*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G710 - Muscular dystrophy - as a primary diagnosis code | G710 - Muscular dystrophy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.97 | |
| Readmission Rate (%) | 25.16 | |
| Unplanned Readmission Rate (%) | 12.28 | |
| 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 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||
| Total Hospitalizations with ICD G710 - Muscular dystrophy | 179 | ||
| DRG Share of Total Hospitalizations | 0.31 | ||
| % of Total ICD G710 - Muscular dystrophy in DRG | 36.02 | ||
| Avg LOS at DRG | 9.5 | ||
| Avg LOS with ICD G710 - Muscular dystrophy | 9.8 | ||
| Readmission Rate at DRG | 26.88 | ||
| Readmission Rate with ICD G710 - Muscular dystrophy | 23.68 | ||
| Unplanned Readmission Rate at DRG | 19.26 | ||
| Unplanned Readmission Rate with ICD G710 - Muscular dystrophy | 17.11 | ||
| Total Medicare payments at DRG | $1,599,186,807 | ||
| Total Medicare payments with ICD G710 - Muscular dystrophy | $3,015,295 | ||
| Total Medicare payment per Day at DRG | $1,656 | ||
| Total Medicare payment per Day with ICD G710 - Muscular dystrophy | $1,719 | ||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||
| Total Medicare payment per Hospitalization with ICD G710 - Muscular dystrophy | $16,845 | ||
| Total Medicare Charges at DRG | $4,836,538,333 | ||
| Total Medicare Charges with ICD G710 - Muscular dystrophy | $10,336,459 | ||
| Avg Charges at DRG | $47,596 | ||
| Avg Charges with ICD G710 - Muscular dystrophy | $57,746 | ||
| Mortality Rate at DRG | 2.8 | ||
| Mortality Rate with ICD G710 - Muscular dystrophy | 6.7 | ||
| SNF Discharge Rate at DRG | 20.21 | ||
| SNF Discharge Rate with ICD G710 - Muscular dystrophy | 22.91 | ||
| Home Discharge Rate at DRG | 20.17 | ||
| Home Discharge Rate with ICD G710 - Muscular dystrophy | 17.32 |
*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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 885: PSYCHOSES | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G710 - Muscular dystrophy | 1,570 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G710 - Muscular dystrophy in DRG | 8.11 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G710 - Muscular dystrophy | 6.25 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G710 - Muscular dystrophy | 24.06 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G710 - Muscular dystrophy | 17.3 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G710 - Muscular dystrophy | $17,860,172 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G710 - Muscular dystrophy | $1,820 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G710 - Muscular dystrophy | $11,376 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G710 - Muscular dystrophy | $95,674,021 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G710 - Muscular dystrophy | $60,939 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G710 - Muscular dystrophy | 13.69 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G710 - Muscular dystrophy | 26.5 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G710 - Muscular dystrophy | 22.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD G710 - Muscular dystrophy | 437 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD G710 - Muscular dystrophy in DRG | 2.26 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD G710 - Muscular dystrophy | 5.43 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD G710 - Muscular dystrophy | 30.17 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD G710 - Muscular dystrophy | 18.97 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD G710 - Muscular dystrophy | $6,734,741 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD G710 - Muscular dystrophy | $2,837 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD G710 - Muscular dystrophy | $15,411 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD G710 - Muscular dystrophy | $28,202,387 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD G710 - Muscular dystrophy | $64,536 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD G710 - Muscular dystrophy | 12.36 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD G710 - Muscular dystrophy | 16.7 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD G710 - Muscular dystrophy | 24.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK 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 | 364,421 | ||||
| Total Hospitalizations with ICD G710 - Muscular dystrophy | 316 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD G710 - Muscular dystrophy in DRG | 1.63 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD G710 - Muscular dystrophy | 4.06 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD G710 - Muscular dystrophy | 23.36 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD G710 - Muscular dystrophy | 14.8 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD G710 - Muscular dystrophy | $1,597,115 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD G710 - Muscular dystrophy | $1,245 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD G710 - Muscular dystrophy | $5,054 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD G710 - Muscular dystrophy | $7,647,351 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD G710 - Muscular dystrophy | $24,200 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD G710 - Muscular dystrophy | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD G710 - Muscular dystrophy | 17.09 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD G710 - Muscular dystrophy | 47.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,057 | ||||
| Total Hospitalizations with ICD G710 - Muscular dystrophy | 256 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD G710 - Muscular dystrophy in DRG | 1.32 | ||||
| Avg LOS at DRG | 5.35 | ||||
| Avg LOS with ICD G710 - Muscular dystrophy | 5.14 | ||||
| Readmission Rate at DRG | 21.3 | ||||
| Readmission Rate with ICD G710 - Muscular dystrophy | 19.34 | ||||
| Unplanned Readmission Rate at DRG | 15.67 | ||||
| Unplanned Readmission Rate with ICD G710 - Muscular dystrophy | 13.17 | ||||
| Total Medicare payments at DRG | $920,227,801 | ||||
| Total Medicare payments with ICD G710 - Muscular dystrophy | $2,084,763 | ||||
| Total Medicare payment per Day at DRG | $1,576 | ||||
| Total Medicare payment per Day with ICD G710 - Muscular dystrophy | $1,584 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,438 | ||||
| Total Medicare payment per Hospitalization with ICD G710 - Muscular dystrophy | $8,144 | ||||
| Total Medicare Charges at DRG | $4,179,019,701 | ||||
| Total Medicare Charges with ICD G710 - Muscular dystrophy | $9,063,035 | ||||
| Avg Charges at DRG | $38,320 | ||||
| Avg Charges with ICD G710 - Muscular dystrophy | $35,402 | ||||
| Mortality Rate at DRG | 1.76 | ||||
| Mortality Rate with ICD G710 - Muscular dystrophy | NA | ||||
| SNF Discharge Rate at DRG | 27.6 | ||||
| SNF Discharge Rate with ICD G710 - Muscular dystrophy | 19.53 | ||||
| Home Discharge Rate at DRG | 33.88 | ||||
| Home Discharge Rate with ICD G710 - Muscular dystrophy | 31.25 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 56 |
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 56 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 49 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ARTHUR E WOOD | 920 MATTHEW DRIVE | WAYNESBORO | MS | 39367 | 32 |
| Dr. ARASH MILANI | 12830 HESPERIA RD STE D | VICTORVILLE | CA | 92395 | 20 |
| Dr. OM PRAKASH SHARMA | 2100 LEHIGH ST | EASTON | PA | 18042 | 16 |