*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G7000 - Myasthenia gravis without (acute) exacerbation - as a primary diagnosis code | G7000 - Myasthenia gravis without (acute) exacerbation - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.87 | |
| Readmission Rate (%) | 24.26 | |
| Unplanned Readmission Rate (%) | 14.19 | |
| 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) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 2,134 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD G7000 - Myasthenia gravis without (acute) exacerbation in DRG | 68.49 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 5.74 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 25.77 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 13.36 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $19,776,518 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $1,614 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $9,267 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $111,114,465 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $52,069 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 14.53 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 52.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 45,478 | |
| Total Hospitalizations with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 15 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD G7000 - Myasthenia gravis without (acute) exacerbation in DRG | 0.48 | |
| Avg LOS at DRG | 25.29 | |
| Avg LOS with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 20.53 | |
| Readmission Rate at DRG | 74.5 | |
| Readmission Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 91.67 | |
| Unplanned Readmission Rate at DRG | 8.79 | |
| Unplanned Readmission Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | NA | |
| Total Medicare payments at DRG | $3,386,848,549 | |
| Total Medicare payments with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $1,101,807 | |
| Total Medicare payment per Day at DRG | $2,945 | |
| Total Medicare payment per Day with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $3,577 | |
| Total Medicare payment per Hospitalization at DRG | $74,472 | |
| Total Medicare payment per Hospitalization with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $73,454 | |
| Total Medicare Charges at DRG | $15,882,518,852 | |
| Total Medicare Charges with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $5,694,660 | |
| Avg Charges at DRG | $349,235 | |
| Avg Charges with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $379,644 | |
| Mortality Rate at DRG | 13.7 | |
| Mortality Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | NA | |
| SNF Discharge Rate at DRG | 17.77 | |
| SNF Discharge Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | NA | |
| Home Discharge Rate at DRG | 1.95 | |
| Home Discharge Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TAMPA GENERAL HOSPITAL | 1 TAMPA GENERAL CIRCLE | TAMPA | FL | 33606 | 27 |
| BAPTIST HEALTH MEDICAL CENTER - LITTLE ROCK | 9601 BAPTIST HEALTH DRIVE | LITTLE ROCK | AR | 72205 | 22 |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WINSTON R ORTIZ | 1401 CENTERVILLE RD | TALLAHASSEE | FL | 32308 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRADFORD DANIEL PENDLEY | 3109 WALNUT GROVE RD | MEMPHIS | TN | 38111 | 13 |
| Dr. SYED A MAZHER | 1401 BRADEN STREET | JACKSONVILLE | AR | 72076 | 12 |
| Dr. WINSTON R ORTIZ | 1401 CENTERVILLE RD | TALLAHASSEE | FL | 32308 | 12 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 3,738 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G7000 - Myasthenia gravis without (acute) exacerbation in DRG | 6.48 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 6.44 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 24.32 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 16.24 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $44,438,246 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $1,846 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $11,888 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $230,028,410 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $61,538 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 11.42 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 26.67 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 24.56 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 1,291 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD G7000 - Myasthenia gravis without (acute) exacerbation in DRG | 2.24 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 5.86 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 29.58 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 20.55 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $12,222,558 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $1,616 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $9,468 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $59,185,379 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $45,845 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 4.49 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 25.17 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 31.45 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 867 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD G7000 - Myasthenia gravis without (acute) exacerbation in DRG | 1.5 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 4.07 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 15.44 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 10.33 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $5,344,847 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $1,514 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $6,165 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $25,583,144 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $29,508 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 17.53 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 53.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 599 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD G7000 - Myasthenia gravis without (acute) exacerbation in DRG | 1.04 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 4.4 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 25.96 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 19.16 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $3,732,721 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $1,415 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $6,232 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $17,815,582 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD G7000 - Myasthenia gravis without (acute) exacerbation | $29,742 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 19.53 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD G7000 - Myasthenia gravis without (acute) exacerbation | 43.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 214 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 201 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 190 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WINSTON R ORTIZ | 1401 CENTERVILLE RD | TALLAHASSEE | FL | 32308 | 12 |
| Dr. JAWAD F SHAIKH | 1 OXFORD RD | NEW HARTFORD | NY | 13413 | 12 |
| Dr. BRADFORD DANIEL PENDLEY | 3109 WALNUT GROVE RD | MEMPHIS | TN | 38111 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAMI W ATALLAH | 321 MARINE AVE | BROOKLYN | NY | 11209 | 27 |
| Dr. RANDOLPH E. SCHUMACHER | 2700 ROBERT T LONGWAY BLVD | FLINT | MI | 48503 | 23 |
| Dr. LAWRENCE J DAVIS | 177 N DEAN ST | ENGLEWOOD | NJ | 07631 | 20 |