*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J0190 - Acute sinusitis, unspecified - as a primary diagnosis code | J0190 - Acute sinusitis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.0 | |
| Readmission Rate (%) | 19.04 | |
| Unplanned Readmission Rate (%) | 8.74 | |
| 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) | 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 | 34,349 | |||
| Total Hospitalizations with ICD J0190 - Acute sinusitis, unspecified | 1,293 | |||
| DRG Share of Total Hospitalizations | 0.1 | |||
| % of Total ICD J0190 - Acute sinusitis, unspecified in DRG | 71.32 | |||
| Avg LOS at DRG | 2.84 | |||
| Avg LOS with ICD J0190 - Acute sinusitis, unspecified | 2.69 | |||
| Readmission Rate at DRG | 12.37 | |||
| Readmission Rate with ICD J0190 - Acute sinusitis, unspecified | 12.86 | |||
| Unplanned Readmission Rate at DRG | 8.55 | |||
| Unplanned Readmission Rate with ICD J0190 - Acute sinusitis, unspecified | 8.49 | |||
| Total Medicare payments at DRG | $148,412,791 | |||
| Total Medicare payments with ICD J0190 - Acute sinusitis, unspecified | $5,310,197 | |||
| Total Medicare payment per Day at DRG | $1,521 | |||
| Total Medicare payment per Day with ICD J0190 - Acute sinusitis, unspecified | $1,525 | |||
| Total Medicare payment per Hospitalization at DRG | $4,321 | |||
| Total Medicare payment per Hospitalization with ICD J0190 - Acute sinusitis, unspecified | $4,107 | |||
| Total Medicare Charges at DRG | $793,754,980 | |||
| Total Medicare Charges with ICD J0190 - Acute sinusitis, unspecified | $31,789,021 | |||
| Avg Charges at DRG | $23,109 | |||
| Avg Charges with ICD J0190 - Acute sinusitis, unspecified | $24,585 | |||
| Mortality Rate at DRG | 0.16 | |||
| Mortality Rate with ICD J0190 - Acute sinusitis, unspecified | NA | |||
| SNF Discharge Rate at DRG | 10.8 | |||
| SNF Discharge Rate with ICD J0190 - Acute sinusitis, unspecified | 9.98 | |||
| Home Discharge Rate at DRG | 68.54 | |||
| Home Discharge Rate with ICD J0190 - Acute sinusitis, unspecified | 71.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 13 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J0190 - Acute sinusitis, unspecified | 1,886 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J0190 - Acute sinusitis, unspecified in DRG | 6.0 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J0190 - Acute sinusitis, unspecified | 5.94 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J0190 - Acute sinusitis, unspecified | 20.71 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J0190 - Acute sinusitis, unspecified | 14.14 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J0190 - Acute sinusitis, unspecified | $21,176,441 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J0190 - Acute sinusitis, unspecified | $1,890 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J0190 - Acute sinusitis, unspecified | $11,228 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J0190 - Acute sinusitis, unspecified | $102,318,903 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J0190 - Acute sinusitis, unspecified | $54,252 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J0190 - Acute sinusitis, unspecified | 4.77 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J0190 - Acute sinusitis, unspecified | 21.31 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J0190 - Acute sinusitis, unspecified | 41.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD J0190 - Acute sinusitis, unspecified | 904 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD J0190 - Acute sinusitis, unspecified in DRG | 2.88 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD J0190 - Acute sinusitis, unspecified | 4.28 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD J0190 - Acute sinusitis, unspecified | 16.25 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD J0190 - Acute sinusitis, unspecified | 12.42 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD J0190 - Acute sinusitis, unspecified | $4,857,579 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD J0190 - Acute sinusitis, unspecified | $1,255 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD J0190 - Acute sinusitis, unspecified | $5,373 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD J0190 - Acute sinusitis, unspecified | $29,187,985 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD J0190 - Acute sinusitis, unspecified | $32,288 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD J0190 - Acute sinusitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD J0190 - Acute sinusitis, unspecified | 4.87 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD J0190 - Acute sinusitis, unspecified | 70.24 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J0190 - Acute sinusitis, unspecified | 655 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J0190 - Acute sinusitis, unspecified in DRG | 2.08 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J0190 - Acute sinusitis, unspecified | 5.53 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J0190 - Acute sinusitis, unspecified | 18.02 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J0190 - Acute sinusitis, unspecified | 12.6 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J0190 - Acute sinusitis, unspecified | $5,418,634 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J0190 - Acute sinusitis, unspecified | $1,495 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J0190 - Acute sinusitis, unspecified | $8,273 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J0190 - Acute sinusitis, unspecified | $28,435,469 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J0190 - Acute sinusitis, unspecified | $43,413 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J0190 - Acute sinusitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J0190 - Acute sinusitis, unspecified | 21.07 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J0190 - Acute sinusitis, unspecified | 48.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD J0190 - Acute sinusitis, unspecified | 403 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD J0190 - Acute sinusitis, unspecified in DRG | 1.28 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD J0190 - Acute sinusitis, unspecified | 3.92 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD J0190 - Acute sinusitis, unspecified | 18.97 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD J0190 - Acute sinusitis, unspecified | 15.38 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD J0190 - Acute sinusitis, unspecified | $2,091,704 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD J0190 - Acute sinusitis, unspecified | $1,325 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD J0190 - Acute sinusitis, unspecified | $5,190 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD J0190 - Acute sinusitis, unspecified | $11,296,901 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD J0190 - Acute sinusitis, unspecified | $28,032 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD J0190 - Acute sinusitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD J0190 - Acute sinusitis, unspecified | 18.36 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD J0190 - Acute sinusitis, unspecified | 55.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 171 |
| LAKELAND COMMUNITY HOSPITAL | 42024 HIGHWAY 195 | HALEYVILLE | AL | 35565 | 121 |
| LINCOLN TRAIL BEHAVIORIAL HEALTH | 3909 S WILSON RD | RADCLIFF | KY | 40160 | 89 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAWED M MOVANIA | 700 W LINCOLN TRAIL BLVD | RADCLIFF | KY | 40160 | 36 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 36 |
| Dr. SHAKIL S RAHMAN | 3130 N COUNTY ROAD 25A | TROY | OH | 45373 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VENKATAPURAM RAMESH REDDY | 42320 HIGHWAY 195 | HALEYVILLE | AL | 35565 | 121 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 46 |
| Dr. JAWED M MOVANIA | 700 W LINCOLN TRAIL BLVD | RADCLIFF | KY | 40160 | 36 |