| 4732 - Chronic ethmoidal sinusitis - as a primary diagnosis code | 4732 - Chronic ethmoidal sinusitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.52 | |
| Readmission Rate (%) | 20.27 | |
| Unplanned Readmission Rate (%) | 8.94 | |
| 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 136: SINUS AND MASTOID PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 152: OTITIS MEDIA AND URI WITH 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 4732 - Chronic ethmoidal sinusitis | 71 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD 4732 - Chronic ethmoidal sinusitis in DRG | 39.44 | ||||
| Avg LOS at DRG | 3.16 | ||||
| Avg LOS with ICD 4732 - Chronic ethmoidal sinusitis | 3.13 | ||||
| Readmission Rate at DRG | 11.89 | ||||
| Readmission Rate with ICD 4732 - Chronic ethmoidal sinusitis | 15.71 | ||||
| Unplanned Readmission Rate at DRG | 8.34 | ||||
| Unplanned Readmission Rate with ICD 4732 - Chronic ethmoidal sinusitis | NA | ||||
| Total Medicare payments at DRG | $148,851,308 | ||||
| Total Medicare payments with ICD 4732 - Chronic ethmoidal sinusitis | $250,030 | ||||
| Total Medicare payment per Day at DRG | $1,260 | ||||
| Total Medicare payment per Day with ICD 4732 - Chronic ethmoidal sinusitis | $1,126 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,985 | ||||
| Total Medicare payment per Hospitalization with ICD 4732 - Chronic ethmoidal sinusitis | $3,522 | ||||
| Total Medicare Charges at DRG | $744,616,681 | ||||
| Total Medicare Charges with ICD 4732 - Chronic ethmoidal sinusitis | $1,477,893 | ||||
| Avg Charges at DRG | $19,935 | ||||
| Avg Charges with ICD 4732 - Chronic ethmoidal sinusitis | $20,815 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD 4732 - Chronic ethmoidal sinusitis | NA | ||||
| SNF Discharge Rate at DRG | 12.93 | ||||
| SNF Discharge Rate with ICD 4732 - Chronic ethmoidal sinusitis | NA | ||||
| Home Discharge Rate at DRG | 66.73 | ||||
| Home Discharge Rate with ICD 4732 - Chronic ethmoidal sinusitis | 81.69 |
| 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 312: SYNCOPE AND COLLAPSE | DRG 069: TRANSIENT ISCHEMIA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 4732 - Chronic ethmoidal sinusitis | 302 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 4732 - Chronic ethmoidal sinusitis in DRG | 4.17 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 4732 - Chronic ethmoidal sinusitis | 6.44 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 4732 - Chronic ethmoidal sinusitis | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 4732 - Chronic ethmoidal sinusitis | 14.93 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 4732 - Chronic ethmoidal sinusitis | $3,218,827 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 4732 - Chronic ethmoidal sinusitis | $1,654 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 4732 - Chronic ethmoidal sinusitis | $10,658 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 4732 - Chronic ethmoidal sinusitis | $14,721,215 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 4732 - Chronic ethmoidal sinusitis | $48,746 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 4732 - Chronic ethmoidal sinusitis | 7.62 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 4732 - Chronic ethmoidal sinusitis | 26.16 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 4732 - Chronic ethmoidal sinusitis | 31.13 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 135: SINUS AND MASTOID PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD 4732 - Chronic ethmoidal sinusitis | 158 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 4732 - Chronic ethmoidal sinusitis in DRG | 2.18 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 4732 - Chronic ethmoidal sinusitis | 4.44 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 4732 - Chronic ethmoidal sinusitis | 9.62 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 4732 - Chronic ethmoidal sinusitis | 7.05 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 4732 - Chronic ethmoidal sinusitis | $951,283 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 4732 - Chronic ethmoidal sinusitis | $1,355 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 4732 - Chronic ethmoidal sinusitis | $6,021 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 4732 - Chronic ethmoidal sinusitis | $4,840,658 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 4732 - Chronic ethmoidal sinusitis | $30,637 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 4732 - Chronic ethmoidal sinusitis | NA | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 4732 - Chronic ethmoidal sinusitis | 18.99 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 4732 - Chronic ethmoidal sinusitis | 54.43 |
| DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 117,892 | ||||
| Total Hospitalizations with ICD 4732 - Chronic ethmoidal sinusitis | 128 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD 4732 - Chronic ethmoidal sinusitis in DRG | 1.77 | ||||
| Avg LOS at DRG | 2.9 | ||||
| Avg LOS with ICD 4732 - Chronic ethmoidal sinusitis | 2.5 | ||||
| Readmission Rate at DRG | 24.54 | ||||
| Readmission Rate with ICD 4732 - Chronic ethmoidal sinusitis | 27.2 | ||||
| Unplanned Readmission Rate at DRG | 6.18 | ||||
| Unplanned Readmission Rate with ICD 4732 - Chronic ethmoidal sinusitis | NA | ||||
| Total Medicare payments at DRG | $548,892,832 | ||||
| Total Medicare payments with ICD 4732 - Chronic ethmoidal sinusitis | $528,361 | ||||
| Total Medicare payment per Day at DRG | $1,604 | ||||
| Total Medicare payment per Day with ICD 4732 - Chronic ethmoidal sinusitis | $1,651 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,656 | ||||
| Total Medicare payment per Hospitalization with ICD 4732 - Chronic ethmoidal sinusitis | $4,128 | ||||
| Total Medicare Charges at DRG | $3,012,517,923 | ||||
| Total Medicare Charges with ICD 4732 - Chronic ethmoidal sinusitis | $3,053,051 | ||||
| Avg Charges at DRG | $25,553 | ||||
| Avg Charges with ICD 4732 - Chronic ethmoidal sinusitis | $23,852 | ||||
| Mortality Rate at DRG | 2.39 | ||||
| Mortality Rate with ICD 4732 - Chronic ethmoidal sinusitis | NA | ||||
| SNF Discharge Rate at DRG | 15.26 | ||||
| SNF Discharge Rate with ICD 4732 - Chronic ethmoidal sinusitis | NA | ||||
| Home Discharge Rate at DRG | 44.84 | ||||
| Home Discharge Rate with ICD 4732 - Chronic ethmoidal sinusitis | 60.94 |
| DRG 149: DYSEQUILIBRIUM | 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) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,894 | ||||
| Total Hospitalizations with ICD 4732 - Chronic ethmoidal sinusitis | 101 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD 4732 - Chronic ethmoidal sinusitis in DRG | 1.39 | ||||
| Avg LOS at DRG | 2.46 | ||||
| Avg LOS with ICD 4732 - Chronic ethmoidal sinusitis | 2.59 | ||||
| Readmission Rate at DRG | 9.96 | ||||
| Readmission Rate with ICD 4732 - Chronic ethmoidal sinusitis | NA | ||||
| Unplanned Readmission Rate at DRG | 6.03 | ||||
| Unplanned Readmission Rate with ICD 4732 - Chronic ethmoidal sinusitis | NA | ||||
| Total Medicare payments at DRG | $158,786,291 | ||||
| Total Medicare payments with ICD 4732 - Chronic ethmoidal sinusitis | $337,010 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD 4732 - Chronic ethmoidal sinusitis | $1,286 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,702 | ||||
| Total Medicare payment per Hospitalization with ICD 4732 - Chronic ethmoidal sinusitis | $3,337 | ||||
| Total Medicare Charges at DRG | $947,007,710 | ||||
| Total Medicare Charges with ICD 4732 - Chronic ethmoidal sinusitis | $2,281,813 | ||||
| Avg Charges at DRG | $22,078 | ||||
| Avg Charges with ICD 4732 - Chronic ethmoidal sinusitis | $22,592 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD 4732 - Chronic ethmoidal sinusitis | NA | ||||
| SNF Discharge Rate at DRG | 11.62 | ||||
| SNF Discharge Rate with ICD 4732 - Chronic ethmoidal sinusitis | 11.88 | ||||
| Home Discharge Rate at DRG | 66.55 | ||||
| Home Discharge Rate with ICD 4732 - Chronic ethmoidal sinusitis | 71.29 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| COOKEVILLE REGIONAL MEDICAL CENTER | 1 MEDICAL CENTER BLVD | COOKEVILLE | TN | 38501 | 79 |
| NORTON COMMUNITY HOSPITAL | 100 15TH ST NW | NORTON | VA | 24273 | 49 |
| BAPTIST MEMORIAL HOSPITAL | 6019 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SAUL MICHAEL MODLIN | 300 GARDEN CITY PLAZA | GARDEN CITY | NY | 11530 | 23 |
| Dr. KYLE WEAVER | 3601 TVC | NASHVILLE | TN | 37232 | 19 |
| Dr. JEB MAHAN JUSTICE | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ANYA KERIN COPE | 2 TRILLIUM WAY | CORBIN | KY | 40701 | 19 |
| Dr. KYLE WEAVER | 3601 TVC | NASHVILLE | TN | 37232 | 17 |
| Dr. RON LANIER JOHNSON | ONE MEDICAL CENTER BLVD. | COOKEVILLE | TN | 38501 | 14 |