*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R130 - Aphagia - as a primary diagnosis code | R130 - Aphagia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.83 | |
| Readmission Rate (%) | 27.33 | |
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 522,791 | |
| Total Hospitalizations with ICD R130 - Aphagia | 31 | |
| DRG Share of Total Hospitalizations | 1.59 | |
| % of Total ICD R130 - Aphagia in DRG | 63.27 | |
| Avg LOS at DRG | 3.14 | |
| Avg LOS with ICD R130 - Aphagia | 3.0 | |
| Readmission Rate at DRG | 17.1 | |
| Readmission Rate with ICD R130 - Aphagia | NA | |
| Unplanned Readmission Rate at DRG | 12.62 | |
| Unplanned Readmission Rate with ICD R130 - Aphagia | NA | |
| Total Medicare payments at DRG | $2,290,151,156 | |
| Total Medicare payments with ICD R130 - Aphagia | $171,238 | |
| Total Medicare payment per Day at DRG | $1,394 | |
| Total Medicare payment per Day with ICD R130 - Aphagia | $1,841 | |
| Total Medicare payment per Hospitalization at DRG | $4,381 | |
| Total Medicare payment per Hospitalization with ICD R130 - Aphagia | $5,524 | |
| Total Medicare Charges at DRG | $13,619,287,561 | |
| Total Medicare Charges with ICD R130 - Aphagia | $715,534 | |
| Avg Charges at DRG | $26,051 | |
| Avg Charges with ICD R130 - Aphagia | $23,082 | |
| Mortality Rate at DRG | 0.18 | |
| Mortality Rate with ICD R130 - Aphagia | NA | |
| SNF Discharge Rate at DRG | 8.57 | |
| SNF Discharge Rate with ICD R130 - Aphagia | NA | |
| Home Discharge Rate at DRG | 72.49 | |
| Home Discharge Rate with ICD R130 - Aphagia | 41.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD R130 - Aphagia | 557 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD R130 - Aphagia in DRG | 9.79 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD R130 - Aphagia | 5.1 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD R130 - Aphagia | 33.86 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD R130 - Aphagia | 8.02 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD R130 - Aphagia | $3,961,790 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD R130 - Aphagia | $1,394 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD R130 - Aphagia | $7,113 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD R130 - Aphagia | $23,006,338 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD R130 - Aphagia | $41,304 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD R130 - Aphagia | 3.05 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD R130 - Aphagia | 28.73 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD R130 - Aphagia | 15.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 124,702 | ||||
| Total Hospitalizations with ICD R130 - Aphagia | 119 | ||||
| DRG Share of Total Hospitalizations | 0.38 | ||||
| % of Total ICD R130 - Aphagia in DRG | 2.09 | ||||
| Avg LOS at DRG | 2.62 | ||||
| Avg LOS with ICD R130 - Aphagia | 3.29 | ||||
| Readmission Rate at DRG | 21.95 | ||||
| Readmission Rate with ICD R130 - Aphagia | 22.32 | ||||
| Unplanned Readmission Rate at DRG | 5.89 | ||||
| Unplanned Readmission Rate with ICD R130 - Aphagia | NA | ||||
| Total Medicare payments at DRG | $558,197,116 | ||||
| Total Medicare payments with ICD R130 - Aphagia | $596,769 | ||||
| Total Medicare payment per Day at DRG | $1,710 | ||||
| Total Medicare payment per Day with ICD R130 - Aphagia | $1,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,476 | ||||
| Total Medicare payment per Hospitalization with ICD R130 - Aphagia | $5,015 | ||||
| Total Medicare Charges at DRG | $3,580,078,202 | ||||
| Total Medicare Charges with ICD R130 - Aphagia | $3,660,916 | ||||
| Avg Charges at DRG | $28,709 | ||||
| Avg Charges with ICD R130 - Aphagia | $30,764 | ||||
| Mortality Rate at DRG | 1.81 | ||||
| Mortality Rate with ICD R130 - Aphagia | NA | ||||
| SNF Discharge Rate at DRG | 12.67 | ||||
| SNF Discharge Rate with ICD R130 - Aphagia | 14.29 | ||||
| Home Discharge Rate at DRG | 49.98 | ||||
| Home Discharge Rate with ICD R130 - Aphagia | 46.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 062: ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD R130 - Aphagia | 71 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD R130 - Aphagia in DRG | 1.25 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD R130 - Aphagia | 5.86 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD R130 - Aphagia | 18.18 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD R130 - Aphagia | 16.67 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD R130 - Aphagia | $558,730 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD R130 - Aphagia | $1,343 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD R130 - Aphagia | $7,869 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD R130 - Aphagia | $2,974,658 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD R130 - Aphagia | $41,897 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD R130 - Aphagia | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD R130 - Aphagia | 43.66 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD R130 - Aphagia | 25.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 023: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,461 | ||||
| Total Hospitalizations with ICD R130 - Aphagia | 63 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD R130 - Aphagia in DRG | 1.11 | ||||
| Avg LOS at DRG | 10.08 | ||||
| Avg LOS with ICD R130 - Aphagia | 11.27 | ||||
| Readmission Rate at DRG | 51.13 | ||||
| Readmission Rate with ICD R130 - Aphagia | 44.9 | ||||
| Unplanned Readmission Rate at DRG | 8.51 | ||||
| Unplanned Readmission Rate with ICD R130 - Aphagia | NA | ||||
| Total Medicare payments at DRG | $1,065,644,894 | ||||
| Total Medicare payments with ICD R130 - Aphagia | $2,173,770 | ||||
| Total Medicare payment per Day at DRG | $3,715 | ||||
| Total Medicare payment per Day with ICD R130 - Aphagia | $3,062 | ||||
| Total Medicare payment per Hospitalization at DRG | $37,442 | ||||
| Total Medicare payment per Hospitalization with ICD R130 - Aphagia | $34,504 | ||||
| Total Medicare Charges at DRG | $5,534,780,189 | ||||
| Total Medicare Charges with ICD R130 - Aphagia | $13,911,513 | ||||
| Avg Charges at DRG | $194,469 | ||||
| Avg Charges with ICD R130 - Aphagia | $220,818 | ||||
| Mortality Rate at DRG | 28.59 | ||||
| Mortality Rate with ICD R130 - Aphagia | 22.22 | ||||
| SNF Discharge Rate at DRG | 19.38 | ||||
| SNF Discharge Rate with ICD R130 - Aphagia | 26.98 | ||||
| Home Discharge Rate at DRG | 5.45 | ||||
| Home Discharge Rate with ICD R130 - Aphagia | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNITED REGIONAL HEALTH CARE SYSTEM | 1600 11TH ST | WICHITA FALLS | TX | 76301 | 25 |
| MEMORIAL HERMANN TEXAS MEDICAL CENTER | 6411 FANNIN ST | HOUSTON | TX | 77030 | 24 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NAZRUL ISLAM | 5398 THOMASTON RD | MACON | GA | 31220 | 23 |
| Dr. LORENZO R PELLY | 2300 CENTRAL BLVD | BROWNSVILLE | TX | 78520 | 11 |