| 4730 - Chronic maxillary sinusitis - as a primary diagnosis code | 4730 - Chronic maxillary sinusitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.78 | |
| Readmission Rate (%) | 21.15 | |
| Unplanned Readmission Rate (%) | 8.07 | |
| 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 | ||
| DRG 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 135: SINUS AND MASTOID PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 136: SINUS AND MASTOID PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,353 | ||||
| Total Hospitalizations with ICD 4730 - Chronic maxillary sinusitis | 289 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD 4730 - Chronic maxillary sinusitis in DRG | 52.55 | ||||
| Avg LOS at DRG | 3.16 | ||||
| Avg LOS with ICD 4730 - Chronic maxillary sinusitis | 3.07 | ||||
| Readmission Rate at DRG | 11.89 | ||||
| Readmission Rate with ICD 4730 - Chronic maxillary sinusitis | 12.89 | ||||
| Unplanned Readmission Rate at DRG | 8.34 | ||||
| Unplanned Readmission Rate with ICD 4730 - Chronic maxillary sinusitis | 8.36 | ||||
| Total Medicare payments at DRG | $148,851,308 | ||||
| Total Medicare payments with ICD 4730 - Chronic maxillary sinusitis | $1,053,213 | ||||
| Total Medicare payment per Day at DRG | $1,260 | ||||
| Total Medicare payment per Day with ICD 4730 - Chronic maxillary sinusitis | $1,187 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,985 | ||||
| Total Medicare payment per Hospitalization with ICD 4730 - Chronic maxillary sinusitis | $3,644 | ||||
| Total Medicare Charges at DRG | $744,616,681 | ||||
| Total Medicare Charges with ICD 4730 - Chronic maxillary sinusitis | $6,421,895 | ||||
| Avg Charges at DRG | $19,935 | ||||
| Avg Charges with ICD 4730 - Chronic maxillary sinusitis | $22,221 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD 4730 - Chronic maxillary sinusitis | NA | ||||
| SNF Discharge Rate at DRG | 12.93 | ||||
| SNF Discharge Rate with ICD 4730 - Chronic maxillary sinusitis | 6.92 | ||||
| Home Discharge Rate at DRG | 66.73 | ||||
| Home Discharge Rate with ICD 4730 - Chronic maxillary sinusitis | 73.7 |
| DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 3,275 |
| Total Hospitalizations with ICD 4730 - Chronic maxillary sinusitis | 18 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD 4730 - Chronic maxillary sinusitis in DRG | 3.27 |
| Avg LOS at DRG | 2.38 |
| Avg LOS with ICD 4730 - Chronic maxillary sinusitis | 1.5 |
| Readmission Rate at DRG | 10.76 |
| Readmission Rate with ICD 4730 - Chronic maxillary sinusitis | NA |
| Unplanned Readmission Rate at DRG | 6.54 |
| Unplanned Readmission Rate with ICD 4730 - Chronic maxillary sinusitis | NA |
| Total Medicare payments at DRG | $21,012,269 |
| Total Medicare payments with ICD 4730 - Chronic maxillary sinusitis | $99,031 |
| Total Medicare payment per Day at DRG | $2,692 |
| Total Medicare payment per Day with ICD 4730 - Chronic maxillary sinusitis | $3,668 |
| Total Medicare payment per Hospitalization at DRG | $6,416 |
| Total Medicare payment per Hospitalization with ICD 4730 - Chronic maxillary sinusitis | $5,502 |
| Total Medicare Charges at DRG | $121,690,881 |
| Total Medicare Charges with ICD 4730 - Chronic maxillary sinusitis | $499,569 |
| Avg Charges at DRG | $37,158 |
| Avg Charges with ICD 4730 - Chronic maxillary sinusitis | $27,754 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD 4730 - Chronic maxillary sinusitis | NA |
| SNF Discharge Rate at DRG | 3.24 |
| SNF Discharge Rate with ICD 4730 - Chronic maxillary sinusitis | NA |
| Home Discharge Rate at DRG | 86.53 |
| Home Discharge Rate with ICD 4730 - Chronic maxillary sinusitis | 94.44 |
| 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 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 069: TRANSIENT ISCHEMIA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 4730 - Chronic maxillary sinusitis | 923 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 4730 - Chronic maxillary sinusitis in DRG | 4.8 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 4730 - Chronic maxillary sinusitis | 6.67 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 4730 - Chronic maxillary sinusitis | 24.63 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 4730 - Chronic maxillary sinusitis | 15.8 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 4730 - Chronic maxillary sinusitis | $10,841,889 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 4730 - Chronic maxillary sinusitis | $1,762 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 4730 - Chronic maxillary sinusitis | $11,746 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 4730 - Chronic maxillary sinusitis | $48,661,111 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 4730 - Chronic maxillary sinusitis | $52,721 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 4730 - Chronic maxillary sinusitis | 9.97 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 4730 - Chronic maxillary sinusitis | 27.41 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 4730 - Chronic maxillary sinusitis | 28.6 |
| DRG 312: SYNCOPE AND COLLAPSE | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,065 | ||||
| Total Hospitalizations with ICD 4730 - Chronic maxillary sinusitis | 453 | ||||
| DRG Share of Total Hospitalizations | 0.85 | ||||
| % of Total ICD 4730 - Chronic maxillary sinusitis in DRG | 2.36 | ||||
| Avg LOS at DRG | 2.91 | ||||
| Avg LOS with ICD 4730 - Chronic maxillary sinusitis | 3.06 | ||||
| Readmission Rate at DRG | 15.53 | ||||
| Readmission Rate with ICD 4730 - Chronic maxillary sinusitis | 13.51 | ||||
| Unplanned Readmission Rate at DRG | 10.7 | ||||
| Unplanned Readmission Rate with ICD 4730 - Chronic maxillary sinusitis | 9.01 | ||||
| Total Medicare payments at DRG | $873,114,027 | ||||
| Total Medicare payments with ICD 4730 - Chronic maxillary sinusitis | $1,887,172 | ||||
| Total Medicare payment per Day at DRG | $1,540 | ||||
| Total Medicare payment per Day with ICD 4730 - Chronic maxillary sinusitis | $1,361 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,476 | ||||
| Total Medicare payment per Hospitalization with ICD 4730 - Chronic maxillary sinusitis | $4,166 | ||||
| Total Medicare Charges at DRG | $4,705,143,201 | ||||
| Total Medicare Charges with ICD 4730 - Chronic maxillary sinusitis | $12,051,273 | ||||
| Avg Charges at DRG | $24,121 | ||||
| Avg Charges with ICD 4730 - Chronic maxillary sinusitis | $26,603 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD 4730 - Chronic maxillary sinusitis | NA | ||||
| SNF Discharge Rate at DRG | 17.1 | ||||
| SNF Discharge Rate with ICD 4730 - Chronic maxillary sinusitis | 16.78 | ||||
| Home Discharge Rate at DRG | 56.81 | ||||
| Home Discharge Rate with ICD 4730 - Chronic maxillary sinusitis | 64.02 |
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 261,933 | ||||
| Total Hospitalizations with ICD 4730 - Chronic maxillary sinusitis | 318 | ||||
| DRG Share of Total Hospitalizations | 1.15 | ||||
| % of Total ICD 4730 - Chronic maxillary sinusitis in DRG | 1.65 | ||||
| Avg LOS at DRG | 4.1 | ||||
| Avg LOS with ICD 4730 - Chronic maxillary sinusitis | 4.88 | ||||
| Readmission Rate at DRG | 23.4 | ||||
| Readmission Rate with ICD 4730 - Chronic maxillary sinusitis | 18.47 | ||||
| Unplanned Readmission Rate at DRG | 18.25 | ||||
| Unplanned Readmission Rate with ICD 4730 - Chronic maxillary sinusitis | 14.97 | ||||
| Total Medicare payments at DRG | $1,493,154,986 | ||||
| Total Medicare payments with ICD 4730 - Chronic maxillary sinusitis | $1,730,348 | ||||
| Total Medicare payment per Day at DRG | $1,391 | ||||
| Total Medicare payment per Day with ICD 4730 - Chronic maxillary sinusitis | $1,115 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,701 | ||||
| Total Medicare payment per Hospitalization with ICD 4730 - Chronic maxillary sinusitis | $5,441 | ||||
| Total Medicare Charges at DRG | $6,844,391,093 | ||||
| Total Medicare Charges with ICD 4730 - Chronic maxillary sinusitis | $9,945,381 | ||||
| Avg Charges at DRG | $26,130 | ||||
| Avg Charges with ICD 4730 - Chronic maxillary sinusitis | $31,275 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 4730 - Chronic maxillary sinusitis | NA | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD 4730 - Chronic maxillary sinusitis | 10.69 | ||||
| Home Discharge Rate at DRG | 59.35 | ||||
| Home Discharge Rate with ICD 4730 - Chronic maxillary sinusitis | 64.15 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 4730 - Chronic maxillary sinusitis | 255 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 4730 - Chronic maxillary sinusitis in DRG | 1.33 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 4730 - Chronic maxillary sinusitis | 4.63 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 4730 - Chronic maxillary sinusitis | 17.89 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 4730 - Chronic maxillary sinusitis | 11.38 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 4730 - Chronic maxillary sinusitis | $1,466,720 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 4730 - Chronic maxillary sinusitis | $1,243 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 4730 - Chronic maxillary sinusitis | $5,752 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 4730 - Chronic maxillary sinusitis | $7,298,638 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 4730 - Chronic maxillary sinusitis | $28,622 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 4730 - Chronic maxillary sinusitis | NA | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 4730 - Chronic maxillary sinusitis | 27.84 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 4730 - Chronic maxillary sinusitis | 46.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| HUNTSVILLE HOSPITAL | 101 SIVLEY RD SW | HUNTSVILLE | AL | 35801 | 66 |
| DCH REGIONAL MEDICAL CENTER | 809 UNIVERSITY BLVD E | TUSCALOOSA | AL | 35401 | 53 |
| VIRTUA VOORHEES HOSPITAL | 100 BOWMAN DR | VOORHEES | NJ | 08043 | 53 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JEFFREY D SUH | 200 MEDICAL PLZ | LOS ANGELES | CA | 90095 | 16 |
| Dr. JEB MAHAN JUSTICE | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 15 |
| Dr. RODNEY SCHLOSSER | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WOMESH C SAHADEO | 1115 45TH ST | WEST PALM BEACH | FL | 33407 | 30 |
| Dr. ANDRE CHRISTOPHER LEWIS | 200 INDUSTRIAL BLVD. | DUBLIN | GA | 31021 | 27 |
| Dr. JOHNATHAN C GREENFIELD | 2151 45TH ST | WEST PALM BEACH | FL | 33407 | 17 |