*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R1311 - Dysphagia, oral phase - as a primary diagnosis code | R1311 - Dysphagia, oral phase - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.88 | |
| Readmission Rate (%) | 24.78 | |
| Unplanned Readmission Rate (%) | 13.36 | |
| 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 R1311 - Dysphagia, oral phase | 156 | |
| DRG Share of Total Hospitalizations | 1.59 | |
| % of Total ICD R1311 - Dysphagia, oral phase in DRG | 60.7 | |
| Avg LOS at DRG | 3.14 | |
| Avg LOS with ICD R1311 - Dysphagia, oral phase | 6.12 | |
| Readmission Rate at DRG | 17.1 | |
| Readmission Rate with ICD R1311 - Dysphagia, oral phase | 14.29 | |
| Unplanned Readmission Rate at DRG | 12.62 | |
| Unplanned Readmission Rate with ICD R1311 - Dysphagia, oral phase | 9.29 | |
| Total Medicare payments at DRG | $2,290,151,156 | |
| Total Medicare payments with ICD R1311 - Dysphagia, oral phase | $1,293,239 | |
| Total Medicare payment per Day at DRG | $1,394 | |
| Total Medicare payment per Day with ICD R1311 - Dysphagia, oral phase | $1,356 | |
| Total Medicare payment per Hospitalization at DRG | $4,381 | |
| Total Medicare payment per Hospitalization with ICD R1311 - Dysphagia, oral phase | $8,290 | |
| Total Medicare Charges at DRG | $13,619,287,561 | |
| Total Medicare Charges with ICD R1311 - Dysphagia, oral phase | $4,566,601 | |
| Avg Charges at DRG | $26,051 | |
| Avg Charges with ICD R1311 - Dysphagia, oral phase | $29,273 | |
| Mortality Rate at DRG | 0.18 | |
| Mortality Rate with ICD R1311 - Dysphagia, oral phase | NA | |
| SNF Discharge Rate at DRG | 8.57 | |
| SNF Discharge Rate with ICD R1311 - Dysphagia, oral phase | 19.87 | |
| Home Discharge Rate at DRG | 72.49 | |
| Home Discharge Rate with ICD R1311 - Dysphagia, oral phase | 39.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD R1311 - Dysphagia, oral phase | 4,725 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD R1311 - Dysphagia, oral phase in DRG | 14.17 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD R1311 - Dysphagia, oral phase | 16.25 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD R1311 - Dysphagia, oral phase | 12.61 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD R1311 - Dysphagia, oral phase | 9.56 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD R1311 - Dysphagia, oral phase | $116,409,779 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD R1311 - Dysphagia, oral phase | $1,516 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD R1311 - Dysphagia, oral phase | $24,637 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD R1311 - Dysphagia, oral phase | $282,396,009 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD R1311 - Dysphagia, oral phase | $59,766 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD R1311 - Dysphagia, oral phase | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD R1311 - Dysphagia, oral phase | 28.04 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD R1311 - Dysphagia, oral phase | 21.52 |
*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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD R1311 - Dysphagia, oral phase | 1,004 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD R1311 - Dysphagia, oral phase in DRG | 3.01 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD R1311 - Dysphagia, oral phase | 7.81 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD R1311 - Dysphagia, oral phase | 22.21 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD R1311 - Dysphagia, oral phase | 17.72 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD R1311 - Dysphagia, oral phase | $11,818,371 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD R1311 - Dysphagia, oral phase | $1,507 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD R1311 - Dysphagia, oral phase | $11,771 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD R1311 - Dysphagia, oral phase | $56,552,257 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD R1311 - Dysphagia, oral phase | $56,327 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD R1311 - Dysphagia, oral phase | 4.98 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD R1311 - Dysphagia, oral phase | 44.12 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD R1311 - Dysphagia, oral phase | 10.76 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD R1311 - Dysphagia, oral phase | 464 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD R1311 - Dysphagia, oral phase in DRG | 1.39 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD R1311 - Dysphagia, oral phase | 14.44 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD R1311 - Dysphagia, oral phase | 15.59 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD R1311 - Dysphagia, oral phase | 12.71 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD R1311 - Dysphagia, oral phase | $10,122,171 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD R1311 - Dysphagia, oral phase | $1,511 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD R1311 - Dysphagia, oral phase | $21,815 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD R1311 - Dysphagia, oral phase | $22,156,260 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD R1311 - Dysphagia, oral phase | $47,751 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD R1311 - Dysphagia, oral phase | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD R1311 - Dysphagia, oral phase | 33.19 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD R1311 - Dysphagia, oral phase | 9.27 |
*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 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD R1311 - Dysphagia, oral phase | 436 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD R1311 - Dysphagia, oral phase in DRG | 1.31 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD R1311 - Dysphagia, oral phase | 6.53 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD R1311 - Dysphagia, oral phase | 21.45 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD R1311 - Dysphagia, oral phase | 16.46 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD R1311 - Dysphagia, oral phase | $3,429,837 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD R1311 - Dysphagia, oral phase | $1,204 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD R1311 - Dysphagia, oral phase | $7,867 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD R1311 - Dysphagia, oral phase | $17,221,949 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD R1311 - Dysphagia, oral phase | $39,500 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD R1311 - Dysphagia, oral phase | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD R1311 - Dysphagia, oral phase | 48.39 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD R1311 - Dysphagia, oral phase | 11.24 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FRANCISCAN HEALTH HAMMOND | 5454 HOHMAN AVE | HAMMOND | IN | 46320 | 451 |
| AMITA HEALTH SAINTS MARY AND ELIZABETH MEDICAL CENTER | 1127 N OAKLEY BLVD | CHICAGO | IL | 60622 | 368 |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | 20201 CRAWFORD AVE | OLYMPIA FIELDS | IL | 60461 | 330 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK CHAI | 2802 PAPERMILL RD | WYOMISSING | PA | 19610 | 108 |
| Dr. SANGHOON KIM | 2802 PAPERMILL RD | WYOMISSING | PA | 19610 | 55 |
| Dr. JUN ZHANG | 200 BELLE TERRE RD # E140 | PORT JEFFERSON | NY | 11777 | 53 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN MARTIN HURLBUT | 153 E MONTE PAINTER DR | FAYETTEVILLE | AR | 72703 | 107 |
| Dr. MARK CHAI | 2802 PAPERMILL RD | WYOMISSING | PA | 19610 | 105 |
| Dr. BENNY J GREEN | 14309 CANTRELL RD | LITTLE ROCK | AR | 72223 | 104 |