*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J029 - Acute pharyngitis, unspecified - as a primary diagnosis code | J029 - Acute pharyngitis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.91 | |
| Readmission Rate (%) | 21.61 | |
| Unplanned Readmission Rate (%) | 10.01 | |
| 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 J029 - Acute pharyngitis, unspecified | 1,025 | |
| DRG Share of Total Hospitalizations | 0.1 | |
| % of Total ICD J029 - Acute pharyngitis, unspecified in DRG | 80.27 | |
| Avg LOS at DRG | 2.84 | |
| Avg LOS with ICD J029 - Acute pharyngitis, unspecified | 2.58 | |
| Readmission Rate at DRG | 12.37 | |
| Readmission Rate with ICD J029 - Acute pharyngitis, unspecified | 12.45 | |
| Unplanned Readmission Rate at DRG | 8.55 | |
| Unplanned Readmission Rate with ICD J029 - Acute pharyngitis, unspecified | 8.82 | |
| Total Medicare payments at DRG | $148,412,791 | |
| Total Medicare payments with ICD J029 - Acute pharyngitis, unspecified | $4,195,854 | |
| Total Medicare payment per Day at DRG | $1,521 | |
| Total Medicare payment per Day with ICD J029 - Acute pharyngitis, unspecified | $1,586 | |
| Total Medicare payment per Hospitalization at DRG | $4,321 | |
| Total Medicare payment per Hospitalization with ICD J029 - Acute pharyngitis, unspecified | $4,094 | |
| Total Medicare Charges at DRG | $793,754,980 | |
| Total Medicare Charges with ICD J029 - Acute pharyngitis, unspecified | $23,295,568 | |
| Avg Charges at DRG | $23,109 | |
| Avg Charges with ICD J029 - Acute pharyngitis, unspecified | $22,727 | |
| Mortality Rate at DRG | 0.16 | |
| Mortality Rate with ICD J029 - Acute pharyngitis, unspecified | NA | |
| SNF Discharge Rate at DRG | 10.8 | |
| SNF Discharge Rate with ICD J029 - Acute pharyngitis, unspecified | 4.98 | |
| Home Discharge Rate at DRG | 68.54 | |
| Home Discharge Rate with ICD J029 - Acute pharyngitis, unspecified | 79.61 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 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 885: PSYCHOSES | 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD J029 - Acute pharyngitis, unspecified | 5,766 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD J029 - Acute pharyngitis, unspecified in DRG | 9.29 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD J029 - Acute pharyngitis, unspecified | 17.63 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD J029 - Acute pharyngitis, unspecified | 26.61 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD J029 - Acute pharyngitis, unspecified | 10.43 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD J029 - Acute pharyngitis, unspecified | $67,879,272 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD J029 - Acute pharyngitis, unspecified | $668 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD J029 - Acute pharyngitis, unspecified | $11,772 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD J029 - Acute pharyngitis, unspecified | $230,837,377 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD J029 - Acute pharyngitis, unspecified | $40,034 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD J029 - Acute pharyngitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD J029 - Acute pharyngitis, unspecified | 4.39 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD J029 - Acute pharyngitis, unspecified | 81.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD J029 - Acute pharyngitis, unspecified | 1,209 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD J029 - Acute pharyngitis, unspecified in DRG | 1.95 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD J029 - Acute pharyngitis, unspecified | 3.91 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD J029 - Acute pharyngitis, unspecified | 14.82 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD J029 - Acute pharyngitis, unspecified | 9.85 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD J029 - Acute pharyngitis, unspecified | $7,260,241 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD J029 - Acute pharyngitis, unspecified | $1,535 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD J029 - Acute pharyngitis, unspecified | $6,005 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD J029 - Acute pharyngitis, unspecified | $32,752,160 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD J029 - Acute pharyngitis, unspecified | $27,090 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD J029 - Acute pharyngitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD J029 - Acute pharyngitis, unspecified | 10.42 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD J029 - Acute pharyngitis, unspecified | 63.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD J029 - Acute pharyngitis, unspecified | 1,005 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD J029 - Acute pharyngitis, unspecified in DRG | 1.62 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD J029 - Acute pharyngitis, unspecified | 16.47 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD J029 - Acute pharyngitis, unspecified | 13.88 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD J029 - Acute pharyngitis, unspecified | 9.64 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD J029 - Acute pharyngitis, unspecified | $21,240,847 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD J029 - Acute pharyngitis, unspecified | $1,283 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD J029 - Acute pharyngitis, unspecified | $21,135 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD J029 - Acute pharyngitis, unspecified | $54,823,760 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD J029 - Acute pharyngitis, unspecified | $54,551 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD J029 - Acute pharyngitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD J029 - Acute pharyngitis, unspecified | 24.88 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD J029 - Acute pharyngitis, unspecified | 25.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | 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) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD J029 - Acute pharyngitis, unspecified | 710 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD J029 - Acute pharyngitis, unspecified in DRG | 1.14 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD J029 - Acute pharyngitis, unspecified | 13.47 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD J029 - Acute pharyngitis, unspecified | 12.56 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD J029 - Acute pharyngitis, unspecified | 9.38 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD J029 - Acute pharyngitis, unspecified | $13,139,208 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD J029 - Acute pharyngitis, unspecified | $1,374 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD J029 - Acute pharyngitis, unspecified | $18,506 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD J029 - Acute pharyngitis, unspecified | $32,000,816 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD J029 - Acute pharyngitis, unspecified | $45,072 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD J029 - Acute pharyngitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD J029 - Acute pharyngitis, unspecified | 17.89 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD J029 - Acute pharyngitis, unspecified | 20.28 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 288 |
| BECKETT SPRINGS | 8614 SHEPHERD FARM DR | WEST CHESTER | OH | 45069 | 232 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 204 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STANLEY R EASTERLING | 104 MCAULEY DR | VICKSBURG | MS | 39183 | 129 |
| Dr. SHAKIL S RAHMAN | 3130 N COUNTY ROAD 25A | TROY | OH | 45373 | 75 |
| Dr. RAKESHKUMAR KANERIA | 7760 UNIVERSITY CT | WEST CHESTER | OH | 45069 | 75 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STANLEY R EASTERLING | 104 MCAULEY DR | VICKSBURG | MS | 39183 | 162 |
| Dr. SHAKIL S RAHMAN | 3130 N COUNTY ROAD 25A | TROY | OH | 45373 | 74 |
| Dr. RAKESHKUMAR KANERIA | 7760 UNIVERSITY CT | WEST CHESTER | OH | 45069 | 68 |