| 47819 - Other disease of nasal cavity and sinuses - as a primary diagnosis code | 47819 - Other disease of nasal cavity and sinuses - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.51 | |
| Readmission Rate (%) | 20.84 | |
| Unplanned Readmission Rate (%) | 8.56 | |
| 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 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 156: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,443 | ||||
| Total Hospitalizations with ICD 47819 - Other disease of nasal cavity and sinuses | 382 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD 47819 - Other disease of nasal cavity and sinuses in DRG | 41.12 | ||||
| Avg LOS at DRG | 3.88 | ||||
| Avg LOS with ICD 47819 - Other disease of nasal cavity and sinuses | 3.52 | ||||
| Readmission Rate at DRG | 17.9 | ||||
| Readmission Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 10.58 | ||||
| Unplanned Readmission Rate at DRG | 12.06 | ||||
| Unplanned Readmission Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 7.41 | ||||
| Total Medicare payments at DRG | $59,341,074 | ||||
| Total Medicare payments with ICD 47819 - Other disease of nasal cavity and sinuses | $2,150,665 | ||||
| Total Medicare payment per Day at DRG | $1,463 | ||||
| Total Medicare payment per Day with ICD 47819 - Other disease of nasal cavity and sinuses | $1,599 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,682 | ||||
| Total Medicare payment per Hospitalization with ICD 47819 - Other disease of nasal cavity and sinuses | $5,630 | ||||
| Total Medicare Charges at DRG | $281,927,309 | ||||
| Total Medicare Charges with ICD 47819 - Other disease of nasal cavity and sinuses | $9,275,883 | ||||
| Avg Charges at DRG | $26,997 | ||||
| Avg Charges with ICD 47819 - Other disease of nasal cavity and sinuses | $24,282 | ||||
| Mortality Rate at DRG | 0.65 | ||||
| Mortality Rate with ICD 47819 - Other disease of nasal cavity and sinuses | NA | ||||
| SNF Discharge Rate at DRG | 22.89 | ||||
| SNF Discharge Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 8.38 | ||||
| Home Discharge Rate at DRG | 50.99 | ||||
| Home Discharge Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 75.65 |
| DRG 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 132: CRANIAL AND FACIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,619 | |||
| Total Hospitalizations with ICD 47819 - Other disease of nasal cavity and sinuses | 42 | |||
| DRG Share of Total Hospitalizations | 0.02 | |||
| % of Total ICD 47819 - Other disease of nasal cavity and sinuses in DRG | 4.52 | |||
| Avg LOS at DRG | 5.5 | |||
| Avg LOS with ICD 47819 - Other disease of nasal cavity and sinuses | 5.81 | |||
| Readmission Rate at DRG | 20.3 | |||
| Readmission Rate with ICD 47819 - Other disease of nasal cavity and sinuses | NA | |||
| Unplanned Readmission Rate at DRG | 12.05 | |||
| Unplanned Readmission Rate with ICD 47819 - Other disease of nasal cavity and sinuses | NA | |||
| Total Medicare payments at DRG | $61,566,684 | |||
| Total Medicare payments with ICD 47819 - Other disease of nasal cavity and sinuses | $546,319 | |||
| Total Medicare payment per Day at DRG | $2,425 | |||
| Total Medicare payment per Day with ICD 47819 - Other disease of nasal cavity and sinuses | $2,239 | |||
| Total Medicare payment per Hospitalization at DRG | $13,329 | |||
| Total Medicare payment per Hospitalization with ICD 47819 - Other disease of nasal cavity and sinuses | $13,008 | |||
| Total Medicare Charges at DRG | $289,037,694 | |||
| Total Medicare Charges with ICD 47819 - Other disease of nasal cavity and sinuses | $2,585,644 | |||
| Avg Charges at DRG | $62,576 | |||
| Avg Charges with ICD 47819 - Other disease of nasal cavity and sinuses | $61,563 | |||
| Mortality Rate at DRG | 1.36 | |||
| Mortality Rate with ICD 47819 - Other disease of nasal cavity and sinuses | NA | |||
| SNF Discharge Rate at DRG | 11.08 | |||
| SNF Discharge Rate with ICD 47819 - Other disease of nasal cavity and sinuses | NA | |||
| Home Discharge Rate at DRG | 63.46 | |||
| Home Discharge Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 61.9 |
| DRG 885: PSYCHOSES | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 47819 - Other disease of nasal cavity and sinuses | 2,355 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 47819 - Other disease of nasal cavity and sinuses in DRG | 7.65 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 47819 - Other disease of nasal cavity and sinuses | 14.83 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 25.07 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 10.01 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 47819 - Other disease of nasal cavity and sinuses | $24,047,969 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 47819 - Other disease of nasal cavity and sinuses | $689 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 47819 - Other disease of nasal cavity and sinuses | $10,211 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 47819 - Other disease of nasal cavity and sinuses | $74,325,895 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 47819 - Other disease of nasal cavity and sinuses | $31,561 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 47819 - Other disease of nasal cavity and sinuses | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 3.91 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 81.06 |
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 305,326 | ||||
| Total Hospitalizations with ICD 47819 - Other disease of nasal cavity and sinuses | 642 | ||||
| DRG Share of Total Hospitalizations | 1.34 | ||||
| % of Total ICD 47819 - Other disease of nasal cavity and sinuses in DRG | 2.09 | ||||
| Avg LOS at DRG | 5.11 | ||||
| Avg LOS with ICD 47819 - Other disease of nasal cavity and sinuses | 5.82 | ||||
| Readmission Rate at DRG | 24.58 | ||||
| Readmission Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 22.04 | ||||
| Unplanned Readmission Rate at DRG | 18.98 | ||||
| Unplanned Readmission Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 16.93 | ||||
| Total Medicare payments at DRG | $2,231,748,038 | ||||
| Total Medicare payments with ICD 47819 - Other disease of nasal cavity and sinuses | $4,664,506 | ||||
| Total Medicare payment per Day at DRG | $1,430 | ||||
| Total Medicare payment per Day with ICD 47819 - Other disease of nasal cavity and sinuses | $1,248 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,309 | ||||
| Total Medicare payment per Hospitalization with ICD 47819 - Other disease of nasal cavity and sinuses | $7,266 | ||||
| Total Medicare Charges at DRG | $10,098,826,638 | ||||
| Total Medicare Charges with ICD 47819 - Other disease of nasal cavity and sinuses | $22,270,852 | ||||
| Avg Charges at DRG | $33,076 | ||||
| Avg Charges with ICD 47819 - Other disease of nasal cavity and sinuses | $34,690 | ||||
| Mortality Rate at DRG | 1.47 | ||||
| Mortality Rate with ICD 47819 - Other disease of nasal cavity and sinuses | NA | ||||
| SNF Discharge Rate at DRG | 14.55 | ||||
| SNF Discharge Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 11.68 | ||||
| Home Discharge Rate at DRG | 53.12 | ||||
| Home Discharge Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 54.36 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 47819 - Other disease of nasal cavity and sinuses | 425 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 47819 - Other disease of nasal cavity and sinuses in DRG | 1.38 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 47819 - Other disease of nasal cavity and sinuses | 6.33 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 16.67 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 47819 - Other disease of nasal cavity and sinuses | $4,063,529 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 47819 - Other disease of nasal cavity and sinuses | $1,511 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 47819 - Other disease of nasal cavity and sinuses | $9,561 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 47819 - Other disease of nasal cavity and sinuses | $17,271,673 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 47819 - Other disease of nasal cavity and sinuses | $40,639 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 47819 - Other disease of nasal cavity and sinuses | NA | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 20.71 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 44.0 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 47819 - Other disease of nasal cavity and sinuses | 362 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 47819 - Other disease of nasal cavity and sinuses in DRG | 1.18 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 47819 - Other disease of nasal cavity and sinuses | 3.87 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 12.47 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 9.14 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 47819 - Other disease of nasal cavity and sinuses | $1,567,360 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 47819 - Other disease of nasal cavity and sinuses | $1,119 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 47819 - Other disease of nasal cavity and sinuses | $4,330 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 47819 - Other disease of nasal cavity and sinuses | $9,330,356 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 47819 - Other disease of nasal cavity and sinuses | $25,774 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 47819 - Other disease of nasal cavity and sinuses | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 7.18 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 47819 - Other disease of nasal cavity and sinuses | 72.93 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 136 |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST | 1102 W 32ND ST | JOPLIN | MO | 64804 | 135 |
| COOKEVILLE REGIONAL MEDICAL CENTER | 1 MEDICAL CENTER BLVD | COOKEVILLE | TN | 38501 | 104 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 23 |
| Dr. GREGORY DALE SMITH | 2412 RING RD | ELIZABETHTOWN | KY | 42701 | 20 |
| Dr. MARTIN NEIL PAISNER | 918R W FULLERTON AVE | CHICAGO | IL | 60614 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM D WESTERKAM | 2935 COLONIAL DR | COLUMBIA | SC | 29203 | 36 |
| Dr. STEPHEN LEWIS WILLS | 102 IRVING ST NW | WASHINGTON | DC | 20010 | 33 |
| Dr. DEVIN J TROYER | 2935 COLONIAL DR | COLUMBIA | SC | 29203 | 32 |