*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R1314 - Dysphagia, pharyngoesophageal phase - as a primary diagnosis code | R1314 - Dysphagia, pharyngoesophageal phase - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.6 | |
| Readmission Rate (%) | 25.01 | |
| Unplanned Readmission Rate (%) | 14.23 | |
| 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 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R1314 - Dysphagia, pharyngoesophageal phase | 356 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R1314 - Dysphagia, pharyngoesophageal phase in DRG | 59.53 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R1314 - Dysphagia, pharyngoesophageal phase | 3.35 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 17.07 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 12.2 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R1314 - Dysphagia, pharyngoesophageal phase | $1,658,578 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R1314 - Dysphagia, pharyngoesophageal phase | $1,393 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R1314 - Dysphagia, pharyngoesophageal phase | $4,659 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R1314 - Dysphagia, pharyngoesophageal phase | $9,431,437 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R1314 - Dysphagia, pharyngoesophageal phase | $26,493 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 14.61 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 58.99 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R1314 - Dysphagia, pharyngoesophageal phase | 1,305 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R1314 - Dysphagia, pharyngoesophageal phase in DRG | 7.99 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R1314 - Dysphagia, pharyngoesophageal phase | 3.55 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 18.18 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 13.72 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R1314 - Dysphagia, pharyngoesophageal phase | $6,038,360 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R1314 - Dysphagia, pharyngoesophageal phase | $1,304 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R1314 - Dysphagia, pharyngoesophageal phase | $4,627 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R1314 - Dysphagia, pharyngoesophageal phase | $38,401,672 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R1314 - Dysphagia, pharyngoesophageal phase | $29,427 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 13.56 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 60.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,057 | ||||
| Total Hospitalizations with ICD R1314 - Dysphagia, pharyngoesophageal phase | 326 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD R1314 - Dysphagia, pharyngoesophageal phase in DRG | 2.0 | ||||
| Avg LOS at DRG | 5.35 | ||||
| Avg LOS with ICD R1314 - Dysphagia, pharyngoesophageal phase | 5.56 | ||||
| Readmission Rate at DRG | 21.3 | ||||
| Readmission Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 23.2 | ||||
| Unplanned Readmission Rate at DRG | 15.67 | ||||
| Unplanned Readmission Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 19.28 | ||||
| Total Medicare payments at DRG | $920,227,801 | ||||
| Total Medicare payments with ICD R1314 - Dysphagia, pharyngoesophageal phase | $2,722,174 | ||||
| Total Medicare payment per Day at DRG | $1,576 | ||||
| Total Medicare payment per Day with ICD R1314 - Dysphagia, pharyngoesophageal phase | $1,501 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,438 | ||||
| Total Medicare payment per Hospitalization with ICD R1314 - Dysphagia, pharyngoesophageal phase | $8,350 | ||||
| Total Medicare Charges at DRG | $4,179,019,701 | ||||
| Total Medicare Charges with ICD R1314 - Dysphagia, pharyngoesophageal phase | $12,325,410 | ||||
| Avg Charges at DRG | $38,320 | ||||
| Avg Charges with ICD R1314 - Dysphagia, pharyngoesophageal phase | $37,808 | ||||
| Mortality Rate at DRG | 1.76 | ||||
| Mortality Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | NA | ||||
| SNF Discharge Rate at DRG | 27.6 | ||||
| SNF Discharge Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 25.15 | ||||
| Home Discharge Rate at DRG | 33.88 | ||||
| Home Discharge Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 34.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD R1314 - Dysphagia, pharyngoesophageal phase | 223 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD R1314 - Dysphagia, pharyngoesophageal phase in DRG | 1.37 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD R1314 - Dysphagia, pharyngoesophageal phase | 7.17 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 25.59 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 21.33 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD R1314 - Dysphagia, pharyngoesophageal phase | $1,953,851 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD R1314 - Dysphagia, pharyngoesophageal phase | $1,222 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD R1314 - Dysphagia, pharyngoesophageal phase | $8,762 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD R1314 - Dysphagia, pharyngoesophageal phase | $10,964,916 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD R1314 - Dysphagia, pharyngoesophageal phase | $49,170 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 31.84 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 22.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD R1314 - Dysphagia, pharyngoesophageal phase | 182 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD R1314 - Dysphagia, pharyngoesophageal phase in DRG | 1.11 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD R1314 - Dysphagia, pharyngoesophageal phase | 3.68 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 15.98 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 12.43 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD R1314 - Dysphagia, pharyngoesophageal phase | $963,361 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD R1314 - Dysphagia, pharyngoesophageal phase | $1,440 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD R1314 - Dysphagia, pharyngoesophageal phase | $5,293 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD R1314 - Dysphagia, pharyngoesophageal phase | $5,496,954 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD R1314 - Dysphagia, pharyngoesophageal phase | $30,203 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 13.74 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD R1314 - Dysphagia, pharyngoesophageal phase | 65.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 140 |
| THE MOSES H. CONE MEMORIAL HOSPITAL | 1200 N ELM ST | GREENSBORO | NC | 27401 | 125 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 115 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAUL MICHAEL MODLIN | 300 GARDEN CITY PLAZA | GARDEN CITY | NY | 11530 | 36 |
| Dr. MONTE GENE FINCH | 300 S 8TH ST | MURRAY | KY | 42071 | 29 |
| Dr. RAFIUL SAMEER ISLAM | 3502 9TH ST | LUBBOCK | TX | 79415 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FADI F ABOU-ISSA | 8120 MAIN ST | HOUMA | LA | 70360 | 17 |
| Dr. RICHARD A SHLOFMITZ | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 15 |
| Dr. MICHAEL GENE MCPHERSON | 602 INDIANA AVE | LUBBOCK | TX | 79415 | 14 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 2 | Z87891 | Personal history of nicotine dependence |
| 3 | I10 | Essential (primary) hypertension |