*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G7249 - Other inflammatory and immune myopathies, not elsewhere classified - as a primary diagnosis code | G7249 - Other inflammatory and immune myopathies, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.1 | |
| Readmission Rate (%) | 29.88 | |
| Unplanned Readmission Rate (%) | 12.93 | |
| 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) | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | ||||
| Total Hospitalizations with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 105 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified in DRG | 36.33 | ||||
| Avg LOS at DRG | 5.12 | ||||
| Avg LOS with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 8.18 | ||||
| Readmission Rate at DRG | 23.17 | ||||
| Readmission Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 20.83 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $123,348,417 | ||||
| Total Medicare payments with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $1,297,146 | ||||
| Total Medicare payment per Day at DRG | $1,658 | ||||
| Total Medicare payment per Day with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $1,510 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,492 | ||||
| Total Medicare payment per Hospitalization with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $12,354 | ||||
| Total Medicare Charges at DRG | $565,151,481 | ||||
| Total Medicare Charges with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $5,815,268 | ||||
| Avg Charges at DRG | $38,906 | ||||
| Avg Charges with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $55,384 | ||||
| Mortality Rate at DRG | 0.34 | ||||
| Mortality Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 16.01 | ||||
| SNF Discharge Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 22.86 | ||||
| Home Discharge Rate at DRG | 53.61 | ||||
| Home Discharge Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 33.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 11,926 |
| Total Hospitalizations with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 11 |
| DRG Share of Total Hospitalizations | 0.04 |
| % of Total ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified in DRG | 3.81 |
| Avg LOS at DRG | 2.83 |
| Avg LOS with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 8.45 |
| Readmission Rate at DRG | 11.81 |
| Readmission Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA |
| Unplanned Readmission Rate at DRG | 4.21 |
| Unplanned Readmission Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA |
| Total Medicare payments at DRG | $83,897,096 |
| Total Medicare payments with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $79,380 |
| Total Medicare payment per Day at DRG | $2,482 |
| Total Medicare payment per Day with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $854 |
| Total Medicare payment per Hospitalization at DRG | $7,035 |
| Total Medicare payment per Hospitalization with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $7,216 |
| Total Medicare Charges at DRG | $520,541,143 |
| Total Medicare Charges with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $827,500 |
| Avg Charges at DRG | $43,648 |
| Avg Charges with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $75,227 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA |
| SNF Discharge Rate at DRG | 23.87 |
| SNF Discharge Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA |
| Home Discharge Rate at DRG | 46.55 |
| Home Discharge Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 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 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) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | ||||
| Total Hospitalizations with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 115 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified in DRG | 12.21 | ||||
| Avg LOS at DRG | 5.12 | ||||
| Avg LOS with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 8.22 | ||||
| Readmission Rate at DRG | 23.17 | ||||
| Readmission Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 21.15 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $123,348,417 | ||||
| Total Medicare payments with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $1,422,269 | ||||
| Total Medicare payment per Day at DRG | $1,658 | ||||
| Total Medicare payment per Day with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $1,505 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,492 | ||||
| Total Medicare payment per Hospitalization with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $12,368 | ||||
| Total Medicare Charges at DRG | $565,151,481 | ||||
| Total Medicare Charges with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $6,224,276 | ||||
| Avg Charges at DRG | $38,906 | ||||
| Avg Charges with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $54,124 | ||||
| Mortality Rate at DRG | 0.34 | ||||
| Mortality Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 16.01 | ||||
| SNF Discharge Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 23.48 | ||||
| Home Discharge Rate at DRG | 53.61 | ||||
| Home Discharge Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 33.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,482 | ||||
| Total Hospitalizations with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 26 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified in DRG | 2.76 | ||||
| Avg LOS at DRG | 11.91 | ||||
| Avg LOS with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 12.38 | ||||
| Readmission Rate at DRG | 34.36 | ||||
| Readmission Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 66.67 | ||||
| Unplanned Readmission Rate at DRG | 16.28 | ||||
| Unplanned Readmission Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $220,435,927 | ||||
| Total Medicare payments with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $674,129 | ||||
| Total Medicare payment per Day at DRG | $1,952 | ||||
| Total Medicare payment per Day with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $2,094 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,248 | ||||
| Total Medicare payment per Hospitalization with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $25,928 | ||||
| Total Medicare Charges at DRG | $1,046,292,995 | ||||
| Total Medicare Charges with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $3,287,812 | ||||
| Avg Charges at DRG | $110,345 | ||||
| Avg Charges with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $126,454 | ||||
| Mortality Rate at DRG | 3.47 | ||||
| Mortality Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 36.8 | ||||
| SNF Discharge Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 50.0 | ||||
| Home Discharge Rate at DRG | 16.41 | ||||
| Home Discharge Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 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 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 11,926 | |
| Total Hospitalizations with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 11 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified in DRG | 1.17 | |
| Avg LOS at DRG | 2.83 | |
| Avg LOS with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | 8.45 | |
| Readmission Rate at DRG | 11.81 | |
| Readmission Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA | |
| Unplanned Readmission Rate at DRG | 4.21 | |
| Unplanned Readmission Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA | |
| Total Medicare payments at DRG | $83,897,096 | |
| Total Medicare payments with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $79,380 | |
| Total Medicare payment per Day at DRG | $2,482 | |
| Total Medicare payment per Day with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $854 | |
| Total Medicare payment per Hospitalization at DRG | $7,035 | |
| Total Medicare payment per Hospitalization with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $7,216 | |
| Total Medicare Charges at DRG | $520,541,143 | |
| Total Medicare Charges with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $827,500 | |
| Avg Charges at DRG | $43,648 | |
| Avg Charges with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | $75,227 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA | |
| SNF Discharge Rate at DRG | 23.87 | |
| SNF Discharge Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA | |
| Home Discharge Rate at DRG | 46.55 | |
| Home Discharge Rate with ICD G7249 - Other inflammatory and immune myopathies, not elsewhere classified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 17 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 13 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 12 |