*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J392 - Other diseases of pharynx - as a primary diagnosis code | J392 - Other diseases of pharynx - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.31 | |
| Readmission Rate (%) | 26.26 | |
| Unplanned Readmission Rate (%) | 12.9 | |
| 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 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 156: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES 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 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,587 | ||||
| Total Hospitalizations with ICD J392 - Other diseases of pharynx | 261 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD J392 - Other diseases of pharynx in DRG | 27.74 | ||||
| Avg LOS at DRG | 3.62 | ||||
| Avg LOS with ICD J392 - Other diseases of pharynx | 3.89 | ||||
| Readmission Rate at DRG | 16.1 | ||||
| Readmission Rate with ICD J392 - Other diseases of pharynx | 19.92 | ||||
| Unplanned Readmission Rate at DRG | 10.91 | ||||
| Unplanned Readmission Rate with ICD J392 - Other diseases of pharynx | 11.2 | ||||
| Total Medicare payments at DRG | $76,567,952 | ||||
| Total Medicare payments with ICD J392 - Other diseases of pharynx | $1,521,699 | ||||
| Total Medicare payment per Day at DRG | $1,558 | ||||
| Total Medicare payment per Day with ICD J392 - Other diseases of pharynx | $1,499 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,635 | ||||
| Total Medicare payment per Hospitalization with ICD J392 - Other diseases of pharynx | $5,830 | ||||
| Total Medicare Charges at DRG | $413,036,189 | ||||
| Total Medicare Charges with ICD J392 - Other diseases of pharynx | $9,205,831 | ||||
| Avg Charges at DRG | $30,399 | ||||
| Avg Charges with ICD J392 - Other diseases of pharynx | $35,271 | ||||
| Mortality Rate at DRG | 0.38 | ||||
| Mortality Rate with ICD J392 - Other diseases of pharynx | NA | ||||
| SNF Discharge Rate at DRG | 19.94 | ||||
| SNF Discharge Rate with ICD J392 - Other diseases of pharynx | 10.73 | ||||
| Home Discharge Rate at DRG | 54.58 | ||||
| Home Discharge Rate with ICD J392 - Other diseases of pharynx | 60.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 012: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | |||
| Total Hospitalizations with ICD J392 - Other diseases of pharynx | 19 | |||
| DRG Share of Total Hospitalizations | 0.33 | |||
| % of Total ICD J392 - Other diseases of pharynx in DRG | 2.02 | |||
| Avg LOS at DRG | 12.66 | |||
| Avg LOS with ICD J392 - Other diseases of pharynx | 9.95 | |||
| Readmission Rate at DRG | 35.31 | |||
| Readmission Rate with ICD J392 - Other diseases of pharynx | NA | |||
| Unplanned Readmission Rate at DRG | 20.73 | |||
| Unplanned Readmission Rate with ICD J392 - Other diseases of pharynx | NA | |||
| Total Medicare payments at DRG | $3,554,922,428 | |||
| Total Medicare payments with ICD J392 - Other diseases of pharynx | $619,092 | |||
| Total Medicare payment per Day at DRG | $2,575 | |||
| Total Medicare payment per Day with ICD J392 - Other diseases of pharynx | $3,276 | |||
| Total Medicare payment per Hospitalization at DRG | $32,609 | |||
| Total Medicare payment per Hospitalization with ICD J392 - Other diseases of pharynx | $32,584 | |||
| Total Medicare Charges at DRG | $15,445,232,132 | |||
| Total Medicare Charges with ICD J392 - Other diseases of pharynx | $1,813,361 | |||
| Avg Charges at DRG | $141,676 | |||
| Avg Charges with ICD J392 - Other diseases of pharynx | $95,440 | |||
| Mortality Rate at DRG | 8.99 | |||
| Mortality Rate with ICD J392 - Other diseases of pharynx | NA | |||
| SNF Discharge Rate at DRG | 27.26 | |||
| SNF Discharge Rate with ICD J392 - Other diseases of pharynx | NA | |||
| Home Discharge Rate at DRG | 27.78 | |||
| Home Discharge Rate with ICD J392 - Other diseases of pharynx | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 S GREENE STREET | BALTIMORE | MD | 21201 | 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 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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 156: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,587 | ||||
| Total Hospitalizations with ICD J392 - Other diseases of pharynx | 324 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD J392 - Other diseases of pharynx in DRG | 4.08 | ||||
| Avg LOS at DRG | 3.62 | ||||
| Avg LOS with ICD J392 - Other diseases of pharynx | 3.91 | ||||
| Readmission Rate at DRG | 16.1 | ||||
| Readmission Rate with ICD J392 - Other diseases of pharynx | 20.75 | ||||
| Unplanned Readmission Rate at DRG | 10.91 | ||||
| Unplanned Readmission Rate with ICD J392 - Other diseases of pharynx | 11.9 | ||||
| Total Medicare payments at DRG | $76,567,952 | ||||
| Total Medicare payments with ICD J392 - Other diseases of pharynx | $1,965,290 | ||||
| Total Medicare payment per Day at DRG | $1,558 | ||||
| Total Medicare payment per Day with ICD J392 - Other diseases of pharynx | $1,551 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,635 | ||||
| Total Medicare payment per Hospitalization with ICD J392 - Other diseases of pharynx | $6,066 | ||||
| Total Medicare Charges at DRG | $413,036,189 | ||||
| Total Medicare Charges with ICD J392 - Other diseases of pharynx | $11,082,586 | ||||
| Avg Charges at DRG | $30,399 | ||||
| Avg Charges with ICD J392 - Other diseases of pharynx | $34,206 | ||||
| Mortality Rate at DRG | 0.38 | ||||
| Mortality Rate with ICD J392 - Other diseases of pharynx | NA | ||||
| SNF Discharge Rate at DRG | 19.94 | ||||
| SNF Discharge Rate with ICD J392 - Other diseases of pharynx | 10.19 | ||||
| Home Discharge Rate at DRG | 54.58 | ||||
| Home Discharge Rate with ICD J392 - Other diseases of pharynx | 61.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD J392 - Other diseases of pharynx | 199 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD J392 - Other diseases of pharynx in DRG | 2.51 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD J392 - Other diseases of pharynx | 3.91 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD J392 - Other diseases of pharynx | 21.86 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD J392 - Other diseases of pharynx | 15.3 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD J392 - Other diseases of pharynx | $965,949 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD J392 - Other diseases of pharynx | $1,240 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD J392 - Other diseases of pharynx | $4,854 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD J392 - Other diseases of pharynx | $7,040,014 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD J392 - Other diseases of pharynx | $35,377 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD J392 - Other diseases of pharynx | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD J392 - Other diseases of pharynx | 10.55 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD J392 - Other diseases of pharynx | 62.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 012: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD J392 - Other diseases of pharynx | 118 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD J392 - Other diseases of pharynx in DRG | 1.49 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD J392 - Other diseases of pharynx | 9.11 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD J392 - Other diseases of pharynx | 30.39 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J392 - Other diseases of pharynx | 21.57 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD J392 - Other diseases of pharynx | $1,545,008 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD J392 - Other diseases of pharynx | $1,437 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD J392 - Other diseases of pharynx | $13,093 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD J392 - Other diseases of pharynx | $8,045,293 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD J392 - Other diseases of pharynx | $68,180 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD J392 - Other diseases of pharynx | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD J392 - Other diseases of pharynx | 22.88 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD J392 - Other diseases of pharynx | 22.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,422 | ||||
| Total Hospitalizations with ICD J392 - Other diseases of pharynx | 94 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD J392 - Other diseases of pharynx in DRG | 1.18 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD J392 - Other diseases of pharynx | 6.38 | ||||
| Readmission Rate at DRG | 26.98 | ||||
| Readmission Rate with ICD J392 - Other diseases of pharynx | 21.11 | ||||
| Unplanned Readmission Rate at DRG | 20.97 | ||||
| Unplanned Readmission Rate with ICD J392 - Other diseases of pharynx | 15.56 | ||||
| Total Medicare payments at DRG | $1,078,703,587 | ||||
| Total Medicare payments with ICD J392 - Other diseases of pharynx | $873,656 | ||||
| Total Medicare payment per Day at DRG | $1,614 | ||||
| Total Medicare payment per Day with ICD J392 - Other diseases of pharynx | $1,456 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,025 | ||||
| Total Medicare payment per Hospitalization with ICD J392 - Other diseases of pharynx | $9,294 | ||||
| Total Medicare Charges at DRG | $5,564,930,414 | ||||
| Total Medicare Charges with ICD J392 - Other diseases of pharynx | $5,247,350 | ||||
| Avg Charges at DRG | $41,399 | ||||
| Avg Charges with ICD J392 - Other diseases of pharynx | $55,823 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD J392 - Other diseases of pharynx | NA | ||||
| SNF Discharge Rate at DRG | 16.97 | ||||
| SNF Discharge Rate with ICD J392 - Other diseases of pharynx | 20.21 | ||||
| Home Discharge Rate at DRG | 52.45 | ||||
| Home Discharge Rate with ICD J392 - Other diseases of pharynx | 38.3 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 65 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 54 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 51 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL F CASTELLANOS | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 14 |
| Dr. DINESH KHATRI CHHETRI | 200 MEDICAL PLAZA | LOS ANGELES | CA | 90095 | 13 |
| Dr. TAPAN PADHYA | 13127 USF MAGNOLIA DR | TAMPA | FL | 33612 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL F CASTELLANOS | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 14 |
| Dr. DINESH KHATRI CHHETRI | 200 MEDICAL PLAZA | LOS ANGELES | CA | 90095 | 14 |
| Dr. STEPHEN W BAYLES | 1100 9TH AVE | SEATTLE | WA | 98101 | 12 |