*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G7111 - Myotonic muscular dystrophy - as a primary diagnosis code | G7111 - Myotonic muscular dystrophy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.72 | |
| Readmission Rate (%) | 24.65 | |
| Unplanned Readmission Rate (%) | 11.64 | |
| 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 G7111 - Myotonic muscular dystrophy | 100 | ||
| DRG Share of Total Hospitalizations | 0.31 | ||
| % of Total ICD G7111 - Myotonic muscular dystrophy in DRG | 42.55 | ||
| Avg LOS at DRG | 9.5 | ||
| Avg LOS with ICD G7111 - Myotonic muscular dystrophy | 9.45 | ||
| Readmission Rate at DRG | 26.88 | ||
| Readmission Rate with ICD G7111 - Myotonic muscular dystrophy | 27.14 | ||
| Unplanned Readmission Rate at DRG | 19.26 | ||
| Unplanned Readmission Rate with ICD G7111 - Myotonic muscular dystrophy | NA | ||
| Total Medicare payments at DRG | $1,599,186,807 | ||
| Total Medicare payments with ICD G7111 - Myotonic muscular dystrophy | $1,544,498 | ||
| Total Medicare payment per Day at DRG | $1,656 | ||
| Total Medicare payment per Day with ICD G7111 - Myotonic muscular dystrophy | $1,634 | ||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||
| Total Medicare payment per Hospitalization with ICD G7111 - Myotonic muscular dystrophy | $15,445 | ||
| Total Medicare Charges at DRG | $4,836,538,333 | ||
| Total Medicare Charges with ICD G7111 - Myotonic muscular dystrophy | $5,501,539 | ||
| Avg Charges at DRG | $47,596 | ||
| Avg Charges with ICD G7111 - Myotonic muscular dystrophy | $55,015 | ||
| Mortality Rate at DRG | 2.8 | ||
| Mortality Rate with ICD G7111 - Myotonic muscular dystrophy | 15.0 | ||
| SNF Discharge Rate at DRG | 20.21 | ||
| SNF Discharge Rate with ICD G7111 - Myotonic muscular dystrophy | 21.0 | ||
| Home Discharge Rate at DRG | 20.17 | ||
| Home Discharge Rate with ICD G7111 - Myotonic muscular dystrophy | 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G7111 - Myotonic muscular dystrophy | 343 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G7111 - Myotonic muscular dystrophy in DRG | 7.33 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G7111 - Myotonic muscular dystrophy | 7.28 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G7111 - Myotonic muscular dystrophy | 23.77 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G7111 - Myotonic muscular dystrophy | 15.09 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G7111 - Myotonic muscular dystrophy | $4,287,873 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G7111 - Myotonic muscular dystrophy | $1,717 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G7111 - Myotonic muscular dystrophy | $12,501 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G7111 - Myotonic muscular dystrophy | $23,507,307 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G7111 - Myotonic muscular dystrophy | $68,534 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G7111 - Myotonic muscular dystrophy | 17.49 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G7111 - Myotonic muscular dystrophy | 30.61 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G7111 - Myotonic muscular dystrophy | 21.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD G7111 - Myotonic muscular dystrophy | 109 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD G7111 - Myotonic muscular dystrophy in DRG | 2.33 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD G7111 - Myotonic muscular dystrophy | 7.71 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD G7111 - Myotonic muscular dystrophy | 23.47 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD G7111 - Myotonic muscular dystrophy | 12.24 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD G7111 - Myotonic muscular dystrophy | $1,318,421 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD G7111 - Myotonic muscular dystrophy | $1,570 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD G7111 - Myotonic muscular dystrophy | $12,096 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD G7111 - Myotonic muscular dystrophy | $4,022,079 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD G7111 - Myotonic muscular dystrophy | $36,900 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD G7111 - Myotonic muscular dystrophy | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD G7111 - Myotonic muscular dystrophy | 22.94 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD G7111 - Myotonic muscular dystrophy | 20.18 |
*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 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD G7111 - Myotonic muscular dystrophy | 81 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD G7111 - Myotonic muscular dystrophy in DRG | 1.73 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD G7111 - Myotonic muscular dystrophy | 3.75 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD G7111 - Myotonic muscular dystrophy | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD G7111 - Myotonic muscular dystrophy | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD G7111 - Myotonic muscular dystrophy | $443,972 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD G7111 - Myotonic muscular dystrophy | $1,460 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD G7111 - Myotonic muscular dystrophy | $5,481 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD G7111 - Myotonic muscular dystrophy | $2,374,122 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD G7111 - Myotonic muscular dystrophy | $29,310 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD G7111 - Myotonic muscular dystrophy | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD G7111 - Myotonic muscular dystrophy | 14.81 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD G7111 - Myotonic muscular dystrophy | 61.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | 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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD G7111 - Myotonic muscular dystrophy | 58 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD G7111 - Myotonic muscular dystrophy in DRG | 1.24 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD G7111 - Myotonic muscular dystrophy | 4.03 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD G7111 - Myotonic muscular dystrophy | NA | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD G7111 - Myotonic muscular dystrophy | NA | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD G7111 - Myotonic muscular dystrophy | $316,552 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD G7111 - Myotonic muscular dystrophy | $1,353 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD G7111 - Myotonic muscular dystrophy | $5,458 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD G7111 - Myotonic muscular dystrophy | $1,623,499 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD G7111 - Myotonic muscular dystrophy | $27,991 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD G7111 - Myotonic muscular dystrophy | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD G7111 - Myotonic muscular dystrophy | NA | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD G7111 - Myotonic muscular dystrophy | 68.97 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 38 |
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 33 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SALMAN S. ALY | 1201 CREEKWAY DRIVE | SUGAR LAND | TX | 77478 | 26 |
| Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 11 |