*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R1312 - Dysphagia, oropharyngeal phase - as a primary diagnosis code | R1312 - Dysphagia, oropharyngeal phase - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.92 | |
| Readmission Rate (%) | 28.33 | |
| Unplanned Readmission Rate (%) | 18.16 | |
| 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) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R1312 - Dysphagia, oropharyngeal phase | 1,727 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R1312 - Dysphagia, oropharyngeal phase in DRG | 53.83 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R1312 - Dysphagia, oropharyngeal phase | 5.41 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 22.34 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 16.71 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R1312 - Dysphagia, oropharyngeal phase | $11,007,225 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R1312 - Dysphagia, oropharyngeal phase | $1,178 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R1312 - Dysphagia, oropharyngeal phase | $6,374 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R1312 - Dysphagia, oropharyngeal phase | $58,348,246 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R1312 - Dysphagia, oropharyngeal phase | $33,786 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 0.98 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 28.84 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 31.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 109,018 | |
| Total Hospitalizations with ICD R1312 - Dysphagia, oropharyngeal phase | 17 | |
| DRG Share of Total Hospitalizations | 0.33 | |
| % of Total ICD R1312 - Dysphagia, oropharyngeal phase in DRG | 0.53 | |
| Avg LOS at DRG | 12.66 | |
| Avg LOS with ICD R1312 - Dysphagia, oropharyngeal phase | 17.0 | |
| Readmission Rate at DRG | 35.31 | |
| Readmission Rate with ICD R1312 - Dysphagia, oropharyngeal phase | NA | |
| Unplanned Readmission Rate at DRG | 20.73 | |
| Unplanned Readmission Rate with ICD R1312 - Dysphagia, oropharyngeal phase | NA | |
| Total Medicare payments at DRG | $3,554,922,428 | |
| Total Medicare payments with ICD R1312 - Dysphagia, oropharyngeal phase | $667,727 | |
| Total Medicare payment per Day at DRG | $2,575 | |
| Total Medicare payment per Day with ICD R1312 - Dysphagia, oropharyngeal phase | $2,310 | |
| Total Medicare payment per Hospitalization at DRG | $32,609 | |
| Total Medicare payment per Hospitalization with ICD R1312 - Dysphagia, oropharyngeal phase | $39,278 | |
| Total Medicare Charges at DRG | $15,445,232,132 | |
| Total Medicare Charges with ICD R1312 - Dysphagia, oropharyngeal phase | $3,894,327 | |
| Avg Charges at DRG | $141,676 | |
| Avg Charges with ICD R1312 - Dysphagia, oropharyngeal phase | $229,078 | |
| Mortality Rate at DRG | 8.99 | |
| Mortality Rate with ICD R1312 - Dysphagia, oropharyngeal phase | NA | |
| SNF Discharge Rate at DRG | 27.26 | |
| SNF Discharge Rate with ICD R1312 - Dysphagia, oropharyngeal phase | NA | |
| Home Discharge Rate at DRG | 27.78 | |
| Home Discharge Rate with ICD R1312 - Dysphagia, oropharyngeal phase | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ATRIUM HEALTH CAROLINAS REHABILITATION | 1100 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 34 |
| HEALTHSOUTH OF MANATI | CARRETERA #2 KILOMETRO 47.7 | MANATI | PR | 00674 | 34 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF TALLAHASSEE | 1675 RIGGINS RD | TALLAHASSEE | FL | 32308 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT D ROWLAND | 1300 MEDICAL DR | TALLAHASSEE | FL | 32308 | 28 |
| Dr. RAFAEL ANTONIO TIRADO SIRAGUSA | #93 CALLE MCKINLEY | MANATI | PR | 00674 | 16 |
| Dr. JOSE FRANCISCO DE LEON | 214 CALLE GUAJATACA | VEGA BAJA | PR | 00693 | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R1312 - Dysphagia, oropharyngeal phase | 29,585 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R1312 - Dysphagia, oropharyngeal phase in DRG | 11.68 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R1312 - Dysphagia, oropharyngeal phase | 9.11 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 25.58 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 18.26 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R1312 - Dysphagia, oropharyngeal phase | $381,795,602 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R1312 - Dysphagia, oropharyngeal phase | $1,416 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R1312 - Dysphagia, oropharyngeal phase | $12,905 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R1312 - Dysphagia, oropharyngeal phase | $2,181,579,095 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R1312 - Dysphagia, oropharyngeal phase | $73,739 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 9.31 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 40.99 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 10.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD R1312 - Dysphagia, oropharyngeal phase | 8,544 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD R1312 - Dysphagia, oropharyngeal phase in DRG | 3.37 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD R1312 - Dysphagia, oropharyngeal phase | 7.99 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 40.27 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 8.8 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD R1312 - Dysphagia, oropharyngeal phase | $87,950,376 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD R1312 - Dysphagia, oropharyngeal phase | $1,289 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD R1312 - Dysphagia, oropharyngeal phase | $10,294 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD R1312 - Dysphagia, oropharyngeal phase | $420,419,143 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD R1312 - Dysphagia, oropharyngeal phase | $49,206 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 1.15 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 39.02 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 8.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD R1312 - Dysphagia, oropharyngeal phase | 4,207 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD R1312 - Dysphagia, oropharyngeal phase in DRG | 1.66 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD R1312 - Dysphagia, oropharyngeal phase | 15.99 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 19.09 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 14.39 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD R1312 - Dysphagia, oropharyngeal phase | $101,974,900 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD R1312 - Dysphagia, oropharyngeal phase | $1,516 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD R1312 - Dysphagia, oropharyngeal phase | $24,239 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD R1312 - Dysphagia, oropharyngeal phase | $264,503,244 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD R1312 - Dysphagia, oropharyngeal phase | $62,872 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 0.71 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 25.24 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 15.5 |
*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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R1312 - Dysphagia, oropharyngeal phase | 3,231 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R1312 - Dysphagia, oropharyngeal phase in DRG | 1.28 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R1312 - Dysphagia, oropharyngeal phase | 4.98 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 21.98 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 16.73 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R1312 - Dysphagia, oropharyngeal phase | $18,295,860 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R1312 - Dysphagia, oropharyngeal phase | $1,136 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R1312 - Dysphagia, oropharyngeal phase | $5,663 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R1312 - Dysphagia, oropharyngeal phase | $109,576,068 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R1312 - Dysphagia, oropharyngeal phase | $33,914 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 0.74 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 27.42 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R1312 - Dysphagia, oropharyngeal phase | 35.47 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 1,288 |
| MCLAREN MACOMB | 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 48043 | 1,243 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 1,112 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 251 |
| Dr. BENSON YU HUANG | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 195 |
| Dr. WILLIAM F GRELLA | 224 HAMBURG TPKE | WAYNE | NJ | 07470 | 184 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM F GRELLA | 224 HAMBURG TPKE | WAYNE | NJ | 07470 | 301 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 286 |
| Dr. TRAVIS W HIRD | 1501 RIVER POINTE DR | CONROE | TX | 77304 | 253 |