*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G7281 - Critical illness myopathy - as a primary diagnosis code | G7281 - Critical illness myopathy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 16.9 | |
| Readmission Rate (%) | 37.25 | |
| Unplanned Readmission Rate (%) | 19.25 | |
| 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) | DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD G7281 - Critical illness myopathy | 22,427 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD G7281 - Critical illness myopathy in DRG | 61.75 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD G7281 - Critical illness myopathy | 12.48 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD G7281 - Critical illness myopathy | 25.47 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD G7281 - Critical illness myopathy | 20.42 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD G7281 - Critical illness myopathy | $439,651,408 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD G7281 - Critical illness myopathy | $1,571 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD G7281 - Critical illness myopathy | $19,604 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD G7281 - Critical illness myopathy | $1,046,194,839 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD G7281 - Critical illness myopathy | $46,649 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD G7281 - Critical illness myopathy | 0.51 | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD G7281 - Critical illness myopathy | 11.65 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD G7281 - Critical illness myopathy | 15.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 037: EXTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,397 | ||||
| Total Hospitalizations with ICD G7281 - Critical illness myopathy | 74 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD G7281 - Critical illness myopathy in DRG | 0.2 | ||||
| Avg LOS at DRG | 5.9 | ||||
| Avg LOS with ICD G7281 - Critical illness myopathy | 13.19 | ||||
| Readmission Rate at DRG | 31.34 | ||||
| Readmission Rate with ICD G7281 - Critical illness myopathy | 41.67 | ||||
| Unplanned Readmission Rate at DRG | 10.0 | ||||
| Unplanned Readmission Rate with ICD G7281 - Critical illness myopathy | 26.67 | ||||
| Total Medicare payments at DRG | $256,680,181 | ||||
| Total Medicare payments with ICD G7281 - Critical illness myopathy | $1,431,641 | ||||
| Total Medicare payment per Day at DRG | $2,499 | ||||
| Total Medicare payment per Day with ICD G7281 - Critical illness myopathy | $1,467 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,754 | ||||
| Total Medicare payment per Hospitalization with ICD G7281 - Critical illness myopathy | $19,347 | ||||
| Total Medicare Charges at DRG | $1,413,120,578 | ||||
| Total Medicare Charges with ICD G7281 - Critical illness myopathy | $4,912,937 | ||||
| Avg Charges at DRG | $81,228 | ||||
| Avg Charges with ICD G7281 - Critical illness myopathy | $66,391 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD G7281 - Critical illness myopathy | NA | ||||
| SNF Discharge Rate at DRG | 22.36 | ||||
| SNF Discharge Rate with ICD G7281 - Critical illness myopathy | 16.22 | ||||
| Home Discharge Rate at DRG | 35.7 | ||||
| Home Discharge Rate with ICD G7281 - Critical illness myopathy | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,064 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF MIDLAND/ODESSA | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 708 |
| YUMA REHABILITATION HOSPITAL | 901 W 24TH ST | YUMA | AZ | 85364 | 665 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WENDELL A GROGAN | 22999 HIGHWAY 59 N STE 416 | KINGWOOD | TX | 77339 | 178 |
| Dr. THA CHA | 125 E BARSTOW AVE STE 118 | FRESNO | CA | 93710 | 107 |
| Dr. ROGER GREGORY GIORDANO | 5700 FITZHUGH AVE | RICHMOND | VA | 23226 | 89 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK A FREDRICKSON | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 651 |
| Dr. RONALD S TAYLOR | 3535 W 13 MILE RD | ROYAL OAK | MI | 48073 | 493 |
| Dr. TRAVIS W HIRD | 1501 RIVER POINTE DR | CONROE | TX | 77304 | 457 |
*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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD G7281 - Critical illness myopathy | 23,335 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD G7281 - Critical illness myopathy in DRG | 26.57 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD G7281 - Critical illness myopathy | 12.52 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD G7281 - Critical illness myopathy | 25.58 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD G7281 - Critical illness myopathy | 20.4 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD G7281 - Critical illness myopathy | $458,967,697 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD G7281 - Critical illness myopathy | $1,571 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD G7281 - Critical illness myopathy | $19,669 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD G7281 - Critical illness myopathy | $1,096,172,195 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD G7281 - Critical illness myopathy | $46,975 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD G7281 - Critical illness myopathy | 0.53 | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD G7281 - Critical illness myopathy | 11.78 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD G7281 - Critical illness myopathy | 15.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 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 | 120,351 | ||||
| Total Hospitalizations with ICD G7281 - Critical illness myopathy | 2,627 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD G7281 - Critical illness myopathy in DRG | 2.99 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD G7281 - Critical illness myopathy | 13.33 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD G7281 - Critical illness myopathy | 24.12 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD G7281 - Critical illness myopathy | 15.73 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD G7281 - Critical illness myopathy | $51,487,083 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD G7281 - Critical illness myopathy | $1,471 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD G7281 - Critical illness myopathy | $19,599 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD G7281 - Critical illness myopathy | $137,918,061 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD G7281 - Critical illness myopathy | $52,500 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD G7281 - Critical illness myopathy | 0.95 | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD G7281 - Critical illness myopathy | 13.74 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD G7281 - Critical illness myopathy | 16.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | ||||
| Total Hospitalizations with ICD G7281 - Critical illness myopathy | 1,347 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD G7281 - Critical illness myopathy in DRG | 1.53 | ||||
| Avg LOS at DRG | 25.29 | ||||
| Avg LOS with ICD G7281 - Critical illness myopathy | 35.25 | ||||
| Readmission Rate at DRG | 74.5 | ||||
| Readmission Rate with ICD G7281 - Critical illness myopathy | 75.43 | ||||
| Unplanned Readmission Rate at DRG | 8.79 | ||||
| Unplanned Readmission Rate with ICD G7281 - Critical illness myopathy | 9.01 | ||||
| Total Medicare payments at DRG | $3,386,848,549 | ||||
| Total Medicare payments with ICD G7281 - Critical illness myopathy | $124,840,999 | ||||
| Total Medicare payment per Day at DRG | $2,945 | ||||
| Total Medicare payment per Day with ICD G7281 - Critical illness myopathy | $2,629 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
| Total Medicare payment per Hospitalization with ICD G7281 - Critical illness myopathy | $92,681 | ||||
| Total Medicare Charges at DRG | $15,882,518,852 | ||||
| Total Medicare Charges with ICD G7281 - Critical illness myopathy | $618,735,880 | ||||
| Avg Charges at DRG | $349,235 | ||||
| Avg Charges with ICD G7281 - Critical illness myopathy | $459,344 | ||||
| Mortality Rate at DRG | 13.7 | ||||
| Mortality Rate with ICD G7281 - Critical illness myopathy | 16.63 | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD G7281 - Critical illness myopathy | 18.78 | ||||
| Home Discharge Rate at DRG | 1.95 | ||||
| Home Discharge Rate with ICD G7281 - Critical illness myopathy | 0.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD G7281 - Critical illness myopathy | 748 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD G7281 - Critical illness myopathy in DRG | 0.85 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD G7281 - Critical illness myopathy | 31.5 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD G7281 - Critical illness myopathy | 47.34 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD G7281 - Critical illness myopathy | 17.67 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD G7281 - Critical illness myopathy | $40,938,722 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD G7281 - Critical illness myopathy | $1,737 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD G7281 - Critical illness myopathy | $54,731 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD G7281 - Critical illness myopathy | $208,839,705 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD G7281 - Critical illness myopathy | $279,197 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD G7281 - Critical illness myopathy | 12.17 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD G7281 - Critical illness myopathy | 30.48 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD G7281 - Critical illness myopathy | 4.55 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 3,582 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 1,319 |
| YUMA REHABILITATION HOSPITAL | 901 W 24TH ST | YUMA | AZ | 85364 | 818 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LOUIS V EBERLE | 6263 POPLAR AVE | MEMPHIS | TN | 38119 | 272 |
| Dr. WENDELL A GROGAN | 22999 HIGHWAY 59 N STE 416 | KINGWOOD | TX | 77339 | 226 |
| Dr. TRICIA PUNSALAN | 704 OLD MONTGOMERY RD | CONROE | TX | 77301 | 140 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK A FREDRICKSON | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 660 |
| Dr. TRAVIS W HIRD | 1501 RIVER POINTE DR | CONROE | TX | 77304 | 523 |
| Dr. RONALD S TAYLOR | 3535 W 13 MILE RD | ROYAL OAK | MI | 48073 | 511 |