*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J36 - Peritonsillar abscess - as a primary diagnosis code | J36 - Peritonsillar abscess - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.28 | |
| Readmission Rate (%) | 12.4 | |
| Unplanned Readmission Rate (%) | 5.55 | |
| 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 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT 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 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,349 | |||
| Total Hospitalizations with ICD J36 - Peritonsillar abscess | 934 | |||
| DRG Share of Total Hospitalizations | 0.1 | |||
| % of Total ICD J36 - Peritonsillar abscess in DRG | 54.72 | |||
| Avg LOS at DRG | 2.84 | |||
| Avg LOS with ICD J36 - Peritonsillar abscess | 2.3 | |||
| Readmission Rate at DRG | 12.37 | |||
| Readmission Rate with ICD J36 - Peritonsillar abscess | 7.2 | |||
| Unplanned Readmission Rate at DRG | 8.55 | |||
| Unplanned Readmission Rate with ICD J36 - Peritonsillar abscess | 5.11 | |||
| Total Medicare payments at DRG | $148,412,791 | |||
| Total Medicare payments with ICD J36 - Peritonsillar abscess | $3,690,050 | |||
| Total Medicare payment per Day at DRG | $1,521 | |||
| Total Medicare payment per Day with ICD J36 - Peritonsillar abscess | $1,716 | |||
| Total Medicare payment per Hospitalization at DRG | $4,321 | |||
| Total Medicare payment per Hospitalization with ICD J36 - Peritonsillar abscess | $3,951 | |||
| Total Medicare Charges at DRG | $793,754,980 | |||
| Total Medicare Charges with ICD J36 - Peritonsillar abscess | $18,013,942 | |||
| Avg Charges at DRG | $23,109 | |||
| Avg Charges with ICD J36 - Peritonsillar abscess | $19,287 | |||
| Mortality Rate at DRG | 0.16 | |||
| Mortality Rate with ICD J36 - Peritonsillar abscess | NA | |||
| SNF Discharge Rate at DRG | 10.8 | |||
| SNF Discharge Rate with ICD J36 - Peritonsillar abscess | NA | |||
| Home Discharge Rate at DRG | 68.54 | |||
| Home Discharge Rate with ICD J36 - Peritonsillar abscess | 88.97 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 13 |
| SUNRISE HOSPITAL AND MEDICAL CENTER | 3186 S MARYLAND PKWY | LAS VEGAS | NV | 89109 | 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 153: OTITIS MEDIA AND URI WITHOUT 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) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 J36 - Peritonsillar abscess | 987 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD J36 - Peritonsillar abscess in DRG | 35.41 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD J36 - Peritonsillar abscess | 2.33 | ||||
| Readmission Rate at DRG | 12.37 | ||||
| Readmission Rate with ICD J36 - Peritonsillar abscess | 7.24 | ||||
| Unplanned Readmission Rate at DRG | 8.55 | ||||
| Unplanned Readmission Rate with ICD J36 - Peritonsillar abscess | 5.05 | ||||
| Total Medicare payments at DRG | $148,412,791 | ||||
| Total Medicare payments with ICD J36 - Peritonsillar abscess | $3,896,124 | ||||
| Total Medicare payment per Day at DRG | $1,521 | ||||
| Total Medicare payment per Day with ICD J36 - Peritonsillar abscess | $1,692 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,321 | ||||
| Total Medicare payment per Hospitalization with ICD J36 - Peritonsillar abscess | $3,947 | ||||
| Total Medicare Charges at DRG | $793,754,980 | ||||
| Total Medicare Charges with ICD J36 - Peritonsillar abscess | $19,219,742 | ||||
| Avg Charges at DRG | $23,109 | ||||
| Avg Charges with ICD J36 - Peritonsillar abscess | $19,473 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD J36 - Peritonsillar abscess | NA | ||||
| SNF Discharge Rate at DRG | 10.8 | ||||
| SNF Discharge Rate with ICD J36 - Peritonsillar abscess | NA | ||||
| Home Discharge Rate at DRG | 68.54 | ||||
| Home Discharge Rate with ICD J36 - Peritonsillar abscess | 88.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J36 - Peritonsillar abscess | 95 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J36 - Peritonsillar abscess in DRG | 3.41 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J36 - Peritonsillar abscess | 7.09 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J36 - Peritonsillar abscess | 24.39 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J36 - Peritonsillar abscess | 15.85 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J36 - Peritonsillar abscess | $1,218,725 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J36 - Peritonsillar abscess | $1,808 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J36 - Peritonsillar abscess | $12,829 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J36 - Peritonsillar abscess | $7,343,201 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J36 - Peritonsillar abscess | $77,297 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J36 - Peritonsillar abscess | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J36 - Peritonsillar abscess | 16.84 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J36 - Peritonsillar abscess | 52.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,587 | ||||
| Total Hospitalizations with ICD J36 - Peritonsillar abscess | 27 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD J36 - Peritonsillar abscess in DRG | 0.97 | ||||
| Avg LOS at DRG | 3.62 | ||||
| Avg LOS with ICD J36 - Peritonsillar abscess | 3.41 | ||||
| Readmission Rate at DRG | 16.1 | ||||
| Readmission Rate with ICD J36 - Peritonsillar abscess | NA | ||||
| Unplanned Readmission Rate at DRG | 10.91 | ||||
| Unplanned Readmission Rate with ICD J36 - Peritonsillar abscess | NA | ||||
| Total Medicare payments at DRG | $76,567,952 | ||||
| Total Medicare payments with ICD J36 - Peritonsillar abscess | $153,731 | ||||
| Total Medicare payment per Day at DRG | $1,558 | ||||
| Total Medicare payment per Day with ICD J36 - Peritonsillar abscess | $1,671 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,635 | ||||
| Total Medicare payment per Hospitalization with ICD J36 - Peritonsillar abscess | $5,694 | ||||
| Total Medicare Charges at DRG | $413,036,189 | ||||
| Total Medicare Charges with ICD J36 - Peritonsillar abscess | $573,929 | ||||
| Avg Charges at DRG | $30,399 | ||||
| Avg Charges with ICD J36 - Peritonsillar abscess | $21,257 | ||||
| Mortality Rate at DRG | 0.38 | ||||
| Mortality Rate with ICD J36 - Peritonsillar abscess | NA | ||||
| SNF Discharge Rate at DRG | 19.94 | ||||
| SNF Discharge Rate with ICD J36 - Peritonsillar abscess | NA | ||||
| Home Discharge Rate at DRG | 54.58 | ||||
| Home Discharge Rate with ICD J36 - Peritonsillar abscess | 85.19 |
*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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | |
| Total Hospitalizations with ICD J36 - Peritonsillar abscess | 11 | |
| DRG Share of Total Hospitalizations | 3.35 | |
| % of Total ICD J36 - Peritonsillar abscess in DRG | 0.39 | |
| Avg LOS at DRG | 11.86 | |
| Avg LOS with ICD J36 - Peritonsillar abscess | 10.73 | |
| Readmission Rate at DRG | 27.58 | |
| Readmission Rate with ICD J36 - Peritonsillar abscess | NA | |
| Unplanned Readmission Rate at DRG | 13.34 | |
| Unplanned Readmission Rate with ICD J36 - Peritonsillar abscess | NA | |
| Total Medicare payments at DRG | $9,312,828,663 | |
| Total Medicare payments with ICD J36 - Peritonsillar abscess | $69,207 | |
| Total Medicare payment per Day at DRG | $713 | |
| Total Medicare payment per Day with ICD J36 - Peritonsillar abscess | $587 | |
| Total Medicare payment per Hospitalization at DRG | $8,460 | |
| Total Medicare payment per Hospitalization with ICD J36 - Peritonsillar abscess | $6,292 | |
| Total Medicare Charges at DRG | $32,341,464,302 | |
| Total Medicare Charges with ICD J36 - Peritonsillar abscess | $352,615 | |
| Avg Charges at DRG | $29,378 | |
| Avg Charges with ICD J36 - Peritonsillar abscess | $32,056 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD J36 - Peritonsillar abscess | NA | |
| SNF Discharge Rate at DRG | 5.83 | |
| SNF Discharge Rate with ICD J36 - Peritonsillar abscess | NA | |
| Home Discharge Rate at DRG | 79.47 | |
| Home Discharge Rate with ICD J36 - Peritonsillar abscess | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SUNRISE HOSPITAL AND MEDICAL CENTER | 3186 S MARYLAND PKWY | LAS VEGAS | NV | 89109 | 17 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 17 |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX | 1111 E MCDOWELL RD | PHOENIX | AZ | 85006 | 14 |