*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J329 - Chronic sinusitis, unspecified - as a primary diagnosis code | J329 - Chronic sinusitis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.86 | |
| Readmission Rate (%) | 19.95 | |
| Unplanned Readmission Rate (%) | 8.76 | |
| 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 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,349 | ||||
| Total Hospitalizations with ICD J329 - Chronic sinusitis, unspecified | 675 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD J329 - Chronic sinusitis, unspecified in DRG | 68.6 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD J329 - Chronic sinusitis, unspecified | 2.66 | ||||
| Readmission Rate at DRG | 12.37 | ||||
| Readmission Rate with ICD J329 - Chronic sinusitis, unspecified | 12.65 | ||||
| Unplanned Readmission Rate at DRG | 8.55 | ||||
| Unplanned Readmission Rate with ICD J329 - Chronic sinusitis, unspecified | 8.02 | ||||
| Total Medicare payments at DRG | $148,412,791 | ||||
| Total Medicare payments with ICD J329 - Chronic sinusitis, unspecified | $2,723,543 | ||||
| Total Medicare payment per Day at DRG | $1,521 | ||||
| Total Medicare payment per Day with ICD J329 - Chronic sinusitis, unspecified | $1,518 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,321 | ||||
| Total Medicare payment per Hospitalization with ICD J329 - Chronic sinusitis, unspecified | $4,035 | ||||
| Total Medicare Charges at DRG | $793,754,980 | ||||
| Total Medicare Charges with ICD J329 - Chronic sinusitis, unspecified | $16,277,034 | ||||
| Avg Charges at DRG | $23,109 | ||||
| Avg Charges with ICD J329 - Chronic sinusitis, unspecified | $24,114 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD J329 - Chronic sinusitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 10.8 | ||||
| SNF Discharge Rate with ICD J329 - Chronic sinusitis, unspecified | 7.11 | ||||
| Home Discharge Rate at DRG | 68.54 | ||||
| Home Discharge Rate with ICD J329 - Chronic sinusitis, unspecified | 73.93 |
*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 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 359 | |
| Total Hospitalizations with ICD J329 - Chronic sinusitis, unspecified | 13 | |
| DRG Share of Total Hospitalizations | 0.0 | |
| % of Total ICD J329 - Chronic sinusitis, unspecified in DRG | 1.32 | |
| Avg LOS at DRG | 2.23 | |
| Avg LOS with ICD J329 - Chronic sinusitis, unspecified | 2.08 | |
| Readmission Rate at DRG | 8.36 | |
| Readmission Rate with ICD J329 - Chronic sinusitis, unspecified | NA | |
| Unplanned Readmission Rate at DRG | 5.19 | |
| Unplanned Readmission Rate with ICD J329 - Chronic sinusitis, unspecified | NA | |
| Total Medicare payments at DRG | $2,657,198 | |
| Total Medicare payments with ICD J329 - Chronic sinusitis, unspecified | $93,959 | |
| Total Medicare payment per Day at DRG | $3,326 | |
| Total Medicare payment per Day with ICD J329 - Chronic sinusitis, unspecified | $3,480 | |
| Total Medicare payment per Hospitalization at DRG | $7,402 | |
| Total Medicare payment per Hospitalization with ICD J329 - Chronic sinusitis, unspecified | $7,228 | |
| Total Medicare Charges at DRG | $17,550,416 | |
| Total Medicare Charges with ICD J329 - Chronic sinusitis, unspecified | $501,715 | |
| Avg Charges at DRG | $48,887 | |
| Avg Charges with ICD J329 - Chronic sinusitis, unspecified | $38,593 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD J329 - Chronic sinusitis, unspecified | NA | |
| SNF Discharge Rate at DRG | NA | |
| SNF Discharge Rate with ICD J329 - Chronic sinusitis, unspecified | NA | |
| Home Discharge Rate at DRG | 91.64 | |
| Home Discharge Rate with ICD J329 - Chronic sinusitis, unspecified | 100.0 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J329 - Chronic sinusitis, unspecified | 6,357 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J329 - Chronic sinusitis, unspecified in DRG | 5.56 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J329 - Chronic sinusitis, unspecified | 6.44 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J329 - Chronic sinusitis, unspecified | 21.61 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J329 - Chronic sinusitis, unspecified | 14.75 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J329 - Chronic sinusitis, unspecified | $73,862,409 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J329 - Chronic sinusitis, unspecified | $1,803 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J329 - Chronic sinusitis, unspecified | $11,619 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J329 - Chronic sinusitis, unspecified | $389,384,562 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J329 - Chronic sinusitis, unspecified | $61,253 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J329 - Chronic sinusitis, unspecified | 5.66 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J329 - Chronic sinusitis, unspecified | 21.13 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J329 - Chronic sinusitis, unspecified | 41.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY 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 | 539,642 | ||||
| Total Hospitalizations with ICD J329 - Chronic sinusitis, unspecified | 2,772 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD J329 - Chronic sinusitis, unspecified in DRG | 2.43 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD J329 - Chronic sinusitis, unspecified | 6.39 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD J329 - Chronic sinusitis, unspecified | 22.09 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD J329 - Chronic sinusitis, unspecified | 16.94 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD J329 - Chronic sinusitis, unspecified | $26,236,859 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD J329 - Chronic sinusitis, unspecified | $1,482 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD J329 - Chronic sinusitis, unspecified | $9,465 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD J329 - Chronic sinusitis, unspecified | $134,246,901 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD J329 - Chronic sinusitis, unspecified | $48,430 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD J329 - Chronic sinusitis, unspecified | 1.95 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD J329 - Chronic sinusitis, unspecified | 12.73 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD J329 - Chronic sinusitis, unspecified | 53.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD J329 - Chronic sinusitis, unspecified | 1,902 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD J329 - Chronic sinusitis, unspecified in DRG | 1.66 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD J329 - Chronic sinusitis, unspecified | 4.09 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD J329 - Chronic sinusitis, unspecified | 16.02 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD J329 - Chronic sinusitis, unspecified | 11.62 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD J329 - Chronic sinusitis, unspecified | $11,809,259 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD J329 - Chronic sinusitis, unspecified | $1,517 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD J329 - Chronic sinusitis, unspecified | $6,209 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD J329 - Chronic sinusitis, unspecified | $65,249,401 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD J329 - Chronic sinusitis, unspecified | $34,306 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD J329 - Chronic sinusitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD J329 - Chronic sinusitis, unspecified | 13.35 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD J329 - Chronic sinusitis, unspecified | 62.2 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD J329 - Chronic sinusitis, unspecified | 1,327 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD J329 - Chronic sinusitis, unspecified in DRG | 1.16 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD J329 - Chronic sinusitis, unspecified | 11.87 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD J329 - Chronic sinusitis, unspecified | 15.0 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD J329 - Chronic sinusitis, unspecified | 8.34 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD J329 - Chronic sinusitis, unspecified | $21,493,515 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD J329 - Chronic sinusitis, unspecified | $1,365 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD J329 - Chronic sinusitis, unspecified | $16,197 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD J329 - Chronic sinusitis, unspecified | $60,150,216 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD J329 - Chronic sinusitis, unspecified | $45,328 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD J329 - Chronic sinusitis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD J329 - Chronic sinusitis, unspecified | 23.66 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD J329 - Chronic sinusitis, unspecified | 33.16 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 622 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 495 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 481 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT MENEGHINI | 200 W 103RD ST | INDIANAPOLIS | IN | 46290 | 102 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 70 |
| Dr. PHILIP H IRELAND | 13100 E 136TH ST | FISHERS | IN | 46037 | 51 |
| 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 | 107 |
| Dr. ROBERT MENEGHINI | 200 W 103RD ST | INDIANAPOLIS | IN | 46290 | 102 |
| Dr. KUNADI S REDDY | 414 PERRY RD | GRAND BLANC | MI | 48439 | 90 |