*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G129 - Spinal muscular atrophy, unspecified - as a primary diagnosis code | G129 - Spinal muscular atrophy, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.04 | |
| Readmission Rate (%) | 24.4 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 359,935 |
| Total Hospitalizations with ICD G129 - Spinal muscular atrophy, unspecified | 14 |
| DRG Share of Total Hospitalizations | 1.1 |
| % of Total ICD G129 - Spinal muscular atrophy, unspecified in DRG | 56.0 |
| Avg LOS at DRG | 12.3 |
| Avg LOS with ICD G129 - Spinal muscular atrophy, unspecified | 6.07 |
| Readmission Rate at DRG | 16.01 |
| Readmission Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA |
| Unplanned Readmission Rate at DRG | 9.86 |
| Unplanned Readmission Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA |
| Total Medicare payments at DRG | $5,883,826,653 |
| Total Medicare payments with ICD G129 - Spinal muscular atrophy, unspecified | $109,355 |
| Total Medicare payment per Day at DRG | $1,329 |
| Total Medicare payment per Day with ICD G129 - Spinal muscular atrophy, unspecified | $1,287 |
| Total Medicare payment per Hospitalization at DRG | $16,347 |
| Total Medicare payment per Hospitalization with ICD G129 - Spinal muscular atrophy, unspecified | $7,811 |
| Total Medicare Charges at DRG | $15,374,824,749 |
| Total Medicare Charges with ICD G129 - Spinal muscular atrophy, unspecified | $622,811 |
| Avg Charges at DRG | $42,716 |
| Avg Charges with ICD G129 - Spinal muscular atrophy, unspecified | $44,487 |
| Mortality Rate at DRG | 0.3 |
| Mortality Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA |
| SNF Discharge Rate at DRG | 27.95 |
| SNF Discharge Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA |
| Home Discharge Rate at DRG | 26.85 |
| Home Discharge Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G129 - Spinal muscular atrophy, unspecified | 108 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G129 - Spinal muscular atrophy, unspecified in DRG | 9.72 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G129 - Spinal muscular atrophy, unspecified | 6.96 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G129 - Spinal muscular atrophy, unspecified | 22.99 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G129 - Spinal muscular atrophy, unspecified | 18.39 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G129 - Spinal muscular atrophy, unspecified | $1,312,093 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G129 - Spinal muscular atrophy, unspecified | $1,745 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G129 - Spinal muscular atrophy, unspecified | $12,149 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G129 - Spinal muscular atrophy, unspecified | $8,693,001 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G129 - Spinal muscular atrophy, unspecified | $80,491 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G129 - Spinal muscular atrophy, unspecified | 13.89 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G129 - Spinal muscular atrophy, unspecified | 13.89 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G129 - Spinal muscular atrophy, unspecified | 31.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES 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 | 417,755 | ||||
| Total Hospitalizations with ICD G129 - Spinal muscular atrophy, unspecified | 22 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD G129 - Spinal muscular atrophy, unspecified in DRG | 1.98 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD G129 - Spinal muscular atrophy, unspecified | 5.32 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD G129 - Spinal muscular atrophy, unspecified | $125,727 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD G129 - Spinal muscular atrophy, unspecified | $1,075 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD G129 - Spinal muscular atrophy, unspecified | $5,715 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD G129 - Spinal muscular atrophy, unspecified | $739,089 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD G129 - Spinal muscular atrophy, unspecified | $33,595 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD G129 - Spinal muscular atrophy, unspecified | 17 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD G129 - Spinal muscular atrophy, unspecified in DRG | 1.53 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD G129 - Spinal muscular atrophy, unspecified | 13.71 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD G129 - Spinal muscular atrophy, unspecified | $734,840 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD G129 - Spinal muscular atrophy, unspecified | $3,154 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD G129 - Spinal muscular atrophy, unspecified | $43,226 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD G129 - Spinal muscular atrophy, unspecified | $3,316,006 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD G129 - Spinal muscular atrophy, unspecified | $195,059 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA |
*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 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD G129 - Spinal muscular atrophy, unspecified | 13 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD G129 - Spinal muscular atrophy, unspecified in DRG | 1.17 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD G129 - Spinal muscular atrophy, unspecified | 10.0 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD G129 - Spinal muscular atrophy, unspecified | $134,352 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD G129 - Spinal muscular atrophy, unspecified | $1,033 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD G129 - Spinal muscular atrophy, unspecified | $10,335 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD G129 - Spinal muscular atrophy, unspecified | $945,670 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD G129 - Spinal muscular atrophy, unspecified | $72,744 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD G129 - Spinal muscular atrophy, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 19 |
| ST. LUKE'S UNIVERSITY HOSPITAL - BETHLEHEM CAMPUS | 801 OSTRUM ST | BETHLEHEM | PA | 18015 | 17 |