*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G7289 - Other specified myopathies - as a primary diagnosis code | G7289 - Other specified myopathies - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.7 | |
| Readmission Rate (%) | 24.46 | |
| Unplanned Readmission Rate (%) | 18.9 | |
| 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 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 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 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD G7289 - Other specified myopathies | 17,522 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD G7289 - Other specified myopathies in DRG | 45.26 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD G7289 - Other specified myopathies | 11.67 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD G7289 - Other specified myopathies | 21.91 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD G7289 - Other specified myopathies | 17.6 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD G7289 - Other specified myopathies | $307,568,821 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD G7289 - Other specified myopathies | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD G7289 - Other specified myopathies | $17,553 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD G7289 - Other specified myopathies | $502,192,900 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD G7289 - Other specified myopathies | $28,661 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD G7289 - Other specified myopathies | 0.19 | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD G7289 - Other specified myopathies | 10.64 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD G7289 - Other specified myopathies | 14.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 109,018 | |
| Total Hospitalizations with ICD G7289 - Other specified myopathies | 20 | |
| DRG Share of Total Hospitalizations | 0.33 | |
| % of Total ICD G7289 - Other specified myopathies in DRG | 0.05 | |
| Avg LOS at DRG | 12.66 | |
| Avg LOS with ICD G7289 - Other specified myopathies | 11.6 | |
| Readmission Rate at DRG | 35.31 | |
| Readmission Rate with ICD G7289 - Other specified myopathies | NA | |
| Unplanned Readmission Rate at DRG | 20.73 | |
| Unplanned Readmission Rate with ICD G7289 - Other specified myopathies | NA | |
| Total Medicare payments at DRG | $3,554,922,428 | |
| Total Medicare payments with ICD G7289 - Other specified myopathies | $387,527 | |
| Total Medicare payment per Day at DRG | $2,575 | |
| Total Medicare payment per Day with ICD G7289 - Other specified myopathies | $1,670 | |
| Total Medicare payment per Hospitalization at DRG | $32,609 | |
| Total Medicare payment per Hospitalization with ICD G7289 - Other specified myopathies | $19,376 | |
| Total Medicare Charges at DRG | $15,445,232,132 | |
| Total Medicare Charges with ICD G7289 - Other specified myopathies | $1,546,589 | |
| Avg Charges at DRG | $141,676 | |
| Avg Charges with ICD G7289 - Other specified myopathies | $77,329 | |
| Mortality Rate at DRG | 8.99 | |
| Mortality Rate with ICD G7289 - Other specified myopathies | NA | |
| SNF Discharge Rate at DRG | 27.26 | |
| SNF Discharge Rate with ICD G7289 - Other specified myopathies | NA | |
| Home Discharge Rate at DRG | 27.78 | |
| Home Discharge Rate with ICD G7289 - Other specified myopathies | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MORGANTOWN | 1160 VAN VOORHIS RD | MORGANTOWN | WV | 26505 | 1,311 |
| ENCOMPASS HEALTH DEACONESS REHABILITATION HOSPITAL | 4100 COVERT AVE | EVANSVILLE | IN | 47714 | 1,221 |
| HEALTHSOUTH WESTERN HILLS REHAB HOSPITAL | 3 WESTERN HILLS DR | PARKERSBURG | WV | 26105 | 1,103 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MOHAMMED A CHOWDHURY | 909 E PALATINE RD | PALATINE | IL | 60074 | 155 |
| Dr. THA CHA | 125 E BARSTOW AVE STE 118 | FRESNO | CA | 93710 | 154 |
| Dr. HARWINDER SINGH | 1805 E FIR AVE | FRESNO | CA | 93720 | 123 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ARTI PATEL | 3901 ARMORY ROAD | WICHITA FALLS | TX | 76302 | 670 |
| Dr. ROBERT D ROWLAND | 1300 MEDICAL DR | TALLAHASSEE | FL | 32308 | 578 |
| Dr. OMAR ALBERTO COLON GUTIERREZ | 2800 W 15TH ST | PLANO | TX | 75075 | 506 |
*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 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD G7289 - Other specified myopathies | 18,220 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD G7289 - Other specified myopathies in DRG | 29.1 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD G7289 - Other specified myopathies | 11.68 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD G7289 - Other specified myopathies | 21.99 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD G7289 - Other specified myopathies | 17.63 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD G7289 - Other specified myopathies | $320,522,468 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD G7289 - Other specified myopathies | $1,506 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD G7289 - Other specified myopathies | $17,592 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD G7289 - Other specified myopathies | $522,955,938 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD G7289 - Other specified myopathies | $28,702 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD G7289 - Other specified myopathies | 0.21 | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD G7289 - Other specified myopathies | 10.69 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD G7289 - Other specified myopathies | 14.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD G7289 - Other specified myopathies | 1,470 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD G7289 - Other specified myopathies in DRG | 2.35 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD G7289 - Other specified myopathies | 13.77 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD G7289 - Other specified myopathies | 15.4 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD G7289 - Other specified myopathies | 11.55 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD G7289 - Other specified myopathies | $30,909,142 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD G7289 - Other specified myopathies | $1,527 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD G7289 - Other specified myopathies | $21,027 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD G7289 - Other specified myopathies | $46,594,293 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD G7289 - Other specified myopathies | $31,697 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD G7289 - Other specified myopathies | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD G7289 - Other specified myopathies | 15.37 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD G7289 - Other specified myopathies | 14.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD G7289 - Other specified myopathies | 617 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD G7289 - Other specified myopathies in DRG | 0.99 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD G7289 - Other specified myopathies | 14.66 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD G7289 - Other specified myopathies | 18.63 | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD G7289 - Other specified myopathies | 14.26 | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD G7289 - Other specified myopathies | $14,676,485 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD G7289 - Other specified myopathies | $1,622 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD G7289 - Other specified myopathies | $23,787 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD G7289 - Other specified myopathies | $25,958,707 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD G7289 - Other specified myopathies | $42,072 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD G7289 - Other specified myopathies | NA | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD G7289 - Other specified myopathies | 14.42 | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD G7289 - Other specified myopathies | 14.1 |
*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 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G7289 - Other specified myopathies | 484 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G7289 - Other specified myopathies in DRG | 0.77 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G7289 - Other specified myopathies | 10.05 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G7289 - Other specified myopathies | 46.46 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G7289 - Other specified myopathies | 16.04 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G7289 - Other specified myopathies | $6,508,901 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G7289 - Other specified myopathies | $1,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G7289 - Other specified myopathies | $13,448 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G7289 - Other specified myopathies | $40,498,826 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G7289 - Other specified myopathies | $83,675 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G7289 - Other specified myopathies | 8.47 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G7289 - Other specified myopathies | 26.86 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G7289 - Other specified myopathies | 10.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MORGANTOWN | 1160 VAN VOORHIS RD | MORGANTOWN | WV | 26505 | 1,924 |
| REGIONAL REHABILITATION HOSPITAL | 3715 HIGHWAY 280/431 NORTH | PHENIX CITY | AL | 36867 | 1,437 |
| ENCOMPASS HEALTH DEACONESS REHABILITATION HOSPITAL | 4100 COVERT AVE | EVANSVILLE | IN | 47714 | 1,349 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AUSTON JEROD MYERS | 8700 BEVERLY BLVD | WEST HOLLYWOOD | CA | 90048 | 236 |
| Dr. THA CHA | 125 E BARSTOW AVE STE 118 | FRESNO | CA | 93710 | 220 |
| Dr. HARWINDER SINGH | 1805 E FIR AVE | FRESNO | CA | 93720 | 207 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ASHISH KHANDELWAL | 1500 SW 1ST AVE | OCALA | FL | 34471 | 1,182 |
| Dr. TRAVIS W HIRD | 1501 RIVER POINTE DR | CONROE | TX | 77304 | 859 |
| Dr. ARTI PATEL | 3901 ARMORY ROAD | WICHITA FALLS | TX | 76302 | 788 |