*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R0981 - Nasal congestion - as a primary diagnosis code | R0981 - Nasal congestion - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.12 | |
| Readmission Rate (%) | 20.12 | |
| 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 R0981 - Nasal congestion | 26 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD R0981 - Nasal congestion in DRG | 54.17 | |
| Avg LOS at DRG | 3.62 | |
| Avg LOS with ICD R0981 - Nasal congestion | 1.69 | |
| Readmission Rate at DRG | 16.1 | |
| Readmission Rate with ICD R0981 - Nasal congestion | NA | |
| Unplanned Readmission Rate at DRG | 10.91 | |
| Unplanned Readmission Rate with ICD R0981 - Nasal congestion | NA | |
| Total Medicare payments at DRG | $76,567,952 | |
| Total Medicare payments with ICD R0981 - Nasal congestion | $165,370 | |
| Total Medicare payment per Day at DRG | $1,558 | |
| Total Medicare payment per Day with ICD R0981 - Nasal congestion | $3,758 | |
| Total Medicare payment per Hospitalization at DRG | $5,635 | |
| Total Medicare payment per Hospitalization with ICD R0981 - Nasal congestion | $6,360 | |
| Total Medicare Charges at DRG | $413,036,189 | |
| Total Medicare Charges with ICD R0981 - Nasal congestion | $464,277 | |
| Avg Charges at DRG | $30,399 | |
| Avg Charges with ICD R0981 - Nasal congestion | $17,857 | |
| Mortality Rate at DRG | 0.38 | |
| Mortality Rate with ICD R0981 - Nasal congestion | NA | |
| SNF Discharge Rate at DRG | 19.94 | |
| SNF Discharge Rate with ICD R0981 - Nasal congestion | NA | |
| Home Discharge Rate at DRG | 54.58 | |
| Home Discharge Rate with ICD R0981 - Nasal congestion | 73.08 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R0981 - Nasal congestion | 3,222 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R0981 - Nasal congestion in DRG | 12.95 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R0981 - Nasal congestion | 16.51 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R0981 - Nasal congestion | 25.22 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R0981 - Nasal congestion | 10.68 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R0981 - Nasal congestion | $35,545,060 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R0981 - Nasal congestion | $668 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R0981 - Nasal congestion | $11,032 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R0981 - Nasal congestion | $119,009,114 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R0981 - Nasal congestion | $36,936 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R0981 - Nasal congestion | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R0981 - Nasal congestion | 3.91 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R0981 - Nasal congestion | 83.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD R0981 - Nasal congestion | 562 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD R0981 - Nasal congestion in DRG | 2.26 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD R0981 - Nasal congestion | 13.08 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD R0981 - Nasal congestion | 9.76 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD R0981 - Nasal congestion | 7.69 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD R0981 - Nasal congestion | $10,374,181 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD R0981 - Nasal congestion | $1,411 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD R0981 - Nasal congestion | $18,459 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD R0981 - Nasal congestion | $23,772,134 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD R0981 - Nasal congestion | $42,299 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD R0981 - Nasal congestion | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD R0981 - Nasal congestion | 14.95 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD R0981 - Nasal congestion | 24.38 |
*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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD R0981 - Nasal congestion | 379 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD R0981 - Nasal congestion in DRG | 1.52 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD R0981 - Nasal congestion | 8.24 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD R0981 - Nasal congestion | 27.65 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD R0981 - Nasal congestion | 21.79 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD R0981 - Nasal congestion | $4,512,122 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD R0981 - Nasal congestion | $1,445 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD R0981 - Nasal congestion | $11,905 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD R0981 - Nasal congestion | $19,321,886 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD R0981 - Nasal congestion | $50,981 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD R0981 - Nasal congestion | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD R0981 - Nasal congestion | 14.78 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD R0981 - Nasal congestion | 44.85 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R0981 - Nasal congestion | 288 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R0981 - Nasal congestion in DRG | 1.16 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R0981 - Nasal congestion | 3.92 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R0981 - Nasal congestion | 17.5 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R0981 - Nasal congestion | 12.86 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R0981 - Nasal congestion | $1,497,507 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R0981 - Nasal congestion | $1,328 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R0981 - Nasal congestion | $5,200 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R0981 - Nasal congestion | $8,213,721 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R0981 - Nasal congestion | $28,520 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R0981 - Nasal congestion | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R0981 - Nasal congestion | 7.99 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R0981 - Nasal congestion | 72.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WESLEY REHABILITATION HOSPITAL, AN AFFILIATE OF HEALTHSOUTH | 8338 W 13TH ST N | WICHITA | KS | 67212 | 293 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 111 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 104 |
| 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 | 50 |
| Dr. BHARAT KUMAR PATEL | 21420 HARPER AVE | SAINT CLAIR SHORES | MI | 48080 | 28 |
| Dr. EDUARDO GALANG ACOSTA | 375 MUNICIPAL DR | RICHARDSON | TX | 75080 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CALEB JESSE BOWERS | 1010 N. KANSAS | WICHITA | KS | 67214 | 76 |
| Dr. SARA WINCHESTER | 1010 N. KANSAS | WICHITA | KS | 67214 | 64 |
| Dr. DAN TRAN | 1010 N KANSAS ST | WICHITA | KS | 67214 | 62 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |
| 2 | E785 | Hyperlipidemia, unspecified |