*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J309 - Allergic rhinitis, unspecified - as a primary diagnosis code | J309 - Allergic rhinitis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.03 | |
| Readmission Rate (%) | 18.2 | |
| 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 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 J309 - Allergic rhinitis, unspecified | 67 | |
| DRG Share of Total Hospitalizations | 0.1 | |
| % of Total ICD J309 - Allergic rhinitis, unspecified in DRG | 78.82 | |
| Avg LOS at DRG | 2.84 | |
| Avg LOS with ICD J309 - Allergic rhinitis, unspecified | 1.96 | |
| Readmission Rate at DRG | 12.37 | |
| Readmission Rate with ICD J309 - Allergic rhinitis, unspecified | NA | |
| Unplanned Readmission Rate at DRG | 8.55 | |
| Unplanned Readmission Rate with ICD J309 - Allergic rhinitis, unspecified | NA | |
| Total Medicare payments at DRG | $148,412,791 | |
| Total Medicare payments with ICD J309 - Allergic rhinitis, unspecified | $227,711 | |
| Total Medicare payment per Day at DRG | $1,521 | |
| Total Medicare payment per Day with ICD J309 - Allergic rhinitis, unspecified | $1,738 | |
| Total Medicare payment per Hospitalization at DRG | $4,321 | |
| Total Medicare payment per Hospitalization with ICD J309 - Allergic rhinitis, unspecified | $3,399 | |
| Total Medicare Charges at DRG | $793,754,980 | |
| Total Medicare Charges with ICD J309 - Allergic rhinitis, unspecified | $1,396,624 | |
| Avg Charges at DRG | $23,109 | |
| Avg Charges with ICD J309 - Allergic rhinitis, unspecified | $20,845 | |
| Mortality Rate at DRG | 0.16 | |
| Mortality Rate with ICD J309 - Allergic rhinitis, unspecified | NA | |
| SNF Discharge Rate at DRG | 10.8 | |
| SNF Discharge Rate with ICD J309 - Allergic rhinitis, unspecified | NA | |
| Home Discharge Rate at DRG | 68.54 | |
| Home Discharge Rate with ICD J309 - Allergic rhinitis, unspecified | 73.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 | 1,522,684 | ||||
| Total Hospitalizations with ICD J309 - Allergic rhinitis, unspecified | 18,759 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD J309 - Allergic rhinitis, unspecified in DRG | 8.85 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD J309 - Allergic rhinitis, unspecified | 2.31 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD J309 - Allergic rhinitis, unspecified | 6.9 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD J309 - Allergic rhinitis, unspecified | 2.63 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD J309 - Allergic rhinitis, unspecified | $210,197,820 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD J309 - Allergic rhinitis, unspecified | $4,842 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD J309 - Allergic rhinitis, unspecified | $11,205 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD J309 - Allergic rhinitis, unspecified | $1,097,573,576 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD J309 - Allergic rhinitis, unspecified | $58,509 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD J309 - Allergic rhinitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD J309 - Allergic rhinitis, unspecified | 19.39 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD J309 - Allergic rhinitis, unspecified | 33.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD J309 - Allergic rhinitis, unspecified | 4,703 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD J309 - Allergic rhinitis, unspecified in DRG | 2.22 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD J309 - Allergic rhinitis, unspecified | 5.25 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD J309 - Allergic rhinitis, unspecified | 25.38 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD J309 - Allergic rhinitis, unspecified | 19.21 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD J309 - Allergic rhinitis, unspecified | $42,397,275 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD J309 - Allergic rhinitis, unspecified | $1,717 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD J309 - Allergic rhinitis, unspecified | $9,015 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD J309 - Allergic rhinitis, unspecified | $187,994,747 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD J309 - Allergic rhinitis, unspecified | $39,973 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD J309 - Allergic rhinitis, unspecified | 2.38 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD J309 - Allergic rhinitis, unspecified | 18.58 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD J309 - Allergic rhinitis, unspecified | 40.23 |
*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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J309 - Allergic rhinitis, unspecified | 2,980 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J309 - Allergic rhinitis, unspecified in DRG | 1.41 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J309 - Allergic rhinitis, unspecified | 5.35 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J309 - Allergic rhinitis, unspecified | 18.48 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J309 - Allergic rhinitis, unspecified | 12.78 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J309 - Allergic rhinitis, unspecified | $24,996,579 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J309 - Allergic rhinitis, unspecified | $1,567 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J309 - Allergic rhinitis, unspecified | $8,388 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J309 - Allergic rhinitis, unspecified | $118,770,873 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J309 - Allergic rhinitis, unspecified | $39,856 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J309 - Allergic rhinitis, unspecified | 2.35 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J309 - Allergic rhinitis, unspecified | 19.5 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J309 - Allergic rhinitis, unspecified | 47.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 185,287 | ||||
| Total Hospitalizations with ICD J309 - Allergic rhinitis, unspecified | 2,257 | ||||
| DRG Share of Total Hospitalizations | 0.56 | ||||
| % of Total ICD J309 - Allergic rhinitis, unspecified in DRG | 1.07 | ||||
| Avg LOS at DRG | 1.88 | ||||
| Avg LOS with ICD J309 - Allergic rhinitis, unspecified | 1.83 | ||||
| Readmission Rate at DRG | 5.88 | ||||
| Readmission Rate with ICD J309 - Allergic rhinitis, unspecified | 5.33 | ||||
| Unplanned Readmission Rate at DRG | 2.95 | ||||
| Unplanned Readmission Rate with ICD J309 - Allergic rhinitis, unspecified | 2.82 | ||||
| Total Medicare payments at DRG | $2,646,620,753 | ||||
| Total Medicare payments with ICD J309 - Allergic rhinitis, unspecified | $31,455,511 | ||||
| Total Medicare payment per Day at DRG | $7,610 | ||||
| Total Medicare payment per Day with ICD J309 - Allergic rhinitis, unspecified | $7,633 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,284 | ||||
| Total Medicare payment per Hospitalization with ICD J309 - Allergic rhinitis, unspecified | $13,937 | ||||
| Total Medicare Charges at DRG | $13,348,793,527 | ||||
| Total Medicare Charges with ICD J309 - Allergic rhinitis, unspecified | $161,706,261 | ||||
| Avg Charges at DRG | $72,044 | ||||
| Avg Charges with ICD J309 - Allergic rhinitis, unspecified | $71,647 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD J309 - Allergic rhinitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 12.21 | ||||
| SNF Discharge Rate with ICD J309 - Allergic rhinitis, unspecified | 12.05 | ||||
| Home Discharge Rate at DRG | 64.69 | ||||
| Home Discharge Rate with ICD J309 - Allergic rhinitis, unspecified | 64.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 1,355 |
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 1,105 |
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 995 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 736 |
| Dr. JAWED M MOVANIA | 700 W LINCOLN TRAIL BLVD | RADCLIFF | KY | 40160 | 191 |
| Dr. RANDALL JEFFREY MOSKOVITZ | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 98 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 948 |
| Dr. VENKATAPURAM RAMESH REDDY | 42320 HIGHWAY 195 | HALEYVILLE | AL | 35565 | 514 |
| Dr. JAWED M MOVANIA | 700 W LINCOLN TRAIL BLVD | RADCLIFF | KY | 40160 | 191 |