*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R070 - Pain in throat - as a primary diagnosis code | R070 - Pain in throat - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.56 | |
| Readmission Rate (%) | 22.66 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 156: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 13,587 | |
| Total Hospitalizations with ICD R070 - Pain in throat | 30 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD R070 - Pain in throat in DRG | 55.56 | |
| Avg LOS at DRG | 3.62 | |
| Avg LOS with ICD R070 - Pain in throat | 1.93 | |
| Readmission Rate at DRG | 16.1 | |
| Readmission Rate with ICD R070 - Pain in throat | NA | |
| Unplanned Readmission Rate at DRG | 10.91 | |
| Unplanned Readmission Rate with ICD R070 - Pain in throat | NA | |
| Total Medicare payments at DRG | $76,567,952 | |
| Total Medicare payments with ICD R070 - Pain in throat | $127,973 | |
| Total Medicare payment per Day at DRG | $1,558 | |
| Total Medicare payment per Day with ICD R070 - Pain in throat | $2,206 | |
| Total Medicare payment per Hospitalization at DRG | $5,635 | |
| Total Medicare payment per Hospitalization with ICD R070 - Pain in throat | $4,266 | |
| Total Medicare Charges at DRG | $413,036,189 | |
| Total Medicare Charges with ICD R070 - Pain in throat | $672,912 | |
| Avg Charges at DRG | $30,399 | |
| Avg Charges with ICD R070 - Pain in throat | $22,430 | |
| Mortality Rate at DRG | 0.38 | |
| Mortality Rate with ICD R070 - Pain in throat | NA | |
| SNF Discharge Rate at DRG | 19.94 | |
| SNF Discharge Rate with ICD R070 - Pain in throat | NA | |
| Home Discharge Rate at DRG | 54.58 | |
| Home Discharge Rate with ICD R070 - Pain in throat | 70.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R070 - Pain in throat | 365 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R070 - Pain in throat in DRG | 6.69 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R070 - Pain in throat | 16.86 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R070 - Pain in throat | 25.8 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R070 - Pain in throat | 11.3 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R070 - Pain in throat | $4,441,179 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R070 - Pain in throat | $722 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R070 - Pain in throat | $12,168 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R070 - Pain in throat | $13,142,931 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R070 - Pain in throat | $36,008 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R070 - Pain in throat | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R070 - Pain in throat | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R070 - Pain in throat | 87.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD R070 - Pain in throat | 76 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD R070 - Pain in throat in DRG | 1.39 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD R070 - Pain in throat | 6.21 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD R070 - Pain in throat | 23.88 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD R070 - Pain in throat | 19.4 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD R070 - Pain in throat | $745,797 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD R070 - Pain in throat | $1,580 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD R070 - Pain in throat | $9,813 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD R070 - Pain in throat | $3,583,701 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD R070 - Pain in throat | $47,154 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD R070 - Pain in throat | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD R070 - Pain in throat | 19.74 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD R070 - Pain in throat | 36.84 |
*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 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R070 - Pain in throat | 65 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R070 - Pain in throat in DRG | 1.19 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R070 - Pain in throat | 5.12 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R070 - Pain in throat | 29.69 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R070 - Pain in throat | 23.44 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R070 - Pain in throat | $451,072 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R070 - Pain in throat | $1,355 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R070 - Pain in throat | $6,940 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R070 - Pain in throat | $2,826,713 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R070 - Pain in throat | $43,488 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R070 - Pain in throat | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R070 - Pain in throat | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R070 - Pain in throat | 58.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD R070 - Pain in throat | 53 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD R070 - Pain in throat in DRG | 0.97 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD R070 - Pain in throat | 5.74 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD R070 - Pain in throat | NA | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD R070 - Pain in throat | NA | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD R070 - Pain in throat | $485,206 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD R070 - Pain in throat | $1,596 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD R070 - Pain in throat | $9,155 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD R070 - Pain in throat | $2,364,206 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD R070 - Pain in throat | $44,608 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD R070 - Pain in throat | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD R070 - Pain in throat | 22.64 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD R070 - Pain in throat | 43.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ALVARADO PARKWAY INSTITUTE BEHAVIORAL HEALTH SYSTEM | 7050 PARKWAY DR | LA MESA | CA | 91942 | 30 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 30 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 28 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |