*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R1319 - Other dysphagia - as a primary diagnosis code | R1319 - Other dysphagia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.11 | |
| Readmission Rate (%) | 27.62 | |
| Unplanned Readmission Rate (%) | 14.22 | |
| 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 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 R1319 - Other dysphagia | 780 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R1319 - Other dysphagia in DRG | 56.52 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R1319 - Other dysphagia | 3.97 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R1319 - Other dysphagia | 19.35 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R1319 - Other dysphagia | 13.49 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R1319 - Other dysphagia | $3,918,574 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R1319 - Other dysphagia | $1,267 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R1319 - Other dysphagia | $5,024 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R1319 - Other dysphagia | $22,487,906 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R1319 - Other dysphagia | $28,831 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R1319 - Other dysphagia | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R1319 - Other dysphagia | 13.72 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R1319 - Other dysphagia | 50.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 11,723 |
| Total Hospitalizations with ICD R1319 - Other dysphagia | 11 |
| DRG Share of Total Hospitalizations | 0.04 |
| % of Total ICD R1319 - Other dysphagia in DRG | 0.8 |
| Avg LOS at DRG | 3.14 |
| Avg LOS with ICD R1319 - Other dysphagia | 1.73 |
| Readmission Rate at DRG | 12.89 |
| Readmission Rate with ICD R1319 - Other dysphagia | NA |
| Unplanned Readmission Rate at DRG | 7.1 |
| Unplanned Readmission Rate with ICD R1319 - Other dysphagia | NA |
| Total Medicare payments at DRG | $122,697,695 |
| Total Medicare payments with ICD R1319 - Other dysphagia | $97,920 |
| Total Medicare payment per Day at DRG | $3,328 |
| Total Medicare payment per Day with ICD R1319 - Other dysphagia | $5,154 |
| Total Medicare payment per Hospitalization at DRG | $10,466 |
| Total Medicare payment per Hospitalization with ICD R1319 - Other dysphagia | $8,902 |
| Total Medicare Charges at DRG | $633,485,759 |
| Total Medicare Charges with ICD R1319 - Other dysphagia | $457,546 |
| Avg Charges at DRG | $54,038 |
| Avg Charges with ICD R1319 - Other dysphagia | $41,595 |
| Mortality Rate at DRG | 0.25 |
| Mortality Rate with ICD R1319 - Other dysphagia | NA |
| SNF Discharge Rate at DRG | 9.06 |
| SNF Discharge Rate with ICD R1319 - Other dysphagia | NA |
| Home Discharge Rate at DRG | 70.16 |
| Home Discharge Rate with ICD R1319 - Other dysphagia | 100.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HIMA SAN PABLO BAYAMON | CALLE SANTA CRUZ #70 | BAYAMON | PR | 00960 | 17 |
*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 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 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R1319 - Other dysphagia | 5,154 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R1319 - Other dysphagia in DRG | 9.52 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R1319 - Other dysphagia | 8.76 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R1319 - Other dysphagia | 27.72 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R1319 - Other dysphagia | 19.72 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R1319 - Other dysphagia | $67,729,210 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R1319 - Other dysphagia | $1,500 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R1319 - Other dysphagia | $13,141 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R1319 - Other dysphagia | $388,644,459 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R1319 - Other dysphagia | $75,406 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R1319 - Other dysphagia | 10.59 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R1319 - Other dysphagia | 35.16 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R1319 - Other dysphagia | 15.25 |
*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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD R1319 - Other dysphagia | 1,262 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD R1319 - Other dysphagia in DRG | 2.33 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD R1319 - Other dysphagia | 6.37 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD R1319 - Other dysphagia | 38.62 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD R1319 - Other dysphagia | 8.15 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD R1319 - Other dysphagia | $9,344,858 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD R1319 - Other dysphagia | $1,162 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD R1319 - Other dysphagia | $7,405 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD R1319 - Other dysphagia | $62,848,827 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD R1319 - Other dysphagia | $49,801 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD R1319 - Other dysphagia | 1.9 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD R1319 - Other dysphagia | 36.69 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD R1319 - Other dysphagia | 11.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD R1319 - Other dysphagia | 799 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD R1319 - Other dysphagia in DRG | 1.48 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD R1319 - Other dysphagia | 7.56 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD R1319 - Other dysphagia | 30.04 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD R1319 - Other dysphagia | 22.43 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD R1319 - Other dysphagia | $8,477,806 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD R1319 - Other dysphagia | $1,404 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD R1319 - Other dysphagia | $10,611 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD R1319 - Other dysphagia | $44,879,869 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD R1319 - Other dysphagia | $56,170 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD R1319 - Other dysphagia | 7.26 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD R1319 - Other dysphagia | 33.29 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD R1319 - Other dysphagia | 18.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD R1319 - Other dysphagia | 597 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD R1319 - Other dysphagia in DRG | 1.1 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD R1319 - Other dysphagia | 4.91 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD R1319 - Other dysphagia | 23.16 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD R1319 - Other dysphagia | 17.59 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD R1319 - Other dysphagia | $3,269,960 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD R1319 - Other dysphagia | $1,116 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD R1319 - Other dysphagia | $5,477 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD R1319 - Other dysphagia | $17,600,251 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD R1319 - Other dysphagia | $29,481 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD R1319 - Other dysphagia | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD R1319 - Other dysphagia | 26.97 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD R1319 - Other dysphagia | 35.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 S GREENE STREET | BALTIMORE | MD | 21201 | 417 |
| MOUNT SINAI BETH ISRAEL | 3201 KINGS HWY | BROOKLYN | NY | 11234 | 381 |
| LEXINGTON MEDICAL CENTER | 2720 SUNSET BLVD | WEST COLUMBIA | SC | 29169 | 331 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 120 |
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 56 |
| Dr. DAVID CRAIG PELLEGRIN | 8120 MAIN ST | HOUMA | LA | 70360 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 177 |
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 89 |
| Dr. DAVID J FAULK | 2712 PARKWOOD DR | BRUNSWICK | GA | 31520 | 76 |