*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R1313 - Dysphagia, pharyngeal phase - as a primary diagnosis code | R1313 - Dysphagia, pharyngeal phase - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.86 | |
| Readmission Rate (%) | 27.69 | |
| Unplanned Readmission Rate (%) | 13.63 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||
| Total Hospitalizations with ICD R1313 - Dysphagia, pharyngeal phase | 288 | ||
| DRG Share of Total Hospitalizations | 1.59 | ||
| % of Total ICD R1313 - Dysphagia, pharyngeal phase in DRG | 57.37 | ||
| Avg LOS at DRG | 3.14 | ||
| Avg LOS with ICD R1313 - Dysphagia, pharyngeal phase | 5.51 | ||
| Readmission Rate at DRG | 17.1 | ||
| Readmission Rate with ICD R1313 - Dysphagia, pharyngeal phase | 18.7 | ||
| Unplanned Readmission Rate at DRG | 12.62 | ||
| Unplanned Readmission Rate with ICD R1313 - Dysphagia, pharyngeal phase | 12.98 | ||
| Total Medicare payments at DRG | $2,290,151,156 | ||
| Total Medicare payments with ICD R1313 - Dysphagia, pharyngeal phase | $2,180,532 | ||
| Total Medicare payment per Day at DRG | $1,394 | ||
| Total Medicare payment per Day with ICD R1313 - Dysphagia, pharyngeal phase | $1,374 | ||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||
| Total Medicare payment per Hospitalization with ICD R1313 - Dysphagia, pharyngeal phase | $7,571 | ||
| Total Medicare Charges at DRG | $13,619,287,561 | ||
| Total Medicare Charges with ICD R1313 - Dysphagia, pharyngeal phase | $9,377,340 | ||
| Avg Charges at DRG | $26,051 | ||
| Avg Charges with ICD R1313 - Dysphagia, pharyngeal phase | $32,560 | ||
| Mortality Rate at DRG | 0.18 | ||
| Mortality Rate with ICD R1313 - Dysphagia, pharyngeal phase | NA | ||
| SNF Discharge Rate at DRG | 8.57 | ||
| SNF Discharge Rate with ICD R1313 - Dysphagia, pharyngeal phase | 19.44 | ||
| Home Discharge Rate at DRG | 72.49 | ||
| Home Discharge Rate with ICD R1313 - Dysphagia, pharyngeal phase | 39.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH REHABILITATION HOSPITAL OF TALLAHASSEE | 1675 RIGGINS RD | TALLAHASSEE | FL | 32308 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT D ROWLAND | 1300 MEDICAL DR | TALLAHASSEE | FL | 32308 | 15 |
*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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R1313 - Dysphagia, pharyngeal phase | 3,276 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R1313 - Dysphagia, pharyngeal phase in DRG | 9.71 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R1313 - Dysphagia, pharyngeal phase | 8.49 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R1313 - Dysphagia, pharyngeal phase | 26.32 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R1313 - Dysphagia, pharyngeal phase | 17.88 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R1313 - Dysphagia, pharyngeal phase | $40,965,677 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R1313 - Dysphagia, pharyngeal phase | $1,472 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R1313 - Dysphagia, pharyngeal phase | $12,505 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R1313 - Dysphagia, pharyngeal phase | $223,229,324 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R1313 - Dysphagia, pharyngeal phase | $68,141 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R1313 - Dysphagia, pharyngeal phase | 6.47 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R1313 - Dysphagia, pharyngeal phase | 38.03 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R1313 - Dysphagia, pharyngeal phase | 14.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD R1313 - Dysphagia, pharyngeal phase | 894 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD R1313 - Dysphagia, pharyngeal phase in DRG | 2.65 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD R1313 - Dysphagia, pharyngeal phase | 10.03 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD R1313 - Dysphagia, pharyngeal phase | 42.32 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD R1313 - Dysphagia, pharyngeal phase | 13.73 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD R1313 - Dysphagia, pharyngeal phase | $12,658,849 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD R1313 - Dysphagia, pharyngeal phase | $1,412 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD R1313 - Dysphagia, pharyngeal phase | $14,160 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD R1313 - Dysphagia, pharyngeal phase | $69,378,639 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD R1313 - Dysphagia, pharyngeal phase | $77,605 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD R1313 - Dysphagia, pharyngeal phase | 6.26 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD R1313 - Dysphagia, pharyngeal phase | 39.49 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD R1313 - Dysphagia, pharyngeal phase | 5.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD R1313 - Dysphagia, pharyngeal phase | 574 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD R1313 - Dysphagia, pharyngeal phase in DRG | 1.7 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD R1313 - Dysphagia, pharyngeal phase | 14.16 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD R1313 - Dysphagia, pharyngeal phase | 22.69 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD R1313 - Dysphagia, pharyngeal phase | 18.49 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD R1313 - Dysphagia, pharyngeal phase | $12,408,063 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD R1313 - Dysphagia, pharyngeal phase | $1,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD R1313 - Dysphagia, pharyngeal phase | $21,617 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD R1313 - Dysphagia, pharyngeal phase | $31,550,092 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD R1313 - Dysphagia, pharyngeal phase | $54,965 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD R1313 - Dysphagia, pharyngeal phase | NA | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD R1313 - Dysphagia, pharyngeal phase | 17.94 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD R1313 - Dysphagia, pharyngeal phase | 14.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD R1313 - Dysphagia, pharyngeal phase | 395 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD R1313 - Dysphagia, pharyngeal phase in DRG | 1.17 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD R1313 - Dysphagia, pharyngeal phase | 30.55 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD R1313 - Dysphagia, pharyngeal phase | 42.49 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD R1313 - Dysphagia, pharyngeal phase | 19.49 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD R1313 - Dysphagia, pharyngeal phase | $23,203,046 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD R1313 - Dysphagia, pharyngeal phase | $1,923 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD R1313 - Dysphagia, pharyngeal phase | $58,742 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD R1313 - Dysphagia, pharyngeal phase | $98,325,159 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD R1313 - Dysphagia, pharyngeal phase | $248,924 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD R1313 - Dysphagia, pharyngeal phase | 11.65 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD R1313 - Dysphagia, pharyngeal phase | 41.52 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD R1313 - Dysphagia, pharyngeal phase | 4.05 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BOONE HOSPITAL CENTER | 1600 E BROADWAY | COLUMBIA | MO | 65201 | 334 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 280 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 255 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GLENN J KEHS | 2200 KERNAN DR | BALTIMORE | MD | 21207 | 40 |
| Dr. KEVIN J RAINSFORD | 2801 EUREKA WAY | REDDING | CA | 96001 | 40 |
| Dr. FADI BACHA | 1055 DOVE RUN RD | LEXINGTON | KY | 40502 | 40 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GLENN J KEHS | 2200 KERNAN DR | BALTIMORE | MD | 21207 | 58 |
| Dr. FADI BACHA | 1055 DOVE RUN RD | LEXINGTON | KY | 40502 | 54 |
| Dr. JIMMY WAYNE LOCKHART | 1600 37TH STREET | VERO BEACH | FL | 32960 | 47 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 2 | I10 | Essential (primary) hypertension |