6.05 | ||||
| SNF Discharge Rate with ICD J00 - Acute nasopharyngitis [common cold] | NA | ||||
| Home Discharge Rate at DRG | 72.34 | ||||
| Home Discharge Rate with ICD J00 - Acute nasopharyngitis [common cold] | 79.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CASCADE BEHAVIORAL HEALTH HOSPITAL | 12844 MILITARY RD S | TUKWILA | WA | 98168 | 52 |
| LIGHTHOUSE BEHAVIORAL HEALTH HOSPITAL | 152 WACCAMAW MEDICAL PARK DR | CONWAY | SC | 29526 | 34 |
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY D RUDOLF | 1101 MADISON ST | SEATTLE | WA | 98104 | 37 |
| Dr. ADEDAPO M ODUWOLE | 1203 48TH AVE N | MYRTLE BEACH | SC | 29577 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY D RUDOLF | 1101 MADISON ST | SEATTLE | WA | 98104 | 36 |
| Dr. CHARLES R WANG | 1300 114TH AVE SE | BELLEVUE | WA | 98004 | 16 |
| Dr. ADEDAPO M ODUWOLE | 1203 48TH AVE N | MYRTLE BEACH | SC | 29577 | 15 |