| 5272 - Sialoadenitis - as a primary diagnosis code | 5272 - Sialoadenitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.87 | |
| Readmission Rate (%) | 21.53 | |
| Unplanned Readmission Rate (%) | 11.54 | |
| 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 139: SALIVARY GLAND PROCEDURES | 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 | 10,443 | ||||
| Total Hospitalizations with ICD 5272 - Sialoadenitis | 2,927 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD 5272 - Sialoadenitis in DRG | 50.66 | ||||
| Avg LOS at DRG | 3.88 | ||||
| Avg LOS with ICD 5272 - Sialoadenitis | 4.63 | ||||
| Readmission Rate at DRG | 17.9 | ||||
| Readmission Rate with ICD 5272 - Sialoadenitis | 16.38 | ||||
| Unplanned Readmission Rate at DRG | 12.06 | ||||
| Unplanned Readmission Rate with ICD 5272 - Sialoadenitis | 11.76 | ||||
| Total Medicare payments at DRG | $59,341,074 | ||||
| Total Medicare payments with ICD 5272 - Sialoadenitis | $16,597,389 | ||||
| Total Medicare payment per Day at DRG | $1,463 | ||||
| Total Medicare payment per Day with ICD 5272 - Sialoadenitis | $1,224 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,682 | ||||
| Total Medicare payment per Hospitalization with ICD 5272 - Sialoadenitis | $5,670 | ||||
| Total Medicare Charges at DRG | $281,927,309 | ||||
| Total Medicare Charges with ICD 5272 - Sialoadenitis | $79,532,859 | ||||
| Avg Charges at DRG | $26,997 | ||||
| Avg Charges with ICD 5272 - Sialoadenitis | $27,172 | ||||
| Mortality Rate at DRG | 0.65 | ||||
| Mortality Rate with ICD 5272 - Sialoadenitis | 0.68 | ||||
| SNF Discharge Rate at DRG | 22.89 | ||||
| SNF Discharge Rate with ICD 5272 - Sialoadenitis | 28.53 | ||||
| Home Discharge Rate at DRG | 50.99 | ||||
| Home Discharge Rate with ICD 5272 - Sialoadenitis | 46.57 |
| DRG 137: MOUTH 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 1,971 | ||
| Total Hospitalizations with ICD 5272 - Sialoadenitis | 42 | ||
| DRG Share of Total Hospitalizations | 0.01 | ||
| % of Total ICD 5272 - Sialoadenitis in DRG | 0.73 | ||
| Avg LOS at DRG | 4.97 | ||
| Avg LOS with ICD 5272 - Sialoadenitis | 6.74 | ||
| Readmission Rate at DRG | 15.9 | ||
| Readmission Rate with ICD 5272 - Sialoadenitis | NA | ||
| Unplanned Readmission Rate at DRG | 11.2 | ||
| Unplanned Readmission Rate with ICD 5272 - Sialoadenitis | NA | ||
| Total Medicare payments at DRG | $18,261,178 | ||
| Total Medicare payments with ICD 5272 - Sialoadenitis | $363,591 | ||
| Total Medicare payment per Day at DRG | $1,865 | ||
| Total Medicare payment per Day with ICD 5272 - Sialoadenitis | $1,285 | ||
| Total Medicare payment per Hospitalization at DRG | $9,265 | ||
| Total Medicare payment per Hospitalization with ICD 5272 - Sialoadenitis | $8,657 | ||
| Total Medicare Charges at DRG | $87,085,325 | ||
| Total Medicare Charges with ICD 5272 - Sialoadenitis | $2,288,849 | ||
| Avg Charges at DRG | $44,183 | ||
| Avg Charges with ICD 5272 - Sialoadenitis | $54,496 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD 5272 - Sialoadenitis | NA | ||
| SNF Discharge Rate at DRG | 11.72 | ||
| SNF Discharge Rate with ICD 5272 - Sialoadenitis | NA | ||
| Home Discharge Rate at DRG | 68.09 | ||
| Home Discharge Rate with ICD 5272 - Sialoadenitis | 64.29 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 34 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 22 |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX | 1111 E MCDOWELL RD | PHOENIX | AZ | 85006 | 18 |
| DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,443 | ||||
| Total Hospitalizations with ICD 5272 - Sialoadenitis | 3,068 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD 5272 - Sialoadenitis in DRG | 19.25 | ||||
| Avg LOS at DRG | 3.88 | ||||
| Avg LOS with ICD 5272 - Sialoadenitis | 4.62 | ||||
| Readmission Rate at DRG | 17.9 | ||||
| Readmission Rate with ICD 5272 - Sialoadenitis | 16.07 | ||||
| Unplanned Readmission Rate at DRG | 12.06 | ||||
| Unplanned Readmission Rate with ICD 5272 - Sialoadenitis | 11.53 | ||||
| Total Medicare payments at DRG | $59,341,074 | ||||
| Total Medicare payments with ICD 5272 - Sialoadenitis | $17,359,036 | ||||
| Total Medicare payment per Day at DRG | $1,463 | ||||
| Total Medicare payment per Day with ICD 5272 - Sialoadenitis | $1,224 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,682 | ||||
| Total Medicare payment per Hospitalization with ICD 5272 - Sialoadenitis | $5,658 | ||||
| Total Medicare Charges at DRG | $281,927,309 | ||||
| Total Medicare Charges with ICD 5272 - Sialoadenitis | $83,779,606 | ||||
| Avg Charges at DRG | $26,997 | ||||
| Avg Charges with ICD 5272 - Sialoadenitis | $27,308 | ||||
| Mortality Rate at DRG | 0.65 | ||||
| Mortality Rate with ICD 5272 - Sialoadenitis | 0.65 | ||||
| SNF Discharge Rate at DRG | 22.89 | ||||
| SNF Discharge Rate with ICD 5272 - Sialoadenitis | 28.0 | ||||
| Home Discharge Rate at DRG | 50.99 | ||||
| Home Discharge Rate with ICD 5272 - Sialoadenitis | 47.62 |
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 139: SALIVARY GLAND PROCEDURES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 5272 - Sialoadenitis | 380 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 5272 - Sialoadenitis in DRG | 2.38 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 5272 - Sialoadenitis | 4.44 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 5272 - Sialoadenitis | 13.35 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 5272 - Sialoadenitis | 9.54 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 5272 - Sialoadenitis | $1,922,319 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 5272 - Sialoadenitis | $1,140 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 5272 - Sialoadenitis | $5,059 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 5272 - Sialoadenitis | $9,543,370 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 5272 - Sialoadenitis | $25,114 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 5272 - Sialoadenitis | NA | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 5272 - Sialoadenitis | 22.63 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 5272 - Sialoadenitis | 55.0 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 235,369 | ||||
| Total Hospitalizations with ICD 5272 - Sialoadenitis | 165 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD 5272 - Sialoadenitis in DRG | 1.04 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD 5272 - Sialoadenitis | 9.8 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD 5272 - Sialoadenitis | 32.43 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD 5272 - Sialoadenitis | 22.97 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD 5272 - Sialoadenitis | $1,808,844 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD 5272 - Sialoadenitis | $1,119 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD 5272 - Sialoadenitis | $10,963 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD 5272 - Sialoadenitis | $9,187,761 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD 5272 - Sialoadenitis | $55,683 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD 5272 - Sialoadenitis | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD 5272 - Sialoadenitis | 40.0 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD 5272 - Sialoadenitis | 15.15 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD 5272 - Sialoadenitis | 107 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 5272 - Sialoadenitis in DRG | 0.67 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 5272 - Sialoadenitis | 5.68 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 5272 - Sialoadenitis | 12.87 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 5272 - Sialoadenitis | NA | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 5272 - Sialoadenitis | $688,810 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 5272 - Sialoadenitis | $1,133 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 5272 - Sialoadenitis | $6,437 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 5272 - Sialoadenitis | $3,376,016 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 5272 - Sialoadenitis | $31,552 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 5272 - Sialoadenitis | NA | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 5272 - Sialoadenitis | 24.3 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 5272 - Sialoadenitis | 45.79 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 55 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 50 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 48 |