*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G7241 - Inclusion body myositis [IBM] - as a primary diagnosis code | G7241 - Inclusion body myositis [IBM] - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.91 | |
| Readmission Rate (%) | 23.64 | |
| Unplanned Readmission Rate (%) | 11.72 | |
| 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 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | |||
| Total Hospitalizations with ICD G7241 - Inclusion body myositis [IBM] | 162 | |||
| DRG Share of Total Hospitalizations | 0.04 | |||
| % of Total ICD G7241 - Inclusion body myositis [IBM] in DRG | 40.91 | |||
| Avg LOS at DRG | 5.12 | |||
| Avg LOS with ICD G7241 - Inclusion body myositis [IBM] | 7.93 | |||
| Readmission Rate at DRG | 23.17 | |||
| Readmission Rate with ICD G7241 - Inclusion body myositis [IBM] | 22.67 | |||
| Unplanned Readmission Rate at DRG | 15.83 | |||
| Unplanned Readmission Rate with ICD G7241 - Inclusion body myositis [IBM] | 14.0 | |||
| Total Medicare payments at DRG | $123,348,417 | |||
| Total Medicare payments with ICD G7241 - Inclusion body myositis [IBM] | $1,953,483 | |||
| Total Medicare payment per Day at DRG | $1,658 | |||
| Total Medicare payment per Day with ICD G7241 - Inclusion body myositis [IBM] | $1,521 | |||
| Total Medicare payment per Hospitalization at DRG | $8,492 | |||
| Total Medicare payment per Hospitalization with ICD G7241 - Inclusion body myositis [IBM] | $12,059 | |||
| Total Medicare Charges at DRG | $565,151,481 | |||
| Total Medicare Charges with ICD G7241 - Inclusion body myositis [IBM] | $5,784,858 | |||
| Avg Charges at DRG | $38,906 | |||
| Avg Charges with ICD G7241 - Inclusion body myositis [IBM] | $35,709 | |||
| Mortality Rate at DRG | 0.34 | |||
| Mortality Rate with ICD G7241 - Inclusion body myositis [IBM] | NA | |||
| SNF Discharge Rate at DRG | 16.01 | |||
| SNF Discharge Rate with ICD G7241 - Inclusion body myositis [IBM] | 33.33 | |||
| Home Discharge Rate at DRG | 53.61 | |||
| Home Discharge Rate with ICD G7241 - Inclusion body myositis [IBM] | 22.22 |
*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 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G7241 - Inclusion body myositis [IBM] | 346 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G7241 - Inclusion body myositis [IBM] in DRG | 8.81 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G7241 - Inclusion body myositis [IBM] | 6.45 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G7241 - Inclusion body myositis [IBM] | 26.15 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G7241 - Inclusion body myositis [IBM] | 15.19 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G7241 - Inclusion body myositis [IBM] | $4,042,695 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G7241 - Inclusion body myositis [IBM] | $1,812 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G7241 - Inclusion body myositis [IBM] | $11,684 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G7241 - Inclusion body myositis [IBM] | $21,147,735 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G7241 - Inclusion body myositis [IBM] | $61,121 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G7241 - Inclusion body myositis [IBM] | 15.03 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G7241 - Inclusion body myositis [IBM] | 26.3 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G7241 - Inclusion body myositis [IBM] | 18.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD G7241 - Inclusion body myositis [IBM] | 65 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD G7241 - Inclusion body myositis [IBM] in DRG | 1.65 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD G7241 - Inclusion body myositis [IBM] | 11.63 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD G7241 - Inclusion body myositis [IBM] | NA | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD G7241 - Inclusion body myositis [IBM] | NA | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD G7241 - Inclusion body myositis [IBM] | $801,432 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD G7241 - Inclusion body myositis [IBM] | $1,060 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD G7241 - Inclusion body myositis [IBM] | $12,330 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD G7241 - Inclusion body myositis [IBM] | $4,454,874 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD G7241 - Inclusion body myositis [IBM] | $68,537 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD G7241 - Inclusion body myositis [IBM] | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD G7241 - Inclusion body myositis [IBM] | 30.77 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD G7241 - Inclusion body myositis [IBM] | 26.15 |
*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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD G7241 - Inclusion body myositis [IBM] | 54 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD G7241 - Inclusion body myositis [IBM] in DRG | 1.37 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD G7241 - Inclusion body myositis [IBM] | 4.39 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD G7241 - Inclusion body myositis [IBM] | 21.57 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD G7241 - Inclusion body myositis [IBM] | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD G7241 - Inclusion body myositis [IBM] | $329,249 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD G7241 - Inclusion body myositis [IBM] | $1,389 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD G7241 - Inclusion body myositis [IBM] | $6,097 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD G7241 - Inclusion body myositis [IBM] | $1,766,894 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD G7241 - Inclusion body myositis [IBM] | $32,720 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD G7241 - Inclusion body myositis [IBM] | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD G7241 - Inclusion body myositis [IBM] | 24.07 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD G7241 - Inclusion body myositis [IBM] | 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD G7241 - Inclusion body myositis [IBM] | 43 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD G7241 - Inclusion body myositis [IBM] in DRG | 1.09 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD G7241 - Inclusion body myositis [IBM] | 11.91 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD G7241 - Inclusion body myositis [IBM] | 36.11 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD G7241 - Inclusion body myositis [IBM] | NA | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD G7241 - Inclusion body myositis [IBM] | $1,445,417 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD G7241 - Inclusion body myositis [IBM] | $2,823 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD G7241 - Inclusion body myositis [IBM] | $33,614 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD G7241 - Inclusion body myositis [IBM] | $6,890,880 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD G7241 - Inclusion body myositis [IBM] | $160,253 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD G7241 - Inclusion body myositis [IBM] | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD G7241 - Inclusion body myositis [IBM] | 37.21 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD G7241 - Inclusion body myositis [IBM] | NA |
| 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 | 27 |
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 21 |
| LANCASTER GENERAL HOSPITAL | 555 N DUKE ST | LANCASTER | PA | 17602 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBIN B ROTHBARD | 610 S MAPLE AVE | OAK PARK | IL | 60304 | 14 |