*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R040 - Epistaxis - as a primary diagnosis code | R040 - Epistaxis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.67 | |
| Readmission Rate (%) | 28.23 | |
| Unplanned Readmission Rate (%) | 15.55 | |
| 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 151: EPISTAXIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 150: EPISTAXIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,808 | ||||
| Total Hospitalizations with ICD R040 - Epistaxis | 8,808 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD R040 - Epistaxis in DRG | 56.06 | ||||
| Avg LOS at DRG | 2.59 | ||||
| Avg LOS with ICD R040 - Epistaxis | 2.59 | ||||
| Readmission Rate at DRG | 17.54 | ||||
| Readmission Rate with ICD R040 - Epistaxis | 17.54 | ||||
| Unplanned Readmission Rate at DRG | 13.6 | ||||
| Unplanned Readmission Rate with ICD R040 - Epistaxis | 13.6 | ||||
| Total Medicare payments at DRG | $37,315,291 | ||||
| Total Medicare payments with ICD R040 - Epistaxis | $37,315,291 | ||||
| Total Medicare payment per Day at DRG | $1,636 | ||||
| Total Medicare payment per Day with ICD R040 - Epistaxis | $1,636 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,237 | ||||
| Total Medicare payment per Hospitalization with ICD R040 - Epistaxis | $4,237 | ||||
| Total Medicare Charges at DRG | $186,588,785 | ||||
| Total Medicare Charges with ICD R040 - Epistaxis | $186,588,785 | ||||
| Avg Charges at DRG | $21,184 | ||||
| Avg Charges with ICD R040 - Epistaxis | $21,184 | ||||
| Mortality Rate at DRG | 0.37 | ||||
| Mortality Rate with ICD R040 - Epistaxis | 0.37 | ||||
| SNF Discharge Rate at DRG | 11.88 | ||||
| SNF Discharge Rate with ICD R040 - Epistaxis | 11.88 | ||||
| Home Discharge Rate at DRG | 66.55 | ||||
| Home Discharge Rate with ICD R040 - Epistaxis | 66.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 135: SINUS AND MASTOID PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 11,723 | ||||
| Total Hospitalizations with ICD R040 - Epistaxis | 470 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD R040 - Epistaxis in DRG | 2.99 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R040 - Epistaxis | 2.09 | ||||
| Readmission Rate at DRG | 12.89 | ||||
| Readmission Rate with ICD R040 - Epistaxis | 9.73 | ||||
| Unplanned Readmission Rate at DRG | 7.1 | ||||
| Unplanned Readmission Rate with ICD R040 - Epistaxis | 6.56 | ||||
| Total Medicare payments at DRG | $122,697,695 | ||||
| Total Medicare payments with ICD R040 - Epistaxis | $4,610,028 | ||||
| Total Medicare payment per Day at DRG | $3,328 | ||||
| Total Medicare payment per Day with ICD R040 - Epistaxis | $4,704 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,466 | ||||
| Total Medicare payment per Hospitalization with ICD R040 - Epistaxis | $9,809 | ||||
| Total Medicare Charges at DRG | $633,485,759 | ||||
| Total Medicare Charges with ICD R040 - Epistaxis | $22,395,236 | ||||
| Avg Charges at DRG | $54,038 | ||||
| Avg Charges with ICD R040 - Epistaxis | $47,649 | ||||
| Mortality Rate at DRG | 0.25 | ||||
| Mortality Rate with ICD R040 - Epistaxis | NA | ||||
| SNF Discharge Rate at DRG | 9.06 | ||||
| SNF Discharge Rate with ICD R040 - Epistaxis | 3.83 | ||||
| Home Discharge Rate at DRG | 70.16 | ||||
| Home Discharge Rate with ICD R040 - Epistaxis | 83.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 33,583 | |||
| Total Hospitalizations with ICD R040 - Epistaxis | 17 | |||
| DRG Share of Total Hospitalizations | 0.1 | |||
| % of Total ICD R040 - Epistaxis in DRG | 0.11 | |||
| Avg LOS at DRG | 11.44 | |||
| Avg LOS with ICD R040 - Epistaxis | 9.71 | |||
| Readmission Rate at DRG | 33.65 | |||
| Readmission Rate with ICD R040 - Epistaxis | NA | |||
| Unplanned Readmission Rate at DRG | 21.15 | |||
| Unplanned Readmission Rate with ICD R040 - Epistaxis | NA | |||
| Total Medicare payments at DRG | $802,022,870 | |||
| Total Medicare payments with ICD R040 - Epistaxis | $379,403 | |||
| Total Medicare payment per Day at DRG | $2,088 | |||
| Total Medicare payment per Day with ICD R040 - Epistaxis | $2,299 | |||
| Total Medicare payment per Hospitalization at DRG | $23,882 | |||
| Total Medicare payment per Hospitalization with ICD R040 - Epistaxis | $22,318 | |||
| Total Medicare Charges at DRG | $3,957,485,422 | |||
| Total Medicare Charges with ICD R040 - Epistaxis | $1,970,179 | |||
| Avg Charges at DRG | $117,842 | |||
| Avg Charges with ICD R040 - Epistaxis | $115,893 | |||
| Mortality Rate at DRG | 8.73 | |||
| Mortality Rate with ICD R040 - Epistaxis | NA | |||
| SNF Discharge Rate at DRG | 24.87 | |||
| SNF Discharge Rate with ICD R040 - Epistaxis | NA | |||
| Home Discharge Rate at DRG | 28.69 | |||
| Home Discharge Rate with ICD R040 - Epistaxis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 102 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 73 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 61 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CARLOS DIOGENES PINHEIRO NETO | 50 NEW SCOTLAND AVE | ALBANY | NY | 12208 | 16 |
| Dr. PETER F AGNELLO | 3000 MEDICAL PARK DR | TAMPA | FL | 33613 | 14 |
| Dr. TIMOTHY J SHAW | 752 N HIGH POINT RD | MADISON | WI | 53717 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY J SHAW | 752 N HIGH POINT RD | MADISON | WI | 53717 | 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 151: EPISTAXIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 813: COAGULATION DISORDERS | DRG 150: EPISTAXIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,808 | ||||
| Total Hospitalizations with ICD R040 - Epistaxis | 8,808 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD R040 - Epistaxis in DRG | 6.92 | ||||
| Avg LOS at DRG | 2.59 | ||||
| Avg LOS with ICD R040 - Epistaxis | 2.59 | ||||
| Readmission Rate at DRG | 17.54 | ||||
| Readmission Rate with ICD R040 - Epistaxis | 17.54 | ||||
| Unplanned Readmission Rate at DRG | 13.6 | ||||
| Unplanned Readmission Rate with ICD R040 - Epistaxis | 13.6 | ||||
| Total Medicare payments at DRG | $37,315,291 | ||||
| Total Medicare payments with ICD R040 - Epistaxis | $37,315,291 | ||||
| Total Medicare payment per Day at DRG | $1,636 | ||||
| Total Medicare payment per Day with ICD R040 - Epistaxis | $1,636 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,237 | ||||
| Total Medicare payment per Hospitalization with ICD R040 - Epistaxis | $4,237 | ||||
| Total Medicare Charges at DRG | $186,588,785 | ||||
| Total Medicare Charges with ICD R040 - Epistaxis | $186,588,785 | ||||
| Avg Charges at DRG | $21,184 | ||||
| Avg Charges with ICD R040 - Epistaxis | $21,184 | ||||
| Mortality Rate at DRG | 0.37 | ||||
| Mortality Rate with ICD R040 - Epistaxis | 0.37 | ||||
| SNF Discharge Rate at DRG | 11.88 | ||||
| SNF Discharge Rate with ICD R040 - Epistaxis | 11.88 | ||||
| Home Discharge Rate at DRG | 66.55 | ||||
| Home Discharge Rate with ICD R040 - Epistaxis | 66.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 201,938 | ||||
| Total Hospitalizations with ICD R040 - Epistaxis | 3,039 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD R040 - Epistaxis in DRG | 2.39 | ||||
| Avg LOS at DRG | 3.4 | ||||
| Avg LOS with ICD R040 - Epistaxis | 3.44 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD R040 - Epistaxis | 25.48 | ||||
| Unplanned Readmission Rate at DRG | 21.29 | ||||
| Unplanned Readmission Rate with ICD R040 - Epistaxis | 20.55 | ||||
| Total Medicare payments at DRG | $1,046,791,335 | ||||
| Total Medicare payments with ICD R040 - Epistaxis | $16,695,216 | ||||
| Total Medicare payment per Day at DRG | $1,523 | ||||
| Total Medicare payment per Day with ICD R040 - Epistaxis | $1,598 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
| Total Medicare payment per Hospitalization with ICD R040 - Epistaxis | $5,494 | ||||
| Total Medicare Charges at DRG | $5,572,284,000 | ||||
| Total Medicare Charges with ICD R040 - Epistaxis | $86,342,838 | ||||
| Avg Charges at DRG | $27,594 | ||||
| Avg Charges with ICD R040 - Epistaxis | $28,412 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD R040 - Epistaxis | 0.36 | ||||
| SNF Discharge Rate at DRG | 12.45 | ||||
| SNF Discharge Rate with ICD R040 - Epistaxis | 14.48 | ||||
| Home Discharge Rate at DRG | 66.72 | ||||
| Home Discharge Rate with ICD R040 - Epistaxis | 60.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R040 - Epistaxis | 1,946 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R040 - Epistaxis in DRG | 1.53 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R040 - Epistaxis | 7.05 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R040 - Epistaxis | 28.49 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R040 - Epistaxis | 22.89 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R040 - Epistaxis | $15,899,557 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R040 - Epistaxis | $1,159 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R040 - Epistaxis | $8,170 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R040 - Epistaxis | $102,088,939 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R040 - Epistaxis | $52,461 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R040 - Epistaxis | 1.95 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R040 - Epistaxis | 18.55 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R040 - Epistaxis | 43.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD R040 - Epistaxis | 1,570 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD R040 - Epistaxis in DRG | 1.23 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD R040 - Epistaxis | 7.78 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD R040 - Epistaxis | 32.51 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD R040 - Epistaxis | 23.2 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD R040 - Epistaxis | $18,384,529 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD R040 - Epistaxis | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD R040 - Epistaxis | $11,710 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD R040 - Epistaxis | $107,842,817 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD R040 - Epistaxis | $68,690 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD R040 - Epistaxis | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD R040 - Epistaxis | 23.69 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD R040 - Epistaxis | 30.76 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 414 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 402 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 392 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAUL MICHAEL MODLIN | 300 GARDEN CITY PLAZA | GARDEN CITY | NY | 11530 | 46 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 26 |
| Dr. JAMES S BROOKS | 29275 NORTHWESTERN HWY | SOUTHFIELD | MI | 48034 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 53 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 34 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 31 |