*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J320 - Chronic maxillary sinusitis - as a primary diagnosis code | J320 - Chronic maxillary sinusitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.71 | |
| Readmission Rate (%) | 21.74 | |
| Unplanned Readmission Rate (%) | 9.14 | |
| 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) | DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,349 | ||||
| Total Hospitalizations with ICD J320 - Chronic maxillary sinusitis | 297 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD J320 - Chronic maxillary sinusitis in DRG | 46.85 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD J320 - Chronic maxillary sinusitis | 3.23 | ||||
| Readmission Rate at DRG | 12.37 | ||||
| Readmission Rate with ICD J320 - Chronic maxillary sinusitis | 11.54 | ||||
| Unplanned Readmission Rate at DRG | 8.55 | ||||
| Unplanned Readmission Rate with ICD J320 - Chronic maxillary sinusitis | 8.04 | ||||
| Total Medicare payments at DRG | $148,412,791 | ||||
| Total Medicare payments with ICD J320 - Chronic maxillary sinusitis | $1,289,880 | ||||
| Total Medicare payment per Day at DRG | $1,521 | ||||
| Total Medicare payment per Day with ICD J320 - Chronic maxillary sinusitis | $1,346 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,321 | ||||
| Total Medicare payment per Hospitalization with ICD J320 - Chronic maxillary sinusitis | $4,343 | ||||
| Total Medicare Charges at DRG | $793,754,980 | ||||
| Total Medicare Charges with ICD J320 - Chronic maxillary sinusitis | $8,973,430 | ||||
| Avg Charges at DRG | $23,109 | ||||
| Avg Charges with ICD J320 - Chronic maxillary sinusitis | $30,214 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD J320 - Chronic maxillary sinusitis | NA | ||||
| SNF Discharge Rate at DRG | 10.8 | ||||
| SNF Discharge Rate with ICD J320 - Chronic maxillary sinusitis | 9.09 | ||||
| Home Discharge Rate at DRG | 68.54 | ||||
| Home Discharge Rate with ICD J320 - Chronic maxillary sinusitis | 69.7 |
*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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 359 | ||
| Total Hospitalizations with ICD J320 - Chronic maxillary sinusitis | 32 | ||
| DRG Share of Total Hospitalizations | 0.0 | ||
| % of Total ICD J320 - Chronic maxillary sinusitis in DRG | 5.05 | ||
| Avg LOS at DRG | 2.23 | ||
| Avg LOS with ICD J320 - Chronic maxillary sinusitis | 1.28 | ||
| Readmission Rate at DRG | 8.36 | ||
| Readmission Rate with ICD J320 - Chronic maxillary sinusitis | NA | ||
| Unplanned Readmission Rate at DRG | 5.19 | ||
| Unplanned Readmission Rate with ICD J320 - Chronic maxillary sinusitis | NA | ||
| Total Medicare payments at DRG | $2,657,198 | ||
| Total Medicare payments with ICD J320 - Chronic maxillary sinusitis | $182,334 | ||
| Total Medicare payment per Day at DRG | $3,326 | ||
| Total Medicare payment per Day with ICD J320 - Chronic maxillary sinusitis | $4,447 | ||
| Total Medicare payment per Hospitalization at DRG | $7,402 | ||
| Total Medicare payment per Hospitalization with ICD J320 - Chronic maxillary sinusitis | $5,698 | ||
| Total Medicare Charges at DRG | $17,550,416 | ||
| Total Medicare Charges with ICD J320 - Chronic maxillary sinusitis | $1,308,477 | ||
| Avg Charges at DRG | $48,887 | ||
| Avg Charges with ICD J320 - Chronic maxillary sinusitis | $40,890 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD J320 - Chronic maxillary sinusitis | NA | ||
| SNF Discharge Rate at DRG | NA | ||
| SNF Discharge Rate with ICD J320 - Chronic maxillary sinusitis | NA | ||
| Home Discharge Rate at DRG | 91.64 | ||
| Home Discharge Rate with ICD J320 - Chronic maxillary sinusitis | 96.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PROVIDENCE SAINT JOSEPH MEDICAL CENTER | 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 28 |
| MUSC MEDICAL CENTER | 169 ASHLEY AVE | CHARLESTON | SC | 29403 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LAWRENCE ALAN WOLFF | 16550 VENTURA BLVD STE 209 | ENCINO | CA | 91436 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LAWRENCE ALAN WOLFF | 16550 VENTURA BLVD STE 209 | ENCINO | CA | 91436 | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J320 - Chronic maxillary sinusitis | 2,151 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J320 - Chronic maxillary sinusitis in DRG | 7.21 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J320 - Chronic maxillary sinusitis | 6.72 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J320 - Chronic maxillary sinusitis | 23.05 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J320 - Chronic maxillary sinusitis | 15.42 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J320 - Chronic maxillary sinusitis | $25,039,419 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J320 - Chronic maxillary sinusitis | $1,732 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J320 - Chronic maxillary sinusitis | $11,641 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J320 - Chronic maxillary sinusitis | $140,291,456 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J320 - Chronic maxillary sinusitis | $65,222 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J320 - Chronic maxillary sinusitis | 6.93 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J320 - Chronic maxillary sinusitis | 28.92 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J320 - Chronic maxillary sinusitis | 30.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 312: SYNCOPE AND COLLAPSE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD J320 - Chronic maxillary sinusitis | 565 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD J320 - Chronic maxillary sinusitis in DRG | 1.89 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD J320 - Chronic maxillary sinusitis | 2.85 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD J320 - Chronic maxillary sinusitis | 11.74 | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD J320 - Chronic maxillary sinusitis | 8.99 | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD J320 - Chronic maxillary sinusitis | $2,453,257 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD J320 - Chronic maxillary sinusitis | $1,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD J320 - Chronic maxillary sinusitis | $4,342 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD J320 - Chronic maxillary sinusitis | $16,728,533 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD J320 - Chronic maxillary sinusitis | $29,608 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD J320 - Chronic maxillary sinusitis | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD J320 - Chronic maxillary sinusitis | 17.88 | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD J320 - Chronic maxillary sinusitis | 57.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD J320 - Chronic maxillary sinusitis | 475 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD J320 - Chronic maxillary sinusitis in DRG | 1.59 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD J320 - Chronic maxillary sinusitis | 3.77 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD J320 - Chronic maxillary sinusitis | 11.21 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD J320 - Chronic maxillary sinusitis | 5.83 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD J320 - Chronic maxillary sinusitis | $2,411,801 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD J320 - Chronic maxillary sinusitis | $1,348 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD J320 - Chronic maxillary sinusitis | $5,077 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD J320 - Chronic maxillary sinusitis | $13,028,456 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD J320 - Chronic maxillary sinusitis | $27,428 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD J320 - Chronic maxillary sinusitis | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD J320 - Chronic maxillary sinusitis | 10.32 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD J320 - Chronic maxillary sinusitis | 68.42 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD J320 - Chronic maxillary sinusitis | 406 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD J320 - Chronic maxillary sinusitis in DRG | 1.36 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD J320 - Chronic maxillary sinusitis | 10.23 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD J320 - Chronic maxillary sinusitis | 17.72 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD J320 - Chronic maxillary sinusitis | 10.05 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD J320 - Chronic maxillary sinusitis | $5,548,694 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD J320 - Chronic maxillary sinusitis | $1,336 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD J320 - Chronic maxillary sinusitis | $13,667 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD J320 - Chronic maxillary sinusitis | $17,660,699 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD J320 - Chronic maxillary sinusitis | $43,499 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD J320 - Chronic maxillary sinusitis | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD J320 - Chronic maxillary sinusitis | 28.33 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD J320 - Chronic maxillary sinusitis | 27.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PROVIDENCE SAINT JOSEPH MEDICAL CENTER | 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 154 |
| LAKELAND REGIONAL MEDICAL CENTER | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 120 |
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 106 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LAWRENCE ALAN WOLFF | 16550 VENTURA BLVD STE 209 | ENCINO | CA | 91436 | 135 |
| Dr. BRADFORD A. WOODWORTH | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 21 |
| Dr. JEB MAHAN JUSTICE | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MAYUR C PATEL | 2625 W ALAMEDA AVE | BURBANK | CA | 91505 | 61 |
| Dr. TANVEER SOBHAN | 7481 W OAKLAND PARK BLVD | LAUDERHILL | FL | 33319 | 55 |
| Dr. LAWRENCE ALAN WOLFF | 16550 VENTURA BLVD STE 209 | ENCINO | CA | 91436 | 42 |